"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"
"26286","KGZ","Kyrgyzstan","","Закон Кыргызской Республики О защите прав потребителей [Consumer Protection Law]","Legislation relevant to nutrition","","Russian","12","1997","","","Ministry of Justice","12","1997","Adopted","12","1997","President of Kyrgyzstan","Cabinet/Presidency|Justice|Sub-national","","","","","","","","","","","","","","","","","","","","","","
ЗАКОН № 90 With amendments of 2003, 2008, 2013 and 2015
2. Информация о товарах (работах, услугах) в обязательном порядке должна содержать: обозначение стандартов, обязательным требованиям которых должны соответствовать товары (работы, услуги); сведения об основных потребительских свойствах товаров (работ, услуг), а в отношении продуктов питания - сведения о составе (в том числе перечень использованных в процессе их изготовления иных продуктов питания и пищевых добавок), информация (маркировка) о наличии в продуктах питания компонентов, полученных с применением генноинженерно-модифицированных организмов, весе и объеме, калорийности продуктов питания, содержании в них вредных для здоровья веществ в сравнении с обязательными требованиями стандартов, а также противопоказания для применения при отдельных видах заболеваний. Перечень товаров (работ, услуг), информация о которых должна содержать противопоказания для применения при отдельных видах заболеваний, утверждается Правительством Кыргызской Республики;
","Food safety|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Energy value (ND)|Monitoring mechanism established|Sanctions exist","","http://cbd.minjust.gov.kg/act/view/ru-ru/590","With amendments of 2003, 2008, 2013 and 2015 ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%201997%20Consumers%20Rights.pdf"
"26299","FSM","Micronesia (Federated States of)","Kosrae","Kosrae State Code (revised version of the 1985 code)","Legislation relevant to nutrition","","English","","1997","","","Kosrae State Legislature","","1997","","","","","Sub-national","","","","","","","","","","","","","","","","","","","","","","Section 9.201. Imposition. Except for goods made or produced in the State a sales tax attaches to goods upon their first sale in the State. The seller pays the tax on all goods in a shipment no later than 120 days after arrival in the State. The State has the power to hold the release of future shipments if the seller is not current on taxes due under the Code and applicable Regulations.
…
Section 9.202. Rates. The sales tax is on a percentage of the sales price or per unit as indicated below
…
(6) food …………1 percent
…
(11) soda
(a) 2 cents per container of 12 fluid ounces
(b) plus 1 cent per additional ounce
","Taxation on unhealthy foods|Volume or weight based specific sales tax|Ad valorem sales tax|Sub-national level SSB tax|Mineral, aerated or flavoured waters with added sugars (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Foods and snacks (taxes)","","http://fsmlaw.org/kosrae/code/title09/t09p01c02.htm","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FSM%201997%20Sales%20Tax.pdf"
"14984","BLR","Belarus","","Постановление О профилактической поливитаминизации питания [ Decree on prophylactic polyvitaminization of nutrition]","Legislation relevant to nutrition","","Russian","9","1998","","","Ministry of Health","9","1998","Adopted","9","1998","Ministry of Health","Education and research|Health|Sub-national","Ministry of Education, Ministry of Health, Local Authorities, Chief State Sanitary Doctor","","","","","","","","","","","","","","","Other","Educational Institutions and Care Centers, Medical Staff and Care Takers","","","","","ПОСТАНОВЛЕНИЕ 17 сентября 1998 г. N 28 г. Минск О ПРОФИЛАКТИЧЕСКОЙ ПОЛИВИТАМИНИЗАЦИИ ПИТАНИЯ
Государственная регистрация: Номер: 2706/12. Дата: 29.09.98 г.
- Приступить к поэтапному переходу к профилактической поливитаминизации питания детей и подростков в организованных коллективах
- Провести организационно-разъяснительную работу и оказать методическую помощь руководителям учебно-воспитательных учреждений по вопросам введения поливитаминизации
- Разработать планы перехода к поливитаминизации детей и подростков по каждому учебно-воспитательному учреждению и территории (города, района) с учетом состояния здоровья и реальных финансовых возможностей
- В состав комплекса должны входить витамины А, С, Е, В1, В2, В6, В12, фолиевая кислота, РР, а также бета-каротин; микроэлементы (иод, селен, железо)
- Препарат должен быть зарегистрирован в Министерстве здравоохранения Республики Беларусь.
- Дозы витаминов, входящих в комплекс должны обеспечить: Суточную профилактическую потребность в витаминах (соответствовать физиологическим нормам)
","Nutrition counselling on healthy diets|Vitamin A|Vitamin B12|Micronutrient supplementation|Vulnerable groups|Monitoring mechanism established","","http://minzdrav.gov.by/ru/static/acts/normativnye/postanovlenia_GSV/p-alignjustify-o-profilakticheskoj-polivitaminizatsii-pitanijap_i_1364.html","Legislation on polyvitamin supplementation to children (priority to vulnerable groups). Supplementation has to provide multiple vitamins and minerals and specifically has to contain elements; А, С, Е, В1, В2, В6, В12, Folic acid, РР, beta-carotene, iodine, selenium and iron.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%201998%20Decree%20on%20prophylactic%20polyvitaminization%20of%20nutrition.pdf"
"14983","BLR","Belarus","","Постановление о предупреждении заболеваний связанных с дефицитом йода. [Decree on Prevention of Iodine Deficiency Disorders]","Legislation relevant to nutrition","","Russian","3","2000","","","Ministry of Health","","2000","Adopted","3","2000","Ministry of Health and Chief State Sanitary Doctor of Belarus","Health|Sub-national|Trade","Ministry of Health, Chief State Sanitary Doctor of Belarus, Local Chief Sanitary Doctors, Local Authorities of Public Health Surveillance, Ministry of Trade","","","","","","","","","","","","","","","Other","Salt Producers, Heads of medical institutions at all levels, Doctors of Health Centers","","","","","3. Определить, что содержание иода в соли, производимой и реализуемой в Республике Беларусь, с 1 июня 2000 г. должно составлять 40+-","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization","","http://minzdrav.gov.by/ru/static/acts/normativnye/postanovlenia_GSV/p-alignjustify-o-preduprezhdenii-zabolevanij-svjazannyx-s-defitsitom-jodap_i_1421.html","2000: Decree on; mandatory salt iodization for all producers, mandatory promotion of iodized salt and education about iodine deficiency disorders among public. 2001: Addition to the Decree, on monitoring mechanism and mandatory production of exclusively iodized salt.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202000%20Prevention%20of%20Iodine%20Deficiency%20Diseases.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202000%20Prevention%20of%20Iodine%20Deficiency%20Diseases.pdf"
"11541","LAO","Lao People's Democratic Republic","","Law on Hygiene, Disease Prevention and Health Promotion","Legislation relevant to nutrition","","English","","2001","","","Lao People's Democratic Republic","4","2001","","","","","Health|Sub-national","Ministry of Health, Provincial, municipal and special zone health divisions; District health offices","","","","","","","","","","","","","","","","","","","","","The Law on Hygiene, Disease Prevention and Health Promotion has the function to determine the principles, regulations and measures relating to the organisation of activities on hygiene, disease prevention and health promotion to maintain the good health, quality of life and longevity of the people thus contributing to national preservation and development.
","School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Food safety|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202001PDR_Law-on-Hygiene-Disease-Prevention-and-Health-Promotion_2001.pdf"
"24683","ROU","Romania","","Ordonata de Urgenta privind acordarea de produse lactate si de panificatie pentru elevii din clasele I - VIII din [Emergency Ordinance to provide Dairy and Bakery products to students of Education Institutions of I to VIII Grade]","Legislation relevant to nutrition","","Romanian; Moldavian; Moldovan","","2002","","","Monitorul Oficial al României","8","2002","Adopted","8","2002","Government of Romania","Cabinet/Presidency|Health|Finance, budget and planning|Sub-national","","","","","","","","","","","","","","","","","","","","","","ART. 1 (1) Se acorda gratuit pentru elevii din clasele I - VIII din învatamântul de stat si privat produse lactate si de panificatie în limita unei valori zilnice de 7.000 lei/elev*). Limita valorica cuprinde pretul produselor, cheltuielile de transport, distributie si depozitare a acestora, dupa caz.
","School milk scheme|Mandatory standards|School breakfasts or snacks|School food provided free of charge|Schools (standards)|Milk (standards)","","http://legislatie.just.ro/Public/DetaliiDocument/200385?isFormaDeBaza=True&rep=True","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ROM%202002%20School%20milk%20scheme.pdf"
"8325","PHL","Philippines","","AO No. 119S 2003 Updated Micronutrient Supplementation","Voluntary codes or measures relevant to nutrition","","English","","2003","","","DOH","","2003","Adopted","","2003","DOH","Sub-national","LGUS","","","","","","","","","","","","","","","","","","","","","This Administrative Order is now being issued to update health workers in the provision of micronutrients . Multiple micronutrient supplementation is also briefly described as one intervention that could be used to address multiple micronutrient deficiencies especially among pregnant and lactating women. Explanations on the prescriptions, administrations, and delivery of supplements as well as the safety of its ingestion are also provided to clarify issues and questions regarding side effects.","Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Micronutrient supplementation","","https://ww2.fda.gov.ph/index.php/issuances-2/food-laws-and-regulations-pertaining-to-all-regulated-food-products-and-supplements/food-administrative-order/156562-administrative-order-no-119-s-2003","","WHO Global Nutrition Policy Review 2009-2010",""
"11540","LAO","Lao People's Democratic Republic","","Law on Food","Legislation relevant to nutrition","","English","","2004","","","Lao People's Democratic Republic","6","2004","","","","","Health|Sub-national","Ministry of Health, Provincial and district health divisions","","","","","","","","","","","","","","","","","","","","","Objectives:
The Law on Food defines principles, rules, methods and measures on the administration and inspection of activities relating to food, with the aims[:] to control the quality and standard, in particular the safety, of food[;] to ensure the consumers’ nutrition and health[;] to promote production and business relating to food[;] and to guide the citizens to be aware, to understand and to adapt to the consumption of food that is safe, hygienic and that contains nutrients for physical strength, including to make them understand the usefulness and danger of food and to know how to care for their health, in order to contribute to national protection and development.
","Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Diarrhoea or ORS","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202004%20PDR_Law-on-Food_2004.pdf"
"17776","RUS","Russian Federation","Kirov","Regional Law Kirov On protection of public health","Legislation relevant to nutrition","","Russian","11","2005","","","Regional Department of Health","11","2005","Adopted","10","2005","Regional Government Kirov","Education and research|Sub-national|Health","Ministry of Health, Social Education Centers, Regional Department Health and Local Authoreties","","","","","","","","","","","","","","","Other","Health Centers, Health Workers, Food Distributors, Pharmacies, Pharmaceutical Companies","","","","","Закон Кировской области от 3 ноября 2005 г. N 369-ЗО """"Об охране здоровья граждан в Кировской области"""" (с изменениями от 6 марта 2006 г., 5 июля, 2 ноября, 27 декабря 2007 г., 12 ноября 2008 г., 1 апреля 2009 г.).""""
Настоящий Закон в соответствии с Конституцией Российской Федерации, федеральными законами и иными нормативными правовыми актами Российской Федерации, Уставом области, законами и иными нормативными правовыми актами Кировской области регулирует отношения в сфере охраны здоровья граждан в Кировской области.
Статья 9. Меры социальной поддержки беременных женщин, кормящих матерей, а также детей в возрасте до трех лет
1. Беременные женщины, кормящие матери, а также дети в возрасте до трех лет обеспечиваются полноценным питанием, в том числе через специальные пункты питания и магазины.
2. Право на получение полноценного питания имеют:
- женщины, состоящие на учете в медицинских учреждениях в связи с беременностью
- кормящие грудным молоком матери
- дети с рождения до исполнения трех лет
3. Полноценное питание в виде продуктов питания, перечень которых утверждается Правительством области, назначается по заключению врачей учреждения здравоохранения, наблюдающих ребенка, беременную или кормящую женщину по месту жительства или месту пребывания, при наличии медицинских показаний, перечень которых определяется органом исполнительной власти области в сфере здравоохранения.
4. Полноценное питание предоставляется с месяца, следующего за месяцем, в котором выдано заключение.
МЕТОДИКА
- Расчета субвенций местным бюджетам из областного бюджета на выполнение отдельных государственных полномочий по исполнению мер социальной поддержки отдельных категорий граждан в обеспечении лекарственными препаратами, изделиями медицинского назначения, безбелковыми продуктами питания и белковыми гидролизатами
- Расчета субвенций местным бюджетам из областного бюджета на выполнение отдельных государственных полномочий по исполнению мер социальной поддержки по обеспечению полноценным питанием беременных женщин, кормящих матерей, а также детей в возрасте до трех лет
","Maternity protection|Underweight in women|Food distribution/supplementation for prevention of acute malnutrition|Household food security|Vulnerable groups|Sanctions exist","","http://www.medkirov.ru/docs/id/4A1B8C","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202005%20Regional%20Law%20Kirov%20%E2%80%9COn%20protection%20of%20public%20health%E2%80%9D.pdf"
"14932","UZB","Uzbekistan","","Закон """"О профилактике йододефицитных заболеваний"""" [Legislation on prevention of Iodine Deficiency Disorders]","Legislation relevant to nutrition","","Russian","5","2007","","","Ministry of Health","5","2007","Adopted","3","2007","Government of Uzbekistan","Cabinet/Presidency|Health|Sub-national|Other","Cabinet of Ministers, Ministry of Health, Agency for Standardization, Metrology and Certification, Local authorities","","","","","","","","","","","","","","","","","","","","","Целью настоящего Закона является регулирование отношений в области профилактики йододефицитных заболеваний. Государственная политика в области профилактики йододефицитных заболеваний направлена на предупреждение возникновения йододефицитных заболеваний и реализуется путем:
- совершенствования законодательства о профилактике йододефицитных заболеваний;
- осуществления государственного контроля за качеством и безопасностью йодированной соли и йодированных пищевых продуктов, условиями их хранения;осуществления экономических, правовых и организационных мер, направленных на насыщение потребительского рынка йодированной солью и йодированными пищевыми продуктами;
- государственной поддержки производства йодированной соли и йодированных пищевых продуктов, лекарственных средств и препаратов, используемых для профилактики и лечения йододефицитных заболеваний;государственной поддержки научных исследований в области профилактики йододефицитных заболеваний;
- осуществления мероприятий по профилактическому обеспечению детей и женщин репродуктивного возраста йодосодержащими препаратами;
- мониторинга эффективности мероприятий по профилактике йододефицитных заболеваний;организации подготовки и переподготовки кадров в области производства йодированной соли, йодированных пищевых продуктов и лекарственных средств;
- совершенствования информационно-аналитической и статистической систем учета в области профилактики йододефицитных заболеваний;
- привлечения средств юридических и физических лиц, в том числе иностранных, к проблемам йододефицитных заболеваний, методам их профилактики и лечения;
- развития международного сотрудничества в области профилактики йододефицитных заболеваний.
","Iodine|Food fortification|Food grade salt|Food safety|Vulnerable groups|Mandatory fortification|Mandatory salt iodization|Monitoring mechanism established","","http://www.minzdrav.uz/documentation/detail.php?ID=1030","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202007%20%D0%97%D0%B0%D0%BA%D0%BE%D0%BD%20%D0%9E%20%D0%BF%D1%80%D0%BE%D1%84%D0%B8%D0%BB%D0%B0%D0%BA%D1%82%D0%B8%D0%BA%D0%B5%20%D0%B9%D0%BE%D0%B4%D0%BE%D0%B4%D0%B5%D1%84%D0%B8%D1%86%D0%B8%D1%82%D0%BD%D1%8B%D1%85%20%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D0%B9.pdf"
"14988","KAZ","Kazakhstan","","Закон о качестве и безопасности пищевых продуктов [Law on Food Safety and Quality]","Legislation relevant to nutrition","","Russian","1","2008","","","Ministry of Health","1","2007","Adopted","7","2007","Government of Kazakhstan","Other|Sub-national","Governmental Bodies, Authorized state body for Sanitary and Technical Regulations, Local Authorities","","","","","","","","","","","","","Private sector","Food Producers, Traders and Distributors","","","","","","","Закон Республики Казахстан О качестве и безопасности пищевых продуктов от 21 июля 2007 года N 301-III ЗРК, с изменениями и дополнениями по состоянию на 12.01.2012 г. (вводится в действие с 1 января 2008 года)
(Закон от 8 апреля 2004 года N 543 утратил силу)
Настоящий Закон устанавливает правовые основы обеспечения безопасности пищевой продукции для защиты жизни и здоровья человека, законных интересов потребителей и охраны окружающей среды на территории Республики Казахстан.
- Настоящий Закон распространяется на пищевую продукцию, производимую в Республике Казахстан и ввозимую (импортируемую) на территорию Республики Казахстан, а также на процессы (стадии) разработки (создания), производства (изготовления), оборота, утилизации и уничтожения пищевой продукции.
- Действие настоящего Закона не распространяется на пищевую продукцию домашнего приготовления, предназначенную для личного потребления.
","Food labelling|Food safety|Monitoring mechanism established|Sanctions exist","","http://www.mz.gov.kz/sites/default/files/doc/zakon_no301-111_na_rus.doc","The Law on the quality and safety of food products from 21 July 2007 N 301-III ZRK, including additional changes from 12.01.2012 (put into effect starting from 1 January 2008)(Law of April 8, 2004 N 543 repealed)","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202007%20Law%20on%20Food%20Safety%20and%20Quality%20.pdf"
"14959","KGZ","Kyrgyzstan","","Law No. 263 on protection of breastfeeding and regulation of marketing of infant food","Legislation relevant to nutrition","","Russian","12","2008","","","Ministry of Justice","12","2008","Adopted","10","2008","Government of Kyrgyzstan","Health|Sub-national","Ministry of Health, Local Authorities","","","","","","","","","National NGOs","","","","","","Other","Health Workers, Health Care Centers, Social Workers, Pharmacies","","","","","г.Бишкек от 17 декабря 2008 года № 263 ЗАКОН КЫРГЫЗСКОЙ РЕСПУБЛИКИ О защите грудного вскармливания детей и регулировании маркетинга продуктов и средств для искусственного питания детей.
Целью настоящего Закона является охрана здоровья детей, в частнос- ти младенцев и детей младшего возраста, путем защиты и пропаганды груд- ного вскармливания детей, регулирования маркетинга продуктов и средств для искусственного питания детей.
Лица, нарушающие настоящий Закон или препятствующие его исполне- нию, несут ответственность, предусмотренную законодательством Кыргызс- кой Республики.
This Law shall have as objective protection of infant health and, in particular, of infants and young children, through promotion of breastfeeding and regulation of marketing of products and means for artificial nutrition. Products labelled as infant food shall correspond to food safety requirements and technical regulations. Promotion of infant food at wholesale and retail trading organization and also at the institutions of public health shall be prohibited. Infant food supplied to public health institutional and social welfare institutions shall be used exclusively for children that are obliged to receive products for artificial nutrition. Labels of infant food shall not bear photographs, drawings, and graphic images except for those to illustrate the modalities of cooking. Labels shall bear indication on the advantages of breastfeeding, manufacturing, packaging and expiry date, name of producer and trader, and also legal addresses thereof.
(English summary retrieved from FAOLEX)
","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Minimum acceptable diet|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Breastfeeding facilities|Functioning implementation and monitoring mechanism|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS|Promotion to health workers and health facilities: Prohibition of materials/gifts|Promotion to the general public: Prohibition of advertising of BMS|Promotion to the general public: Prohibition of sale promotions|Monitoring mechanism established|Sanctions exist","","http://minjust.gov.kg/?page_id=2125","Scope of the Code: 0-24 months of age with promotion of exclusive breastfeeding up to 6 month","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/KGZ%202008%20Law%20on%20protection%20of%20breastfeeding%20and%20regulation%20of%20marketing%20of%20infant%20food.pdf"
"24685","ROU","Romania","","ORDIN nr. 1563 pentru aprobarea Listei alimentelor nerecomandate preşcolarilor şi şcolarilor şi a principiilor care stau la baza unei alimentaţii sănătoase pentru copii şi adolescenţi [ORDER for approval List of non-recommended foods in schools]","Legislation relevant to nutrition","","Romanian; Moldavian; Moldovan","","2008","","","Monitorul Oficial","9","2008","Adopted","9","2008","Ministry of Health","Health|Education and research|Sub-national","","","","","","","","","","","","","","","","","","","","","","Ministrul Sănătăţii publice emite următorul ordin:
Art. 1 (1)Se aprobă Lista alimentelor nerecomandate preşcolarilor şi şcolarilor, prevăzută în anexa nr. 1, care face parte integrantă din prezentul ordin. (2)În incinta unităţilor de învăţământ este interzisă comercializarea produselor care se încadrează în criteriile şi limitele prevăzute în lista din anexa nr. 1.
Art. 2 Se aprobă principiile care stau la baza unei alimentaţii sănătoase pentru copii şi adolescenţi, prevăzute în anexa nr. 2, care face parte integrantă din prezentul ordin.
Art. 3 Se aprobă necesarul zilnic de calorii, substanţe nutritive şi elemente minerale pentru copii şi adolescenţi, prevăzute în anexa nr. 3, care face parte integrantă din prezentul ordin.
Art. 4 Se aprobă echivalenţele alimentare, necesarul estimativ zilnic al diferitelor grupe de alimente pentru alcătuirea dietei la copii şi adolescenţi, datele orientative privind valoarea calorică a alimentelor şi caracteristicile nutriţionale ale grupelor alimentare utilizate pentru alcătuirea meniurilor la copii şi adolescenţi (cantităţi comerciale bruto), prevăzute în anexa nr. 4, care face parte integrantă din prezentul ordin.
Art. 5 Se aprobă piramida alimentară pentru nutriţia copiilor si adolescenţilor, în funcţie de necesarul caloric, grupele de alimente şi grupa de vârstă, prevăzută în anexa nr. 5, care face parte integrantă din prezentul ordin.
Art. 6 Pentru ducerea la îndeplinire a art. 10 din Legea nr. 123/2008 pentru o alimentaţie sănătoasă în unităţile de învăţământ preuniversitar, se vor respecta prevederile Ordinului ministrului sănătăţii nr. 1.955/1995 pentru aprobarea Normelor de igienă privind unităţile pentru ocrotirea, educarea şi instruirea copiilor şi tinerilor, cu modificările ulterioare, precum şi dispoziţiile prezentului ordin.
Art. 7 Operatorii economici care distribuie şi/sau comercializează alimente în incinta unităţilor de învăţământ trebuie să facă dovada compoziţiei alimentelor prin etichetă, specificaţii de la producător sau buletine de analiză.
Art. 8 Structurile din cadrul Ministerului Sănătăţii Publice, autorităţile de sănătate publică judeţene şi a municipiului Bucureşti şi inspecţiile sanitare de stat judeţene şi a municipiului Bucureşti vor duce la îndeplinire prevederile prezentului ordin şi vor controla respectarea lor.
Art. 9 Prezentul ordin se publică în Monitorul Oficial al României, Partea I.
…
ANEXA Nr 1 -
LISTA
alimentelor nerecomandate preșcolarilor și școlarilor
Alimente nerecomandate
Limita de la care alimentele devin nerecomandate
1.Alimente cu conținut mare de zaharuri*
Peste 15 g zaharuri/100g produs
2.Alimente cu conținut mare de grăsimi
Peste 20 g grăsimi/ 100 g produs, din care, cumulativ:
- grăsimi saturate peste 5 g/100 g produs
- acizi grași trans peste 1 g/100 g produs
3. Alimente cu conținut mare de sare
Peste 1,5 g sare/100 g produs (sau peste 0,6 g sodiu/100 g produs)
4. Băuturi răcoritoare**
5. Alimente cu conținut ridicat de calorii pe unitatea de vânzare
Peste 300 kcal pe unitatea de vânzare
6. Alimente neambalate***
7. Alimente neetichetate****
* Fac excepție fructele și legumele proaspete.
** În incinta școlilor se va vinde numai apă potabilă sau minerală îmbuteliată, pentru a crea copiilor deprinderea de a o bea.
*** Se exceptează bananele și citricele.
**** Pentru crearea unor deprinderi nutriționale sanogene se recomandă etichetarea nutrițională.
","Trans fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Limit exists for some settings, products or areas only|Mandatory standards|Any foods and beverages sold in school|Schools (standards)|Foods high in trans fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Water (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Total fat (standards)|Saturated fats (standards)|Trans-fats (standards)|Energy (standards)|Sodium (standards)|Sugars (standards)","","http://www.dspbihor.gov.ro/legislatie/Ordin%201563%20din%202008%20cu%20Lista%20alimentelor%20nerecomandate%20prescolarilor%20si%20scolarilor.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ROU%202008%20Nutrition%20in%20Schools_0.pdf"
"14986","RUS","Russian Federation","Saint Petersburg","ЗАКОН О социальном питании в Санкт-Петербурге [Regional Law on Social Nutrition]","Legislation relevant to nutrition","","Russian","10","2008","","","Government of Saint Petersburg","10","2008","Adopted","9","2008","Government of Saint Petersburg","Other|Sub-national","Assigned and Certified Public Institutions, Local authorities, Legal Council","","","","","","","","","","","","","","","","","","","","","ЗАКОН САНКТ-ПЕТЕРБУРГА N 569-95 О социальном питании в Санкт-Петербурге (с изменениями на 7 марта 2012 года N 93-17)
Принят Законодательным Собранием Санкт-Петербурга 24 сентября 2008 года
- Настоящий Закон Санкт-Петербурга устанавливает правовые основы организации социального питания в Санкт-Петербурге с учетом обеспечения качества и безопасности пищевых продуктов.
- Целями настоящего Закона являются обеспечение гарантий прав отдельных категорий граждан на получение социального питания и организация системы социального питания в Санкт-Петербурге.
","Food distribution/supplementation for prevention of acute malnutrition|Food safety|Household food security|Vulnerable groups","","http://gov.spb.ru/law?d&nd=8482577&nh=0&ssect=0","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202008%20Regional%20Law%20on%20social%20nutrition.pdf"
"8752","TKM","Turkmenistan","","Law of Turkmenistan on protection and propaganda of breastfeeding and requirements for infant food","Legislation relevant to nutrition","","Russian","4","2009","","","Government of Turkmenistan","4","2009","Adopted","4","2009","President of Turkmenistan","Health|Sub-national","Ministry of Health, Local Authorities","","","","","","","","","","","","","Private sector","Medical Industry","Other","Health Care Facilities, Health Workers","","","","","ЗАКОН ТУРКМЕНИСТАНА О: защите и пропаганде грудного вскармливания и требованиях к продуктам детского питания (от 18 апреля 2009 года №30-IV)
Настоящий Закон определяет основные направления государственной политики в области охраны здоровья детей посредством поддержки, защиты и пропаганды грудного вскармливания и регулирует вопросы обеспечения их полноценным и безопасным питанием, реализации продуктов детского питания. Настоящий Закон вступает в силу со дня опубликования.
- грудной ребёнок - ребенок в возрасте до 1 года
- ребенок раннего возраста - ребенок в возрасте от 1 года до 3 лет
Исключительно грудное вскармливание до 6 месяцев, а также продолжения грудного вскармливания до 2 лет и более.
","International Code of Marketing of Breast-milk Substitutes|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Food labelling|Front of pack labelling|Food safety|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|Sanctions exist","","http://www.turkmenlegaldatabase.info/ru/documents.html","Scope of the Code: 0-36 months of age","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202009%20Law%20on%20protection%20and%20propaganda%20of%20breastfeeding%20and%20requirements%20for%20infant%20food.pdf"
"25330","ISL","Iceland","","Nr. 79/2010 - Reglugerð um hámarksmagn transfitursýra í matvælum","Legislation relevant to nutrition","","Icelandic","8","2011","","","","12","2010","Adopted","","","Atvinnuvega- og nýsköpunarráðuneytið","Labour","Atvinnuvega- og nýsköpunarráðuneytið","","","","","","","","","","","","","","","","","","","","","Samkvæmt reglugerðinni er óheimilt að markaðssetja matvæli sem innihalda meira en 2 grömm af transfitusýrum í hverjum 100 grömmum af heildarfitumagni.
Reglur þessar gilda um fitu og önnur matvæli sem innihalda fitu, hvort sem er innihaldsefni eða afleiðingar framleiðsluferlis. Reglugerðin gildir ekki um transfitusýrur sem eru í dýrafitu frá náttúrunnar hendi.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fat in all foods","","https://www.reglugerd.is/reglugerdir/allar/nr/1045-2010","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISL%202010%20Trans%20fat%20ban.pdf"
"38485","PAK","Pakistan","Punjab","Punjab Pure Food Rules","Legislation relevant to nutrition","","English","9","2011","","","Government of the Punjab Health Department","9","2011","Adopted","9","2011","Governor of the Punjab","Sub-national","","","","","","","","","","","","","","","","","","","","","","PART - III
13. Mode of labeling of pre-packed food.– (1) No person shall sell by retail or display for sale by retail, any pre-packed food unless there appears on a label marked on or securely attached to the wrapper or container a true statement which:…
(c) shall also specify:
(i) in case of food consisting of one ingredient, the appropriate designation of the ingredient;
(ii) in case of food made of two or more ingredients, the common or usual name (if any) of the food and the appropriate designation of each ingredient, and unless the quality or proportion of each ingredient is specified, the ingredients shall be specified in the order of the proportion in which they were used: the ingredient used in the greatest proportion (by mass) being specified first…
(30) Every container for infant formula shall:
(a) shall not contain anything that may discourage breast-feeding;
(b) shall contain a conspicuous notice in bold characters in the prescribed height stating the following: “MOTHER’S MILK IS BEST FOR YOUR BABY AND HELPS IN PREVENTING DIARRHOEA AND OTHER ILLNESSES”;
(c) shall, in addition to the notice specified in clause (b), contain such other message as may be prescribed with respect to any designated product;
(d) shall neither use expressions such as “maternalized” or “humanized” or equivalent nor shall it contain any comparison with mother’s milk;
(e) shall not show photographs, drawings or graphics except that the graphics may be used to illustrate the correct method of preparation;
(f) shall contain the name and address of manufacturer and of wholesale distributor if a designated product is an imported item; and
(g) shall, except for bottles, teats, pacifiers and nipple shields, contain appropriate instructions in Urdu and English for the correct preparation in words and easily understood graphics, and indicate the ingredients, composition and analysis of a designated product, required storage conditions, batch number and expiry date, and contain any warning as may be prescribed for the implementation of the Protection of Breast-feeding and Child Nutrition Ordinance, 2002.
…
Appendix II
…
12.1.43.1.2 Infant formula prepared ready for consumption shall contain per 100 kcal (100 kJ) the following nutrients:…
i) Commercially hydrogenated oils & fats and the same being used for commercial hydrogenation shall not be used in Infant Formula. …
iii) The content of trans fatty acids shall not exceed 3% of total fatty acids provided 100% milk fat is used in the formula.
iv) Plant oils and fats intended to be used in Infant Formula should be virtually tans fat free and the maximum allowance level for tans fatty acids shall be proportionately decreased with increasing level of plant oils and fats in the formula.
…
12.1.44.1.2.- Follow-up formula prepared ready for consumption shall contain per 100 kcal (100 kJ) the minimum and maximum levels of nutrients:…
viii) Commercially hydrogenated oils & fats and the same being used for commercial hydrogenation shall not be used in follow-up formula…
x) The content of trans fatty acids shall not exceed 3% of total fatty acids provided 100% milk fat is used in the formula.
xi) Plant oils and fats intended to be used in follow-up formula should be virtually trans fat free and the maximum allowance level for tans fatty acids shall be proportionately decreased with increasing level of plant oils and fats in the formula.
…
12.2.18.-“ Banaspati, Vanaspati” means the product obtained from any edible refined harmless vegetable oil or mixture of oils by the process of hydrogenation, and containing no colouring or flavouring or any matter deleterious to health. The product shall be prepared from properly refined bleached and deodourised vegetable oils in premises maintained under hygienic conditon when melted, the product shall be clear bright and free from sediments, suspended foreign matter, mineral oil, unpleasant taste and aroma. It shall conform to the following standards: …
(k) Trans Fatty Acids contents (%). Not more than 0.5percent …
12.5.38 “Processed Cereal-Based Foods for Infants” means those foods intended for feeding as complementary foods generally from the age of 6 months onwards, taking into account infants’ individual nutritional requirements, and for feeding young children as part of a progressively diversified diet, in accordance with the Global Strategy for Infant and Young Child Feeding and World Health Assembly Resolution WHA54.2 (2001)
i) Processed cereal-based foods are prepared primarily from one or more milled cereals, which should constitute at least 25% of the final mixture on a dry weight basis.
ii) Whereas, the term infant means a person not more than 12 months of age and the term young children means persons from the age of more than 12 months up to the age of three years (36 months). …
12.5.38.5.- Specific Prohibition The product and its components shall not have been treated by ionizing radiation. The use of partially hydrogenated fats for these products is prohibited.
…
","Food labelling|Ban or virtual elimination of industrial trans fatty acids|Prohibition on the use of industrially-produced trans fatty acids|Limit on < 2 g / 100 g fats and oils|Limit exists for some settings, products or areas only|Ingredients list|Bans of pictures/text idealizing infant formula|Message on superiority of breastfeeding|Preparation instructions","","https://punjabcode.punjab.gov.pk/en/show_article/ft4sfu5EoB9I1WhlIvqrsD6zUyyrMe4rOcapR6hFEiyym.6vgJ5xcbcwgYQv411M1GYj90jqiyvo2P6yGly4Zw--","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK%202011%20Punjab%20Pure%20Food%20Rules.pdf"
"14982","RUS","Russian Federation","","Федеральный закон об основах охраны здоровья граждан в российской федерации [Federal Law on the Fundamentals of Protection of the Public Health]","Legislation relevant to nutrition","","Russian","11","2011","","","Ministry of Health","11","2011","Adopted","11","2011","Federal Government","Cabinet/Presidency|Sub-national","Governmental Bodies, Local Government and Executive Bodies","","","","","","","","","","","","","","","Other","Medical Centers, Medical Staff, Employers and Sport Center Managers","","","","","ФЕДЕРАЛЬНЫЙ ЗАКОН ОТ 21 НОЯБРЯ 2011 Г. N 323-ФЗ """"ОБ ОСНОВАХ ОХРАНЫ ЗДОРОВЬЯ ГРАЖДАН В РОССИЙСКОЙ ФЕДЕРАЦИИ""""
Настоящий Федеральный закон регулирует отношения, возникающие в сфере охраны здоровья граждан в Российской Федерации.
Статья 12. Приоритет профилактики в сфере охраны здоровья: Приоритет профилактики в сфере охраны здоровья обеспечивается путем разработки и реализации программ формирования здорового образа жизни.
Статья 16. Полномочия органов государственной власти субъектов Российской Федерации в сфере охраны здоровья: организация осуществления мероприятий по профилактике заболеваний и формированию здорового образа жизни у граждан, проживающих на территории субъекта Российской Федерации.
Статья 23. Информация о факторах, влияющих на здоровье; Граждане имеют право на получение достоверной и своевременной информации о факторах, способствующих сохранению здоровья или оказывающих на него вредное влияние, включая информацию о санитарно-эпидемиологическом благополучии района проживания, состоянии среды обитания, рациональных нормах питания, качестве и безопасности продукции производственно-технического назначения, пищевых продуктов, товаров для личных и бытовых нужд, потенциальной опасности для здоровья человека выполняемых работ и оказываемых услуг.
Статья 30. Профилактика заболеваний и формирование здорового образа жизни:
- Профилактика неинфекционных заболеваний осуществляется на популяционном, групповом и индивидуальном уровнях органами государственной власти, органами местного самоуправления, работодателями, медицинскими организациями, бразовательными организациями и физкультурно-спортивными организациями, общественными объединениями путем разработки и реализации системы правовых, экономических и социальных мер, направленных на предупреждение возникновения, распространения и раннее выявление таких заболеваний, а также на снижение риска их развития, предупреждение и устранение отрицательного воздействия на здоровье факторов внутренней и внешней среды, формирование здорового образа жизни.
- Формирование здорового образа жизни у граждан начиная с детского возраста обеспечивается путем проведения мероприятий, направленных на информирование граждан о факторах риска для их здоровья, формирование мотивации к ведению здорового образа жизни и создание условий для ведения здорового образа жизни, в том числе для занятий физической культурой и спортом.
Статья 39. Лечебное питание
- Лечебное питание - питание, обеспечивающее удовлетворение физиологических потребностей организма человека в пищевых веществах и энергии с учетом механизмов развития заболевания, особенностей течения основного и сопутствующего заболеваний и выполняющее профилактические и лечебные задачи.
- Лечебное питание является неотъемлемым компонентом лечебного процесса и профилактических мероприятий, включает в себя пищевые рационы, которые имеют установленный химический состав, энергетическую ценность, состоят из определенных продуктов, в том числе специализированных продуктов лечебного питания, подвергаемых соответствующей технологической обработке.
- Специализированными продуктами лечебного питания являются пищевые продукты с установленным химическим составом, энергетической ценностью и физическими свойствами, доказанным лечебным эффектом, которые оказывают специфическое влияние на восстановление нарушенных или утраченных в результате заболевания функций организма, профилактику этих нарушений, а также на повышение адаптивных возможностей организма.
- Нормы лечебного питания утверждаются уполномоченным федеральным органом исполнительной власти.
Статья 52. Права беременных женщин и матерей в сфере охраны здоровья: Обеспечение полноценным питанием беременных женщин, кормящих матерей, а также детей в возрасте до трех лет, в том числе через специальные пункты питания и организации торговли, осуществляется по заключению врачей в соответствии с законодательством субъектов Российской Федерации.
","Maternity protection|Underweight in women|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Household food security|Vulnerable groups|Sanctions exist","","https://www.rosminzdrav.ru/docs/laws/104","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202011%20Law%20on%20Public%20Health%20Protection.pdf"
"63349","ARE","United Arab Emirates","Dubai","Guideline to Healthy and Nutritious Food Practices in School Canteens","Government guidance","","English","","2011","","","Dubai Municipality - Dubai Health Authority","","2011","","","","","Health|Education and research|Sub-national","","","","","","","","","","National NGOs","","","","","","","","","","","","IV. Policy of Healthy Food
Announcement of the canteen policy statement will provide guidance for the development of the canteen and all the staff. Through the participation of the school community in developing this policy, a better understanding of the role of the school canteen can be achieved which will enhance the culture of healthy food and healthy
eating habits among students.
This policy, which is signed by the school administration, should be displayed permanently in the school canteens.
V. Foods Allowed in Schools
Biscuits and Sweets:
• If the biscuits contain chocolates, amount of biscuits (e.g. Wafer) must be more than the chocolates.
• Its recommended to provide dates in small packages or as sweet or with biscuits.
• Sweets shouldn’t be in the form of toys nor should have sharp geometric shapes.
• Packages must be free of advertising.
Juices:
That contain 30-50% natural juice nectar.
Dairy Products:
• Pasteurized milk and long life milk prepared from fresh milk or processed milk.
• Milk with natural flavors such as chocolate and strawberry.
• Yogurt drink.
• Plain yogurt and yogurt with natural fruits.
These products should comply with the following requirements:
• Must have two thirds or more of its shelf life indicated in the product label.
• Packed in plastic or cardboard packages according to the specifications and standards in place.
• It’s recommended that all milk and milk products should have a low fat content.
• Natural flavors and fruits are allowed.
Meat, Fish, Poultry and Beans:
• Should be free of fats (or low) and skinless.
• Make sure about the source of meat.
• Lentils and pulses can replace meat in soups.
Vegetarian meals, such as falafel sandwich or vegetable sandwich with the addition of
leafy vegetables, may be displayed. This can be served as the lunch meal for vegetarians.
Carbohydrates and their Products:
• Its recommended that all types of bread are made from wheat or whole grains.
• Percentage of added sugar must not exceed the 6 g / 100 g in any food preparations.
Note: There should be a variety in the displayed foods containing carbohydrates, such as displaying different types of baked pies, Arabic bread and sliced bread.
Fruits and Vegetables:
Fruits:
• The canteen should offer 3 types of fresh seasonal fruits daily (chilled).
• The canteen is recommended to have yogurt with fruit.
Vegetables:
• Green and colored leafy vegetables must be imposed and should be preferably
boiled or grilled using light vegetable oil.
• Green salads should be displayed permanently. The content of salt, oil and other additives, such as sauces and mayonnaise, must be controlled.
• Use natural soup flavor enhancer like garlic, ginger etc instead of ready soup flavour powder or cubes.
Bottled Water:
• Prepackaged (bottled) water approved by Dubai Municipality is allowed in school canteens. It should be suitable in size for students.
• Offered amounts of water for students should be increased specially during summer because of the excessive fluid loss from the body.
VI. Prohibited Food Items in School Canteens
• Soft drinks.
• Energy drinks.
• All types of fruit drinks and fruit flavored drinks.
• Milk and yogurt with artificial flavors.
• All types of chewing gum and candies.
• Bafak (special type of Chips).
• Sweets that contain only sugar and colorants.
• Plain chocolate.
• Food items containing monosodium glutamate.
• Saturated or hydrogenated fats for frying and cooking.
• Chip (excluding baked potatoes).
…
VIII: General requirements for food sold in school
canteen.
1. Food items should not contain any toxic material that may endanger the public health.
2. Preparation, manufacturing, packaging, transportation, display and storage of food should occur in hygienic environment that protect it from spoilage and contamination.
3. Food should be well sealed/covered in appropriate package/containers. Food contact materials such as packaging materials shouldn’t endanger the public health.
4. In the case of packaged food products, the food label should include the following:
• The name of the food product.
• Components.
• The amount of the following nutritional data:
Nutritional value Unit/100g
1 Energy Kcal
2 Protein g
3 Carbohydrates g
4 Sodium mg
5 Fibers g
6 Fats g
• Production and expiry dates.
• Batch number.
• Storage conditions and shelf life
• Manufacturer or producer name and address.
• Country of origin.
• Weight / size of the package.
• Brand name (trademark).
• Alert against any allergy containing substances like peanuts, berries, gluten.
In the case of sandwiches, meals and salads that are prepared in / supplied to the canteen, the person in charge should be provided with all the necessary data to make sure these food items meet the daily requirements as per the RDA to ensure food safety.
The food items must have nutritional value and they should preferably be rich with carbohydrates, vitamins, minerals and protein.
5. Any food item must not contain fat more than 30% and the saturated fats allowance should not be more than (10%) and they should be low in cholesterol. The source of these fats or oils should be mentioned on the label.
6. The food should not contain high amounts of salt or sugar. Sugar should not exceed 2 of daily recommended allowance in each food item
7. The food should not provide high levels of calories only from fats as this may result in obesity and other related chronic health conditions
8. Over usage of spice producing and flavor enhancing food items is prohibited. The meal should have moderate proportions of spics and savory sauces. Use of hot food items such as green, red chilies and chilly powder beyond the moderation level is prohibited. Mono sodium glutamate ( MSG) is strictly prohibited. Not contain a high proportion of spices and sauces. The use of hot materials such as dried or fluid chili isn’t allowed so is mono sodium glutamate.
9. The food should not contain any food preservatives, colorants, sweeteners or synthetic flavors made from chemicals.
10. Cold sandwiches and salads must be kept at temperature ranging from (1-4 C) and hot food should be hot held in hot holding devices at (60 C and above.
11. Perishable food items such as milk and milk products, eggs, fruits and vegetables should be kept inside the fridge.
12. Frozen food items such as frozen meat and frozen fish should be kept in the freezer at a (- 18 C) or below.
13. Selling of pork and food items containing pork in any form, items containing alcohol (ethanol) are prohibited in school canteens.
14. The food should be in conformity with the legislations from local and federal orders related to the school canteens.
","Dietary practice|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|School meal standard|Voluntary standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Food stores and snack bars in schools|School lunches|Schools (standards)|Use seasonal produce|Foods high in trans fats (standards)|Foods high in sugars (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Lean meat (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Energy and sport drinks (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Total fat (standards)|Saturated fats (standards)|Added sugars (standards)|Portion size (standards)","","http://www.foodsafe.ae/pic/requirements/School_Canteen_Guidelines_Eng.pdf","Ban on unhealthy food in every school canteen https://web.khda.gov.ae/en/About-Us/News/2011/Ban-on-unhealthy-food-in-every-school-canteen","",""
"63350","ARE","United Arab Emirates","Abu Dhabi","School Canteen Guidelines of the Emirate of Abu Dhabi","Government guidance","","English","","2011","","","Abu Dhabi Education Council, Abu Dhabi Food Control Authority and Health Authority—Abu Dhabi","11","2011","","","","","Health|Food and agriculture|Sub-national","","","","","","","","","","","","","","","","","","","","","","3. Scope
This document is intended for use by schools in the Emirate of Abu Dhabi and private schools and food stablishments that supply for the schools in Abu Dhabi or the working forces in the school canteens, as well as the official authorities, where it provides rules and health regulations that should be available in school canteens as well as instructions on the health practices that must be followed in the stages of handling, sale and circulation.
In addition, the standards includes the food allowed to be sold inside the school and the different methods of healthy eating that contains the different nutritional requirements of the students to assist the health and nutrition specialists and the school administrators in providing aid and directions for the students in order to achieve a healthy lifestyle.
4. School responsibilities
In addition to the standards found in this document, all the schools in Abu Dhabi must follow these nutritional points that will be explained in detail in Part Three:
1 - Ensure the provision of miscellaneous (variable) food each day, in an integrated meal containing all the food groups (protein, carbohydrates, vegetables, fruit and meat) at similar rates to those mentioned in the meal examples
2 –Encourage fatty fish consumption
3 - Provide drinking water constantly and encourage the students to keep on hydrating by drinking water
during the day
4 - Motivate the students to consume food according to their age specific required calories needed during the school day
5 - Remove food with low nutritional value
6 - Work on a school policy for health and nutrition. The educational institution should define its policy and be able to commit to promoting the health of the students through supporting the provision of healthy nutrition for the school community. In addition, the school should declare and publish its health and nutrition policy in order to reach all the students and their parents and all the school staff
…
10. Requirements for the Types of Food Allowed to be Served in the School Canteens
1. Food should be prepared, manufactured, packaged, transported, displayed and stored under ADFCA’s hygienic requirements in school canteens and food suppliers. No sale or offer to sell food or meals inside a school canteen is allowed except after obtaining approval from ADFCA and ADEC
2. For packaged food products, the following information should be indicated on the food label: …
3. In case of sandwiches, meals, and salads that are prepared in the school’s cafeteria or supplied, all the necessary information need to available in order to check whether these items are prepared according to the health regula-tions and requirements aforementioned in this document
4. Fat content of a food product should not be more than 30% from the total calories. Saturated fat should not be more than 10% from the total calories of the food product. In addition, the source of the fat or oil used in the food product needs to be written on the nutritional label
5. The food item should contain not less than 5% from the following necessary nutritional elements: Protein, Iron, Calcium, Vitamin A, Vitamin C, Vitamin D, Thiamin, Niacin, and Riboflavin
6. Hydrogenated fat is not allowed to be used
7. Total and added sugar content of a food product should not be more than 35% of the product’s weight
8. Caffeine-containing beverages are forbidden in the school
9. Spicy and hot sauces such as chili flakes and Tabasco are not allowed to be used
10. Mono-Sodium Glutamate (MSG) is forbidden to be used in the food products
11. Food should not contain any preservatives or coloring or chemical artificial flavors
12. Food that contains pork or alcohol (Ethanol) or any of its product is not allowed to be sold in the school canteen
13. Food should be consistent with the local and national rules and regulations of the country
…
Part Three—Nutritional Standards
…
14. List of food items allowed to be sold in
the school cafeteria
The following indicate the types of foods allowed and not allowed to be sold within the school canteen according to the categories below:
Allowed to be sold in the school canteen
Allowed to be sold in the school canteen only if the available conditions are met
Not allowed to be sold in the school canteen
","Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sugar intake|Added sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Food stores and snack bars in schools|School lunches|Schools (standards)|Foods high in fats (standards)|Foods high in saturated fats (standards)|Foods high in trans fats (standards)|Foods high in sugars (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Sugar-sweetened beverages (standards)|Energy and sport drinks (standards)|Liquid and powder concentrates (standards)|Flavored water (standards)|Ready-to-drink tea or coffee (standards)|Total fat (standards)|Saturated fats (standards)|Trans-fats (standards)|Added sugars (standards)|Total sugars (standards)|Portion size (standards)|Monitoring mechanism established|Sanctions exist","","https://schoolsforhealth.haad.ae/template/haad/pdf/schoolcanteenguidelinesenglishfinaldecember15.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARE%202017%20schoolcanteenguidelinesenglishfinaldecember15.pdf"
"43614","FRA","France","","Arrêté du 30 septembre 2011 relatif à la qualité nutritionnelle des repas servis dans le cadre de la restauration scolaire","Legislation relevant to nutrition","","French","9","2012","","","de l'agriculture, de l'alimentation, de la pêche, de la ruralité et de l'aménagement du territoire","10","2011","Adopted","9","2011","Journal officiel électronique authentifié n° 0229 du 02/10/2011","Food and agriculture|Health|Education and research|Women, children, families|Finance, budget and planning|Consumer affairs|Trade|Industry|Justice|Labour|Other","","","","","","","","","","","","","","","","","","","","","","Article 1
Les déjeuners et dîners servis dans le cadre de la restauration scolaire comprennent nécessairement un plat principal, une garniture, un produit laitier et, au choix, une entrée et/ou un dessert.
La variété des repas est appréciée sur la base de la fréquence de présentation des plats servis au cours de 20 repas successifs selon les règles fixées à l'annexe I du présent arrêté.
La taille des portions servies doit être adaptée au type de plat et à chaque classe d'âge. Les gestionnaires des restaurants scolaires doivent exiger de leurs fournisseurs que les produits alimentaires qu'ils livrent soient conformes aux valeurs précisées à l'annexe II du présent arrêté.
Article 2
L'eau est à disposition sans restriction.
Le sel et les sauces (mayonnaise, vinaigrette, ketchup) ne sont pas en libre accès et sont servis en fonction des plats.
Le pain doit être disponible en libre accès.
Article 3
Les dispositions du présent arrêté entrent en vigueur à compter du 1er septembre 2012 pour les services de restauration scolaire servant moins de 80 couverts par jour en moyenne sur l'année.
Article 4
Le présent arrêté sera publié au Journal officiel de la République française.
…
A N N E X E I
FRÉQUENCES DE PRÉSENTATION DES PLATS
Au sens de la présente annexe, on entend par :
― produits gras : produits à teneur en matières grasses supérieure à 15 % ;
― produits sucrés : produits contenant plus de 20 g de sucres simples totaux par portion ;
― plat protidique : plat principal à base de viandes, poissons, œufs, abats ou fromages.
Les fréquences figurant ci-dessous sont définies sur la base de 20 repas successifs.
Pour garantir les apports en fibres et en vitamines, il convient de servir :
― au moins 10 repas avec, en entrée ou accompagnement du plat, des crudités de légumes ou des fruits frais ;
― au moins 8 repas avec en dessert des fruits crus ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes cuits, autres que les légumes secs ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes secs, féculents ou céréales.
Pour garantir les apports en calcium, il convient de servir :
― au moins 8 repas avec, en entrée ou en produit laitier, des fromages contenant au moins 150 mg de calcium par portion ;
― au moins 4 repas avec, en entrée ou en produit laitier, des fromages dont la teneur en calcium est comprise entre 100 mg et 150 mg par portion ;
― au moins 6 repas avec des produits laitiers ou des desserts lactés contenant plus de 100 mg de calcium et moins de 5 g de matières grasses par portion.
Pour garantir les apports en fer et en oligoéléments, il convient de servir :
― au moins 4 repas avec, en plat protidique, des viandes non hachées de bœuf, veau, agneau ou des abats de boucherie ;
― au moins 4 repas avec, en plat protidique, du poisson ou une préparation d'au moins 70 % de poisson et contenant au moins deux fois plus de protéines que de matières grasses ;
― moins de 4 repas avec, en plat protidique, une préparation à base de viande, de poisson ou d'œuf contenant moins de 70 % de ces produits.
Pour limiter les apports en matières grasses, il convient de ne pas servir :
― plus de 4 entrées constituées de produits gras ;
plus de 3 desserts constitués de produits gras ;
― plus de 4 plats protidiques ou garnitures constitués de produits gras à frire ou préfrits ;
― plus de 2 plats protidiques qui contiendraient autant ou plus de matières grasses que de protéines.
Pour limiter les apports en sucres simples, il convient de ne pas servir :
― plus de 4 desserts constitués de produits sucrés et contenant moins de 15 % de matières grasses.
","Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Fibre|Sugar intake|Free sugars|Fruit and vegetable intake|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|School milk scheme|Mandatory standards|School breakfasts or snacks|School lunches|Schools (standards)|Food-based criteria (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Salt shakers should not be available|Nutrient-based criteria (standards)|Total fat (standards)|Micronutrients (standards)|Total sugars (standards)|Portion size (standards)","","https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000024614763","","",""
"59283","MYS","Malaysia","","Pekeliling KPKT Bil 4/2012 Garis Panduan Penguatkuasaan Larangan Penjualan Makanan dan Minuman di Luar Pagar Sekolah oleh Pihak Berkuasa Tempatan [Ministry of Housing & Local Government, Prohibition of the Sale of Food and Beverages Outside School Fences]","Government guidance","","Malay","","2012","","","Cawangan Penyakit Tidak Berjangkit, Bahagian Kawalan Penyakit, Kementerian Kesihatan Malaysia","7","2012","Adopted","7","2012","Ketua Setiausaha, Kementerian Perumahan dan Kerajaan Tempatan","Health|Sub-national","Kementerian Perumahan dan Kerajaan Tempatan, Kementerian Kesihatan Malaysia","","","","","","","","","","","","","","","","","","","","","Pekeliling Ketua Setiausaha Kementerian Perumahan dan Kerajaan Tempatan Bil 4/2012 Garis Panduan Penguatkuasaan Larangan Penjualan Makanan dan Minuman di Luar Pagar Sekolah oleh Pihak Berkuasa Tempatan [Circular of the Secretary General of the Ministry of Housing and Local Government No 4/2012 Guidelines for the Enforcement of the Prohibition of the Sale of Food and Beverages Outside School Fences by Local Authorities]
TUJUAN
Pekeliling ini bertujuan memberi penjelasan seta panduan kepada Pihak Berkuasa Negeri (PBN) dan Pihak Berkuasa Tempatan (PET) mengenai pelaksanaan Penguatkuasaan Larangan penjualan Makanan Dan Minuman Di Luar Pagar Sekolah Oleh PBT.
LATAR BELAKANG
2 Mesyuarat Jawatankuasa Kabinet bagi Persekitaran Hidup Yang Sihat (JKPHS) Siri 1, Bil.1/2011 pada 4 April 2011 yang dipengerusikan oleh YAB. Timbalan Perdana Menteri telah mernutuskan supaya Kementerian Perumahan dan Kerajaan Tempatan (KPKT) dengan kerjasama Kementerian Kesihatan Malaysia (KKM) mengeluarkan satu garis panduan mengenai penguatkuasaan peraturan larangan penjualan makanan dan minuman di luar pagar sekolah.
3. Mesyuarat Jemaah Menteri pada 25 November 2011 telah meluluskan cadangan garis panduan khusus untuk mengawal aktiviti penjualan makanan dan minuman di luar pagar sekolah. Garis panduan tersebut kemudiannya telah diluluskan oleh Mesyuarat Majlis Negara Kerajaan Tempatan ke-65 (MNKT Ke-65) pada 21 Mac 2012.
GARIS PANDUAN PENGUATKUASAAN LARANGAN PENJUALAN MAKANAN DAN MINUMAN DI LUAR PAGAR SEKOLAH OLEH PIHAK BERKUASA TEMPATAN
4. Garis panduan penguatkuasaan Larangan Penjualan Makanan Dan Minuman Di Luar Pagar Sekolah Oleh Pihak Berkuasa Tempatan ini akan digunapakai di PBN dan PBT bagi memastikan semua peniaga yang menjalankan aktiviti penjualan makanan dan minuman di luar pagar sekolah mematuhi peraturan yang ditetapkan. Antara lain, garis panduan ini telah menetapkan jarak 40 meter dari pagar sekeliling sekolah sebagai lingkungan jarak tapak larangan penjualan makanan dan minuman, serta senarai dan justnasi larangan jualan mengikut jenis makanan dan minuman. Garis Panduan Penguatkuasaan Larangan Penjualan Makanan Dan Minuman Di Luar Pagar Sekolah Oleh Pihak Berkuasa Tempatan adalah seperti di Lampiran A.
TARIKH KUATKUASA
5. Pekeliling ini berkuatkuasa mulai tarikh ianya dikeluarkan
PEMAKAIAN
6. pemakaian peruntukan pekeliling ini dipanjangkan kepada semua PBN dan PBT.
","Overweight in school children|Dietary practice|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Added sugars|Regulation/guidelines on types of foods and beverages available|Give-aways|Settings where children gather such as schools, childcare and other educational establishments|Mandatory marketing restrictions|Mandatory in schools only|Mandatory standards|Vendors outside school|Schools (standards)|Food-based criteria (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Salt and high-sodium condiments (standards)|Carbonated or non-carbonated soft drinks (standards)|Flavored water (standards)|Saturated fats (standards)|Added sugars (standards)|Energy (standards)","","https://www.moh.gov.my/index.php/database_stores/store_view_page/31/230","Garis Panduan PENGUATKUASAAN LARANGAN PENJUALAN MAKANAN DAN MINUMAN DI LUAR PAGAR SEKOLAH OLEH PIHAK BERKUASA TEMPATANhttps://www.moh.gov.my/moh/images/gallery/Garispanduan/Garis_Panduan_no_makanan.pdf2.0 OBJEKTIFObjektif utama garis panduan ini adalah untuk menyelaraskan undangundang kecil Pihak Berkuasa Tempatan (PBT) dalam penguatkuasaan larangan penjualan makanan dan minuman di luar pagar sekolah.3.0 SKOP LARANGAN PENJUALAN MAKANAN DAN MINUMAN DI LUAR PAGAR SEKOLAHSecara dasarnya, penjualan makanan dan minuman di dalam lingkungan 40 meter dari pagar sekeliling sekolah adalah dilarang bagi semua penjaja statik, penjaja beredar dan penjaja sementara. Walau bagaimanapun, penjaja statik atau peniaga gerai sedia ada berlesen di dalam lingkungan 40 meter dari pagar sekeliling sekolah, dibenarkan menjual makanan dan minuman tetapi perlu mematuhi senarai makanan dan minuman yang dilarang dijual.Pindaan / Tambahan Kepada Undang-Undang Kecil PBT Berkaitan Penguatkuasaan Larangan Penjualan Makanan dan Minuman di Luar Pagar Sekolah.Pada masa ini, Undang-Undang Kecil PBT yang sedia ada berkaitan penguatkuasaan bagi larangan penjualan makanan dan minuman di luar pagar sekolah adalah tidak seragam. Ketidakseragaman ini adalah dari aspek lingkungan jarak tapak penjualan makanan dan minuman dari pagar sekolah yang tidak dinyatakan dengan jelas dan juga jenis makanan dan minuman yang dibenarkan dijual.Pindaan/tambahan kepada Undang-Undang Kecil PBT berkaitan penguatkuasaan larangan penjualan makanan dan minuman di luar pagar sekolah adalah seperti berikut:(1) Penjualan makanan dan minuman di dalam lingkungan 40 meter dari pagar sekeliling sekolah adalah dilarang bagi semua penjaja statik, penjaja beredar dan penjaja sementara;(2) Penjaja statik atau peniaga gerai sedia ada berlesen di dalam lingkungan 40 meter dari pagar sekeliling sekolah, adalah dibenarkan menjual tetapi perlu mematuhi senarai makanan dan minuman yang dilarang dijual seperti berikut :Senarai Makanan dan Minuman Yang Dilarang Dijual Oleh Penjaja Berlesen di Luar Pagar Sekolah Makanan(i) Gula-gula dan coklat*.(ii) Jenis-jenis makanan yang telah *dijeruk sama ada masam, masin atau manis, basah atau kering seperti asam masin, jeruk mangga, kulit limau dan jeruk bawang.(iii) Makanan ringan atau makanan rapu yang mengandungi bahan perisa dan pewarna tiruan.(iv) Makanan yang mengandungi alkohol*.(v) Makanan yang melanggar Peraturan-Peraturan Makanan 1985 seperti:a. semua jenis makanan yang berupa permainan seperti cincin, gincu dan lain-lain;b. semua jenis makanan yang disertakan dengan permainan seperti cincin, gambar, belon dan lain-lain; danc. makanan yang melampaui tarikh luput.Nota:Konfeksi ais dan ais krim tidak digalakkan dijual. Makanan diproses seperti burger, sosej dan nugget juga tidak digalakkan dijual.Minuman(i) Minuman yang mengandungi alkohol.(ii) Minuman yang melanggar Peraturan-Peraturan Makanan 1985 sama seperti pada perkara (v) senarai makanan.Nota:Minuman ringan bergas dan minuman yang menggunakan bahan pewarna serta minuman berperisa, kecuali susu berperisa, adalah tidak digalakkan dijual.* Definisi tentang senarai makanan dan minuman boleh diperoleh di bawah Akta Makanan 1983 & Peraturan-Peraturan Makanan 1985.[Senarai ini adalah selaras dengan senarai makanan dan minuman yang dilarang dijual di kantin sekolah seperti di dalam Panduan Pengurusan Kantin Sekolah Sihat terbitan Kementerian Pelajaran Malaysia, 2011](3) Penjaja dan pembantu yang dibenarkan menjual makanan dan minuman di luar pagar sekolah hendaklah mematuhi peraturanperaturan berikut:(i) Hadir Kursus Pengendalian Makanan yang dianjurkan oleh agensi yang diiktiraf oleh Kementerian Kesihatan Malaysia (KKM);(ii) Mempamerkan sijil Hadir Kursus Pengendalian Makanan semasa berniaga;(iii) Mendapat pemeriksaan doktor bagi suntikan tifoid dan sentiasa membawa bukti penerimaan suntikan semasa berniaga;(iv) Membungkus makanan yang perlu dibungkus dengan pembungkus yang selamat dan tidak mencemarkan makanan (penggunaan surat khabar atau kertas bercetak adalah dilarang);(v) Memasukkan sisa-sisa makanan dan sampah ke dalam karung plastik sebelum dibuang ke dalam tong sampah;(vi) Menutup makanan dan minuman agar tidak terdedah kepada lalat, serangga lain dan habuk yang boleh mencemarkan makanan;(vii) Cuci tangan dengan sabun sebelum mengendalikan makanan dan minuman serta selepas menggunakan tandas;(viii) Gunakan penyenduk, pengepit plastik atau sarung tangan plastik untuk mengambil makanan;(ix) Gunakan apron dan tutup kepala atau topi ketika mengendalikan makanan;(x) Jaga kebersihan kereta tolak/gerai dan kawasan sekelilingnya;(xi) Jangan merokok semasa mengendalikan makanan; dan(xii) Semua perkakas dan peralatan mestilah sentiasa bersih, tidak sumbing atau rosak.","",""
"25714","HRV","Croatia","","Nacionalne smjernice za prehranu učenika u osnovnim školama [National Guidelines for Nutrition in Primary Schools]","Government guidance","","Croatian","","2013","","","Ministry of Health","","2013","Adopted","","2013","Ministry of Health","Health|Education and research|Sport|Sub-national","","","","","","","","","","","","Research/academia","Croatian Institute for Public Health; County Public Health Institutes","","","Other","Public and Privet Elementary Schools","","","","","SAŽETAK
Cilj i svrha uvođenja Normativa za prehranu učenika u osnovnim školama od strane Ministarstva zdravlja je unaprjeđenje i poboljšanje načina prehrane u školama te poboljšanje i razvoj pravilnih prehrambenih navika kod djece i mladih. Kako bi se osigurala i olakšala njihova primjena, izrađene su smjernice za prehranu učenika u osnovnim školama. U tom smislu smjernice sadrže praktične upute o planiranju prehrane i sastavljanju jelovnika u osnovnim školama, uzimajući u obzir:
- referentne vrijednosti dnevnog unosa energije, bjelančevina, ugljikohidrata i vlakana, masti, minerala, vitamina i vode za djecu u dobi od 7 do 18 godina koja su umjereno tjelesno aktivna;
- preporuke o režimu prehrane tj. o broju, vrsti i rasporedu obroka;
- preporučene vrste hrane i jela;
- hranu koju treba izbjegavati ili što rjeđe konzumirati.
U smjernicama je istaknuta i važnost holističkog pristupa školskoj prehrani koja ne predstavlja samo zadovoljavanje egzistencijalnih energetsko-nutritivnih potreba, već i odgojno-obrazovni proces usvajanja higijenskih navika, pravilnih prehrambenih navika, kao i pravila lijepog ponašanja za stolom. Također, školska prehrana omogućava veći stupanj socijalizacije, unapređujući međuljudske odnose i smanjujući rizik razvoja poremećaja u prehrani.
Kako bi prehrana u osnovnim školama ispunila kriterije kvalitete i sigurnosti, u smjernicama je posebna pažnja posvećena planiranju javne nabave, tijekom koje se svi proizvodi i/ili usluge moraju precizno definirati i specificirati, sukladno odredbama važećeg Zakona o javnoj nabavi.
Smjernice omogućavaju i planiranje prehrane uz pomoć jedinica serviranja hrane, budući da sadrže definiciju jedne jedinice određene kategorije hrane koje su po svom sastavu i značaju u prehrani slične te tablični prikaz količine različitih vrsta hrane iste kategorije koje dgovaraju jednoj jedinici serviranja hrane te određene kategorije.
U dodatku Smjernica nalaze se primjeri sezonskih jelovnika jesen, zima i proljeće i pripadajući normativi koji mogu poslužiti i kao ideja za stvaranje novih i raznovrsnijih jelovnika.
Za provođenje Normativa za prehranu učenika u osnovnim školama predviđa se obveza praćenja i evaluacije.
...
1. 1. Zakonski okvir ustroja i načina provođenja školske prehrane u Hrvatskoj
Dva temeljna dokumenta koja su zakonska podloga za ustroj i funkcioniranje sustava školske prehrane su Zakon o odgoju i obrazovanju u osnovnoj i srednjoj školi (NN 87/08, 86/09, 92/10, 105/10, 90/11, 16/12 i 86/12) i Državni pedagoški standard osnovnoškolskog sustava odgoja i obrazovanja (NN 63/08 i 90/10). Odredbom članka 68. Zakona o odgoju i obrazovanju u osnovnoj i srednjoj školi propisano je kako su osnovne škole dužne organizirati prehranu učenika dok borave u školi u skladu s propisanim normativima koje donosi ministarstvo nadležno za zdravlje. Slijedom navedenog, ministar nadležan za zdravlje propisuje normative za prehranu učenika osnovnih škola, a osnivači školskih ustanova dužni su prehranu organizirati u skladu s navedenim normativima. Prema odredbi članka 38. stavka 4. Državnog pedagoškog standarda osnovnoškolskog sustava odgoja i obrazovanja (NN 63/08 i 90/10), utvrđivanje nutricionističkih zahtjeva, uvjeta i načina organiziranja prehrane u nadležnosti je osnivača, a u suglasnosti s Normativima za prehranu učenika u osnovnoj školi. Stoga je ovaj dokument koji je pripremila Radna skupina Ministarstva zdravlja namijenjen svima zaposlenima u službi školske prehrane i usredotočuje se na ključne elemente kako bi se osigurale nacionalne smjernice za poboljšanje kvalitete prehrane u školama. U tom smislu, dokument daje smjernice za organizaciju i upravljanje službom školske prehrane, definiranje ugovora javne nabave i uvjete rada, pripremu i dostavu obroka u skladu s potrebama odgovarajuće dobne skupine djece, istovremeno poučavajući i potičući djecu da usvoje pravilne prehrambene navike. Nacionalne prehrambene smjernice sastavni su dio Normativa za prehranu učenika u osnovnoj školi koji propisuje preporučene vrste hrane i jela, optimalni unos energije i hranjivih tvari kao i broj obroka i raspodjelu preporučenog unosa energije po obrocima.
...
6. PREPORUKE ZA PLANIRANJE ŠKOLSKE PREHRANE
...
Tablica 6. 3.
Preporučena učestalost pojedinih kategorija hrane u planiranju dnevnih i tjednih jelovnika za učenike
KATEGORIJA HRANE UČESTALOST KONZUMIRANJA
Mlijeko i mliječni proizvodi Svaki dan
Meso, perad, jaja, mahunarke, orašasti plodovi i sjemenke u mljevenom obliku Svaki dan, a od toga meso do 5 puta na tjedan
Riba Najmanje 1 – 2 puta na tjedan
Žitarice, proizvodi od žitarica i krumpir Svaki dan
Voće Svaki dan
Povrće Svaki dan
Hrana s visokim udjelom masti, šećera i soli Do dva puta mjesečno
Voda Svaki dan
...
Tablica 6. 5.
Preporučene vrste hrane i jela u planiranju dnevnih i tjednih jelovnika za učenike
KATEGORIJA HRANE: PREPORUČENE VRSTE HRANE
1. Mlijeko i mliječni proizvodi
Mlijeko i fermentirani mliječni napitci: Mlijeko i fermentirani mliječni proizvodi, ne manje od 2,5 % m. m. Izbjegavati zaslađene mliječne napitke.
Sir: Sve vrste svježeg sira, namaza od svježeg sira, mliječnih namaza, te polutvrdih sireva.
2. Meso, mesne prerađevine, riba, jaja
Meso: Češće meso peradi (puretina, piletina) i kunića, te teletina i janjetina, a rjeđe crveno meso (preporuka: nemasna svinjetina i junetina).
Mesne prerađevine: Naresci kod kojih je vidljiva struktura mesa (narezak od purećih ili pilećih prsa, šunka, kare i sl.)
Riba: Filetirana riba bez kosti, te papaline, srdele i lignje. Za pripremu riblje paštete može se koristiti riba iz konzerve (sardine, tuna i sl.).
Jaja: Isključivo kokošja termički dobro obrađena jaja (tvrdo kuhana, jaja u složencima, žličnjaci s jajima i sl.).
3. Mahunarke i orašasti plodovi
Mahunarke: Grah, leća, slanutak, bob, soja i dr. Svježe pripremljeni namazi od mahunarki, variva od mahunarki, guste juhe, složenci, popečci i sl.
Orašasti plodovi i sjemenke: Orašasti plodovi (orasi, lješnjaci, bademi i sl.), sjemenke (buče, sezama, lana, suncokreta, maka i sl.) kao dodatak hrani.
4. Žitarice, proizvodi od žitarica i krumpir
Žitarice i proizvodi od žitarica: Kruh, pecivo, tjestenina i ostali proizvodi, prednost iz cjelovitih žitarica (npr. ječmena, zobena i prosena kaša, riža, heljda, žitne pahuljice, müsli tj. mješavina žitnih pahuljica, pšenična i kukuruzna krupica i sl.).
Krumpir: Kao prilog - krumpir kuhani, pečen na malo masnoće, pire ili sastavni dio variva. Izbjegavati krumpir pržen u dubokom ulju.
5. Voće
Voće: Sve vrste svježeg/sezonskog i sušenog voća. Prednost dati svježem voću i svježe iscijeđenim prirodnim voćnim sokovima.
6. Povrće
Povrće: Sve vrste svježeg/sezonskog. U slučaju nedovoljne opskrbe svježim sezonskim povrćem, koristiti duboko smrznuto povrće i toplinski obrađeno povrće.
7. Mast i hrana s velikim udjelom masti
Maslac i margarin: Maslac i mekani margarinski namazi.
Ulja: Isključivo biljna ulja (npr. maslinovo, suncokretovo, od kukuruznih klica, repičino, bučino).
Vrhnje: S 12 % mliječne masti.
8. Kolači, kompoti, marmelade/džemovi, med, sladoled i ostale slastice
Kolači: Kolači pripremljeni u školskoj kuhinji i industrijski gotovi kolači, s manjim količinama šećera i masti, prednost iz cijelog zrna, a bez kreme na osnovi sirovih jaja.
Kompoti: Kompoti od svježeg voća s malo šećera ili meda. U slučaju loše opskrbe svježim voćem koristiti industrijski kompot, ali razrijeđen vodom (dodati oko 20 % vode), te sokom od svježeg limuna.
Marmelade, džemovi, med: Prednost dati marmeladama i džemovima s manje šećera, ali bez dodatka umjetnih sladila. Sve vrste meda.
Puding: Pripremati mliječne pudinge, a prednost dati pudinzima pripremljenim s manjim dodatkom šećera. Pudinzi se mogu pripremati s dodatkom svježeg i suhog voća, orašastih plodova i sjemenki.
Sladoled: Mliječni sladoled.
9. Začini
Sol: Jodirana kuhinjska sol, začinska sol.
Ocat: Jabučni ili vinski ocat, te sok od limuna.
Začinsko bilje: Peršin, celer, vlasac, bosiljak, origano, mažuran, komorač, kim, ružmarin, lovor list, cimet i sl.
10. Voda i napitci na osnovi vode
Voda: Pitka negazirana voda po želji.
Čaj: Svježe kuhani biljni čaj (npr. od šipka, kamilice, metvice) ili voćni čaj uz dodatak soka od limuna, kao topli ili hladni napitak. Za zaslađivanje prednost dati medu, a dodani šećer koristiti u minimalnim količinama.
...
Tablica 6. 7.
Hrana koju treba rijetko konzumirati ili izbjegavati
KATEGORIJA HRANE: OBJAŠNJENJE
Pekarski i slastičarski proizvodi, industrijski deserti: U pravilu sadrže veliki udjel masti i šećera, radi čega je preporučljivo da se u slučaju njihovog uključivanja u jelovnik koriste samo takvi proizvodi koji sadrže manje šećera i masti i koji su izrađeni na podlozi mlijeka (jogurta), iz cijelog zrna, s dodanim voćem, sjemenkama, orašastim plodovima itd., čime je bitno povećana njihova nutritivna gustoća.
Gazirana ili negazirana slatka pića: Proizvedeni na temelju umjetnih bojila i voćnih aroma, te dodanog šećera ili umjetnih sladila. Savjetujemo potpuno izbjegavanje pića koja sadrže kofein.
Mesni, krem/čokoladni namazi, tvrdi margarini: Sadrže veliki udjel masti i/ili neželjenih trans masnih kiselina, radi čega ne preporučamo njihovu uporabu. Primjerenija je umjerena uporaba mliječnih namaza, namaza na osnovi grahorica, mliječnih margarina ili kiselog vrhnja.
Hrana s velikim udjelom masti i hrana koja sadrži pretežno zasićene i trans masne kiseline: Priprema jela s upotrebom masti povećava udjel masti u cjelodnevnoj prehrani, radi čega preporučamo umjerenu uporabu masti. Životinjske masti u većoj mjeri zamijeniti kvalitetnim biljnim uljima. Kod klasičnih prženih jela, ako se stavljaju u jelovnik, paziti na upotrebu svježeg ulja za prženje hrane i na temperaturu ulja tijekom pripreme.
Mesni proizvodi: Proizvode kod kojih je struktura homogena radi mljevenja (pašteta, hrenovke, mesni naresci i sl.).
Instant juhe i jušni koncentrati te slični koncentrirani proizvodi: Visok sadržaj soli i aditiva.
Napomena: Rijetko podrazumijeva ukupno iz svih kategorija hrane do dva puta mjesečno.
","School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Monitoring of children’s growth in school|Mandatory standards|Any foods and beverages offered in school|School activities (e.g. sport days)|School breakfasts or snacks|School lunches|Schools (standards)|Use seasonal produce|Milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Iodized salt (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Carbonated or non-carbonated soft drinks (standards)|Sweetened or flavored milk drinks (standards)|Sanctions exist","","https://zdravlje.gov.hr/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202013%20Nutrition%20for%20School%20Children.pdf"
"34050","KAZ","Kazakhstan","","Правилa организации питания обучающихся в организациях среднего образования [Regulations for organization of nutrition for children in schools]","Legislation relevant to nutrition","","Russian","","2014","","","Government of Kazakhstan","","2014","Adopted","","2014","Утверждены приказом Министра образования и науки Республики Казахстан","Education and research|Women, children, families|Sub-national","Child Protection Committee","","","","","","","","","","","","","","","Other","Schools","","","","","1. Настоящие Правила организации питания обучающихся в организациях среднего образования (далее – Правила) устанавливают порядок организации питания в организациях образования, реализующих общеобразовательные программы начального, основного среднего и общего среднего образования (далее - организации среднего образования), предоставляемого обучающимся на платной и бесплатной основе.
...
2. Требования к организации питания обучающихся в организациях среднего образования
6. В организациях среднего образования питание обучающихся
организуется в соответствии с разделом 3 настоящих Правил. В сельских общеобразовательных школах, в случае отсутствия потенциального поставщика услуги по итогам конкур са, опускается введениеработников пищеблоков по решению местных представительных органов за счет средств местных бюджетов.
7. Администрация организации среднего образования обеспечивает принятие организационно-управленческих решений, направленных на обеспечение рациональным питанием обучающихся, принципов и санитарногигиенических основ здорового питания, ведение консультационной и разъяснительной работы с родителями (законными представителями) обучающихся.
8. Питание обучающихся осуществляется в столовых и буфетах
организаций среднего образования в соответствии с утвержденным меню.
9. Способами организации питания обучающихся в организации
образования являются:
организация питания обучающихся в столовой, работающей на
продовольственном сырье с учетом хранения, обработки пищевых продуктов на пищеблоке и реализации готовых блюд и кулинарной продукции по месту ее производства;
организация питания обучающихся в буфетах, осуществляющих
реализацию готовых блюд, кулинарных и кондитерских изделий;
индустриальная организация питания обучающихся, предусматривающая промышленное производство охлажденных или замороженных кулинарных полуфабрикатов высокой степени готовности, готовой продукции базовыми организациями школьного питания (комбинатами школьного питания).
10. Поставщик услуги в процессе оказания услуги по организации питания
обучающихся выполняет требования технического задания организатора
конкурса.
...
23. Поставщик услуги обеспечивает наличие единой картотеки
приготовления блюд (технологические карты) на пищеблоках с целью соблюдения технологии приготовления и соответствия калорийности готовых блюд.
В технологических картах отражается раскладка продуктов, выход блюд, полная информация о составе каждого блюда и его пищевой ценности (содержание белков, жиров, углеводов, витаминов) и энергетической ценности (калорийности) каждого блюда (кулинарного изделия) и каждого приема пищи в совокупности.
24. Организацию работы по обеспечению технологического процесса приготовления блюд и кулинарной продукции на пищеблоке столовой обеспечивает заведующий производством.
25. В столовой и местах, доступных для обучающихся, организовывается питьевой режим за счет установки емкостей с питьевой водой. Используемая питьевая вода по органолептическим, микробиологическим, физикохимическим показателям соответствует санитарно-эпидемиологическим требованиям.
...
","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|School meal standard|Food safety|Mandatory standards|School food provided free of charge|School lunches|Schools (standards)|Water (standards)|Monitoring mechanism established","","http://www.bala-kkk.kz/sites/default/files/upload/files/%D0%9F%D1%80%D0%B0%D0%B2%D0%B8%D0%BB%D0%B0%20%D0%BE%D1%80%D0%B3%D0%B0%D0%BD%D0%B8%D0%B7%D0%B0%D1%86%D0%B8%D0%B8%20%D0%BF%D0%B8%D1%82%D0%B0%D0%BD%D0%B8%D1%8F%20%D0%BE%D0%B1%D1%83%D1%87%D0%B0%D1%8E%D1%","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202014%20School%20Nutrition.pdf"
"36129","ISL","Iceland","","Reglugerð um notkun Skráargatsins við markaðssetningu matvæla [Regulation on the use of the Keyhole in the marketing of food]","Legislation relevant to nutrition","","Icelandic","","2015","","","Atvinnuvega- og nýsköpunarráðuneytinu","4","2015","Adopted","4","2015","Sjávarútvegs- og landbúnaðarráðherra","Health|Food and agriculture|Industry|Labour","","","","","","","","","","","","","","","","","","","","","","1. gr.
Gildissvið.
Reglugerðin gildir um valfrjálsa merkingu og markaðssetningu með Skráargatinu. Skráargatið byggir á næringarviðmiðum um innihald fitu, sykurtegunda, trefja og salts í matvælum í þeim matvælaflokkum sem eru í viðauka II.
","Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Fibre|Added sugars|Free sugars|Front of pack labelling|Front-of-pack labelling|Voluntary (FOP)|Added sugars (FOP)|Energy value (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Total fat (FOP)|Total sugars (FOP)|Trans fatty acids (FOP)|Endorsement logo","","https://www.reglugerd.is/reglugerdir/eftir-raduneytum/atvinnuvega--og-nyskopunarraduneyti/nr/19610","https://www.landlaeknir.is/skraargat/","WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ICE%202015%20Keyhole.pdf"
"43085","ESP","Spain","","Criterios para la autorización de campañas de promoción alimentaria, educación nutricional o promoción del deporte o actividad física en escuelas infantiles y centros escolares, cuyo objetivo sea promover una alimentación saludable...","Government guidance","","Spanish","10","2015","","","Ministerio de Sanidad, Servicios Sociales e Igualdad; Agencia Española de Consumo, Seguridad Alimentaria y Nutrición","10","2015","Adopted","7","2015","Consejo Interterritorial del Sistema Nacional de Salud, Comisión Institucional de la AECOSAN","Health|Education and research|Sub-national","Ministerio de Sanidad, Servicios Sociales e Igualdad; Agencia Española de Consumo, Seguridad Alimentaria y Nutrición, Consejerías de Educación, Centro Nacional de Investigación e Innovación Educativa (CNIIE)","","","","","","","","","National NGOs","","","","","","","","","","","","Criterios para la autorización de campañas de promoción alimentaria, educación nutricional o promoción del deporte o actividad física en escuelas infantiles y centros escolares, cuyo objetivo sea promover una alimentación saludable, fomentar la actividad física y prevenir la obesidad [Criterios para la autorización de campañas de promoción alimentaria, educación nutricional o promoción del deporte o actividad física en escuelas infantiles y centros escolares, cuyo objetivo sea promover una alimentación saludable]
- - -
Objeto:
Garantizar que las escuelas infantiles y los centros escolares sean espacios protegidos de la publicidad.
Con dicha finalidad las autoridades sanitarias establecerán unos criterios que sirvan de punto de referencia a las autoridades educativas para la autorización en el ámbito escolar de las campañas de promoción alimentaria, educación nutricional o promoción de la actividad física o deporte que tengan por objetivo promover una alimentación saludable, fomentar la actividad física y prevenir la obesidad.
Ámbito:
Escuelas infantiles y centros escolares independientemente de su titularidad
…
CRITERIOS PARA EVALUAR LA AUTORIZACIÓN CAMPAÑAS DE PROMOCIÓN ALIMENTARIA, EDUCACIÓN NUTRICIONAL O PROMOCIÓN DEL DEPORTE O ACTIVIDAD FÍSICA EN EL AMBITO ESCOLAR.
No se realizará publicidad de ninguna marca comercial ni se distribuirán productos, incentivos o regalos con marcas, logotipos o referencias publicitarias, en ninguna actividad o material, en el contexto de los programas educativos realizados en ámbito escolar.
En el contexto de estos programas educativos desarrollados en el ámbito escolar, se podrá distribuir o degustar alimentos como frutas, hortalizas y/o aquellos otros cuya distribución se considere oportuna en el ámbito de cada CCAA, dando prioridad a los alimentos que, basados en la evidencia disponible y en el consumo objetivado del ámbito territorial dónde se realice la campaña, sean susceptibles de actuación en el contexto de una dieta saludable.
Siempre que las condiciones organizativas, de seguridad alimentaria o las instalaciones del centro lo permitan, los alimentos o bebidas que se utilicen en las campañas promocionadas por el sector empresarial, las propias administraciones o por los colegios , no llevarán marcas, y se colocarán para su consumo y/o degustación en recipientes o boles sin ninguna marca en particular.
El equipo directivo, a través del Consejo Escolar o del órgano específico equivalente del centro o de los cauces de participación que determinen los centros privados, informará a todos los miembros de la comunidad educativa (profesorado, familia, alumnado y personal de administracion y servicios) tanto de la campaña o programa que, en caso de aprobación, se desarrollará en su respectivo centro, así como de la compañía o entidad que la promueve y/o financia. Con dicha finalidad, y con carácter complementario se podrá adjuntar una nota informativa o folleto con las características principales del programa y la información sobre quien lo promueve y/o financie, tal y como se contempla en el apartado referente a la memoria. De forma especial se informará a las familias de los alumnos/as del centro, por las vías que se consideren mas efectivas ( AMPA, página web, tablón de anuncios..etc), del desarrollo de la campaña o programa y de las posibles vías de participación y corresponsabilidad en los mismos.
Ninguna campaña, actividad y/o material incluido en la iniciativa autorizada debe inducir a error, ni será ambigua ni engañosa.
Las autoridades sanitarias publicarán en sus paginas web estos criterios, ya que han de servir de referencia para las campañas de promoción alimentaria, educación nutricional o promoción del deporte o la actividad física.
…
TIPO DE INFORMACIÓN UTILIZADA.
La información escrita en textos u otro material, o gráfica o verbal suministrada en estas campañas o programas:
o No inducirá ni a error ni confusión a los escolares de los centros educativos.
o Respetará las normas éticas contempladas en el Código PAOS 2012.
o Estará basada en la evidencia científica. Será actualizada y coherente con las recomendaciones nutricionales y de actividad física de la Estrategia NAOS, Consejerías de Sanidad de la CCAA, o de otras políticas de las CCAA destinadas a la promoción de la alimentación variada, equilibrada y moderada, y a fomentar la práctica de actividad física para contribuir a la prevención de la obesidad.
o No promocionará el consumo de sal, grasas saturadas, grasas trans o azúcares añadidos.
o Tendrá en cuenta aspectos relacionados con la diversidad (de género, etnia, posibles discapacidades, estatus socioeconómico…), la equidad, el respeto, las cuestiones culturales y medioambientales, la sostenibilidad alimentaria, reflejando la sociedad plural y contemporánea actual. Asímismo, no contendrá imágenes que puedan inducir a discriminación por razones de peso.
","Overweight and obesity in school age children and adolescents|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulating marketing of unhealthy foods and beverages to children|Regulation of marketing of FNAB to children|Settings where children gather such as schools, childcare and other educational establishments|Sponsorship|Use of licensed and brand equity characters|Voluntary marketing restrictions|Voluntary in schools only","","http://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/educanaos/criterios_autorizacion.pdf","Criterios para la autorización de campañas de promoción alimentaria, educación nutricional o promoción del deporte o actividad física en escuelas infantiles y centros escolares, cuyo objetivo sea promover una alimentación saludable, fomentar la actividad física y prevenir la obesidad https://www.aesan.gob.es/AECOSAN/web/noticias_y_actualizaciones/noticias/2015/criterios.htm","",""
"36046","GEO","Georgia","","ტექნიკური რეგლამენტის − „ადრეული და სკოლამდელი აღზრდისა და განათლების დაწესებულებებში კვების ორგანიზებისა და რაციონის კვებითი ღირებულების ნორმების“ დამტკიცების შესახებ ¨[Technical Regulations - Nutrition in Early, Pre-school and Education Institutions]","Legislation relevant to nutrition","","Georgian","1","2018","","","საქართველოს მთავრობის","10","2017","Adopted","10","2017","პრემიერ-მინისტრი, დადგენილება №487","Food and agriculture|Social welfare|Labour","მუნიციპალიტეტების შესაბამისი სამსახურები, საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო, საქართველოს სოფლის მეურნეობის სამინისტრო","","","","","","","","","","","","","","","","","","","","","მუხლი 1. გამოყენების სფერო
1. წინამდებარე ტექნიკური რეგლამენტი ადგენს ზოგად მოთხოვნებს კვების უზრუნველყოფისადმი ადრეული და სკოლამდელი აღზრდისა და განათლების დაწესებულებებში, განურჩევლად მათი ორგანიზაციულ-სამართლებრივი ფორმისა და ტიპისა.
2. ტექნიკური რეგლამენტის მიზანია, კვების ორგანიზების წესებისა და პრინციპების, აგრეთვე რაციონის კვებითი ღირებულების დადგენა ადრეული და სკოლამდელი აღზრდისა და განათლების დაწესებულებებისათვის, ბავშვების ოპტიმალური ზრდისა და განვითარების უზრუნველსაყოფად, კვებითი დეფიციტის, სიმსუქნის და კვებასთან დაკავშირებული ქრონიკული დაავადებების პრევენციის მიზნით.
...
მუხლი 3. ჯანსაღი კვების ძირითადი პრინციპები
1. ბავშვის კვება უნდა იყოს მრავალფეროვანი. ჯანმრთელობისათვის საჭირო ნუტრიენტების მისაღებად, ბავშვი უზრუნველყოფილი უნდა იყოს ჯანსაღი კვების პირამიდის მიხედვით შემოთავაზებული სურსათის მრავალფეროვნებით.
2. ყოველდღიურ რაციონში საკმარისი რაოდენობით შეტანილი უნდა იქნეს მარცვლოვანი პროდუქტები, რომლებიც შეიცავს ჯანმრთელობისათვის აუცილებელ საკვებ ბოჭკოს, ვიტამინებს, მიკროელემენტებს, ნახშირწყლებს და მინერალებს.
3. ბავშვმა უნდა მიიღოს საკმარისი რაოდენობის ხილი და ბოსტნეული ყოველდღიურად.
4. ბავშვთა კვებისათვის შერჩეული უნდა იქნეს დაბალი ცხიმის შემცველობის სურსათი. მიზანშეწონილია, ნაჯერი ცხიმები ჩანაცვლებულ იქნეს უჯერი ცხიმებით.
5. შერჩეული უნდა იქნეს მარილის/ნატრიუმის ნაკლები შემცველობის სურსათი. მოხმარებული უნდა იყოს მარილის შეზღუდული რაოდენობა (დღეში <1200 მგ ნატრიუმი/3 გ მარილი).
6. არაგადამდებ დაავადებათა განვითარების რისკის შემცირებისა და სიმსუქნის პრევენციის მიზნით, შერჩეული უნდა იქნეს შაქრის ნაკლები შემცველობის სურსათი, მათ შორის სასმელი.
მუხლი 4. ჯანსაღი კვების პირამიდა, სურსათის ულუფები და მოცულობა
1. ჯანსაღი კვების პირამიდა უზრუნველყოფს ბავშვის ჯანმრთელობისა და ნორმალური ზრდა-განვითარების უზრუნველსაყოფად საჭირო ყველა საკვები ნივთიერების (ნუტრიენტის) ყოველდღიურად მიღებას. პირამიდა განისაზღვრება მაღალი ნუტრიენტული ღირებულების სურსათის ძირითადი ჯგუფის მიხედვით: ხილი; ბოსტნეული; პროტეინული (ცილოვანი) პროდუქტი – საქონლის მჭლე ხორცი, თევზი, ფრინველის ხორცი, კვერცხი, ნიგოზი, პარკოსნები; მარცვლეული – პური, ბრინჯი, მაკარონი, ვერმიშელი და სხვ.; რძე და რძის ნაწარმი: რძე, იოგურტი (მაწონი), ყველი და სხვ.
...
7. შემდეგ ჯგუფში გაერთიანებულია ისეთი პროდუქტები, რომლებიც ბავშვმა უნდა მიიღოს შეზღუდული რაოდენობით (ტკბილეული, შოკოლადი, ნამცხვარი, ტორტი და სხვ). ეს ჯგუფი მოიცავს აგრეთვე კარაქს, ზეთებს და ცხოველურ ცხიმებს. ტრანსიზომერული ცხიმების შემცველი სურსათი კი მთლიანად უნდა იქნეს ამოღებული ბავშვების კვების მენიუდან.
…
…მუხლი 13. მზა პროდუქტები
1. ადრეული და სკოლამდელი აღზრდისა და განათლების დაწესებულებებში არ არის რეკომენდებული მარილის, შაქრისა და ცხიმის მაღალი შემცველობის მქონე მზა სურსათის რეგულარული გამოყენება.
2. ადრეული და სკოლამდელი ასაკის ბავშვთა კვებისათვის განკუთვნილი სურსათი არ უნდა შეიცავდეს ტრანსცხიმებს.
3.ადრეული და სკოლამდელი აღზრდისა და განათლების დაწესებულებებში ბავშვთა კვებისათვის არ უნდა იქნეს გამოყენებული მოზრდილთათვის განკუთვნილი სპეციალური და დიეტური პროდუქტები, როგორიცაა, მაგალითად, ქოლესტეროლის დამწევი ან უჯრედისის მაღალი შემცველობის სურსათი და სხვა.
4. არაინფექციური (მოწამვლები) და ინფექციური დაავადებების წარმოქმნისა და გავრცელების თავიდან ასაცილებლად დაუშვებელია:
ა) გამოუშიგნავი ფრინველის, გარეული ფრინველის ხორცის გამოყენება;
ბ) დაბინძურებული ნაჭუჭისა და ბზარის მქონე კვერცხის გამოყენება;
გ) იხვისა და ბატის კვერცხის გამოყენება;
დ) დაზიანებული ჰერმეტულობის, დეფორმირებული, სასაქონლო იერსახე დაკარგული, დაჟანგული, """"""""ამობერილი”, უეტიკეტო ბავშვთა კონსერვების გამოყენება;
ე) ბეღელის მავნებლებით დასნებოვნებული ბურღულეულის, ფქვილის, გამხმარი ჩირისა და სხვა პროდუქტების გამოყენება;
ვ) ლპობის ან ობის ნიშნის მქონე ბოსტნეულისა და ხილის გამოყენება;
ზ) ნებისმიერი სახის კულტივირებული, თუ არაკულტივირებული სოკოს გამოყენება;
თ) ორგანოლეპტიკურად არაკეთილსაიმედო ნიშნის მქონე პროდუქციის გამოყენება (იხ. დანართი 10 );ი) საოჯახო პირობებში მომზადებული სურსათის გამოყენება (გარდა იმ შემთხვევებისა, როდესაც კონკრეტული ბავშვის მშობლის/მეურვის მიერ ხდება ამა, თუ იმ კერძის მიწოდება და განკუთვნილია მხოლოდ ამ ბავშვის მიერ მოსახმარად).
","Overweight in school children|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Prohibition on the use of industrially-produced trans fatty acids|Limit exists for some settings, products or areas only|Mandatory standards|Any foods and beverages offered in school|School breakfasts or snacks|School lunches|Schools (standards)|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in saturated fats (standards)|Foods high in trans fats (standards)|Foods high in sugars (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Whole grain bread and cereals (standards)|Foods high in micronutrients (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Energy and sport drinks (standards)|Liquid and powder concentrates (standards)|Ready-to-drink tea or coffee (standards)|Sweetened or flavored milk drinks (standards)|Nutrient-based criteria (standards)|Total fat (standards)|Trans-fats (standards)|Added sugars (standards)|Micronutrients (standards)","","https://matsne.gov.ge/ka/document/view/3838370?publication=0","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202017%20Technical%20Regulations%20-%20Nutrition%20in%20Early%2C%20Pre-school%20and%20Education%20Institutions_2.pdf"
"74261","MDA","Republic of Moldova","","ORDIN Nr. 622 din 21-05-2018 privind implementarea Recomandărilor pentru un regim alimentar sănătos şi activitate fizică adecvată în instituţiile de învățământ [Healthy diet and adequate physical activity in educational institutions]","Legislation relevant to nutrition","","Romanian; Moldavian; Moldovan","5","2018","","","Ministerul Sănătății, Muncii și Protecției Sociale","5","2018","","","","","Health|Social welfare|Labour","Ministry of Health, Labor and Social Protection","","","","","","","","","","","","","","","","","","","","","
ORDON:
1. Se modifică și se completează Recomandările pentru un regim alimentar sănătos şi activitate fizică adecvată în instituţiile de învățământ din Republica Moldova după cum urmează:
…
c) compartimentul C) „Produsele alimentare interzise pentru alimentaţia copiilor” se completează cu următoarele:
„Produse alimentare cu conţinut de zaharuri de 15 g şi mai mult la 100g produs (conuri de zahăr, rulouri din fructe, brânzică glazurată în ciocolată, caramel din porumb, alte produse similare), cu excepția magiunului.
Produse alimente cu conţinut de grăsimi de 20g şi mai mult la 100g produs (hamburgheri, gogoşi, sandwich, pizza, produse prăjite în friteuză, inclusiv pateuri, cartofi prăjiţi în ulei, alte alimente preparate prin prăjire, maioneză, brânză topită, brânzeturi tartinabile cu conţinut de grăsime peste 20% şi alte produse similare), cu excepția untului fără grăsimi vegetale.
Produse alimentare cu conţinut de sare de 1,5g şi mai mult la 100g produs (biscuiţi săraţi, covrigei săraţi, sticksuri sărate, snacksuri, alune sărate, seminţe sărate, brânzeturi sărate, alte produse similare).
Produse alimentare cu valoarea energetică de 300 kcal pe unitate de vânzare.
Produse alimentare cu adaos de aditivi alimentari (băuturi nealcoolice cu adaos de aditivi alimentari, băuturi pentru sportivi, produse de preparare rapidă, gume de mestecat)”.
","Overweight and obesity in school age children and adolescents|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Voluntary standards|Any foods and beverages offered in school|Schools (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Energy and sport drinks (standards)|Sweetened or flavored milk drinks (standards)|Fats (standards)|Energy (standards)|Free sugars (standards)|Sodium (standards)|Total sugars (standards)","","https://www.legis.md/cautare/getResults?doc_id=111307&lang=ro","https://www.legis.md/cautare/getResults?doc_id=94869&lang=ro# ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202018%20ORDIN%20Nr.%20622%20din%2021-05-2018.pdf"
"43877","AUT","Austria","","Lebensmittelbuch: B 11 Suppenartikel und verwandte Erzeugnisse [Food book: B 11 Soups and related products]","Government guidance","","German","","2019","","","Lebensmittelbuch","","2019","","","","","Health|Social welfare|Consumer affairs|Labour","Bundesministerium für Arbeit, Soziales, Gesundheit und Konsumentenschutz","","","","","","","","","","","","","","","","","","","","","
9 Grenzwerte*
...
Produkte: Kochsalz
Fleischsuppen: max. 12,5 g/l
Rindfleischsuppen: max. 12,5 g/l
Geflügelsuppen: max. 12,5 g/l
Andere Suppen: max. 12,5 g/l
Rahmsuppen: max. 12,5 g/l
Vegane Suppen: max. 12,5 g/l
Bratensäfte und -soßen: -
Rahmsoßen: -
Suppen- oder Speisewürze: max. 50 % i.d.TM
","Sodium/salt intake|Salt/sodium|Mandatory reformulation|Measures to limit sodium content|Ready-made and convenience foods and composite dishes (Reformulation sodium)|Sauces, dips and dressings (Reformulation sodium)","","https://www.lebensmittelbuch.at/lebensmittelbuch/b-11-suppenartikel-und-verwandte-erzeugnisse.html","","",""
"66481","ESP","Spain","","Decreto 39/2019, de 17 de mayo, sobre la promoción de la dieta mediterránea en los centros educativos y sanitarios de las Illes Balears","Legislation relevant to nutrition","","Spanish","5","2020","","","Butlletí Ofocial de les Illes Balears Núm. 67 18 de mayo de 2019 Fascículo 114 - Sec. I. - Pág. 22619","5","2019","Adopted","5","2019","La Consejera de Salud, La presidenta","Health|Sub-national","","","","","","","","","","National NGOs","","","","","","","","","","","","
Artículo 1
Objeto y ámbito de aplicación
1. El presente Decreto tiene por objeto favorecer una alimentación saludable basada en los principios básicos del patrón de dieta mediterránea y fomentar la oferta y disponibilidad de alimentos saludables en los centros educativos, centros sanitarios y dependencias administrativas sanitarias de las Illes Balears que faciliten la adquisición y mantenimiento de estilos de vida saludables.
2. Este Decreto es aplicable en el ámbito territorial de las Illes Balears:
3. A los centros educativos públicos, privados y privados concertados.
4. A los centros sanitarios públicos.
5. A las dependencias administrativas sanitarias públicas.
…
Capítulo II
Alimentación saludable en los centros educativos
Sección 1ª
Centros educativos no universitarios
Artículo 4
Requisitos y criterios para la programación de los menús escolares y la frecuencia de consumo semanal
2. Para lograr una alimentación variada y equilibrada, los menús escolares que se sirven se confeccionarán teniendo en cuenta la frecuencia de consumo de los diferentes grupos de alimentos conforme a los siguientes criterios:
a. Primeros platos:
Arroz: una vez por semana.
Pasta: una vez por semana.
Legumbres: de una a dos veces por semana.
Hortalizas y patatas: de una a dos veces por semana.
b. Segundos platos:
Carne: de una a tres veces por semana.
Pescado: de una a tres veces por semana.
Huevos: de una a dos veces por semana.
c. Guarniciones:
Ensaladas variadas: de tres a cuatro veces por semana.
Otras guarniciones como patatas, hortalizas, legumbres, entre otros: de una a dos veces por semana.
c. Postres:
Frutas frescas y de temporada: de cuatro a cinco días por semana.
Otros postres, preferentemente yogur, queso fresco, cuajada y frutos secos: de cero a una vez por semana.
2. En la elaboración de los menús escolares se cumplirán los siguientes requisitos:
a.Utilización de aceite de oliva virgen preferentemente extra para aliñar, y para cocinar aceite de oliva o aceite de girasol alto oleico.
b.Presencia del agua como única bebida.
c.Alternancia de la oferta de pescado blanco y azul. Servir al menos seis raciones durante el mes. En caso de ofrecer pescado azul de gran tamaño (pez espada, tiburón, atún rojo y lucio), se seguirán las recomendaciones de la AECOSAN en
virtud de las que se restringe el consumo a 50 g por semana o 100 g cada dos semanas.
d.Oferta de, al menos, seis preparaciones de legumbres al mes.
e.Priorización de las carnes blancas y magras.
f.Las guarniciones de los segundos platos serán a base de verduras y/o hortalizas crudas y/o cocidas.
g.Para los postres lácteos se priorizará el yogur, que no debe contener más de 12,3 g de azúcar por 100 ml.
h.Oferta preferente de las formas de cereales integrales en el pan, la pasta o el arroz.
i.Para las preparaciones, utilizar técnicas culinarias sencillas sin saborizantes y poca sal.
j.Las frituras se limitarán como máximo a dos por semana.
k.El uso de precocinados como pizzas, croquetas, entre otros, un máximo de tres al mes. Evitar que se acompañen de guarniciones fritas.
l.El uso de preparados cárnicos (hamburguesas, salchichas...), un máximo de cuatro al mes. Evitar que se acompañen de guarniciones fritas.
m.En el consumo de frutos secos se prestará especial atención a la edad de los niños y niñas.
3. Además de los requisitos y criterios expuestos, en los supuestos en los que las condiciones de organización e instalaciones lo permitan, los centros educativos con alumnado con alergias o intolerancias alimentarias diagnosticadas por especialistas y que, mediante el correspondiente certificado médico, acrediten la imposibilidad de ingerir determinados alimentos que perjudican su salud, elaborarán menús especiales, adaptados a esas alergias o intolerancias. Se garantizarán menús alternativos en el caso de intolerancia al gluten.
Cuando por razones culturales se motive la exclusión de un tipo de alimento, se dispondrá, siempre y cuando las condiciones lo permitan y sea asumible económicamente, de un menú alternativo considerado suficiente para cubrir las necesidades nutricionales del alumnado.
4. Los menús escolares serán supervisados por personal cualificado con formación acreditada en nutrición y dietética.
…
Artículo 6
Prohibición de venta de alimentos y bebidas no saludables en los centros educativos no universitarios
1. Queda prohibida, en las cantinas, bares o locales similares situados en el recinto de los centros educativos no universitarios, sea de forma presencial o a través de máquina expendedora, la oferta de productos envasados que contengan los siguientes valores nutricionales:
a.Un valor energético superior a doscientas kilocalorías por porción envasada o comercializada.
b.Una grasa total, por envase o porción, con un contenido superior a 7,8 g o que represente más del 35 % de la aportación energética. Quedan excluidos los lácteos y frutos secos.
c.Una grasa saturada, por envase o porción, con un contenido superior a 2,2 g o que represente más del 10 % de la aportación energética.
d.Ácidos grasos trans; solo se permiten los presentes de forma natural y de menos de 0,5 g por porción. No se incluirán grasas parcialmente hidrogenadas.
e.Azúcares totales, con un contenido inferior a 15 g por envase o porción; deben representar menos del 30 % de la aportación energética. No se contabilizarán los azúcares presentes de forma natural en frutas, hortalizas, leche y productos lácteos, zumos de frutas y zumos a base de concentrados de fruta. Sí se contabilizará el azúcar de los néctares de frutas.
f.Sal, con un contenido superior a 0,5 g en cada envase o porción.
g.Sustancias estimulantes, salvo las presentes de forma natural en el alimento.
Los valores anteriormente referidos por envase o porción se refieren a raciones de 50 g para alimentos sólidos y de 200 ml en caso de líquidos.
2. Dentro del recinto del centro educativo siempre habrá, al menos, una fuente de agua apta para el consumo humano al alcance de todas las personas del centro educativo.
3. Las personas responsables del servicio de alimentos y bebidas en los centros educativos comprobarán que los productos cumplen estos criterios mediante el etiquetado nutricional, por lo que solicitarán la información a las empresas proveedoras, o bien consultarán a una persona cualificada con formación acreditada en nutrición humana y dietética.
Artículo 7
Alimentos y bebidas ofrecidas en las celebraciones de los centros educativos
En las celebraciones que se organicen en los centros educativos, tales como fiestas de cumpleaños o de santos del alumnado u otras celebraciones organizadas por el centro o en el centro, no se podrán ofrecer alimentos o bebidas que no sean propios de la dieta mediterránea y no respeten el contenido del presente Decreto.
…
Artículo 13
Publicidad y promoción
1. Se prohíbe en los centros educativos no universitarios la publicidad de alimentos y bebidas que no cumplan los criterios sobre el contenido nutricional establecidos en el artículo 6 de este Decreto.
2. No podrán distribuirse en estos centros educativos obsequios, incentivos o patrocinios sobre productos alimentarios que no respeten el contenido del presente Decreto.
3. Las campañas de promoción alimentaria y de educación nutricional en los centros educativos no universitarios, así como el patrocinio de equipos o acontecimientos deportivos en el ámbito educativo de dichos centros, deberán ser autorizados por las autoridades educativas, conforme a los criterios establecidos por las autoridades sanitarias para prevenir la obesidad.
4. La Dirección General de Salud Pública y Participación promoverá campañas publicitarias sobre los beneficios de una alimentación saludable y dieta mediterránea dirigidas al ámbito educativo y sanitario.
...
Disposición transitoria única
Adaptación a la oferta alimentaria saludable Los centros educativos, los centros sanitarios y las dependencias administrativas sanitarias públicas dispondrán de un plazo de un año, a contar desde el día siguiente a la entrada en vigor del presente Decreto, para adaptar la oferta alimentaria a las previsiones de esta norma.
No obstante, los contratos y títulos habilitantes vigentes a la entrada en vigor de este Decreto se mantendrán en las condiciones pactadas hasta el vencimiento del correspondiente contrato o título habilitante.
","Overweight and obesity in school age children and adolescents|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Settings where children gather such as schools, childcare and other educational establishments|Energy (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|Trans fat (marketing)|Mandatory marketing restrictions|Mandatory in schools only|Mandatory standards|Any foods and beverages offered in school|Schools (standards)|Objective to reduce climate impact of food|Procure from local sources|Use seasonal produce|Fruit and vegetables (standards)|Fish (standards)|Lean meat (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Processed foods (standards)|Fried foods (standards)|Total fat (standards)|Saturated fats (standards)|Trans-fats (standards)|Energy (standards)|Sodium (standards)|Total sugars (standards)|Monitoring mechanism established|Sanctions exist","","http://www.caib.es/eboibfront/pdf/es/2019/67/1034339","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ESP%202019%2039-Decreto-39-19-dieta-mediterranea-ES_3.pdf"
"66548","TGO","Togo","","Loi n° 2020-007 relative à l’alimentation scolaire","Legislation relevant to nutrition","","French","6","2020","","","Journal Officiel de la République Togolaise 65e Année N° 21 Numéro Spécial du 26 juin 2020","6","2020","Adopted","6","2020","L’Assemblée nationale","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sub-national|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","Les mamans/papas cantines","","","","","
Article premier : La présente loi a pour objet de garantir à terme, à chaque élève de l’enseignement de base, particulièrement aux élèves situés dans les zones les plus vulnérables, l’accès à une alimentation scolaire suffi sante et équilibrée et à promouvoir le développement de la production locale.
…
Section 2 : Principes directeurs et champ d’application
Art. 3 : Les principes qui soutiennent les interventions en matière d’alimentation scolaire sont décrits ci-après :
- le droit à l’alimentation est fondamental et l’alimentation des enfants est saine, équilibrée et diversifiée pour leur épanouissement ;
- l’alimentation scolaire assure l’équité entre les sexes et contribue à la réduction des disparités entre les filles et les garçons en milieu scolaire ;
- l’alimentation scolaire est multisectorielle ;
- l’alimentation scolaire assure durablement la promotion des produits locaux ;
- l’alimentation scolaire implique et responsabilise les collectivités territoriales et les communautés à la base ;
- l’alimentation scolaire intègre l’éducation alimentaire et nutritionnelle dans les programmes d’enseignement.
La couverture nationale se fait de manière progressive à travers l’utilisation des ressources techniques et fi nancières disponibles ou mobilisables aux niveaux central, régional et local.
Art. 4 : La présente loi s’applique à tous les acteurs et bénéficiaires de toute initiative en matière d’alimentation scolaire au Togo, qu’elle soit publique ou privée.
…
Art. 11 : Les menus des cantines scolaires sont élaborés en tenant compte des denrées alimentaires de base, des besoins nutritionnels et des habitudes alimentaires locales. Ils respectent un équilibre et une diversité nutritionnelle. La taille des portions alimentaires est adaptée au type de plat et à la tranche d’âge.
","Right to food|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Deworming|Mandatory standards|School lunches|Schools (standards)|Procure from local sources|Sanctions exist","","https://jo.gouv.tg/sites/default/files/JO/JOS_26_06_2020%20-%2065%20E%20ANNEE%20N%C2%B021.pdf","","",""
"36135","URY","Uruguay","","Decreto Nº 272/018 relativo al etiquetado de alimentos","Legislation relevant to nutrition","","Spanish","2","2020","","","Ministerio de Salud Pública","8","2018","Adopted","8","2018","Poder Ejecutivo","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Transport|Environment|Industry|Labour","","","","","","","","","","National NGOs","","","","","","","","","","","","
Artículo 2
Los alimentos envasados en ausencia del cliente, listos para ofrecerlos a los consumidores en el territorio nacional, para los cuales la normativa exija rotulado nutricional, deberán constar de un rotulado en su cara frontal, siempre que en su proceso de elaboración, o en el de alguno de sus ingredientes, se haya agregado sodio, azúcares o grasas y en cuya composición final el contenido de sodio, azúcares, grasas o grasas saturadas exceda los valores establecidos en el presente decreto.
Artículo 3
Quedarán exceptuados de la obligación de incorporar el rotulado frontal los alimentos de uso medicinal, alimentos para dietas de control de peso por sustitución parcial de comidas, los suplementos dietarios y para deportistas, las fórmulas para lactantes y niños y niñas de hasta 36 meses y los edulcorantes de mesa.
Artículo 4
Los elaboradores, importadores y/o fraccionadores, tendrán la responsabilidad del cumplimiento, veracidad y legibilidad del rotulado frontal de los alimentos envasados.
Artículo 5
El rotulado a ser incorporado en la cara frontal de los productos envasados deberá cumplir con lo establecido en el Anexo IV de este decreto.
","Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Free sugars|Front of pack labelling|Mandatory for all pre-packaged food (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Total fat (FOP)|Total sugars (FOP)|Warning sign|Nutrient specific","","https://www.gub.uy/ministerio-salud-publica/comunicacion/noticias/octogonos-para-etiquetado-de-alimentos","Resolución del MSP Nº 136 del 11/02/2019Las empresas titulares de autorizaciones de comercialización de alimentos deben brindar la información técnica sobre sus productos, requerida para el cumplimiento del Decreto N° 272/018, en un formato único que estará disponible en la página web del Ministerio de Salud Pública.http://www.mgap.gub.uy/normativa/resoluciones/2019/resolucion-msp-136 Manual para la aplicación del Decreto Nº 272/018 sobre rotulado frontal de alimentosEl presente manual tiene la finalidad de establecer directrices para la aplicación del Decreto 272/018 (sobre rotulado frontal de alimentos) para las instituciones con competencias en su implementación, así como brindar orientación técnica a las empresas productoras e importadoras de alimentos envasados que deberán adoptar sus disposiciones.https://www.gub.uy/ministerio-salud-publica/comunicacion/publicaciones/manual-para-la-aplicacion-del-decreto-no-272018-sobre-rotulado-frontal-0","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/URY%202018%20Decreto%20N%C2%BA%20272-018%20y%20Anexos%20%28Etiquetado%20de%20Alimentos%29.pdf"
"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"
"8623","BWA","Botswana","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1996","","","Republic of Botswana","","1996","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Labour","","","","","","","","","","National NGOs","","","","Private sector","","","","
reduction of 1990 under five mortality rates by 1/3 within a decade
virtually eliminate iodine deficiency disorders within a decade
virtually eliminate vitamin A deficiency and its consequences (eg blindness) within a decade
fortify all appropriate food vehicles with vitamin A and iodine
eliminate severe PEM and reduce the percentage of under-five children who are underweight to less than 10% by the year 2006 or within a decade
eliminate all micronutrient deficiencies by the year 2006
reduce iron deficiency anaemia by 1/3 of the 1996 levels, especially among women of child bearing age by the year 2006
fortify all appropriate food vehicles with iron
reduce diet related NCD to levels of no public health significance
empowerment of all women to breastfeed their children exclusively for 4-6 months and continue breastfeeding, with complementary food, well into the second year (at least for 18 months)
increase access to facilities for sanitary means of excreta disposal form 41 % to 70% of rural household within a decade
increase access to safe water supply form 68% to 95% of rural households within a decade
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Underweight in children 0-5 years|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Food fortification|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Improved hygiene / handwashing|Water and sanitation","","","","WHO Global Database on National Nutrition Policies and Programmes",""
"8711","LBN","Lebanon","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1996","","2000","Ministry of Agriculture","7","1995","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare|Sub-national|Trade|Women, children, families","Ministry of Education, Ministry of Higher Education, Ministry of Environment, Ministry of Agriculture, Ministry of Public Health, National Intersectoral Committee for Food and Nutrition, Ministry of Municipalities and Local Industrialists, Ministry of Water and Electricity, Ministry of Social Affairs, Council for Development and Reconstruction, National Council for Scientific Research, Ministry of Economy and Trade, Supreme Council for Children","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Maternity protection|Underweight in women|Complementary feeding|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Zinc|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|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/LBN%201995%20National%20Plan%20of%20Action%20for%20Nutrition.pdf"
"22973","HND","Honduras","","Poverty Reduction Strategy Paper ","Multisectoral development plan with nutrition components","","English","","2001","","2015","Government","8","2001","","","","","Food and agriculture|Health|Other|Sub-national","Ministry of Agriculture and Livestock, Ministry of Health, National Agrarian Institute (INA), National Congress (CN), National Autonomous Aqueduct and Sewage Service (SANAA)","","","","","","","","","","","","","","","Other","Honduran Social Investment Fund FHIS","
18. The Strategy proposes the following targets for the year 2015:
c) achieve 95% net coverage in access to the first two cycles of basic education;
f) reduce infant and child mortality rates by half;
g) decrease malnutrition in children under 5 to 20%;
h) reduce maternal mortality rates by half;
i) achieve 95% access to potable water and sanitation;
Objectives
2.1 IMPROVING EQUITY AND SECURITY IN ACCESS TO LAND
Guarantee access to land and secure land tenure, for organized and independent small farmers and ethnic populations to improve the income and food security of rural families.
2.4 IMPROVING SOCIAL CONDITIONS IN RURAL AREAS
Strengthen social infrastructure and widen the coverage of poverty-alleviation programs in the most depressed areas with the greatest incidence of poverty.
3.4 ACCESS TO BASIC SERVICES IN HIGH PRIORITY AREAS
Improve the access to groups living in urban marginal areas to basic services of potable water, sewer systems, electricity and transport, in order to improve the quality of their lives.
4.2 INCREASED AND BETTER ACCESS TO HEALTH SERVICES
Guarantee equitable access by poor groups to high-quality health services, preferably in primary health care and nutrition monitoring, by achieving consensus on the definition and implementation of reforms in the health sector, and by guaranteeing that the service network has available, in a timely manner, the quantity and quality of supplies equipment and human resources needed for appropriately carrying out its functions.
","
2.1 IMPROVING EQUITY AND SECURITY IN ACCESS TO LAND
ii. Strengthen programs for adjudicating, titling and clearing of land tenure, especially in the reformed sector, and among ethnic groups and independent small farmers
c) Programs and Projects
iv. Access to Land Program.
2.4 IMPROVING SOCIAL CONDITIONS IN RURAL AREAS
ii. Increase coverage of potable water and basic sanitation systems.
iii. Incorporate into FHIS and PRAF programs the promotion of productive vegetable gardens and food-conservation activities carried out by rural women which help improve incomes and the nutritional status of their families.
iv. Improve the coordination of food aid and donations of key inputs to support small productive projects and community construction activities, in order to improve their coverage and targeting and to avoid negative effects on local production.
c) Programs and Projects
ii. Basic sanitation in rural areas.
iv. Sustainable food assistance.
3.4 ACCESS TO BASIC SERVICES IN HIGH-PRIORITY AREAS
iii. Foster municipal management of water and sanitation systems, by promoting the approval of the framework law of the sector and improving the administrative capacities of the municipalities.
c) Programs and Projects
ii. Potable water for marginal neighborhoods.
4.2 INCREASED AND BETTER ACCESS TO HEALTH SERVICES
b) Policy Measures
i. Strengthen primary and preventive health care
ii. Provide increased attention to the health conditions of women
iii. Achieve increased efficiency and quality in providing health services by:
- Increasing coverage of maternal-child assistance programs, potable water and latrine systems, inoculations against infectious and contagious diseases, nutrition monitoring, health-promotion activities;
- Defining integrated policies for addressing the problem of malnutrition;
c) Programs and Projects
i. Basic health services package.
ii. Community Medications Fund (FCM).
iii. Health promotion services for children including nutrition.
iv. Integrated assistance to women
v. Healthy Schools.
vi. Prevention of infectious-contagious illnesses.
vii. Health infrastructure.
","
TABLE OF TARGETS AND INDICATORS
Achieve 95% net coverage in the first two cycles of basic education
- Net enrollment 1st to 2nd cycle
- Completion rate 1st to 2nd cycle
Reduce by half the mortality rate in children under 5 years of age
- Infant mortality rate (per 1,000 l.b.)
- Mortality rate in under 5 year-olds (per 1,000 l.b.)
Diminish malnutrition to not more than 20% in children under 5 years old
Reduce maternal mortality by half;
- Maternal mortality rate per 100,000 l.b.
Achieve 95% access to potable water and sanitation
- % of population with access to potable water
- % of population with access to sanitation systems
Result Indicators
2.1 IMPROVING EQUITY AND SECURITY IN ACCESS TO LAND
ii.
- No. of titles and hectares given
- No.of hectares in cadaster
2.4 IMPROVING SOCIAL CONDITIONS IN RURAL AREAS
ii.
iii-iv.
- No. of beneficiary families
3.4 ACCESS TO BASIC SERVICES IN HIGH-PRIORITY AREAS
ii.
- Water and Sanitation Sector framework law approved
4.2 INCREASED AND BETTER ACCESS TO HEALTH SERVICES
i.
- % of immunized children under 6 years of age
- % of infant malnutrition
- No. of communities with basic package
- No. of functioning self-managed FCM
ii.
- Maternal mortality rate
- No of women in reproductive health programs
iii.
- % of the population with access to health services
- No. of organizations providing health services
- % of hospital cost recovery
","","","Breastfeeding|Underweight in women|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iron|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","http://www.imf.org/External/NP/prsp/2001/hnd/01/083101.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HND%202001%20Poverty%20Reduction%20Strategy%20Paper.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"
"7919","AUT","Austria","","Austrian strategy for sustainable development","Multisectoral development plan with nutrition components","","","","2002","","","Federal Government of Austria","","2002","Adopted","","2002","Ministry of Agriculture and Environment","Food and agriculture|Social welfare|Consumer affairs|Environment|Sub-national","Federal Government of Austria Consumer affairs, Social welfare, Sub-national: Länder, Ministry of environment and agriculture, Bundesministerium für soziale Sicherheit und Generationen, Gemeinden","","","","","","","","","National NGOs","National NGOs: Interessensvertretungen, Sozialpartner","","","","","","","","
Anhang (p. 12)D
ies unterstreicht die Notwendigkeit der Entwicklung einer adäquaten Lebensmittel- und Ernährungspolitik über den bestehenden Standard hinaus, sowohl zum Schutz und zur Förderung der menschlichen Gesundheit als auch zur Reduktion der durch ernährungsabhängige Krankheiten entstehenden Kosten. Lebensmittelsicherheit, Ernährungsverhalten und Sicherstellung eines nachhaltigen Nahrungsmittelangebotes sind die zentralen Anliegen dieser Politik. Ein wesentlicher Schritt in diese Richtung ist die Gründung der Agentur für Gesundheit und Ernährungssicherheit.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents","","http://www.nachhaltigkeit.at/strategie/pdf/strategie020709_en.pdf","","WHO Global Nutrition Policy Review 2009-2010, NOPA",""
"8270","ETH","Ethiopia","","Food Security Strategy","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2002","","","Ministry of Agriculture and Rural Development (MOARD), Ministry of Foreign Affairs of FDRE","","2002","Adopted","","2002","Ministry of Agriculture and Rural Development (MOARD)","Health|Food and agriculture|Sub-national|Other","Ministry of Agriculture and Rural Development (MOARD), Ministry of Foreign Affairs of FDRE,(sub-) regional administrations","World Food Programme (WFP)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","
The strategy adopted rests on these three basic pillars: To increase the availability of food through increased domestic production. To ensure access to food for food deficit households; and To strengthen emergency response capabilities
","
B. Essential Elements of the StrategyB.1 Agricultural Production, Marketing and CreditB.2 Pastoral AreasB.3 Micro and Small Scale EnterprisesB.4 Agricultural Exports and Diversification
","","","","Growth monitoring and promotion|Complementary feeding promotion/counselling|Complementary food provision|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Vulnerable groups","","","","WHO Global Nutrition Policy Review 2009-2010",""
"23546","ARM","Armenia","","Strategy on maternal and child health care","Health sector policy, strategy or plan with nutrition components","","English","","2003","","2015","Government of Armenia","7","2015","Adopted","7","2003","Government of Armenia","Health|Social welfare|Finance, budget and planning|Sub-national","","","","","","","","","","National NGOs","National NGOs","","","Private sector","Institutions providing medical assistance","","","
Objectives of Maternal and children health care (by 2015 within defined terms)
- Reduce the level of mortality in children (0-1.) and under 5, at least, for 1/3 (it should not exceed 10% by 2015), including 30% reduction in diseases of respiratory ways , and 50 % with diarrhea
- Reduce the number of low weight and prematurely born children by 1/3 (by 2015 it should not exceed 7%).
- Reduce cases with anemia in children and pregnant women by 50% (by 2015).
- Ensure exclusive breast feeding for 65% of infants fewer than 4 and 40% for infants under 6 months and continue it during the second year of life (by 2009).
- Through state and private sectors joint cooperation find solutions for iodine deficiency problem (2008).
- Ensure exclusion of iodinated salt deficiency (2008)
- Reduce chronical malnutrition in children, at least, by 1/3 (deficit of weight-age indicator for children under 0-5 should not exceed 8%) by 2015.
- Introduce measures directed at exclusion of pollution factors in the environment (water, infection at birth, smoke, food contamination)
- Encourage breast feeding and expand initiative on implementation of the program “Friendly hospitals for children”
- Persistent control over nutrition of children under 5 and women, development of improved nutrition program
","
The above mentioned key issues could be solved through elaborated strategies and continuous implementation of target programs, and given the objectives, development of new programs and accomplishment of the objectives within the framework of the program. It could be accomplished through close inter-department and international cooperation, with extensive involvement of communities and mobilization of all the possible resources.
Government of the Republic of Armenia: -recognize through annual budget allocations the prevailing importance of the programs for maternal and children healthcare, and approve normative documents related to the core issues of motherhood, childhood and reproductive health (“ Preventive immunization”, “ Ratification of international code on marketing of milk supplements”, and take a decision on the approval of Laws of RA “ Mandatory iodination of salt used for food for population”...)
- Minister of the Ministry of health of the Republic of Armenia: – define objectives and priority directions, develop and conduct strategic planning of the programs, develop administrative acts, manage the process of program development and implementation
- Governors and Mayor of the Republic of Armenia: – implement state and other target programs, control, develop and introduce measures to improve maternal and children health care
- Managers and personnel of the institutions providing medical assistance to children and women: – local implementation of the programs.
- Other administrative state bodies -Ministry of Finance and Economy – sustainable funding of target health programs -Ministry of Social Protection – allocation of special funds for maternal and children protection and program implementation
- NGO-s involved in maternal and children health care: –implement at public health programs, ensure public awareness and health education (on breast feeding, sexual education, abuse of drugs, alcohol, smoking, etc), disseminate information about extremely important problems in healthcare, conduct research, etc.
","
Main indicators for the assessment of the level of socio-economic development, population health and effective maternal and children health care are as follows:
• Mortality rate in infants (0-28 days), children (0-1 year) and children under age of 5 /per 1000 live-births/
• Mortality cases with diarrhea and diseases of respiratory ways (‰) in infants under age of 1
• Prenatal mortality rate/ per 1000 births/
• Maternal mortality /100.000
• Exclusive breast feeding indicator (%)
• Number of low weight and prematurely born infants (per 100 births)
• Level of malnutrition in infants under age of 0-5 (weight-age index deficiency in %)
• Spread ness of anemia in children and pregnant women (%)
• Early registration of pregnant women ( under 12 weeks, per 100 pregnants)
The analysis of the date is carried out by the Ministry of Health of Armenia who conducts reassessment of needs and shifts emphasis in the strategic planning.
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Food fortification|Nutrition & infectious disease|Food safety|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/ARM","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202003-2015%20STRATEGY%20ON%20%20MATERNAL%20%20AND%20CHILD%20%20HEALTH%20CARE.pdf"
"14883","AZE","Azerbaijan","","State Programme on Poverty Reduction and Economic Development 2003-2005","Multisectoral development plan with nutrition components","","English","","2003","","2005","World Bank","","2003","","","","","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Sub-national|Other","Local Executive Bodies; Poverty Monitoring Unit (PMU), State Committee for Refugees and Internally Displaced Persons (SCRIDP); The State Oil Company of Azerbaijan Republic (SOCAR); State Statistics Committee (SSC)","United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)","","","","Other","","","","","","","","","","","","
The government plans to increase expenditure on the health sector; establish in co-ordination with donor organizations the cost of a basic per capita package of primary health care, and work towards gradually increasing government expenditure to ensure this; increase the salaries of health sector employees; design a system of targeted exemption from paid medical services; take over full state nuancing of immunization programs (excluding hepatitis B); design public awareness campaigns to help improve maternal and new-born welfare, as well as campaigns to reduce the incidence of TB, malaria, iodine-deficiency and HIV/AIDS; design public awareness campaigns for health life styles and nutrition, especially targeted to poor; improve the protection of the population’s reproductive health; improve the information collection system for producing the main health indicators and adoption of international standard definitions for key health indicators; improve training of health sector staff, including raising awareness of the need to shift to more user-friendly services and the need to concentrate on prevention rather than just treatment of the illnesses most prevalent among the most vulnerable sections of the population; and finally monitor access to clean drinking water as well as other environmental factors affecting health.
The second main thrust of reform is that of developing cost-effective health care services; i.e. Elaborating specific interventions that have proved to be effective in the improvement of the population’s health status and which can be provided at relatively low cost. Such measures include health education campaigns, improved immunization programs, and improved treatment practices, such as Integrated Management of Child Illnesses (IMCI), safe motherhood and new-born care, the salt iodization program.
Apart from cooperating with donors on comprehensive primary health care reform, the government envisages the following to achieve these objectives:
- Increase expenditure on health sector (MTEF)
- Improve training of health sector staff, including raising awareness of the need to shift to more user-friendly services and the need to concentrate on prevention rather than just treatment of the illnesses most prevalent among the most vulnerable sections of the population
- Design public awareness campaigns to help improve maternal and new-born welfare, as well as campaigns to reduce the incidence of TB, malaria, iodine-deficiency and HIV/AIDS
- Improve food provision to IDPs
- Improve housing, water supply and sanitation, income generation, health status of IDPs etc.
- Protection of public health by improving food safety
- Design public awareness campaigns for healthy life styles and nutrition, especially targeted to the poor
- Monitor access to clean drinking water as well as other environmental factors affecting health
- Influence healthy lifestyles through counseling and health education.
","
Creating a system of targeted social assistance and creating a mechanism for providing reimbursement for the expenditure on children’s food for low-income families
Promoting Safe Motherhood and Essential Care for the Newborn
- Encouraging breastfeeding
- To continue to educate women to exclusively breastfeed for the first 6 months and these efforts need to be particularly focused and targeted on the poor
- Promoting mother & baby-friendly environment at maternity units
- Introduction and expansion of ‘Baby Friendly Hospitals’
- Introduce ‘Integrated Management of Childhood Illness’ (IMCI), to improve the management of childhood illness with regard to nutrition, immunization, acute respiratory infections, control of diarrhoeal diseases, and malaria, by improving provision of essential drugs, health education materials, training of health personnel, and further public awareness on better childcare
- Improve the system of monitoring maternal, infant, and young child mortality rates. These include improving the system of collecting information, and moving towards consistent use of internationally accepted definitions
Savetey
- Provide adequate sources of clean water, to reduce additional health care costs and loss of income, and to reduce malnutrition due to reduced the capacity to absorb the few nutrients available
- Improve the control of food safety by the state laboratories, and to upgrade the quarantine control at the borders
- Repair buildings in densely inhabited IDP settlements and improve the infrastructure and sanitation in others
Improving food provision to IDPs
- Providing monthly food supply to 143,000 IDPs
- Providing the monthly compensation to 519,000 IDPs for food (bread) expenditure
- Providing monthly supply of food to 214,258 IDPs previously having access to food assistance provided by International humanitarian organizations and lately deprived from the support due to the termination of their activity
- Providing food aid to 300,000 IDPs having no food provision from International humanitarian organizations since 1993
- Providing one meal-a- day to 1,500-2,500 IDPs school children
Reducing Iodine Deficiency Disorders
- Raising public awareness on the importance of consumption of iodised salt
- Capacity building of health and education staff
- Providing equipment for salt iodization to factories
- Strengthening laboratory services for monitoring and control
- Preparing national standards and norms for monitoring the content and the process of iodisation
Promotion of Healthy Life Styles: Introduce halth education into the curricula of the schools
","
- Reduction in infant and maternal mortality rates
- Reduction in mortality rates for children under 5 years, as well as reduction in the incidence of certain diseases: malaria, TB, acute respiratory diseases among children; and the number of children covered by immunization programs
- Malnutrition incidence amongst children, elderly people reduced
- A law promoting breastfeeding adopted and enforced
- Increase in number of maternal units and outpatient clinics with exclusive breastfeeding
- Number of İDP households receiving food aid
- Reduction in IDD
- Universal iodization and provision of access
- Equipment supplied and installed
- Relevant standards and norms introduced
- Number of trained staff
- Maintenance of the current high enrolment rates to schools, and increases in attendance rates by gender
- Publication of quarterly bulletins on food security vulnerability and food security assessment
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Iodine deficiency disorders|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Vaccination|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Azerbaijan_PRSP.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AZE%202003%20State%20PRSP.pdf"
"8443","DNK","Denmark","","National Action Plan Against Obesity - Recommendations and Perspectives, Short version","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","","National Board of Health, Center for Health Promotion and Preven","6","2003","Adopted","","2003","National Board of Health","Health|Sub-national|Other","National Board of Health; Center for Health Promotion and Prevention","","","","unspec. NGOs","","","","","","","Research/academia","Institute of Preventive Medicine","Private sector","Workplaces; Food Trade Industry; Food Retail Services","Other","Hospitals; President of the Danish Society for the Study of Obesity","
3.1. Objective
The objective of the action plan is to contribute to producing awareness and cultural norms in the Danish population that promote normal weight development. Also the action plan should counteract habits that lead to overweight and contribute to reducing body weight for persons who already suffer from or have a special risk of developing obesity – especially persons with type 2 diabetes and cardiovascular disease.
The overall objective is
- To prevent more persons from developing BMI≥30
- To reduce body weight among persons with BMI≥30
Intermediate aims are
- To prevent overweight in persons with normal body weight
- To prevent weight gain in overweight persons (BMI≥25) and/or stabilise weight in persons who have achieved loss of body weight
- To prevent obesity related complications
- To promote loss of body weight in persons with obesity or with obesity related conditions
3.2 Target groups
The various strategies comprise the following target groups:
- Children and adolescents in general with with the objective of health promotion and obesity prevention
- Children and adolescents with overweight and/or special risk of developing overweight or overweight related complications with the objective of loss of weight or weight stabilisation
- Adults in general with the objective of promoting lifestyles that prevent overweight
- Adults who are moderately overweight (BMI=25–29.9) and/or with special risk of developing obesity or obesity related diseases (e.g. persons with a hereditary disposition to obesity or to obesity related complications, persons who stop smoking, pregnant women or persons who take drugs with weight gain as an adverse effect) with the objective of weight maintenance or weight loss
- Adults with obesity (BMI≥30) with the objective of weight loss/weight maintenance as a way of preventing obesity related complications
Specific targets for initiatives
- To reduce intake of food with high fat and sugar content and increase intake of food with high fibre content for persons who need this
- To stimulate a more physically active lifestyle and increased participation in organized and nonorganized physical exercise
","
Chapter V. Target groups provides a set of 66 actions actions that can be executes to achieve the objectives on: Private; Community; and Public Sector level.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Fibre|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|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|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Nutrition education|Food safety","","http://www.sst.dk/publ/publ2003/National_action_plan.pdf","With this plan the National Board of Health aims to look at overweight in a holistic perspective and provide a basis for exchange of experience and dialogue with regard to future initiatives. The plan does not involve any specific ideal of slimness but rather suggests a balanced view of body weight and health which implies that slim does not equal healthy and overweight in itself does not necessarily equal poor mental and physical well-being.","WHO Global Nutrition Policy Review 2009-2010, NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DNK%202003%20National%20Obesity%20Action%20Plan.pdf"
"8419","HUN","Hungary","","Johan Bela' National Programme for the Decade of Health","Health sector policy, strategy or plan with nutrition components","","English","","2003","","","Policy Documentation Center","","2003","Adopted","","2003","Ministry of Health, Social and Family Affairs","Health|Food and agriculture|Women, children, families|Social welfare|Sub-national","","","","International Committee of the Red Cross (ICRC)","","","","","","National NGOs","","","","","","Other","Religious Communities; Media; NPHMOS; Activists","
HEALTHY YOUTH
- From 2003, enhancing the conditions for childhood prevention programmes (dental, fluorine, iodine prevention),
- Achieving daily health-promoting exercise for all children (see: ‘Promoting Physical Activity’),
- From 2003, consistently implementing laws that guarantee health-promotion considerations in paediatric primary health care and school health services,
- By 2004, designing health-promotion curricular material for use in graduate education of teachers and the health professions (physicians, health visitors, nurses); furthermore, elaboration of the institutional frameworks for training
HEALTH PROMOTION IN SETTINGS OF DAILY LIFE
- To see health-promoting political practices in operation in day-to-day life settings, in settlements, schools, workplaces, and in healthcare institutions, to effectively implement health promotion, using methods of prevention
HEALTHY NUTRITION AND FOOD SAFETY
The Goal: To reduce the prevalence of nutritionrelated disorders and to improve the general state of health through healthy nutrition
- To disseminate information on healthy nutrition to specialists and all of society
- To grow (farming) and produce (food industry) sufficient and quality food for healthy nutrition through a policy of sustainable farming and stock breeding, through protection of the environment
- To implement the guidelines for healthy nutrition in mass catering
- To establish family nutritional safety - to see to it that all children have enough qualify food, by expanding the school meal system
- To improve food safety, reduce food-borne diseases and to prepare for new challenges.
REDUCING MORBIDITY AND MORTALITY DUE TO CORONARY HEART DISEASES AND CEREBROVASCULAR DISEASES
- To improve the effectiveness of screenings for hypertension so as to identify at least 75% of all hypertensive persons
","
HEALTHY YOUTH
- Offering incentives for ‘family-friendly delivery clinics’, and using all possible means to popularise breast-feeding, making it a generally accepted and natural act
- Offering information to the public on increasing their intake of iodine and fluorine.
- Disseminating the use of iodised salt.
- Medical examinations to determine iodine sufficiency, survey on the prevalence of goitre.
HEALTH PROMOTION IN SETTINGS OF DAILY LIFE
- The owners and operators of educational instituions should make it possible for health promotion to appear as part of the school curricula in a manner that accords with their significance. The educational institutions should make it possible to practice healthy lifestyles within the school walls (mass catering, consistent, daily physical education, stress free environment, etc.) The schools also need to provide opportunities to the family members of disadvantaged students in learning the elements of a healthy way of life. The school should become a healthy workplace for teachers
HEALTHY NUTRITION AND FOOD SAFETY
- ‘Healthy nutrition begins in the family’ - teaching health visitors and mothers on the need of breastfeeding infants to the exclusion of all else until the age of 6 months, and the proper way to wean the infant. Instruction in the basic principles of healthy nutrition from pre-school till graduation, with particular emphasis on adolescents and pregnant women. Regular education to the public on healthy nutrition - through workplace, neighbourhood and other small communities: in hamlets and villages, and municipal districts, primarily with the participation of NPHMOS staff, health visitors, dieticians, educators, doctors, pharmacists and catering managers. Religious communities, NGO's, activists from local governments, social workers, Red Cross must be involved in spreading information on healthy nutrition. All this should be backed by the media and coordinated by NPHMOS
- The basic principles of healthy nutrition (less fat, animal fat, cholesterol, salt, and more vegetables) need to be introduced to menu planning. Among public meals, there always shouldbe a choice of vegetables (in the spirit of the above).
- A comprehensive food safety program has to be designed and introduced (coordinated by the health ministry).
- To facilitate healthy nutrition, there needs to be a broader selection of better quality foods (less fat, animal fat, cholesterol, salt, and added sugar, and more elemental fibre), which means more research and project development, in coordination with the agriculture ministry. Distinctive logos need to be introduced to facilitate choice, and supports should be offered for advertising them
","
HEALTHY YOUTH
- The proportion of premature infants, low-birth-weight infants, and congenital disorders will decrease.
- By 2005, the rate of infants exclusively breast-fed until the age of six months will reach 70%, and 80% by 2008.
- The prevalence of goitre in children aged 6-10 years will decrease from 4-5% to 2%.
- By 2005, the quality assurance system of schools will include health promotion considerations
HEALTHY NUTRITION AND FOOD SAFETY
If the sub-project is implemented successfully, the following results can be expected:
- the proportion of energy from fat within nutrition will drop to 33-35% from the current 38%
- the energy proportion from saturated fat will drop to 10-12% from the current 15-16%
- the consumption of added sugar will drop
- consumption of fruit and vegetables will rise to 400-450 grams/day from the current 300
- the proportion of people who consume fruit and vegetables daily will increase by 50%, while the rate of people who consume three servings a day will double
- consumption of whole grains will increase by 50%
- consumption of low-fat milk and dairy products will rise by 10%
- mortality due to diseases related to nutrition will decrease, or will not increase
- the prevalence of overweight or obese people over the age of 18 will remain on its current level
- the prevalence of Type II diabetes will remain on its current level
- the mortality rate from nutrition-related severe diseases (circulatory, tumour) will decline by 5%
- in response to preventive measures average serum cholesterol level of the population can drop by 7-10%, according to international data
- the number of infants exclusively breastfed through the age of six months will increase by 10-15%
- within 10 years the number of food and/or toadstool poisonings occurring in private households will decline by 30%, mass food poisonings from children’s meal facilities will go down by 30%, education in the basic principles of food safety will begin in the schools, a system of administrative food safety inspections will increase and HACCP (Hazard Analysis Critical Control Point) specifications will be met
- there will be a decline in low-nutrition dietary habits, nutritional-insufficiency disorders will decline
- a policy supporting a uniform national nutritional structure will be established within the given system of conditions
","Outcome indicators|Process indicators","","Low birth weight|Iodine deficiency disorders|Fat intake|Sodium/salt intake|Fibre|Added sugars|Fruit and vegetable intake|Vegetables|Right to health|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|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|Nutrition education|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Vulnerable groups","","http://pdc.ceu.hu/archive/00002882/","","WHO 2nd Global Nutrition Policy Review; NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HUN%202003%20National%20Health%20Programme.pdf"
"14987","KAZ","Kazakhstan","","Law on prevention of iodine deficiency disorders/ Закон О профилактике йододефицитных заболеваний ","Legislation relevant to nutrition","","Russian","10","2003","","","National News Paper 'Pravda'","10","2003","Adopted","10","2003","Government of Kazakhstan","Other|Sub-national","Governmental Bodies, Authorized state bodies for Sanitary and Epidemiological Service and Technical Regulation, Local Authorities","","","","Producers, Traders and Distributors","","","","","","","","","Private sector","","","","","","","","
Закон Республики Казахстан от 14 октября 2003 года N 489 О профилактике йододефицитных заболеваний (С изменениями внесенными Законом от 10 января 2006 года N 116 и 5 февраля 2007 года N 228).
Настоящий Закон регулирует общественные отношения в области профилактики йододефицитных заболеваний среди населения Республики Казахстан, производства, ввоза, вывоза и реализации, обеспечения качества и безопасности йодированной соли и других, обогащенных соединениями йода, пищевых продуктов.
Целями и задачами настоящего Закона являются:
- защита здоровья населения;
- проведение согласованных мероприятий по профилактике йододефицитных заболеваний на территории Республики Казахстан;
- государственное регулирование в области профилактики йододефицитных заболеваний;
- развитие производства и реализация обогащенных соединениями йода пищевых продуктов.
","Food labelling|Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Monitoring mechanism established|Sanctions exist","","http://ru.ontustik.gov.kz/files/ataposting/415/o profilaktike iododeficitnih zabolevanii.doc","The Law of the Republic of Kazakhstan on the prevention of iodine deficiency disorders N 489, October 14, 2003 (With changes introduced on January 10, 2006 N 116 and 5 February 2007 N 228).","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202003%20Law%20on%20prevention%20of%20iodine%20deficiency%20diseases.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"
"11497","UGA","Uganda","","Uganda Food and Nutrition Strategy and Investment Plan","Comprehensive national nutrition policy, strategy or plan","","English","","2004","","","Ministry of Agriculture, Animal Industry and Fisheries; Ministry of Health","5","2004","","","","","Cabinet/Presidency|Finance, budget and planning|Food and agriculture|Health|Nutrition council|Other|Sub-national","Office of the Prime Minister (OPM), Ministry of Finance, Planning and Economic Development (MFPED), the National Planning Authority (NPA), Ministry of Agriculture, Animal Industry and Fisheries, Ministry of Health, UFNC, Uganda Bureau of Statistics, Chief Administrative Officer (CAO)","","","","","","","","","","","","","","","","","
• Reduce stunting in the under 5 year old children from 38% to 28%;
• Reduce underweight in the under 5 year old children from 26% to 20%;
• Increase exclusive breastfeeding at 6 months from 68% to 75%;
• Increase and sustain vitamin A supplementation coverage for children 6 – 59 months from 80% to 95%;
• Increase public awareness on appropriate nutrition practices to 95%.
","
Strategy 1: Harmonization and Synchronization of Cross-Sectoral Policy and Database Management
Strategy 2: Capacity Building and Decentralization of the Food and Nutrition Planning and Implementation
Strategy 3: Increasing and Diversifying Food Supply Through Agro-ecological Zonal Farming Systems Based on Comparative Advantage Analysis
Strategy 4: Increasing Food Processing and Preservation Capacity, and Food Standards and Quality Control
Strategy 5: Promoting Accessibility to Affordable and Nutritious Foods Through the Development of Supportive Physical Infrastructure
Strategy 6: Improving Domestic Market Access and Export Competitiveness Through Market Integration and Private Sector Participation
Strategy 7: Improving Nutrition Status and Social Equity Through Gender Mainstreaming and Affirmative Action Support
Strategy 8: Strengthening Disaster Management, Food Reserve and Food Monitoring Mechanisms
Strategy 9: Promoting Good Health Through Improved Nutrition and Preventive Care Practices
Strategy 10: Promoting Good Nutrition and Healthy Lifestyles Through Improved Health Care and Sanitation Practices
Strategy 11: Promoting Proper Food and Nutrition Practices Through Information, Education and Communication (IEC) Strengthening
Strategy 12: Improving Food Security and Nutrition Through Effective Research and Development Programmes.
","
Typology of Levels of Monitoring and Evaluation
Inputs: The delivery of funding and other necessary resources and conditions for agreed activities to the organizations responsible.
Processes: The procedures and operational mechanisms being used under various interventions. This includes institutional linkages and how these impact on effectiveness and efficiency of operations. In addition, it is important to monitor the policies and underlying logic assumptions.
Outputs: The immediate results of activities implemented under development policies – e.g. school buildings and trained teachers.
Intermediate outcomes: Changes in income levels, better social and governance conditions, consumption of quality services and other factors directly affecting well being of the poor.
Final outcomes (impacts): Improvements in people’s well being
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Food fortification|Food safety|Food security and agriculture|Household food security|Water and sanitation|Vulnerable groups","","http://www.health.go.ug/nutrition/docs/population/Food_Nutrition_Strategy_Investment_Plan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202004%20FoodandNutritionStrategyAndInvestmentPlan.pdf"
"8381","RWA","Rwanda","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2005","","","Ministry of Health","10","2005","Adopted","","","Government of Rwanda","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Sport|Sub-national|Transport|Women, children, families|Trade|Industry","Ministry of Education, Science and Technology, Ministry of Land and Environment, Ministry of Finances and Economic Planning, Ministry of Agriculture and Livestock, Ministry of Health, Ministry of Vocational Training and Labor; Rwanda Bureau of Standards, Ministry of Youth, Ministry of Local Government, Ministry of Infrastructure, Ministry of Gender and Family Promotion, Ministry of Trade, Commerce and Industry","","","","","","","","","","","","","Private sector","Private Sector Federation","Other","Rwandan Consumers Association; Nutrition Working Group","
General objective: The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people.
Specific objectives:
- Promote practices favorable to the improvement of the nutritional status
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses
- Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices
- Assure adequate treatment of malnutrition due to nutritional deficiencies and excesses
- Provide nutritional care and support for people living with HIV/AIDS
Expected outcomes and the link to the Millennium Development Goals:
Goal 1: Reduce poverty and hungry
• The prevalence rate of protein-energy malnutrition in under five of age children is reduced from 45% to 30% for stunting, 22% to 15% for underweight, 4% to 2% for wasting.
Goal 2: Ensure primary education
• The prevalence rate of anemia is reduced by from 56% to 37% in children and from 33% to 22% in women.
• Iodine Deficiency Disorders are eliminated from 26% to less than 5% of total goiter.
Goal 3: Reduce Infant Mortality
• Increase the proportion of women exclusively breastfeeding for the first 6 months with optimal complementary feeding up to 24 months from 17,4% to 60%.
• Reduce Vitamin A deficiency in children under five from 25% to 5% in children under five years.
Goal 4: Reduce Maternal Mortality
• Reduce Vitamin A deficiency (night blindness) in pregnant women from 7% to less than 1%.
• Reduce the prevalence of anemia in pregnant women from 33% to 22%.
Goal 5: Combat HIV/AIDS and other diseases
• Nutritional support is provided to PLWA and other vulnerable people.
• Nutrition related chronic diseases are prevented.
","
Strategies for nutrition iprovement:
1. Reinforcement of the political commitment
2. Promotion of optimal infant and young child feeding
3. Scaling up of community-based nutrition programs
4. Food Fortification
5. Promotion of household food security
6. Prevention and management of malnutrition and related diseases
7. Nutritional support to PLWHA and their families
8. Communication for behavior change
","
Monitoring and evaluation:
To ensure effective implementation of planned activities, monitoring and evaluation is essential in all development programs. In addition, periodic evaluations are necessary for establishing level of objective achievement.
In order to follow up implementation of nutrition programs, data will be collected regularly at the health center and community level, In addition, other opportunities for nationwide surveys will be identified and utilized (MICS, EDST, EICV, etc…)
Nutritional surveys and epidemiologic surveillance will be conducted regularly, with appropriate indicators, to evaluate the progress and impact of nutritional interventions.
Operational research will also be carried out to address specific problems identified during the implementation of nutritional activities.
To prevent nutritional emergencies, nutrition unit will reinforce collaboration with all existing structures that collect and analyze bioclimatic, environmental, demographic and agricultural data for early warning and timely intervention measures against disasters that can negatively affect the nutrition.
","","","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|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|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|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/RWA%202005%20National%20Nutrition%20Policy.pdf"
"8252","URY","Uruguay","","Plan Alimentario Nacional","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2005","","2009","INDA","","2005","Adopted","","2005","Instituto Nacional de Alimentación (INDA)","Education and research|Health|Social welfare|Sub-national","ANEP, MSP, INDA (Ministerio de Trabajo y Seguridad Social - MTSS), Gobiernos municipales","","","","","","","","","National NGOs","ONG varias","","","","","","","","","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Conditional cash transfer programmes","","www.mides.gub.uy","","WHO Global Nutrition Policy Review 2009-2010",""
"23782","CUB","Cuba","","Proyecciones de la Salud Publica en Cuba para el 2015","Health sector policy, strategy or plan with nutrition components","","Spanish","","2006","","2015","Ministerio de Salud Publica","","2006","","","","Health ministry","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Labour","","","","","","","","","","","","","","","","","","
1. Lograr con una adecuada intersectorialidad, acciones que influyan favorablemente en el ambiente y con ello a una protección superior en la salud de la población.
2. Desarrollar con efectividad un trabajo dirigido a la disminución y control de los factores de riesgo más importantes que afectan la salud de la población.
3. Disminuir la mortalidad y la morbilidad de las enfermedades no trasmisibles y otros daños a la salud que constituyen las principales causas de enfermedad y muerte en la población cubana.
4. Mantener y mejorar la situación de salud alcanzada en relación con las enfermedades infecciosas y parasitarias, y enfatizar en aquellas que no se han podido resolver mediante la aplicación de inmunobiológicos y en las exóticas susceptibles de introducirse en el país.
5. Consolidar y mejorar los niveles alcanzados en la salud de la madre y el niño.
6. Desarrollar las acciones que permitan enfrentar con éxito la atención que demanda el envejecimiento de la población cubana
","","
- Incrementar la proporción de adultos que tienen un peso corporal “saludable”. Hombres a un 65 % y mujeres a un 56 %.
- Disminuir la proporción de adultos con obesidad. Hombres a un 4% y mujeres a un 10 %.
- Disminuir a un 3.5 % la proporción de niños menores de 5 años con retardo del crecimiento.
- Disminuir a un 8 % la proporción de embarazadas que tienen una ganancia de peso deficiente durante la gestación.
- Incrementar a un 40 % la proporción de personas que consumen al menos dos porciones diarias de frutas ˜ 200g.
- Incrementar a un 50 % la proporción de personas que consumen al menos tres porciones diarias de vegetales ˜ 300g.
- Incrementar a un 45 % la proporción de personas (mayores de dos años de edad) con un consumo de grasas que aporte entre 20 y 30 % de la energía total.
- Incrementar a 55 % la proporción de personas con un consumo de azúcar que aporte menos de 15 % de la energía total.
- Incrementar a 95 % la proporción de personas que no añaden sal a sus alimentos en la mesa.
- Disminuir a 15 % la proporción de niños menores de 2 años de edad con anemia por deficiencia de hierro (Hb < 110 g/L).
- Disminuir a 19 % la proporción de mujeres en edad fértil con anemia por deficiencia de hierro (Hb < 120 g/L).
- Disminuir a 15 % la proporción de embarazadas con anemia por deficiencia de hierro (Hb < 110 g/L).
- Incrementar a 40 % la proporción de la población adulta incorporada a actividades físicas sistemáticas.
- Disminuir a 32 % la prevalencia de personas sedentarias en población de 15 y más años.
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|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|Provision of school meals / School feeding programme|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Management of moderate acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture","","https://www.mindbank.info/item/4536","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CUB_2006%20Proyecciones%20de%20la%20Salud%20Publica%20en%20Cuba%20para%20el%202015.pdf"
"23555","KGZ","Kyrgyzstan","","Государственная программа по предупреждению эпидемии ВИЧ/СПИДа и ее социально-экономических последствий в Кыргызской Республике на 2006-2010 годы [National programme for prevention of HIV/AIDS and socioeconomic consequences in Republic of Kyrgyzstan]","Health sector policy, strategy or plan with nutrition components","","Russian","","2006","","2010","Government of Kyrgyzstan","7","2006","Adopted","7","2006","Government of Kyrgyzstan","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Justice|Labour|Other","Ministry of Foreign Affairs","","","","","","","","","","","Research/academia","","Private sector","Privet parties that contribute to the fight against HIV/AIDS","","National Statistics Committee; Media","","
Внесены изменения и дополнения в Закон Кыргызской Республики ""О государственных пособиях в Кыргызской Республике"", в котором закреплен порядок предоставления и определен размер ежемесячного социального пособия для детей, живущих с ВИЧ/СПИДом или рожденных ВИЧ-инфицированными матерями
1.2. Подключение служб охраны здоровья матери и ребенка (далее ОЗМиР) и служб репродуктивного здоровья к реализации программ профилактики ВИЧ-инфекции у детей грудного возраста.
3.3. Обеспечение искусственным питанием детей, родившихся от ВИЧинфицированных женщин
3.4. Подготовка медицинских кадров, обученных вопросам профилактики вертикальной трансмиссии ВИЧ/СПИДа
- по вожможности, отказ от грудного вскармлевания существенно снижает риск инфецирования ребенка
","","","","Maternity protection|Minimum acceptable diet|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20HIVAIDS%20prevention%20programme.pdf"
"23557","KGZ","Kyrgyzstan","","Kyrgyz Republic National Health Care Reform Program «Manas Taalimi» for 2006-2010","Health sector policy, strategy or plan with nutrition components","","English","","2006","","2010","Ministry of Health of the Kyrgyz Republic","","2006","Adopted","2","2006","Approved by the Decree of the Government of the Kyrgyz Republic №100","Health|Sub-national","National Center of Cardiology and Therapy","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","The World Bank","","","","National NGOs","","","","","","Other","Media","
Active involvement of population, communities, local governments and non-governmental organizations. Significant role will be assigned to local Health Committees, Clubs of arterial hypertension, Coronary-lipid clubs established with a view of training of patients and family members on measures of prevention of CVDs based designed training programs aimed at reduction of risk factors (overweight, imbalanced nutrition, physical hypodynamia, stress susceptibility, arterial hypertension and hyperlipidemia). With the same purpose, it is necessary to use mass media on a broader basis as well as disseminate published for population booklets and popular brochures on measures of control and prevention of cardio-vascular diseases, strengthening resistance of people to external negative impact and strengthening of protective factors.
It is important to develop legislative acts on CVD risk factors control – ban on tobacco smoking, limitation of alcohol consumption – and public policy on healthy and safe nutrition as well as implement unified education program on healthy life style into the system of secondary and higher education.
To ensure coordinated implementation of activities and determination of priorities and operative directions for health organizations involved in motherhood and childhood protection problem it is essential to develop series of strategies (Protection of reproductive health of population, Protection of child and adolescents health) and programs (Improvement of child perinatal care, Nutrition of children and reproductive age women), promote laws and issue a number of statutory and legal documents that will help to ensure continuity of services and compliance to internationally accepted norms, definitions and regulations. To ensure coordinated implementation of activities and determination of priorities and operative directions for health organizations involved in motherhood and childhood protection problem it is essential to develop series of strategies (Protection of reproductive health of population, Protection of child and adolescents health) and programs (Improvement of child perinatal care, Nutrition of children and reproductive age women), promote laws and issue a number of statutory and legal documents that will help to ensure continuity of services and compliance to internationally accepted norms, definitions and regulations.
Special attention will be paid to prevention of cardio-vascular diseases, reduction of micronutrient insufficiency, stabilization of infectious diseases incidence rate including TB, malaria, helminthiasis, brucellosis, restriction of dissemination of HIV/AIDS and immunization-sensitive infections. Work related to management of ecological and economic risks and safety control of food, drinking water, working conditions, living conditions and environment will be continued.
","
Introduction of efficient medical interventions for children under 5: expansion of types of immune-prophylaxis, supplementation of pregnant women and children with micronutrients such as iron, vitamin A, folic acid (for women under 12 weeks of pregnancy) as well as countryside extension of such programs as IMCI, Breast Feeding, Child Care and programs on child nutrition pre-tested in pilot regions;
Optimize complex of (ii) postnatal nursing (attendance, encouragement of breast feeding, rational feeding up, thermal hygienic conditions, resuscitation of newborns, antibiotics for infections, anti-tetanus serum for home deliveries, early diagnostic of diseases and proper child care, timely and high-quality immune-prophylaxis in the context of National immunization schedule and supplementation of newborns and puerperant women with vitamin A during the first 8 weeks after delivery); Increase population awareness about the issues of family planning, reproductive choice and safe motherhood.
Training of health workers at primary health care level.... Health workers at PHC level require professional development on the issues of management and care of healthy and ill child, family planning, pregnancy management, timely recognition of complications and re-referral (programs like IMCI, breastfeeding, nutrition, child care, safe motherhood, new live-birth criteria, prevention of HIV transmission from mother to child, etc.).
Enhancement of awareness of health workers and population on the issues of child care and care over pregnant woman (breastfeeding, nutrition, dangerous symptoms, care over and breeding of younger children both healthy and ill);
Inter-sectoral collaboration includes activities on fortification of food products with iodine, iron and vitamins, advancement of programs on healthy life style, implementation of demonstration projects on “healthy schools” and “healthy cities”, control of brucellosis and malaria, improvement of water supply and expansion of hygienic skills of population.
Increased population awareness about the work of public health service, safety of food products, consumer goods and drinking water and actions on prevention of various diseases will contribute to adequate and timely response of public health service to population needs and change in situation.
Include mandatory ultra-sound examination for pregnant women for detection of congenital malformations of fetus organs and system, regular measuring of arterial blood pressure, height and weight, screening of urine for bacteriuria, protein and iodine and screening for anemia into the scope of antenatal health services provided to women in the context of State-Guaranteed Benefit Package; supplement women with pregnancy under 12 weeks with folic acid;
","
Target 5: Reduce under 5 child mortality rate by two third by 2015
Target 6: Reduce maternal mortality rate by three forth by 2015
A. Main indicators of human development and Millennium Development Goals
- CVD mortality rate in 30-39 and 40-59 age groups.
- Share of direct expenses on patient (drugs, food) in total hospital costs;
- % of women admitted for delivery with anemia
","Outcome indicators|Process indicators","","Maternity protection|Anaemia in pregnant women|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding 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)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition & infectious disease|Food safety|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","http://www.un.org.kg/en/post-2015/article/document-database/un-agencies/156-world-health-organization-(who)/1680-kyrgyz-republic-national-health-care-reform-program-manas-taalimi-for-2006-2010-eng","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20Manas_taalimi_Program.pdf"
"8389","LUX","Luxembourg","","Plan d'action pour la promotion de l'alimentation saine et de l'activité physique [Action Plan for the Promotion of Healthy Eating and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","French","","2006","","","Ministry of Health and Ministry of Education","7","2006","Adopted","7","2006","Ministry of Health and Ministry of Education","Health|Education and research|Women, children, families|Sport|Sub-national","","","","","ONGs actifs dans des domaines de santé","","","","","","","Research/academia","Medical Schools","","","Other","Health Professionals and Experts in the field; International Organizations; Associations and Youth Centers","
Objectif I Sensibiliser et informer sur l’importance de modes de vie favorables à la santé physique, psychique et sociale
Objectif II Manger sain et équilibré
Améliorer les habitudes alimentaires en vue, notamment, de réduire la prévalence du surpoids, de l’obésité et des maladies conséquentes dans la population en accordant une attention particulière aux enfants et adolescents ainsi qu’aux groupes sociaux les plus menacés.
Des interventions diverses seront appliquées:
- en élaborant des politiques alimentaires saines au niveau des collectivités, notamment dans les infrastructures éducatives, d’accueil, sportives et de loisir;
- en renforçant dans tous les types d’enseignement et de formation l’importance de l’alimentation saine aussi bien au niveau de l’enseignement obligatoire qu’à celui des activités périscolairesen développant des programmes spécifiques de prévention et de réhabilitation par rapport à la surcharge pondérale et l’obésité, particulièrement chez les enfants et les jeunes;
- en développant, avec les différents partenaires, des actions concrètes basées sur les recommandations nutritionnelles nationales dans les secteurs les plus divers de la société (écoles, lieux de travail, communes);
- en élaborant, avec les partenaires concernés, des dispositifs facilitant à tous l’accès à des choix alimentaires plus sains.
Objectif III Augmenter en quantité et en qualité l’activité motrice de la population, notamment des enfants et adolescents
","
Campagne de sensibilisation et d’information
- méconnaissance du problème concernant le manque de mouvement et de la malnutrition ;
- nécessité de déployer un dispositif permettant la prise de conscience ;
- sensibilisation générale et spécifique pour des groupes-cibles distincts ;
- popularisation des messages-clés.
Manger sain et équilibré
- Réduction du prix de l’eau qui est dorénavant inférieur au prix des boissons sucrées
- Formation continue des cuisiniers des cantines scolaires par Jamie Oliver en 2007
- Toutes les cantines sont dans l’obligation d’offrir des repas équilibrés. Suppression de la vente isolée de certains produits comme des frites p. ex.
- Suppression progressive de tous les distributeurs de boissons sucrées sachant que certains établissements scolaires y sont arrivés.
- Remplacement progressif des plats cuisinés par des aliments frais
- Mise en place de distributeurs de produits frais (fruits, etc.)
- Associer les élèves à la préparation des repas scolaires : projets pilotes dans certains lycées et écoles primaires et développement de perspectives transférables au niveau national.
Plan d’action « Gesond iessen, méi bewegen » 3. Ministère de la Santé
- Élaboration de recommandations nationales en matière d’alimentation saine et d’activité physique Création d’un groupe permanent de surveillance et d’adaptation régulière des recommandations nationales
- Promotion d’habitudes alimentaires saines chez les enfants et les jeunes
- Sensibilisation des secteurs concernés pour la promotion de l’alimentation saine et de l’activité physique
- Formation en promotion de l’alimentation saine et de l’activité physique
- Campagne en faveur des jeunes eux-mêmes, les jeunes étant un des groupes cibles
- Arriver à toucher les jeunes par différents moyens, dans des contextes différents afin de donner un message cohérent
- Soutenir les actions des communes et des services conventionnés dans une participation aux réseaux locaux, notamment en utilisant les plans communaux jeunesse comme un excellent cadre pour une telle politique de la jeunesse transversale au niveau
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Nutrition education|Vulnerable groups","","http://www.sante.public.lu/fr/publications/p/plan-action-alimentation-saine-activite-physique/index.html","","WHO Global Nutrition Policy Review 2009-2010; NOP","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202006%20Healthy%20Eating%20and%20Physical%20Activity%20Action%20Plan.pdf"
"23632","MNG","Mongolia","","National Programme on prevention and control of Non-communicable diseases","NCD policy, strategy or plan with healthy diet components","","English","","2006","","2013","Ministry of Health","","2007","Adopted","12","2005","Resolution No. 246, Prime Minister and the Minister of Health of Mongolia","Other|Sub-national","National Council of Public HealthGovernmental Health Promotion FundGovernmental Scientific and Technology FundLocal sub-Council of Public Health","","","","","","","","","","","Research/academia","Public Health Institute","","","Other","Center for Health Development","
Goal: Reduce deaths caused by major NCDs through improving control and surveillance of NCDs and their risk factors and through effective health promotion action
3.1. Objective 1. To create sustainable mechanism for coordination on prevention and control of major NCDs such as cardiovascular diseases, cancer and diabetes mellitus
3.2. Objective 2. To reduce risk factors of major NCDs by promoting healthy lifestyles and supportive environment
3.2.1. provide intensive information, education and communication (IEC) activity towards acquiring healthy diet behavior among population through reducing consumption of animal fat, salt and sugar and increasing fruit and vegetables intake in the die
3.2.5. support healthy lifestyle by improving capacity of organization and communities and increasing number of ‘healthy” cities, khoroos, soums, bags, schools, workplaces, hospitals, communities and families;
3.2.6. take the following measures to enhance healthy lifestyle - proper use of diet:
1/ to acquire the skills to control of calories of diet in accordance with age and profession
2/ to reduce the usage of the following: a/ animal fat b/ salt c/ sugar and candy
3/ to increase the usage of the following : a/ fruit and vegetables intake b/ dietary fiber
4/ proper amount of food for single use: a/ not to eat fully b/ to avoid regular use of food with high calories like fatty and sugary
5/ to prepare and use of food by appropriate technology; a/ to reduce the usage of fried and conserved food b/ to avoid use of too hot tea and meal
3.3 4. to develop and implement treatment-training program for the people at risk including smoking cessation, reduction of high blood pressure and overweight, to deter mine and treat causes of obesity etc.
","
- to take measures, directed to improve community participation in prevention of complication of NCD-s such as conduct training for individuals in control of blood pressure, blood cholesterol, blood glucose and weight control themselves,
- to take in to consideration the licensing of economic entities and centers, which provide an activities, directed to reduction of overweight of the people;
- to take the tax measures and market incentives directed towards promotion of proper and healthy diet, active movement and reduction of alcohol and tobacco consumption;
- to introduce the basic knowledge of students on healthy diet, physical activity, harm of alcohol and tobacco consumption into the curriculum of secondary schools;
- to provide opportunity to serve “healthy” hot meals, boiled hot water at educational institutions of all levels through contracting with catering and food producing companies;
- to implement the day meal program at basic education schools;
- to renew kitchen equipment at the basic education schools and dormitories; to improve knowledge of chiefs on nutrition and daily meal need for children;
- to train specialists on prevention of NCD prevalent risk factors and health promotion
- to review and update the academic curriculum of the medical and nursing schools on NCD prevention and health promotion;
- to review and adhere food labeling standards in accordance with “The Recommendation of the Committee on Food Legislation and Regulation” and “Guidance Law on Food Labeling’ in order to provide population with opportunity of healthy choice and access to full information on nutrition facts.
- to promote healthy diet by reviewing and updating food standards in order to reduce salt, sugar and fat content;
- to distribute the international and domestic nutrition handbooks, to impose economic incentives for production, advertisement of new food products promoting healthy diet;
- to ensure fulfillment of the storage technology for grains, potato, vegetables and other food products; to prevent food infesting by aflatoxin-producing fungus which causes cancer development;
- to accelerate implementation of the National Program on Food Supply, Safety and Nutrition;
- to coordinate foreign trade policy in order to support usage of low salt, sugar, fat content food, vegetables and fruits; to monitor its implementation;
- to take policy measures to increase production of salt which satisfies consumption standards of population;
- to conduct NCD risk factor (unhealthy diet, physical inactivity, smoking and alcohol consumption) prevention training, promotion activities and establish a health-oriented environment within army, special rescue forces and military officers;
- to improve the border control on imported food products in par with international standards, to solve the gradual implementation of allowing import of products, which fully satisfy the quality and sanitary norms;
- to update, approve and implement the food standard with reduced level of salt, sugar and fat content;
- Mass media organizations: to deliver a simple, clear message of promotion healthy diet, physical activity and reduction of tobacco, alcohol consumption; and to support and cooperate with other organizations in this field;
- to plan and implement measures to provide employees with hot meal, boiled hot, fresh drinking water, to create an environment promoting physical activity, fitness exercise, and in same time free of alcohol and tobacco; afterwards endorsement measures to be taken in order to fortify results achieved.
- Food factory, food market and all types of catering: 1/ to provide user-friendly production and service with focusing on: reduction of NCD risk factors such as consumption of animal fat, salt, sugar, alcohol and tobacco; promoting fruit and vegetables consumption; 2/ to give customers full information about nutrition facts in a simple and clear way, and to provide with opportunity to make healthy choice;
- Customer right protection and other non-government organizations: 1/ to control promotions with false information about food consumption such as advertisements of sweet, salty, conserved, fatty food and carbonated soft drinks; to organize counter-advertising, provide correct information and take other measures in collaboration with professional organizations
- to report cases of advertisement with deceitful information on food consumption (such as encouraging consumption of sweet, salty, conserved, fatty food and car bonated soft drink) to related organizations;
","
Expected outcomes
- To be introduced community-based health service for prevention and control of major NCD’s and improved its continuity, quality and accessability.
- Established mechanism for management and coordination of the prevention and control activities on major NCDs and their common risk factors thus enabling a surveillance system for monitoring morbidity and mortality of those.
Indicators
3. Salt intake (gram per day): 10.1 in 2005; 9.1 in 2013
4. Fruits intake (days per week): 1.6 in 2005; 2.5 in 2013
5. People who consume vegetables more than 2 units per day (by percentage) 44.4 in 2005; 55.0 in 2013
7. Prevalence of people with obesity (Body mass index BMI> 25 kg/m2 : 39.3 in 2009; 37.0 in 2013
8. Blood (arterial) pressure average a/systolic 128.5 in 2005; 127.5 in 2013; b/ diastolic: 79.4 in 2005; 78.4 in 2013
9. Prevalence of people with high cholestrol (>200 mg/dl or 5.2 mmol/l) (by percentage): 12.4 in 2005; 11.7 in 2013
10. Prevalence of people with high blood glucose (>5.6 - <6.1 mmol/l): 10.2 i 2005; 9.8 in 2013
","Outcome indicators|Process indicators","","Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages high in fat, sugars, salt|Taxation on unhealthy foods|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","","https://www.mindbank.info/item/4402 https://www.legalinfo.mn/law/details/5201 https://www.legalinfo.mn/annex/?lawid=5201","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MNG%202007%20NATIONAL%20PROGRAMME%20NCD.pdf"
"8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","
4.9 Agriculture, Food and Nutrition:
4.9.3 Policy Objectives
i. To increase food production to ensure food security
ii. To enhance irrigation schemes
iii. To minimise pre- and post-harvest losses and improve food storage
iv. To improve the nutritional status of women, men and children
","
4.9.4 Policy Direction
i. Ensuring food security at national and household levels
ii. Promoting modern farming practices, including irrigation, and improving appropriate agricultural technologies and infrastructure
iii. Extending credit facilities to small-holder farmers
iv. Ensuring accessibility and ownership of land to small holder farmers
v. Enhancing food and nutrition education to the community
vi. Eradicating cultural barriers to the improvement of the people’s nutritional status
vii. Controlling micro-nutrient deficiencies of protein and energy micro-nutrition
viii. Promoting agro-processing to add value to agricultural produce and reduce post harvest losses
ix. Support research to develop cost-effective technologies that reduce women’s workload
","
The development of a Plan of Action will include development of indicators that will be used to track progress on the implementation of the National Population Policy.
","","","Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Food security and agriculture|Household food security","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202006%20National%20Population%20Policy.pdf"
"8111","GHA","Ghana","","National Health Policy: Creating Wealth Through Health ","Health sector policy, strategy or plan with nutrition components","","English","","2007","","","Ministry of Health","9","2007","Adopted","","2007","Ministry of Health","Health|Education and research|Labour","","","","","","","","","","","","","","Private sector","Privet Schools","","","
Policy Objective: The objective of this component is to promote healthy lifestyles and reduce risk factors that arise from environmental, economic, social and behavioural causes. Promoting healthy lifestyles in a healthy environment implies (Box 7)
Policy Measures
- Healthy schools, by collaborating with the MOH, GES and private schools to facilitate the adoption of healthy lifestyles among students through the curriculum, physical education, environmental sanitation and the promotion of healthy eating
- Healthy workplaces, by collaborating with the Ministry of Manpower and National Labour Commission to develop and implement programmes on occupational health and safety
- Ensure food safety by promoting collaboration between FDB, Standards Board, MLGRD and police to develop and enforce standards for the production, storage, sale and handling of food and drink in markets, restaurants and through other vendors.
- Promote healthy eating programmes in schools and in communities by introducing nutritional education into the school curriculum and by collaborating with caterers, food vendors and restaurants/ ’chop bars’ (local restaurants) and media.
- Set up model regenerative health and nutrition facilities as training centres to facilitate changes in lifestyle
- Promote physical exercise, rest and recreation by making physical education mandatory in all schools and making recommendations for adults.
Policy Objective: The objective of this component is to ensure equitable access to good quality and affordable health, population and nutrition services – services that will improve health outcomes, respond to people’s legitimate expectations and are financially fair.
","","","","","School-based health and nutrition programmes|Nutrition in the school curriculum|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food safety","","http://www.moh.gov.gh/wp-content/uploads/2016/02/NATIONAL-HEALTH-POLICY.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202007%20Creating%20Health%20through%20Wealth.pdf"
"8388","ITA","Italy","","Guadagnare salute (Gaining health)","NCD policy, strategy or plan with healthy diet components","","Italian","","2007","","","Ministero della Salute","","2007","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Industry|Sub-national","Ministero Salute, Ministero Pubblica Istruzione Scuole, Ministero Sviluppo Economico, Ministero Politiche Agri- cole Alimenta- re e Forestali - INRAN, Ministero per le Politiche Giovanili e le Attività Sportive, ministero della Famiglia, Azienda, Sanitaria Ospedale, Regioni - Enti Locali, Produttori, Privati, Datori di Lavoro, Esercenti, Altri (Associazioni, Gruppi sportivi)","","","","","","","","","","","Research/academia","Società Scientifiche e Associazioni","Private sector","Privati (produttori, distributori, gestori, ecc.)","","","","
Guadagnare salute rendendo più facile una dieta più salubre
1 PROMUOVERE COMPORTAMENTI SALUTARI
1.A Promuovere lʼallattamento al seno
Lʼallattamento esclusivo al seno, come alimentazione normale dei neonati e dei bambini fino ai sei mesi di età dovrebbe essere sostenuto, ampliando le iniziative che già sono in funzione in Italia, come gli Ospedali amici dei bambini. Assicurare il costante controllo del rispetto delle disposizioni legislative relative alla produzione e commercializzazione dei sostituti del latte materno, con particolare attenzione ai contenuti derivanti dal codice OMS
1.B Sostenere la dieta tradizionale
Le Linee Guida per una Sana Alimentazione Italiana, elaborate dallʼINRAN, dovrebbero essere aggiornate; la composizione della dieta media dovrebbe essere ulteriormente studiata.
1.C Sorvegliare e monitorare i comportamenti alimentary
La sorveglianza dovrebbe monitorare i comportamenti alimentari
1.D Prevenire i disturbi del comportamento alimentare
- La prevenzione dei disturbi del comportamento alimentare dovrebbe essere favorita attraverso la sensibilizzazione e formazione specifica rivolta ai medici e ai pediatri di base, agli operatori dei consultori, ai medici ospedalieri, ai ginecologi.
- I professionisti della salute nellʼambito delle cure primarie, dovrebbero fornire counselling e indicazioni su corretti stili di vita, sana alimentazione ed importanza dellʼattività fisica e contribuire anche alla diagnosi precoce dei Disturbi del Comportamento alimentare, spesso nascosto dai pazienti stessi e sconosciuto ai genitori e altri familiari
2 FAVORIRE UNA ALIMENTAZIONE SANA NELLA RISTORAZIONE
2.A Consolidare una cultura alimentare fondata sui principi del vivere sano, del rispetto ambientale, della qualità, della scoperta della propria identità individuale e collettiva.
- Nelle scuole e negli asili la fornitura di cibi dovrebbe essere adeguata sulla base di linee guida per la ristorazione scolastica, con spuntini a base di frutta e vegetali e acqua naturale,latte, yogurt e cereali ampliando lʼopportunità di scelta. Il monitoraggio degli scarti dovrebbe essere effettuato sistematicamente per comprendere quali sono i piatti meno graditi e poter fornire alle ASL utili indicazioni per la composizione dei menù e attivare interventi atti ad invogliare i bambini a consumare tutti gli alimenti programmati (progetti di educazione alimentare)
- Nel mondo del lavoro, nelle mense aziendali, dovrebbe essere resa disponibile una varietà di scelte di cibi compatibile con le Linee Guida per una Sana Alimentazione
- Negli ospedali dovrebbe essere evitata la diffusione di distributori automatici di cibi ad alto contenuto energetico e scarso valore nutrizionale e di fast food.
2.B Favorire il consumo di cibi salubri nella ristorazione collettiva (scuole, ospedali, mense aziendali)
- Nella ristorazione collettiva il settore privato dovrebbe essere incoraggiato ad offrire scelte alimentari compatibili con le Linee Guida per una Sana Alimentazione Italiana. Dovrebbe essere favorita una corretta politica di “educazione alimentare” del consumatore, affinché esso sia in grado, al di là del richiamo di offerte “accattivanti”, di operare scelte responsabili e consapevoli.
- Per favorire scelte alimentari corrette dovrebbe essere incoraggiata lʼaggiudicazione delle gare dʼappalto secondo il sistema dellʼofferta economica più vantaggiosa, allo scopo di premiare gli elementi qualitativi e non solo o prevalentemente il fattore prezzo
2.C Sensibilizzare i luoghi di ristoro
- Tavole calde, pizzerie, bar ed altri negozi che producono cibi pronti dovrebbero essere sensibilizzati sullʼimportanza dellʼofferta di soluzioni compatibili al consumo veloce di frutta e verdura e, ove possibile, scoraggiati dal fornire alimenti altamente energetici o porzioni troppo grandi.
3 PROMUOVERE PRODOTTI SANI PER SCELTE SANE
3.A Migliorare la composizione degli alimenti
- I produttori primari, come gli allevatori, e lʼindustria di trasformazione dovrebbero essere incoraggiati, con accordi da raggiungere anche tramite incentivi, a ridurre progressivamente i contenuti di grasso totale, grassi saturi, zucchero e sale aggiunti nei prodotti.
3.B Sviluppare politiche agricole adeguate
- Lʼattuale politica di incentivi alla produzione di zucchero e grassi dovrebbe essere ampliata in favore di un sostegno anche alla produzione e commercializzazione di frutta e verdure. Le tariffe che limitano il commercio di frutta e verdure dovrebbero essere riconsiderate. La produzione locale sostenibile dovrebbe essere incoraggiata.
- Difesa della dieta tradizionale e dei cibi tipici. La dieta tradizionale italiana, ricca di vegetali, dovrebbe essere valorizzata anche per i suoi effetti positivi per la salute. I produttori di alimenti tipici dovrebbero essere incoraggiati a mantenere standard di qualità elevati.
3.C Adeguare le priorità dʼintervento nei Piani Regionali di Sviluppo Rurale
- Adeguamento delle priorità di intervento e degli obiettivi specifici dei Piani Regionali di Sviluppo Rurale, previsti dal Piano Strategico Nazionale elaborato dal Ministero delle Politiche Agricole Alimentari e Forestali ed approvato dalla Conferenza Stato Regioni il 31 ottobre 2006, alle finalità del piano GUADAGNARE SALUTE, in particolare in riferimento alla sicurezza alimentare nellʼambito delle azioni per il rilancio della competitività delle filiere agro-alimentari, alla valorizzazione delle produzioni tipiche e delle filiere corte che favoriscono il pronto accesso di prodotti alimentari freschi (ortofrutticoli in particolare) sui mercati urbani, agli interventi sulla logistica che possono agevolare la movimentazione dei prodotti agroalimentari particolarmente deperibili, allo sviluppo di attività salutari per la popolazione attraverso la valorizzazione della multifunzionalità delle aziende agricole (fattorie sociali, ecoturismo, agriturismo).
3.D Assicurare la tutela dei prodotti salubri
- Sensibilizzare, attraverso una specifica azione delle amministrazioni statali competenti, i diversi livelli di governo regionale affinché, nella definizione ed implementazione dei Piani Operativi Regionali relativi alle politiche regionali e di coesione, vengano privilegiati quegli interventi e quelle misure in linea con gli obiettivi di GUADAGNARE SALUTE, in particolare con riferimento alla definizione di modelli di produzione e consumo in grado di assicurare la tutela della salute pubblica, alla inclusione sociale, alle reti e collegamenti per la mobilità con particolare riferimento alla filiera agroalimentare , alla attrattività delle città e dei sistemi urbani per lʼurban welfare.
4 PROMUOVERE I CONSUMI SALUTARI
4.A Educare al consumo consapevole
- Dovrebbe essere ulteriormente promossa la corretta informazione al consumatore sulla importanza delle varietà della dieta tradizionale che deve essere ricca di vegetali, anche di agricoltura biologica) e che può contenere altri alimenti del nostro patrimonio agroalimentare, da consumare in maniera consapevole.
4.B Promuovere acquisti responsabili
- Dovrebbe essere favorita la formazione di volontari per la diffusione di gruppi familiari di acquisto responsabile, volti ad ottenere maggiore qualità nutrizionale e risparmio nella spesa, promozione della salute, presa di coscienza ed “empowerment” dei membri.
- Prezzi e fiscalità. Le attuali politiche fiscali e dei prezzi dovrebbero essere sviluppate in modo da assicurare la coerenza con le indicazioni nutrizionali della “piramide alimentare”, strumento di riferimento per il rilancio della dieta mediterranea nel nostro Paese.
4.C Favorire la moltiplicazione di punti vendita di frutta
- Gli enti locali dovrebbero favorire la moltiplicazione dei punti vendita di frutta, nelle zone delle città maggiormente frequentate, come le uscite delle stazioni ferroviarie, della metropolitana o di altri sistemi di trasporto pubblico.
4.D Favorire la distribuzione ed il marketing
- I mercati locali e rionali dovrebbero essere supportati, come pure i negozi che assicurino lʼofferta di differenti tipi di alimenti. La localizzazione dei punti vendita alimentari dovrebbe essere studiata dalle amministrazioni locali, favorendo la diffusione dei prodotti ortofrutticoli freschi negli spazi della grande distribuzione. Dovrebbero essere prese in considerazione attività di promozione che facilitino la scelta di alimenti più sani. La riduzione del prezzo di frutta e verdura, per esempio, potrebbe essere attuata con accordi e sinergie con la grande e la piccola distribuzione, anche attraverso “settimane promozionali di vendita”, collegate al programma.
5 INFORMARE I CONSUMATORI E TUTELARE I MINORI
5.A Facilitare la lettura delle etichette
Le etichette nutrizionali dovrebbero consentire di individuare il contenuto in grassi, zucchero, calorie e sale. Lʼetichetta dovrebbe essere completa, facilmente comprensibile e standardizzata
5.B Monitorare e regolare il ruolo della pubblicità
- Pubblicità degli alimenti. Il volume della promozione pubblicitaria di alimenti e bevande rivolta ai bambini dovrebbe essere monitorato e tendenzialmente ridotto, attraverso lʼautoregolazione dellʼindustria e lʼazione regolatrice.
5.C Regolamentare il mercato di prodotti cosiddetti dimagranti
- Dovrebbe essere garantita la diffusione di informazioni scientificamente corrette sullʼuso e le indicazioni di integratori alimentari e prodotti cosiddetti dimagranti favorendo anche azioni di controllo e interventi normativi sulla pubblicità
5.D Interpretare e decodificare i modelli di efficentismo
- Aiutare le giovani generazioni ad interpretare e decodificare modelli di efficentismo esasperato proposto dai mass media: “essere magri oggi. Bulimia e anoressia”
","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|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|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle","","http://www.ministerosalute.it/imgs/C_17_pubblicazioni_605_allegato.pdf","","WHO Global Nutrition Policy Review 2009-2010; 2nd Global Nutrition Policy Review 2016-2017.","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ITA%202007%20Guadagnare%20salute.pdf"
"8537","KEN","Kenya","","National strategy on infant and young child feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","2010","Ministry of Public Health and Sanitation","","2007","Adopted","","2007","Ministry of Health","Cabinet/Presidency|Health|Education and research|Trade|Labour","Ministry of Public Health and Sanitation","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Other","","Centers for Disease Control and Prevention (CDC USA)","","","","","","","","","","","","
5.1 Goal
To contribute to improved health, nutritional status, development and survival of infants and young children in Kenya.
5.2 Aim
The objective is to improve the nutrition status of infants and young children through the provision of essential interventions.
5.3 Objectives
• To ensure that policies and legislation that are supportive of IYCF are enacted and implemented.
• To improve uptake of optimal breast and complementary feeding practices.
• To promote and protect appropriate IYCF practices for infants and children in difficult situations.
• To ensure appropriate nutrition of children born to HIV infected mothers and reduce the risk of mother to child transmission of HIV through breast milk.
• To promote efficient implementation of interventions on IYCF through improved coordination and collaboration of partners in the country.
• To strengthen the capacity of stakeholders, programme managers and health care providers with improved knowledge and skills on IYCF counselling.
• To strengthen monitoring and evaluation of IYCF at all levels.
• To strengthen research on IYCF and timely dissemination of findings to decision makers.
• To improve awareness on optimal IYCF practices through advocacy and awareness creation efforts.
• To specify roles and responsibilities of partners in promoting appropriate IYCF practices.
• To establish coordination structures for collaboration on IYCF programme efforts.
• To sensitize the public for improved knowledge on IYCF practices.
• To integrate the IYCF strategy into the health system.
","
6. Strategic areas:
The following nine priority areas were identified as being crucial for the attainment of the goal:
• Policies and legislation on IYCF
• Practices on IYCF
• IYCF in difficult circumstances
• HIV and Infant Feeding
• Capacity building on IYCF
• Communication and advocacy
• Research on IYCF
• Partnerships and coordination
• Monitoring and evaluation of IYCF
","
5.4 Targets for 2010
Kenya will work towards attaining the following targets for the period 2008–2010:
1. National structures on IYCF strengthened to facilitate planning, coordination and advocacy for implementation of the strategy.
2. Current national policy guidelines on IYCF and national guidelines on Infant and Young Child Feeding in the Context of HIV (2004) will be updated
in line with the WHO consensus statement on HIV and Infant Feeding (2006) and be disseminated nationally by 2008.
3. Kenyan national law regulating the marketing of foods for children under 3 years will have will be enacted by the end of 2008 and an enforcement and monitoring system will be in place by the end of 2009.
4. To ensure provision of support for breastfeeding mothers by employers under the Employment Act.
5. Sixty per cent of all health workers and 80 per cent of PMTCT service providers attend the IYCF Integrated Course by 2010.
6. The Baby Friendly Hospital Initiative will be revitalized in Kenya to ensure that the 75 per cent of mothers who deliver in a health facility are initiated on exclusive breastfeeding and receive the support and information necessary to help them continue with exclusive breastfeeding for 6 months.
7. Promotion of optimal IYCF practices to the public, to health workers and to other social service providers. A communication and advocacy strategy will be developed by April 2008.
8. A national monitoring and reporting system will be established to promote efficient implementation of interventions on IYCF by 2008.
9. Fifty per cent of the districts in the country will have strengthened IYCF programmes, transformed at least 80 per cent of health facilities to be baby
friendly including establishment of community breastfeeding support groups to increase exclusive breastfeeding to 20 per cent by 2010.
10. Eighty per cent of mothers who are HIV positive receive counselling on infant feeding in the pre and post-natal period by 2010.
11. Reduce bottle feeding from 27.6 per cent to 5 per cent by 2010.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food fortification|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202007%20National%20Strategy%20on%20Infant%20and%20Young%20Child%20Feeding.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"
"8326","MLT","Malta","","Healthy Eating Lifestyle Plan (HELP)","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Education, Youth and Employment","","2007","Adopted","","2007","Ministry of Education, Youth and Employment","Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Labour|Other","Healthy Eating Lifestyle Plan - HELP working group","","","","","","","","","National NGOs","Federation of Industry;","Research/academia","Faculty of Education","","","Other","Healthy School Nutrition Audit Board; Home Economics Seminar Centre [HESC]; Chamber of Commerce","
Education Division is outlining the following as its main goals for its Healthy Eating Lifestyle Plan:
- to ensure that Maltese schools deliver a holistic education;
- to make provision for the setting up of the necessary frameworks, resources and support needed by Maltese schools to help students adopt healthier patterns of living
The Education Division is proposing a multifaceted approach which touches different aspects of school life, through the following three objectives:
- To provide a supportive school environment which encourages a healthy lifestyle and promotes healthy choices early in life;
- To make provision for a flexible curriculum which highlights health, diet, nutrition, food, safety and hygiene, food preparation and cooking and which promotes physical exercise as part of a healthy lifestyle;
- To ensure that clear and consistent messages about food, drink and healthy eating are being delivered across the school day so as to reinforce the healthy lifestyle message.
","
- Provide guidelines for schools on how to draft their own school healthy eating lifestyle plan;
- Start work on the formulation of Nutrition Related Quality Indicators for inclusion with key areas of the School Development Plan;
- Embark on establishing a regulatory legal framework for School Nutrition to support a healthy lifestyle. These regulations must also apply to shops/hawkers who operate in the vicinity of the school premises;
- Work on a new plan to give every student an entitlement to learn about nutrition and cooking from 2008;
- Inspect every school tuck shop at least once a year;
- Set up a working committee to study physical activity;
- Ensure that physical activity will not be limited to PE lessons but will be integral to the school experience;
- Ensure that the Senior Management Team of schools is also involved at the planning stage of new schools being built, so as to facilitate the provision of a healthy eating environment which is conducive to healthy eating;
- Ensure that schools allot money for the daily provision of 200ml of milk for every student;
- Provide additional resources in relation to portion-servings sizes for food in schools;
- Propose the regulation of advertising so that the messages conveyed in the media will be consistent with nutrition messages in schools;
- Ensure that products sold are certified by the Healthy Eating Nutrition Audit Board;
- Forward to all school providers the Food Preparation Guidelines and ensure adherence;
- Work with other stakeholders to train and support parents, staff and tuckshop operators involved in catering in schools, e.g. ITS to train tuckshop operators;
- Provide additional support and guidance to Heads of School when drawing up and monitoring contracts of school tuck shops;
- Collaborate with the Health Division in undertaking surveys of students’ dietrelated behaviour, so as to identify trends and determine which action needs to be taken at school and at a national level;
- Make provision for the Education Health Unit in collaboration with the School Health Services to measure students’ height and weight on an annual basis and keep a database.
","","","","Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|School meal standard|School milk scheme|Monitoring of children’s growth in school|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|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)","","http://education.gov.mt/en/resources/documents/policy%20documents/healty%20eating%20lifestyle%20plan.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202007%20Healthy%20Eating%20Lifestyle%20Plan.pdf"
"8420","NLD","Netherlands","","Kiezen voor gezond leven 2007-2010 [Opting for a healthy life 2007-2010]","Health sector policy, strategy or plan with nutrition components","","Dutch","","2007","","2010","Ministry of Health, Welfare and Sport","12","2006","Adopted","12","2006","","Nutrition council|Sub-national|Urban planning","Voedingscentrum, Municipal authorities, Ministry of Settlement, Spatial planning and Environment","","","","","","","","","","","Research/academia","National Institute for Health and Environment (RIVM)","Private sector","Health and Education Facilities","Other","Media","
Preventiebeleid: Bevorderen gezonde leefstijl hoofdthema preventiebeleid. Welvaartsziekten zijn grotendeels te vermijden
Aanpak: mensen stimuleren tot de gezonde keuzes: Betere samenwerking binnen en buiten de overheid nodig; Verder gaan met aanpak roken, diabetes en overgewicht (bewegen en voeding)
De volgende doelgroepen krijgen daarbij speciale aandacht: jeugd en mensen met een lage sociaal-economische status.
","
Overweight: Gezonde leefstijlbevorderende activiteiten moeten voorkomen dat mensen met een normaal gewicht te zwaar worden of mensen met overgewicht ernstig overgewicht ontwikkelen. Het convenant Overgewicht krijgt er nieuwe partners en nieuwe acties bij. Daarnaast gaat VWS proberen het project SchoolGruiten (bevorderen van groente en fruitconsumptie), landelijk in te voeren en het concept van De gezonde schoolkantine verder te verspreiden. VWS onderzoekt (met OCW) de mogelijkheden om gezonde voeding binnen de huidige kerndoelen aandacht te geven in het onderwijs. Het concept van de vitaliteitscoach wordt nader uitgewerkt. Ook zullen nieuwe media worden ingezet. Zo komt er eind 2006 een nieuwe, innovatieve vorm van voorlichting via internet (persoonlijk leefstijladvies) met de naam Hallo Wereld. Algemeen doel: het in deze cruciale periode leggen van een gezonde basis om overgewicht en andere leefstijl gerelateerde problemen te voorkomen. Om het geven van borstvoeding te stimuleren, ontwikkelt het Voedingscentrum een nieuw masterplan borstvoeding. Daarnaast komen er handreikingen om zelf ‘de gezonde keuze’ te kunnen maken (bijvoorbeeld een zelfhulpprogramma via internet). De nieuwe handleiding om overgewicht te voorkómen moet gemeenten helpen het lokale gezondheidsbeleid tegen overgewicht uit te voeren. Het Centrum Gezond Leven dat het kabinet gaat oprichten, krijgt een coördinerende rol in het ontwikkelen en invoeren van deze handleidingen.
Diabetes: De komende jaren wordt het bestaande diabetesactieprogramma 2005- 2009 verder uitgevoerd en uitgebreid. De Nederlandse Diabetes Federatie (NDF) zal op basis van de lopende voorlichtingscampagne Kijk op Diabetes samen met de partijen die al aan de campagne deelnemen het nationaal diabetes preventie programma ontwikkelen. Dit programma bevat algemene publieksvoorlichting en een meerjarige campagne voor groepen met een hoog risico. Dat zijn mensen boven de 45 jaar met overgewicht, mensen met een lage sociaal-economische status en mensen van Hindoestaanse, Marokkaanse en Turkse afkomst. Dit programma ontwikkelt ook leefstijlinterventies. Verder zal voorlichting en educatie gegeven worden aan mensen die al diabetes hebben. De deelnemende partijen sluiten een convenant om activiteiten onderling aan te laten sluiten en betere samenhang te krijgen tussen diabetespreventie en -zorg. Het RIVM krijgt een belangrijke rol in het volgen, doorrekenen en beoordelen van effecten van de plannen bij diabetes wat betreft kosteneffectiviteit, onderzoek en gegevensverzameling.
","
Overgewicht: het percentage volwassenen met overgewicht moet niet stijgen (peiljaar 2005); het percentage jeugdigen met overgewicht moet dalen (peiljaar 2005).
Diabetes: het aantal patiënten met diabetes mag tussen 2005 en 2025 met niet meer dan 15 procent stijgen; daarbij heeft 65 procent van de diabetespatiënten geen complicaties.
","Outcome indicators","","Overweight in children 0-5 yrs|Fruit and vegetable intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vulnerable groups","","http://www.samenwerkeneerstelijnszorg.nl/scrivo/asset.php?id=567911","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202006%20Opting%20for%20a%20healthy%20life%2C%20Public%20Health%20policy%20in%20the%20Netherlands%202007-2010.pdf"
"8384","NOR","Norway","","Oppskrift for et sunnere kosthold [Recipe for a healthier diet]","Comprehensive national nutrition policy, strategy or plan","","","","2007","","2011","Ministry of Health","","2007","","","","","Finance, budget and planning|Health|Labour","Ministry of Health Finance, budget and planning, Health, Labour,","","","","","","","","","","","","","","","","","
Hovedmål for Handlingsplan for bedre kosthold i befolkningen 2007–2011:
Endre kostholdet i tråd med helsemyndighetenes anbefalinger
Redusere sosiale forskjeller i kosthold
I tillegg til hovedmålene er det definert generelle mål for utviklingen i kostholdet, kvantitative mål for kostholdet og delmål for aktivitetene innen de ulike innsatsområdene.
Generelle mål for utviklingen i kostholdet
Kostens innhold av næringsstoffer bør på lang sikt forandres slik at de blir i tråd med anbefalingene for ernæring, jf. tabell 1, side 9.
De generelle målene for utvikling i befolkningens kosthold er:
at spedbarna ammes i tråd med anbefalingene
økt forbruk av grønnsaker og poteter, frukt og bær
økt forbruk av grove korn- og brødvarer
økt forbruk av fisk og sjømat
redusert forbruk av fete meieri- og kjøttprodukter
redusert forbruk av spisefett, og vridning i forbruket til
myk margarin og matolje
redusert forbruk av salt
redusert forbruk av sukker
redusert forbruk av sukkerholdig brus og andre søte drikker, søtsaker, snacks og fete potetprodukter
DELMÅL
Tiltakene under dette innsatsområdet har særlig til hensikt å:
gjøre det enklere for forbrukerne å velge matvarer med god ernæringsmessig sammensetning for å sette sammen et helsemessig godt kosthold
bedre utvalget og eksponeringen av matvarer med god ernæringsmessig sammensetning
redusere eksponeringen av matvarer som bidrar til et kosthold som ikke er helsevennlig, spesielt blant barn og unge
DELMÅL
Tiltakene under dette innsatsområdet har særlig til hensikt å:
styrke kostholdsveiledningen til kvinner i fertil alder og gravide
legge til rette slik at en større andel spedbarn kan fullammes i de første seks levemånedene og få morsmelk til de er minst ett år
legge til rette for et godt kosthold for sped- og småbarn
styrke veiledningen om amming, kosthold, mat og måltider til sped- og småbarnsforeldre
bidra til at markedsføring av morsmelkerstatning kun skjer i tråd med internasjonale anbefalinger
vektlegge innsats overfor kvinner og barn med ikkevestlig minoritetsbakgrunn
DELMÅL
Tiltakene under dette innsatsområdet har særlig til hensikt å:
bidra til at barnehager, skoler og SFO legger til rette for sunne og gode kostvaner hos barn og ungdom gjennom måltider i tråd med helsemyndighetenes anbefalinger
bidra til at barn og unge får gode holdninger til sunne kostvaner
DELMÅL
Tiltakene under dette innsatsområdet har særlig til hensikt å:
bidra til et sunt mat- og drikketilbud i arbeidslivet
stimulere til at arbeidstakere motiveres til sunne leve vaner og gode matvalg
bidra til at arbeidsgivere integrerer kostholdshensyn i personalpolitikken
DELMÅL
Tiltakene under dette innsatsområdet har særlig til hensikt å:
bidra til å styrke ernæringsarbeidet i helsestasjons og skolehelsetjenesten
bidra til at pasienter i primærhelsetjenesten og spesialisthelsetjenesten får tilpasset kostveiledning og behandling
bidra til å styrke ernæringsarbeidet i pleie- og omsorgstjenesten
skaffe kunnskap om mat og måltider, kosthold og ernæringsstatus hos bruker/pasient og kompetanse hos helsepersonell
","
I denne handlingsplanen legges det vekt på følgende fem strategier:
1. Bedre tilgjengelighet av sunne matvarer
2. Kunnskap hos forbrukerne
3. Kompetanse hos nøkkelgrupper
4. Lokal forankring av ernæringsarbeid
5. Styrket ernæringsarbeid i helsetjenesten
","
MÅL FOR AMMING AV SPEDBARN:
Andel spedbarn som fullammes ved 4 måneders alder skal øke fra 44 % til 70 %
Andel spedbarn som fullammes ved 6 måneders alder skal øke fra 7 % til 20 %
Andel spedbarn som ammes ved 12 måneders alder skal øke fra 36 % til 50 %
20 % ENDRING I FØLGENDE MÅL FOR KOSTHOLDET I BEFOLKNINGEN:
Øke andelen som spiser grønnsaker daglig
Øke andelen som spiser frukt daglig
Øke andelen som spiser fisk til middag minst en gang i uken
Øke andelen som spiser fiskepålegg minst to ganger i uken
Øke andelen ungdom som spiser frokost daglig
Minske andelen barn og ungdom som spiser søtsaker daglig
Minske andelen som drikker brus og saft daglig
Minske andelen som får mer enn 10 % av energiinntaket fra sukker
Minske andelen som får mer enn 10 % av energiinntaket fra mettet fett
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Nutrition in schools|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 milk scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Fiscal policies|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children","","http://www.regjeringen.no/nb/dep/hod/Pressesenter/pressemeldinger/2007/Oppskrift-for-et-sunnere-kosthold.html?id=445592","","WHO 2nd Global Nutrition Policy ReviewNOPA",""
"7999","PHL","Philippines","","AO No. 2007-0045 Zinc Supplementation and Reformulated Oral Rehydration Salt in the Management of Diarrhea","Government guidance","","English","","2007","","","DOH","","2007","Adopted","","2007","DOH","Health|Sub-national","DOH, LGUS","","","","","","","","","","","","","","","","","","","","","","Zinc","","","","WHO Global Nutrition Policy Review 2009-2010",""
"22868","PHL","Philippines","","S. No. 1698: Expanded Breastfeeding Promotion Act of 2007","Legislation relevant to nutrition","","English","","2007","","","14th Congress of the Republic of the Philippines, Senate of the Philippines","10","2007","Adopted","3","2010","The President of the Philippines","Education and research|Health|Labour|Other","Commission on Higher Education, Department of Education, Technical Education and Skills Development Authority (TESDA), Department of Health (DOH), Department of Labor and Employment, Department of Interior and Local Government","","","","","","","","","National NGOs","Professional and nongovernmental organizations","","","","","","","","","","","
An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Nutrition counselling on healthy diets|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202007%20S.%20No.%201698%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202007.pdf"
"8869","MDA","Republic of Moldova","","Национальная Политика Вобласти Здоровья [National Health Policy 2007-2021]","Health sector policy, strategy or plan with nutrition components","","Russian","8","2007","","","Monitorul Oficial Nr. 127-130 (Government)","8","2007","Adopted","8","2007","Government of Moldova","Health|Education and research|Sub-national","","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Other","International NGOs: SDC, AIHA","European Commission (EC)|The World Bank","","","","National NGOs","SOROS Moldova","Research/academia","National Academy of Science Moldova and other educational institutions","Private sector","Privet health centers","Other","Medical and Sanitary Facilities, Media, National Medical Insurance Company, National union for Health System Accreditation","
The purpose of the National Health Policy is to create optimal conditions for maximizing the potential of each person's health throughout their lives and to achieve adequate standards of quality of life.
The main objectives of the National Health Policy are:
- increasing the chances of survival at birth and an increase in active life expectancy;
- ensuring the quality of life and reduction of differences relating to the health of all social groups;
- strengthening intersectoral partnerships for health promotion;
- developing stewardship by people for their own health.
The specific objectives of the National Health Policy are:
- ensuring economic and social security of the population;
- health promotion and disease prevention;
- ensuring a healthy start in life;
- maintaining the health of the younger generation;
- improving the health of older people;
- control of chronic non-communicable diseases;
- creating healthy and safe environment;
- good nutrition and physical activity;
- the creation of a society free of tobacco, alcohol and drugs;
- ensuring the conditions for improvement of mental health;
- achieve new successes in the health system.
","
- Will be supported by the initiatives of small and medium-sized enterprises in underdeveloped from an economic point of view, the regions will be developed and approved the provisions on the removal or reduction of risks associated with the use (abuse, dubious quality of local and imported food), with professional activity, with the shortcomings in the field of education etc.
- Mechanisms are economic and social security that will ensure better access to health and social services support for all members of society, including the socially vulnerable contingents. In this sense, it will encourage the development of the principle of solidarity in the management of funds intended for health and social protection.
- All pregnant women, regardless of nationality, social status, marital status, political or religious affiliation, and newborn children will enjoy free access to an equal volume set of quality health services during pregnancy, childbirth and the postpartum period. Maternity hospitals will have the status of ""hospital - a family friend.""
- Will be held to promote healthy lifestyle among the elderly with the creation of conditions to ensure a balanced diet through diversification and saturation of food with essential vitamins and nutrients, according to the physiological age.
- In order to ensure the appropriate physical activities for the elderly will be expanded green areas in the countryside and cities.
- Measures will be provided for programs aimed at the eradication of smoking, on the organization of a balanced diet, reduce alcohol consumption, physical inactivity struggle, struggle with excess weight and control blood pressure, diabetes and dyslipidemia.
- In order to ensure food security will be promoted all measures to increase agricultural productivity and improving the quality of the final material.
- Design and implementation of social mechanisms for socially vulnerable categories of the population (children from orphanages and boarding schools, the disabled, the elderly and the needy, etc.) essential food products.
- Will be greatly enhanced measures aimed at creating a culture of rational and healthy diet, starting from early childhood. It will be carried out to develop and popularize the national mprodovolstvennoy pyramid, the implementation of which will contribute to the awareness of the need to reduce consumption of refined products and increase consumption of fruits and vegetables throughout the year.
- More attention will be given to rational nutrition of pregnant women and young children. Will introduce new technology beneficiation of some food items missing additives (iron, folic acid, iodine, etc.).
- The right diet will be implemented through the organization of power in the public institutions of children from pre-school nurseries and kindergartens, as well as the systematic popularization of nutrition.
- The population will be informed about the principles of a balanced diet, about the risks of excessive consumption of food, salt, saturated fat, as well as about the risks of unhealthy food and food products sold and consumed without complying with the hygiene requirements.
- It will be the promotion of consumption of fruits, vegetables and other food products, essential components of a balanced diet.
- In order to ensure food safety regulatory and legislative framework will be strengthened and coordinated with the European one. Will the adoption of a national strategy in this field and developed a plan of action to ensure the safety of food products. Emphasis will be placed on monitoring and evaluation of the quality of food and the risks associated with food products. For this purpose will be established a reliable system of controls throughout the food chain - from raw material to consumer.
- Deystviyabudut aimed at combating obesity and increase physical activity to promote health throughout life and to protect the population against the risks and dangers of food properties. For this purpose, would expand the awareness and health education will also be increased participation of non-governmental organizations and the public.
- The fight against sedentary lifestyles and increased physical activity will affect all categories of the population, including those who lead a sedentary lifestyle or with minor physical exertion.
- Will practice setting breaks for employees who work sitting or in a monotone mode.
- In order to encourage increased physical activity of the urban population will expand public green areas within municipalities and towns.
- Local authorities will be equipped special areas that will determine the more active involvement of the masses to the classes of physical culture and sports.
2013 Additions
- Будут значительно усилены меры, направленные на формирование культуры рационального и здорового питания, начиная с самого раннего детства. Будет осуществлена разработка и популяризация национальной продовольственной пирамиды, внедрение которой будет содействовать осознанию необходимости сокращения потребления рафинированных продуктов и увеличения потребления овощей и фруктов на протяжении всего года.
- Больше внимания будет уделено рациональному питанию беременных женщин и детей раннего возраста. Будут внедрены новые технологии обогащения некоторых продовольственных изделий недостающими добавками (железом, фолиевой кислотой, йодом и др.).
- Правильный режим питания будет внедрен путем организации питания находящихся в государственных учреждениях детей, дошкольников из яслей и детских садов, а также систематической популяризацией рационального питания.
- Население будет информировано о принципах рационального питания, о рисках избыточного потребления пищи, поваренной соли, насыщенных жиров, а также о рисках потребления нездоровой пищи и продовольственных изделий, продаваемых и потребляемых без соблюдения гигиенических требований.
- Будет осуществляться пропаганда потребления фруктов, овощей и других продовольственных изделий, неотъемлемых составляющих рационального питания.
- В целях обеспечения продовольственной безопасности нормативно-законодательная база будет усилена и согласована с европейской.
","
The government monitors the implementation of the commitments of all partners involved in the implementation of strategies developed and approved by the national health policy, as well as coordination of international cooperation in this field.
- The government coordinates the implementation and monitor national policies and programs that affect health; provides the coordination of government policies allocating financial resources to the basics of strategic priorities and the implementation of the key tasks of health care under the National Health Policy;
- The Ministry of Health formulates health policy and provides strategic planning of the health system at various levels creates an appropriate regulatory environment and ensures consistency between policy objectives, organization, financing and management of the health system; provides management of the health system, set standards, identifies priorities and defines their achievement in the framework of a package of services; It provides a favorable environment for cross-sectoral collaboration and social mobilization; shall regulate and monitor the quality of services;
- branch ministries reflect the health objectives in sectoral policies, through the renewal of its own legal framework; implement multi-sectoral strategies and programs to improve the health of the population;
- Moldovan Academy of Sciences provides advice on health policy based on a scientific approach, as well as in all areas of the country, affecting the health of the population; It provides the coordination of strategic and priority directions of science and innovation projects and research programs in the context of the National Health Policy; etiopatogennuyu coordinates the assessment of the most common diseases, as well as the development and implementation in practice of new methods and technologies for diagnosis, treatment, prevention, rehabilitation and epidemiological control of diseases;
- local public administration authorities carry national strategies for health plans and programs at regional and local level; ensure their implementation and monitoring, as well as the involvement of local communities in decision-making and implementation;
- The National Health Insurance Company organizes the accumulation of funds in the mandatory health insurance funds; financing the necessary medical care of insured persons in the amount stipulated by a single program of compulsory health insurance, as well as activities aimed at the prevention of diseases; monitors the volume and quality of medical services provided to insured persons;
- The National Council for Evaluation and Accreditation in the health care system organizes and carries out the process of evaluation and accreditation of health care institutions and pharmaceutical companies;
- health facilities and public health agencies to carry out preventive and curative measures, monitor the implementation of programs for health promotion and disease prevention;
- Non-governmental organizations contribute to the maintenance of health through participation in thematic programs and projects; liaise with representatives of all social strata, facilitating social dialogue;
- economic agents provide adequate working conditions to facilitate the implementation of activities that are safe for the environment and workers' health;
- media coverage of health issues objectively and inform the public in an accessible form of the measures and methods of prevention, prevention of diseases, as well as a healthy lifestyle;
- international partners to provide technical cooperation and collaboration with government agencies in the priority areas of health care;
- a citizen is involved in decision-making on health issues, is responsible for their own health and the health of family members and fellow citizens.
","Process indicators","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in school children|Fat intake|Total fat intake|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding 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|Dietary guidelines|Food-based dietary guidelines (FBDG)|Reformulation of foods and beverages|Fats|Salt/sodium|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|Nutrition education|Wheat flours|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Vulnerable groups","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Moldova/moldova_national_health_policy_2007-2021_eng.pdf","URL Link to 2013 additions: http://lex.justice.md/viewdoc.php?action=view&view=doc&id=324940&lang=2","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202007%20National%20Health%20Policy_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202007%20National%20Health%20Policy_0.pdf"
"23163","RWA","Rwanda","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Health","7","2007","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Sport|Women, children, families","Ministry of Education, Science, Technology, and Scientific Research, Ministry of Finance and Economy Planning, Ministry of agriculture and animal resources, Ministry of Health, Ministry of Public Service and Labor, Ministry of Commerce, Industry, Investment Promotion, Tourism and Cooperatives, Ministry of Local Government, Ministry of Youth, Culture and Sports, Ministry of Gender and Family Promotion","","","","","","","","","","","","","","","","","
6.4.1. General objective
The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people, prevent and appropriately manage cases of malnutrition.
6.4.2. Specific objectives
In order to improve the nutritional status of the population, the policy seeks to achieve the following specific objectives:
-Promote practices favorable to the improvement of the nutritional status,
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses,
-Assure adequate treatment and prevention of malnutrition due to nutritional deficiencies and excesses,
-Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices,
-Provide appropriate nutritional support and care for people living with HIV/AIDS
","
7 STRATEGIES FOR NUTRITION IMPROVEMENT
To achieve its objectives, the National Nutrition Policy proposes the following strategies:
7.1
Reinforcement of the political commitment
Given the magnitude and persistence of nutrition problems in the country, their multi-causal factors and impact on different development sectors, Rwanda needs to strengthen its political commitment to improve the nutritional well-being of its people and make this a priority government action for its sustainable development. Some of the measures that can strengthen the political commitment are:
- Advocate for nutrition and concurrently disseminate the National Nutrition Policy
- Integrate nutrition in the socio-economic development indicators (EDPRS, Vision 2020)
- Include a nutrition component in all sectoral development programs
Allocate and/or mobilize adequate government or partner resources for the fight against nutritional problems, in particular, the financing of nutrition activities through the medium-term expenditure framework (MTEF).
Re-establish the training of nutritionists at A1 level and initiate undergraduate (A) and graduate nutrition degree programs in the university.
- Integration of nutrition in the curriculum of basic education at primary and secondary levels, and establish an in-service training program for health professionals;
- Allocate nutrition positions for each level in the health system.
- Develop and/or adopt, and/or implement national strategies and protocols related to nutrition (such as the Protocol for the treatment of acute malnutrition, Guidelines for the nutritional care and support of PLWHA, Strategy for the Control of Micronutrient deficiencies, strategy and guideline for community based nutrition projects, etc)
- Promote food security for households and production of local nutrient-rich foods at community level.
- Develop and/or strengthen policies for food processing, fortification and preservation.
- Develop and enforce national legislation on standards for food fortification.
- Implement all government nutrition-relevant policies such as the agricultural policy (especially the land reform policy for improved food security).
- Operationalize the one cow per one family strategy.
7.2 Promotion of optimal infant and young child feeding
Inappropriate breastfeeding and complementary feeding practices are major factors affecting infant and child mortality. Children from 0 to 6 months who are not breastfed have 7 and 5 times higher risk of dying from diarrhea and pneumonia, respectively. Promoting optimal child feeding makes it possible to reduce child deaths, the practice of breast-feeding and optimal complementary feeding respectively constitute the first and the 3rd most effective preventive interventions of child mortality. Breastfeeding is part of the Rwandan culture, however, it needs to be maintained and optimally practiced through the following strategies: 21
Promotion and protection of the exclusive breastfeeding in infants from birth up to six months, including infants born to HIV positive mothers who cannot meet the AFASS (Acceptable, Accessible, Feasible, Sustainable and Safe) conditions for replacement feeding,
- Protection of breastfeeding women who work in all (private and public) sectors by modifying the law in favor of breastfeeding (paid maternity leave periods, prolongation of maternity leaves, creation of breast-feeding space in the work place and public areas, etc.),
- Promotion of breastfeeding activities by establishing support groups at community level;
- Promotion of continuous breastfeeding up to twenty-four months or more, with an appropriate complementary feeding from six months,
- Institutionalize the celebration of the national breastfeeding week in the national calendar,
- Adoption and implementation of the National Code of Marketing of Breastmilk Substitutes.
- Development and adoption of a national strategy on infant and young child feeding (IYCF) in the context of HIV/AIDS in Rwanda,
- Integration of IYCF in the guidelines and protocol on voluntary counseling and testing (VCT), the prevention of mother-to-child transmission (PMTCT) of HIV/AIDS and pediatric care.
- Integration of IYCF in medical and para-medical training schools,
- Support to operational research on infant and young child feeding
- Promotion of the consumption of appropriate locally-produced complementary and weaning foods.
7.3 Scaling up of community-based nutrition programs
Certain simple actions, easy to be implemented by community workers, have a very positive impact on the nutritional status and the survival of the population. The Community–Based Nutrition Program (CBNP) is an approach that promotes equity and efficiency in the fight against malnutrition in a participatory manner. In addition, this approach will enable the link of nutrition services and the communities, and can constitute an entry point to child survival interventions such as integrated management of childhood illnesses (IMCI) at community level. Thus, the objective of the approach is achieving coverage of up to 80% of cells (umurenge) in all the districts of the country. In order to achieve this objective, the following activities are planned:
- Updating of the national CBNP protocol;
- Development/validation of training modules for health and community workers;
- Training of local administrative authorities and health workers involved in the CBNP;
- Development and implementation of district CBNP action plans;
- Mobilization of the required resources for the implementation of CBNP actions plans;
- Promotion of growth monitoring of children under five years at community level;
- Organization of community nutrition week, coupled with micronutrients supplementation, de-worming and promotion/preventive health activities;
- Support of income–generating activities at the household and cell level, in particular, for women associations;
- Social mobilization activities for the promotion of safe water, personal and environmental hygiene, the use of insecticide treated (impregnated) mosquito nets, family planning, HIV/AIDS prevention and community health insurance (Mutuelle de Santé);
- Mobilize communities to establish early childhood development (ECD) and school feeding programs to promote nutrition of preschoolers and school children,
- Development and production of communication tools (IEC) to ensure social behavioral change.
7.4 Food Fortification
Fortification is one of the approaches to provide essential micronutrients to a large proportion of any population using commonly consumed and easily accessible foods. In Rwanda, the only food that is fortified and widely consumed is table salt which is iodized. However, there is a potential to fortify other foods to combat micronutrient deficiencies. To achieve this objective, the following activities are planned:
- Carry out a technical and financial feasibility study on fortification of various local foods;
- Fortification of the identified foods;
- Development of national standards governing the fortification of local or imported foods coupled with promulgation of relevant legislation;
- Promotion of the consumption of iodized salt as part an integrated strategy to eliminate iodine deficiency disorders,
- Strengthen the capacity of the reference laboratory for monitoring adherence to national standards
- Study the health risks or implications of consuming Genetically Modified Foods and other technologically modified products.
7.5 Promotion of household food security
The following strategies can improve availability, accessibility and utilization of foods at all levels:
- Develop strategies that promote equitable inter-regional and intra-household food distribution,
- Promote production and consumption of locally produced micronutrient-rich foods,
- Promote income generating activities to improve the population’s purchasing power,
- Promote post-harvest processing, preservation and conservation techniques for food,
- Promote norms and standards for food and water and food hygiene measures,
- Promote trans-border trade of food products
- Promote appropriate dietary and feeding practices and a healthy life-style to prevent dietary excesses, alcohol abuse, tobacco use, etc,
- Implement pertinent policies that promote food production such as the agriculture and land reform policies, and those that promote women empowerment especially to access and control household resources,
- Implement a habitat policy which favors the promotion of settlement clusters (imidugudu), a better management of the environment, and freeing of land for agricultural use.
- Establishing a Food and Nutrition Surveillance System as part of a comprehensive Food Security and Early Warning System
7.6 Prevention and management of nutritional deficiency or excess-related diseases
The following strategies can promote prevention and management of malnutrition and related diseases:
- Regular growth monitoring of children aged between 0 to 5 years, at health center and community levels,
- Regular monitoring of weight gain for pregnant women, through the ANC at health center and community levels,
- Promotion of balanced and good nutrition among the population; especially in specific and vulnerable groups such as children under-five years, orphans and other vulnerable children, pregnant and lactating women, old people, refugees ,
- Monitoring the implementation of the strategy for micronutrient supplementation within the IMCI (immunization, de-worming, etc),
- Implement food fortification strategies as listed in section 7.4 above,
- Establish a nutrition monitoring system integrated in the HIS.
- Develop relevant IEC messages and materials on adequate nutrition to sensitize all population.
- Nutritional support and care to PLWHA and their families
Nutrition care and support is now integrated into the national strategy for prevention, treatment and care for PLWHA. In line with this, the government has developed and adopted guidelines and protocol giving practical recommendations for improving the nutritional well being of PLWHA. These guidelines are intended to be used by service providers, including those providing home based care. In order to meet the nutrition needs of PLWHA and their families, the following actions should be implemented:
- Ensure that service providers implement and utilize the guidelines and protocol,
- Mobilize resources for implementation of the minimum food package for PLWHA and affected people, including infants born to HIV infected mothers,
- Develop long term strategies to sustain nutrition support and care for PLWHA including income generating activities and improved agricultural production,
- Strengthen the capacity of service providers in nutrition support and care targeting:
Health professionals in nutrition centers and health facilities in nutritional assessment and counseling, management and follow up,
Community health workers in order to promote community based nutrition interventions for PLWHAs,
Associations to act as a forum for setting up community-based nutrition programs and as an agent of behavioral change.
7.8 Promotion of pre-school and school nutrition
In order to improve the children’s nutritional status and school performance, including HIV/AIDS orphans and vulnerable children, the following actions have to be taken:
- Screen preschoolers and school children for malnutrition,
- Install and/or maintain drinking-water points and hygienic toilets
- With the community’s help, establish and maintain school food stocks in order to ensure the sustainability of an adequate school diet,
- Establish school canteens to supplement children’s diet at schools,
- Provide micronutrient supplements to school children or fortified food rations,
- Establish and regularly systematically deworm school children,
- Promote school garden practices and small-livestock keeping.
7.9 Communication for behavior change
Because clinical symptoms associated with malnutrition appear in the advanced stages of deficiency, communication for behavior change should be reinforced at all levels. Communication should provide pertinent educational messages to trigger voluntary changes in dietary behavior and practices that impact on nutrition. Appropriate Communication channels should include the mass media, radio, televisions, audio-visual press, newspaper, conferences, plays, traditional media (street shouters, songs, sketches...) e.t.c and relevant messages passed through health facilities, community health or nutrition workers, schools, churches, CBOs, NGOs, etc… To reach rural populations, developed messages must be culturally appropriate and translated to the local language.
","
6.5 Expected outcomes and the link to the Millennium Development Goals
In accordance with the Millennium Development Goals, operationalization of the National Nutrition Policy will lead to the following outcomes by the year 2015:
Goal 1: Reduce poverty and hungry
- The prevalence rate of protein-energy malnutrition in under-five of age children is reduced from 45% to 30% for stunting, 22% to 15% for underweight, 4% to 2% for wasting.
Goal 2: Ensure universal primary education
- The prevalence rate of anemia is reduced by from 56% to 37% in children and from 33% to 22% in women.
- Iodine Deficiency Disorders are reduced from 26% to less than 5% of total goiter.
Goal 4: Reduce Infant Mortality
- Increase the proportion of women exclusively breastfeeding for the first 6 months with optimal complementary feeding up to 24 months from 17.4% to 60%.
- Reduce Vitamin A deficiency in children under five from 25% to 5% in children under-five years.
Goal 5: Reduce Maternal Mortality
- Reduce Vitamin A deficiency (night blindness) in pregnant women from 7% to less than 1%.
- Reduce the prevalence of anemia in pregnant women from 33% to 22%.
Goal 6: Combat HIV/AIDS and other diseases
- Nutritional support and care is provided to PLWA and other vulnerable people.
- Prevent nutrition-related chronic diseases.
","Outcome indicators","","Breastfeeding|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|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|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|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)|Improved hygiene / handwashing","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA%202007%20-%20Nutrition%20Policy%20English%20.pdf"
"14972","TJK","Tajikistan","","Poverty Reduction Strategy of the Republic of Tajikistan for 2007-2009","Multisectoral development plan with nutrition components","","English","","2007","","2009","World Bank","4","2007","Adopted","4","2007","Government of Tajikistan","Health|Education and research|Environment|Finance, budget and planning|Food and agriculture|Industry|Nutrition council|Other|Social welfare|Sub-national|Women, children, families","Agency for Land Use, Geodesy and Cartography, Ministry of Reclamation and Water Resources, local authorities and councils, other assigned bodies., Ministry of Energy and Industry, Ministry of Health, Ministry of Agriculture and Environmental Protection, State Statistics Committee, Agency for Construction and Architecture, State Committee on Investment and State Property Management, Ministry of Finance, Ministry of Economic Development and Trade, Ministry of Education, State Medical University of Tajikistan and the Post-Graduate Training Institute, Khochagii Manziliyu Kommunali state unitary enterprise, Ministry of Justice, National Centre for Nutrition Problems, Committee on Family and Women’s Affairs, Committee on Youth Affairs, Sports and Tourism","World Food Programme (WFP)|World Health Organization (WHO)|United Nations Population Fund (UNFPA)|United Nations Children's Fund (UNICEF)|Joint United Nations Progam on HIV/AIDS (UNAIDS)","","","","The World Bank|Other","Aga Khan Fund, Health Plus, other donors","","","","","","","","","","","
- Implementation of institutional reforms in the Food Security and development of the agricultural sector
- Reduction in the incidence of food related illnesses, strengthening of the legislative regulatory, laboratory and personnel base
- Promotion of a healthful diet
- Improve access to education for girls and boys and children from socially vulnerable segments of the population
- Improve the material and technical base of the education sector
- Improvement in the care of mothers and children
- Lower the mortality rate among children up to the age of 5 to 75 per 1,000 live births
- Lower the infant mortality rate to 62 per 1,000 live births
- Lower the maternal mortality rate to 70 per 100,000 people
- Provide access by the end of 2009: (to drinking water that meets state standards for 96% of the country’s urban population and 51% of the rural population and to basic sanitation and hygiene conditions for 47% of the country’s urban population and 37% of the rural population)
","
- Reform and revision of functions and authorities of government agencies
- Gradual transition from direct to indirect methods for the regulation of agriculture
- Development and/or adaptation of environmentally safe, resource saving intensive technologies in the cotton, grain and potato sectors of agriculture
- Revise and implement a Food Security Strategy
- Implementation of land use guarantees and rights
- Prepare a draft law on the enrichment of flour
- Establish an alliance (group) at the Government level to improve public nutrition
- Draft (adapt) public health regulations and standards and medical and biological requirements and public health standards for food quality and safety
- Draft and implement a Strategy for the Prevention and Treatment of Malnutrition among Children
- Draft and implement a scientifically based Strategy to Ensure Sound Nutrition for Schoolchildren and perform research studies
- Implement measures for the prevention and treatment of malnutrition
- Provide iron supplements and vitamin A capsules to targeted groups
- Enrich processed flour with additives
- Provide for universal iodization of salt
- Supply the National Centre for Nutrition Problems under the Ministry of Health with laboratory equipment
- Establish nutrition departments at the Abuali ibn Sino State Medical University of Tajikistan and the Post-Graduate Training Institute
- Organization of departments and training of graduate nutrition specialists
- Implement a comprehensive program to raise the level of physical activity among the population
- Perform systematic assessments of the nutritional status of the population, and other medical problems related to nutrition
- Conduct a survey to determine the effectiveness of school meals, design a targeted program to organize school meals taking into account specific regional conditions and arrange for a daily hot meal for students in the elementary grades
- Purchase equipment for school cafeterias
- Supply schools with water and pumps
- Build separate toilets at schools
- Ensure access for women and children to fortified and enriched food products and products with added micronutrients
- Promote the spread of the practice of breastfeeding babies exclusively
- Strengthen the service responsible for the promotion and implementation of the healthy lifestyle programs
- Establish a regulatory legal base for the water supply, sanitation and housing and municipal services sector
- Introduce a system for the effective tracking of drinking water consumption
","
- Growth in gross output of agricultural products by 20%
- Reduction in maternal, child and infant mortality
- Reduction in the incidence of acute malnutrition among children to 6.2%
- Reduction in iron deficiency anemia among children to 29.5% and among women to 45%
- Reduction in the incidence of goiter among children to 50.5% and among women to 40.8%
- Proportion of iodized, fortified and enriched food products in the total consumption of the relevant foods
- Reduction in the incidence of nutrition related disease
- Regular collection and publication of representative data on nutrition issues
- Equipment supplied
- Prepared Draft law
- Proportion of students (boys and girls) in elementary grades in urban and rural areas who receive hot meals at school
- Proportion of children covered by primary and general basic education
- Proportion of schools provided with cafeteria equipment
- Proportion of schools supplied with running water, sanitary (separate toilets) and hygiene conditions that meet established standards
- Percentage of women using fortified and enriched food products
- Percentage of children up to the age of five treated at therapeutic feeding centers
- Number of informational and educational measures carried out to modify eating habits
- Number of people receiving iron and vitamin A supplements at primary health care institutions
- Publication of informational materials on regulating the interval between births with the aim of reducing the incidence of anemia among mothers and newborns and the dissemination of these materials at treatment and preventive care centers of primary health care institutions
- Number and percentage of hospitalized babies who have received medical care according to the BFHI principle
- Implementation of the Law on the Protection of Breastfeeding
- Number of activities carried out to promote breastfeeding
- Number of training courses held and percentage of specialists trained
- Number of articles, roundtables and reports in the mass media
- Number of sectors involved in implementing the healthy lifestyle program
- Water consumption standards developed for consumers and statistical reporting forms prepared
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Wasting in children 0-5 years|Underweight in children 0-5 years|Diet-related NCDs|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Fiscal policies|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iron|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Vaccination|Water and sanitation|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Tajikistan-PRSP(March2009).pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202007%20Tajikistan-PRSP.pdf"
"23571","TJK","Tajikistan","","Programme on the response to the epidemic of HIV in the Republic of Tajikistan for the period 2007-2010 ","Health sector policy, strategy or plan with nutrition components","HIV-policy with nutrition target","English","","2007","","2010","Government of the Republic of Tajikistan","3","2007","Adopted","3","2007","the Resolution of the Government of the Republic of Tajikistan","Health|Labour|Other|Sub-national|Women, children, families","Ministry of Health, National Coordination Committee on HIV/AIDS, tuberculosis and malaria, Labour and Social Protection, Committee on Homeland Security, Committee on Homeland Security, Ministry of Internal Affairs, Country Rayons and Regional executive bodies, Committee on women and children affairs","","","","","","","","","","","Research/academia","Republican AIDS centre","","","","","
Objective 4 To ensure access for people to the comprehensive services reducing MTC transmission
Before 2008: to mobilise donor resources and establish targeted stock of supplementary feeding for newborns from HIV-positive mothers by commercially available baby food. Emergency stock of such foods must be available in all AIDS centres. To design mechanism for free delivery of supplementary feeding as needs for that will emerge.
","","
Annual number of HIV-infected children from HIV-infected mothers is under 8%;
","","","Maternity protection|Complementary feeding promotion/counselling|Complementary food provision|HIV/AIDS and nutrition|Nutrition & infectious disease|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/TJK","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202007%20Programme%20on%20the%20response%20to%20the%20epidemic%20of%20HIV%20in%20the%20Republic%20of%20Tajikistan%20for%20the%20period%202007%20-%202010.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"
"8331","BEL","Belgium","","Vlaams Actieplan voor voeding en beweging [Flemish Action Plan for Nutrition and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","Dutch","","2008","","2015","Vlaamse Regering","9","2008","Adopted","10","2008","Flemish Government","Health|Sub-national|Other","National Health Council (Gezondheidsraad)","","","","","","","","","","","","","","","Other","Mass Media; Food Sector and Industry; Schools and Kindergartens; Family Doctors and Health Professionals; Health Insurance Companies;","
Hoofddoelstelling: Het realiseren van gezondheidswinst op bevolkingsniveau door een stijging van het aantal mensen dat voldoende fysiek actief is, evenwichtig eet en een gezond gewicht nastreeft.
Subdoelstellingen
1. Tegen 2015 stijgt het percentage personen dat voldoende fysiek actief is om gezondheidswinst te behalen met 10% punten
2. Tegen 2015 daalt het percentage sedentaire personen met 10% punten
3. Tegen 2015 stijgt het percentage moeders dat met borstvoeding start (gemeten op dag 6) van 64 naar 74%.
4. Tegen 2015 eten meer mensen evenwichtig overeenkomstig de aanbevelingen van de actieve voedingsdriehoek
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor water haalt van 22% tot 32%.
- Tegen 2015 stijgt de gemiddelde inname van water met 10% (van 669 naar 736 ml/dag).
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor groenten haalt van 1% tot 11%.
- Tegen 2015 stijgt de gemiddelde inname van groenten met 10% (van 147 naar 162 g/dag).
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor fruit haalt van 5% tot 15%.
- Tegen 2015 stijgt de gemiddelde inname van fruit met 10% (van 113 naar 124 g/dag).
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor melkproducten en calciumverrijkte sojaproducten haalt van 4% tot 14%.
- Tegen 2015 stijgt de gemiddelde inname van melkproducten en calciumverrijkte sojaproducten met 10% (van 165 naar 182 g/dag).
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor de restgroep haalt van 5% tot 15%.
- Tegen 2015 daalt de gemiddelde inname van de restgroep met 10% (van 703 kcal naar 633 kcal/dag).
5. Tegen 2015 blijft het percentage personen met een gezond gewicht minstens behouden.
- Volwassenen 19–59 j: Mannen 52,7% Vrouwen 66,5% Totaal 59,6%
- Ouderen 60 j: Mannen 38,0% Vrouwen 43,5% Totaal 40,9%
","
Strategie 1: Gezond bewegen en evenwichtiger eten in de lokale gemeenschap
De acties uit deze strategie werden geclusterd in 2 prioriteiten:
- PRIORITEIT 1 Aanreiken van geschikte hulpmiddelen aan lokale beleidsactoren EN organisaties die met kansarmen en/of etnisch-culturele minderheden werken, om sociale risicogroepen aan te zetten tot gezond bewegen en evenwichtig eten.
- PRIORITEIT 2 Ondersteunen van lokale beleidsactoren in het opstellen en uitvoeren van een lokaal beleid voor gezonde beweging en evenwichtige voeding, binnen het kader van het lokaal sociaal beleid en met medewerking van het middenveld.
Strategie 2: Gezond bewegen en evenwichtiger eten in de leefomgeving van kinderen en jongeren ( 0 tot 18 jaar)
- PRIORITEIT 3 Van borstvoeding de norm maken.
- PRIORITEIT 4 Ondersteunen van ouders, gezinnen en diensten voor opvoedingsondersteuning om kinderen en jongeren evenwichtiger te leren eten en meer te doen bewegen.
- PRIORITEIT 5 Aanbieden en faciliteren van gezonde voedings- en beweegmogelijkheden in de kinderopvang.
Strategie 3: Gezond bewegen en evenwichtiger eten op school
- PRIORITEIT 6 Versterken van het bovenschools organisatorisch kader en de begeleidingsstructuur om zo scholen (basis- en secundair onderwijs) te ondersteunen bij hun opdracht om leerlingen evenwichtiger te leren eten en meer te doen bewegen.
Strategie 4: Gezond bewegen en evenwichtiger eten op de werkplek
- PRIORITEIT 7 Creëren van een draagvlak bij bedrijven en sociale partners, in het bijzonder in kleine en middelgrote ondernemingen om een voedings- en bewegingsbeleid uit te werken. Prioritaire sectoren zijn voeding, chemie, metaal, transport, overheid, scholen en de socioculturele sector.
- PRIORITEIT 8 Aanbieden en faciliteren van gezonde voedings- en beweegmogelijkheden op de werkplek.
Strategie 5: Een beter ondersteuningsaanbod voor zorgverstrekkers
- PRIORITEIT 9 Aanreiken van hulpmiddelen aan zorgverstrekkers zodat patiënten/cliënten de juiste informatie krijgen over de thema’s voeding en beweging, problemen vroegtijdig worden herkend en correct wordt doorverwezen
Strategie 6: Gezond bewegen en evenwichtiger eten bevorderen via informatie en communicatie
- PRIORITEIT 10 Organiseren van een langlopende, goed herkenbare massamediacampagne, ter ondersteuning van het actieplan voeding en beweging, gericht naar alle doelgroepen en gedragen door lokale actoren.
- PRIORITEIT 11 Beïnvloeden van de beeldvorming rond gezonde voeding en beweging.
- PRIORITEIT 12 Betrekken van de voedingssector bij de uitvoering van het actieplan
Notes: Part 2 and 3 (DEEL 2: STRATEGIEËN + DEEL 3: PRIORITEITEN) Page 47- 101 contains 192 specific actions to achieve defined strategies and priority areas.
","
3. Tegen 2015 stijgt het percentage moeders dat met borstvoeding start (gemeten op dag 6) van 64 naar 74%.
4. Tegen 2015 eten meer mensen evenwichtig overeenkomstig de aanbevelingen van de actieve voedingsdriehoek
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor groenten haalt van 1% tot 11%.
- Tegen 2015 stijgt de gemiddelde inname van groenten met 10% (van 147 naar 162 g/dag).
- Tegen 2015 stijgt het percentage personen dat de aanbeveling voor fruit haalt van 5% tot 15%.
- Tegen 2015 stijgt de gemiddelde inname van fruit met 10% (van 113 naar 124 g/dag).
5. Tegen 2015 blijft het percentage personen met een gezond gewicht minstens behouden.
- Volwassenen 19–59 j: Mannen 52,7% Vrouwen 66,5% Totaal 59,6%
- Ouderen 60 j: Mannen 38,0% Vrouwen 43,5% Totaal 40,9%
Kritische succesfactoren
- Tegen 2010 50% borstvoeding op de leeftijd van 3 M
- Tegen 2015 de huidige Zweedse standaard bereiken (prevalentie van meer dan 90% gedurende 6 maanden)
- Tegen 2015 toekenning van de ‘Baby Friendly Hospitals’ status aan ten minste 25% van de ziekenhuizen
- Opleiding van gezondheidswerkers beter uitwerken op het vlak van borstvoeding
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|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|School meal standard|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|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Vulnerable groups","","http://www.gezondheid.be/files/actieplan_versie_22sep08.pdf","","WHO Global Nutrition Policy Review 2009-2010, NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202008%20Action%20Plan%20Nutrition%20and%20PA.pdf"
"8009","DEU","Germany","","National Action Plan IN FORM - Deutschlands Initiative für gesunde Ernährung und mehr Bewegung. German National Initiative to Promote Healthy Diets and Physical Activity.","Comprehensive national nutrition policy, strategy or plan","","German","","2008","","","Federal Ministry of Health; Federal Ministry of Food, Agriculture and Consumer Protection","","2008","Adopted","","2008","Federal Ministry of Health Federal Ministry of Food, Agriculture and Consumer Protection","Health|Consumer affairs|Sub-national","Federal Ministry of Food, Agriculture and Consumer Protection, Federal Ministry of Health, Communes, Länder (states)","","","","","","","","","National NGOs","NGOs, civil society, Federal Association for Disease Prevention","","","","","","","
1.5 Goals of the National Action Plan
Objective:
The National Action Plan will sustainably improve the dietary habits and patterns of physical activity in Germany.
The goals are for:
1. adults to live healthier lives, children to grow up more healthily and to enjoy a better quality of life as well as improved performance in education,professional and private life.
2. the diseases caused by an unhealthy lifestyle, a one-sided diet and a sedentary lifestyle to be markedly reduced. (p. 13)
The National Action Plan seeks to:
1. convey the importance of a healthy diet and sufficient physical activity for people’s health.
2. formulate recommendations for dietary habits and patterns of physical activity behaviour in a target group-specific and implementation-oriented manner.
3. create or improve structures that encourage individuals to assume responsibility for a healthy lifestyle combined with a balanced diet and sufficient physical activity.
4. forge links between stakeholders and measures that contribute to an extended, co-ordinated offering.
5. publicise good projects and best practice and promote transparency about the quality, scale and financing of the offerings and how their success is measured.
The National Action Plan is to encourage transparency, networking and co-operation and to offer a roof to existing engagement. (p. 14)
Detailed objectives under 2. Key Action Areas (p. 17pp)
2.2 Action Area 2: Information on diet, physical activity and health (p. 20)
Objective:
The schemes for nutrition and physical activity education enable people to lead healthy lives and heighten their own sense of responsibility.
1. The yardstick for measuring the quality of information for citizens on diet, physical activity and health is the day-today viability of the messages conveyed.
2. The qualifications of providers involved in awareness-raising and information building schemes improved.
3. The offerings providing information on dietary and physical activity are intended for all age groups. In order to be able to convey their contents in a targetgroup oriented manner, they are tailo red to their respective needs and living environments.
4. All social stakeholders contribute to the responsible handling of information seeking to raise awareness of diet and physical activity amongst the population at large.
","
2. Key Action Areas
2.1 Action Area 1: Federal Government, Länder and communes set an example (p. 17pp)
2.2 Action Area 2: Information on diet, physical activity and health (p. 20pp)
2.3 Action Area 3: Physical activity in daily life (p. 27pp)
2.4. Action Area 4: Improving the quality of away-from home catering (p. 33pp)
2.5 Action Area 5: Fresh impetus for research (p. 38pp)
","
Quality assurance
The National Action Plan aims to achieve lasting improvements to the health situation in all phases of life by changing dietary habits and patterns of physical activity. To guarantee and monitor this, scientifically validated quality assurance and evaluation of individual projects and measures are necessary. The success of individual projects is examined on the basis of previously stipulated indicators. They are to be, used amongst other things, to identify which measures are particularly successful, have a lasting effect and which measures are cost effective. On this basis a decision is then taken about which projects are to receive long-term support and which projects are to be abandoned. The foundations for the evaluation and establishment of quality assurance standards for projects are elaborated by an independent institution up to 2010. (p. 42)
Documentation of progress (p. 43)
4. Timeline (p. 45-47)
","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|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)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|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","","http://www.in-form.de","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DEU%202008%20AktionsplanINFORM.pdf"
"11503","KEN","Kenya","","Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Republic of Kenya","","2008","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Sub-national|Other","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","Other|Oxfam|Population Services International","Help Age International","","","","","National NGOs","Action Aid Kenya, Sacred Africa","Research/academia","University of Nairobi, Friedman School of Nutrition of Tufts University (USA), Kenya Agricultural Research Institute, and Kenya Institute for Public Policy Research Analysis; Kenya Industrial Research and Development Institute; National Council for Science","Private sector","","Other","Media, Kenya Association of Manufacturers; Kenya Private Sector Alliance; Jua Kali Association","
Goals:
- To ensure that all Kenyans have the means to access affordable, nutritious and personally acceptable foods.
- To guarantee a sustainable, safe and high quality food supply.
- To promote food consumption patterns that maximize health and minimize disease.
","
Programs:
- Household resource productivity.
- National food availability.
- Food safety and quality control.
- Nutrition improvement in public institutions, and among partners and consumers.
- Food and nutrition in schools.
- Food and nutrition in emergency and crisis.
- Food and nutrition information and communication.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"7979","MWI","Malawi","","Food Security Action Plan","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","1","2008","","2013","The Ministry of Agriculture and Food Security","","2008","","","","","Development|Finance, budget and planning|Food and agriculture|Other|Sub-national","Ministry of Local Government and Rural Development, Ministry of Economic Planning and Development, Ministry of Agriculture and Food Security, Other ministries, District Authority","","","","","","","","","National NGOs","Farmers/Farmer Unions, Civil society","","","","","","","
1.4 Food Security Action Plan
The overall objectives of the Food Security Action plan are to:
i. Assist in coordinating the FSP with the National Nutrition Policy;
ii. Enhance the collaboration between the projects and the Government both at central and district level and
iii. Ensure complementarity and support to the ADP process.
The specific objectives are:
i. Prioritize the strategies in the FSP which should be implemented immediately at ground level (in line with ADP objectives); and
ii. Develop approaches/modalities for reorienting on going projects and programmes or pipeline projects (in line with the ADP process).
","
The final list of the prioritized strategies:
A. Improve staple food availability at household and national level
1. Promote contract farming for agricultural production development.
2. Encourage domestic production of high quality improved varieties.
3. Promote integration of livestock into smallholder farming systems.
4. Create conducive environment for private sector investment and local community participation in irrigation development.
5. Promote environment, land and water management for sustainable agricultural development.
B. Increase Food Access at Household Level
6. Promote off-farm employment opportunities through economic empowerment and IGA programmes.
C. Improve stability at national level.
7. Establish community grain banks.
","","","","Fiscal policies|Vitamin A|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202008%20Food%20security%20action%20plan.pdf"
"8072","NZL","New Zealand","","National Strategic Plan of Action for Breastfeeding 2008-2012","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","2012","Ministry of Health","3","2009","","","","","Education and research|Health|Labour|Other","Ministry of Education, Ministry of Health, Department of Labour, National Breastfeeding Advisory Committee of New Zealand","","","","","","","","","","","","","","","","","
Government
Objective 1.1(a): The Ministry of Health provides the leadership for breastfeeding strategy and policy.
Objective 1.2(a): The Ministry of Health continues to strengthen the accuracy and completeness of the existing dataset on breastfeeding.
Objective 1.3(a): Identification of New Zealand-specific breastfeeding research needs.
Objective 1.4(b) The Ministry of Health supports a programme of research into marketing of infant formula in New Zealand.
Objective 2.1(b): The Ministry of Health works with District Health Boards (DHBs) to assessand plan for improving access to ante-natal education.
Objective 2.2(b): Communities work with DHBs and other providers to establish new or supportexisting peer support programmes for breastfeeding.
Objective 2.3(a): the second phase of the national breastfeeding social marketing campaignpromotes positive attitudes to breastfeeding in the community and public places.
Health services
Objective 3.1(a): All DHBs achieve and maintain Baby Friendly Hospital accreditation.
Objective 3.2(b): DHBs are aware of and act on the breastfeeding support needs of their Māori,Pacific and other ethnic communities.
Workplace childcare and early childhood education
Objective 4.1(a): The Ministry of Health continues to link with other agencies (for examplethe Families Commission, Department of Labour) to support the development of a policyframework for options for extending current paid parental leave entitlements.
","","
Imrpoving breastfeeding rates in New Zealand (also among Maiori): Measurable improvements in the rates and duration of breastfeeding
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vulnerable groups","","http://www.health.govt.nz/publication/national-strategic-plan-action-breastfeeding-2008-2012","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202009%20National%20Strategic%20Plan%20of%20Action%20for%20Breastfeeding%202008-2012.pdf"
"8565","SVK","Slovakia","","Národný program starostlivosti o deti a dorast v Slovenskej republike na roky 2008 - 2015 [National Program for Children and Adolescents in the Slovak Republic for the years 2008 - 2015]","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Slovak","","2008","","2015","Ministry of Health","1","2008","Adopted","","2008","Ministry of Health","Health|Education and research|Social welfare|Sport|Trade|Industry|Labour|Sub-national","Municipalities","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","
Prioritné oblasti pôsobenia
Strategické direktívy na zlepšenie zdravia a vývoja detí a dorastu vychádzajú z implementácie Európskej stratégie, ktoré zdôrazňujú sedem hlavných priorít:
Zdravie matky a novorodenca
Zdravie dieťaťa je neoddeliteľne spojené so zdravím matky odvíjajúc sa od jej reprodukčného zdravia, spôsobu života počas tehotenstva a postoja k dojčeniu. Antenatálna, perinatálna a následná zdravotná starostlivosť je dôležitá pre optimálny vývin dieťaťa až do dospelosti.
Výživa a fyzická aktivita
Zdravá výživa je základom pre zdravý vývin dieťaťa. Veľmi dôležité je zabezpečenie dojčenia čo najväčšiemu počtu detí v čo najdlhšom čase. Nesprávna výživa vedie k narušeniu zdravia a zhoršeniu vyživovacieho stavu. Predstavuje čoraz väčší problém takmer vo všetkých európskych krajinách. Môže viesť k obezite u školopovinných detí a zvýšiť riziko kardiovaskulárnych a iných systémových ochorení v neskoršom veku.
Primeraná a vyvážená zdravotne orientovaná fyzická aktivita je podmienkou zdravého telesného a duševného vývoja detí a dorastu. Zároveň podporuje osobný rozvoj, je účinná v prevencii telesných i duševných chorôb, predovšetkým chronických neinfekčných a kardiovaskulárnych chorôb. Zmysluplné trávenie voľného času napomáha predchádzať závislostiam od tabaku, alkoholu, omamných a psychotropných látok.
1. 2 Ciele
3. Bezpečné materstvo - cieľom je zabezpečiť optimálnu starostlivosť o tehotnú ženu a novorodenca. Zahŕňa snahu o znižovanie materskej úmrtnosti a chorobnosti, ako aj zlepšovanie zdravotného stavu novorodencov organizáciou rovnocenného prístupu k zdravotnej starostlivosti vrátane plánovaného rodičovstva s dôrazom na marginalizované rómske komunity a ostatné znevýhodnené skupiny obyvateľstva. Pediater a všeobecný lekár pre deti a dorast podporujú dojčenie a zdravú výživu novorodenca. Tieto činnosti je potrebné zakomponovať do zdravotnej politiky štátu, na ktorej základe sa vypracujú programy na rozvoj, poskytovanie služieb, zabezpečenie vzdelávania vrátane informačných kampaní, ktorých cieľom je uvedomelé „zdravé“ správanie sa ľudí a eliminovanie nerovnosti v prístupe k zdravotnej starostlivosti prostredníctvom podpory komunitnej práce v oblasti zdravotnej výchovy.
4. Podpora princípov Mother and baby friendly hospital initiative - správneho postoja ženy k materstvu, zdôrazňovania dôležitosti dojčenia, účasti otca pri pôrode a jeho prístupu na pracoviská šestonedelia.
2. 2 Ciele
1. Zabezpečenie správnej výživy u detí od narodenia až po dorastový vek s osobitným dôrazom na edukáciu detí a rodín z marginalizovaných rómskych komunít edukáciou v rodinách, školách, školských zariadeniach a vytvorenie aktívneho prístupu zodpovednosti za svoje zdravie.
2. Analyzovanie výskytu nadváhy a obezity u detí v jednotlivých vekových obdobiach.
3. Doplnenie vedomostí vzdelávaním detí o potravinách pomocou vzdelávacej pomôcky-softvéru „Pyramída“ vhodného pre deti do 14 rokov, rozdelených do troch vekových kategórií, ktorý je určený na tvorbu správneho jedálnička, zodpovedajúceho zásadám zdravej výživy.
4. Vypracovanie odporúčania k determinantu fyzická aktivita pre deti a dorast na zabezpečenie potrieb zdravého fyzického a duševného vývinu podľa vekových období.
5. Realizácia Kardiovaskulárneho programu „Zdravé srdce pre Slovensko“ pre deti a dorast ako súčasť Národného kardiovaskulárneho programu SR s dôrazom na primárnu prevenciu vzniku kardiovaskulárnych chorôb a na včasné odhalenie rizikových faktorov a prvých príznakov.
","
2. 3 Úlohy
- Inovovať Metodický pokyn MZ SR č. 13010/2004 pre primárnu prevenciu kardiovaskulárnych ochorení v súlade s pôvodným zámerom a doplnený o novorealizované úlohy a ciele Kardiovaskulárneho programu.
- Vykonať štatistiku o výskyte nadváhy a obezity (BMI + obvod pása) štatistiku o výskyte hypercholesterolémie, artériovej hypertenzie, Diabetes mellitus typ II. a metabolického syndrómu.
- Realizovať celoslovenský výskum telesného vývinu detí a dorastu.
- Vytvoriť programy na podporu zdravej výživy pre deti vo včasnom veku presadzovaním dojčenia a podporou programu Mother and Baby Friendly Hospital Initiative s osobitým dôrazom na marginalizované rómske komunity a ostatné znevýhodnené skupiny obyvateľstva
- Zabezpečiť metodické pokyny pre zdravotnícke zariadenia ambulantnej zdravotnej starostlivosti v špecializovaných odboroch pediatrická endokrinológia, (obezita, metabolický syndróm, diabetes mellitus), pediatrická kardiológia (artériová hypertenzia), pediatrická gastroenterológia, hepatológia a výživa (porucha lipidov a výživa) a pediatrická nefrológia (hypertenzia, obezitová nefropatia).
- Vypracovať liečebný program obezity pre deti a dorast.
- Zabezpečiť kvalitu a bezpečnosť potravín pre racionálne stravovanie s dôrazom na zabezpečenie teplej stravy vo všetkých typoch škôl (materské, základné, stredné, vysoké) v spolupráci so zariadeniami školského stravovania. V nadväznosti na legislatívu EÚ podporovať Program „Školské mlieko“. Zrušiť v školách (základných a stredných) automaty na sladkosti.
- Podporiť činnosť športových krúžkov vo voľnom čase, zvýšiť telesnú aktivitu aj pre chronicky choré deti v školských kluboch, sprístupniť po vyučovaní a cez víkendy telocvične, ihriská na školskom dvore .
- Zabezpečiť finančné dotácie na žiaka, na podporu stravovania v škole, finančná podpora pre deti z nízkopríjmových rodín.
- Aktualizovať softvér Pyramída.
- Monitorovať fyzickú aktivitu detí a dorastu vrátane monitorovania stavu pohybového aparátu, zdravotne oslabených a zdravotne postihnutých detí a dorastu.
- Pripraviť všeobecne záväzný právny predpis, ktorý upraví povinnosť zabezpečiť primeranú úroveň fyzickej aktivity detí a dorastu podľa potrieb zdravého fyzického a duševného vývinu.
","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|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 (general)|Physical activity and healthy lifestyle|Conditional cash transfer programmes|Vulnerable groups","","http://www.health.gov.sk/Clanok?narodny-program-starostlivosti-o-deti-a-dorast","http://www.health.gov.sk, http://www.uvzsr.sk, http://www.szuba.sk","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SVK%202008%20Child%20and%20Adolecents%20Programme.pdf"
"14773","TZA","United Republic of Tanzania","","The National Road Map Strategic Plan To Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania","Health sector policy, strategy or plan with nutrition components","","English","","2008","","2015","Ministry of Health and Social Welfare","4","2008","","","","","Cabinet/Presidency|Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Sport|Women, children, families","Ministry of Health and Social Welfare, Ministry of Community Development, Gender and Children, Ministry of Communication, Science and Technology","","","","","","","","","","","","","","","","","
3.3. Goal
To accelerate the reduction of maternal, newborn and childhood morbidity and mortality, in line with MDGs 4 and 5, by 2015.
","
3.7 Guiding principles:
o Addressing underlying causes of high mortality: Taking a multi-sectoral and partnership approach to address the underlying causes of maternal, newborn and child death such as, transport, nutrition, food security, water and sanitation, education, gender equality and women empowerment to ensure sustainability.
","
3.5 Operational targets to be achieved by 2015:
4. Reduced stunting and underweight status among under-fives from38% and 22% to 22% and 14%, respectively.
5. Increased exclusive breast feeding coverage from 41% to 80 %
Other list of indicators to assess maternal, newborn and child health:
c) Neonatal indicators:
• Prevalence of low birth weight
• Early initiation of breast feeding (within the first hour)
• Proportion of district hospitals implementing Kangaroo Mother Care for management of Low Birth Weight
• Proportion of district hospitals that are accredited baby friendly
• Postnatal vitamin A coverage
f) Child Health Indicators
• Exclusive breastfeeding rate <4 and <6 months
• Continued breastfeeding rate 6-23 months
• Timely complementary feeding rate
• Under-weight prevalence
• Stunting prevalence
• Wasting prevalence
• Vitamin A supplementation coverage (under-fives)
• ORS and zinc treatment in management of diarrhoea
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|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|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Food grade salt|Management of severe acute malnutrition|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","http://www.who.int/pmnch/countries/tanzaniamapstrategic.pdf","","http://scalingupnutrition.org/sun-countries/tanzania","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202008%20The%20National%20Road%20Map%20Strategic%20Plan%20To%20Accelerate%20Reduction%20of%20Maternal%2C%20Newborn%20and%20Child%20Deaths%20in%20Tanzania.pdf"
"14888","UZB","Uzbekistan","","Welfare Improvement Strategy of Uzbekistan 2008-2010","Multisectoral development plan with nutrition components","","Russian","","2008","","2010","World Bank","","2007","Adopted","","2007","Government of Uzbekistan","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Industry|Sub-national|Other","","","","","","","","","","","","","","","","Other","Local Sanitary Organizations; Mass Media; “Soghlom Ovlod” Foundation; IFIs","
- Strengthening of health and promotion of a healthy lifestyle
- Reduction of child and maternal mortality rate by the year 2015
- Improving living standards, reducing malnutrition and ensuring the quality and sufficiency of nutrition
- Increase the share of the urban population, and primarily the rural population, with access to quality drinking water and sanitation
- Increasing the provision of the population with communal services and utilities
- Elimination of iodine deficiency
","
Strengthening of populations health and promotion of a healthy lifestyle
- Training of youth in the basics of healthy lifestyles
- Improving public awareness of reproductive health issues
- Nationwide promotion of adequate nutrition for early childhood to ensure a “good start in life” for all children in order to speed up the process of development of and prevent infants from getting into the viscous cycle of malnutrition
- Creating a regulatory and business environment facilitating the completion of nutrition programs
- Continuing awareness raising of the entire society including households, producers, sellers, health workers, and those working in education
- Provision of endocrinological (pancreatic diabetes) patients with pharmaceuticals (insulin)
Reduction of child and maternal mortality rate by the year 2015
- Introduction of package of quality basic services at the primary healthcare level, directed at ensuring under 5 child survival. This package will include interventions relating to the integrated management of the most common child diseases
- Address the issue of adequate nutrition during pregnancy, promoting contraception methods, birth intervals, and preparing women for pregnancy and delivery
- Provision of good quality care for infants from the prenatal period
- Implementation of international standards of child and woman care
- Improved training of medical staff and implementation of advanced neonatal resuscitation methods, care for children with congenital abnormalities and the promotion of breastfeeding
- Implementation of preventive measures on the prevention of AIDS transfer from mother to child
- Prevention of inadequate nutrition (including inadequacy of nutrients) for children under 5 children
- Promote exclusive breastfeeding up to 6 months
- Start interventions like breastfeeding and monitoring child growth and development at the early stages of life of children, and provide continuity as part of the service package
- The mother and child health-related data collection system will be reformed through the implementation of international reporting standards and applying the WHO standard live birth definition
Improving living standards, reducing malnutrition and ensuring the quality and sufficiency of nutrition
- Supplementation of vitamin A should become a part of the basic medical services package in primary healthcare and be provided during regular immunizations
- Addressing the issues of nutrient deficiency amongst fertile-age women (anemia and iodine deficiency) through taking measures such as universal flour fortification and salt iodization
- Introduction of iron-supplements within the package of main services on primary healthcare level
- Adoption of the law on compulsory fortification of flour with iron and important nutrients such as folic acid and zinc
- Develop an integrated nutrition policy that includes all relevant activities into the overall national concept
- The service package at the inpatient and primary health care levels will include engaging families and local communities in promoting appropriate nutrition and care for children
- Continue proces to support children from disadvantaged families, i.e. provision of textbooks, food and clothes financed by government
- Provision of cattle to poor families on a free basis
- Facilitating adequate food quality and security controls
Increase the share of the urban population, and primarily the rural population, with access to quality drinking water and sanitation
- Continue to pay greater attention to the development of water supply systems and improved sanitation
- Improving the provision of the population with water supply
- Improving the provision of the population with the sewage system
- Implementation of the government program on pure drinking water supply
Increasing the provision of the population with communal services and utilities
- Improve the standards and quality control of food products and medical services provided at preschool institutions
- Construction of new schools to replace old buildings that do not comply with sanitary and- hygienic norms
- Ensuring the growth of benefits to poor families
- New construction of sports complexes of different types for children
Elimination of iodine deficiency
- Organization of a clear system of prevention of iodine deficiency
- Achieving universal salt iodization via adoption of the law
- Strengthening the monitoring of the quality of produced and imported salt by 2007
","
- Expected duration of live at birth in years, including: men and women
- Level of maternal mortality per 100 thousand live-born
- Level of infant mortality per 1,000 liveborn
- Share of child birth assistance institutions equipped with medical equipment in accordance with the equipping standard, %
- Pregnant women being tested for AIDS during the pregnancy period, %
- Level of provision of pancreatic diabetes patients with insulin, %
- Number of constructed sport complexes, units
- Youth in education having the subject on the basics of healthy lifestyles, %
- Normative content of potassium iodide in cooking and eating salt, %
- Level of provision of the population with the water supply system, %
- Number of rural settlements with centralized water supply in thousands
","","","Maternity protection|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Hygienic cooking facilities and clean eating environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Vaccination|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Uzbekistan_PRSP(Jan-2008).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202007%20Welfare%20Improvement%20Strategy%20of%20Uzbekistan.pdf"
"8073","BGR","Bulgaria","","National Program for Prevention of Oral Diseases in Children Aged 0-18 years in Bulgaria","Health sector policy, strategy or plan with nutrition components","","","","2009","","2014","Ministry of Health","","2009","Adopted","","2009","Ministry of Health","Health|Sub-national","Ministry of Health Health, Sub-national: Ministry of Health, National Center of Public Health Protection, National Association of Municipalities in the Republic of Bulgaria","","","","","","","","","National NGOs","National NGOs: Bulgarian Dental Association","","","","","","","","","","","","Vitamin and mineral nutrition|Food fortification","","http://www.mh.government.bg/Articles.aspx?lang=bg-BG&pageid=448 https://www.strategy.bg/StrategicDocuments/View.aspx?lang=bg-BG&Id=518","","WHO Global Nutrition Policy Review 2009-2010",""
"8847","KGZ","Kyrgyzstan","","ЗАКОН Об обогащении муки хлебопекарной [Fortification of baking flour]","Legislation relevant to nutrition","","Russian","6","2009","","","газетa """"Эркинтоо"""" N 19","3","2009","Adopted","1","2009","Принят Жогорку Кенешем Кыргызской Республики","Health|Sub-national","Department of Sanitary-Epidemiological Surveillance under the Ministry of Health","","","","","","","","","","","","","Private sector","flour producers","","","","","","","Обязательному обогащению подлежит мука хлебопекарная, вырабатывае-мая из зерна государственных резервов и фондов.","Food fortification|Wheat flours|Mandatory fortification|Monitoring mechanism established|Sanctions exist","","http://www.dgsen.kg/podrazdel.php?podrazdel=19","http://cbd.minjust.gov.kg/act/view/ru-ru/202534/10?cl=ru-ru","Coutry reporting template,2009, WORLD HEALTH ORGANIZATION Regional Office for Europe, Noncommunicable Diseases and Environment Unit Monitoring progress on improving nutrition and physical activity and preventing obesity in the WHO European RegionSituational Analysis, World Bank/Unicef","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202009%20Fortification%20of%20flower.pdf"
"22869","PHL","Philippines","","Republic Act No. 10028: Expanded Breastfeeding Promotion Act of 2009 ","Legislation relevant to nutrition","","English","","2009","","","14th Congress of the Republic of the Philippines, Senate of the Philippines","7","2009","Adopted","3","2010","President of the Philippines","Health|Education and research|Social welfare|Trade|Justice|Labour|Other","Commission on Higher Education, Department of Education, Technical Education and Skills Development Authroity (TESDA), Department of Labor and Employment, Civil Service Commission, Department of the Interior and Local Government, Department of Social Welfare and Development, Department of Trade and Industry","","","","","","","","","National NGOs","Professional and nongovernmental organizations","","","","","","","","","","","
An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202009%20Republic%20Act%20No.%2010028%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202009.pdf"
"7924","KOR","Republic of Korea","","School Lunch Program","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2009","","","MEHRD","","1990","Adopted","","1990","Ministry of Education & Human Resources Development (MEHRD)","Education and research|Sub-national","MEHRD Education and research, Sub-national: MEHRD, School District Office, Local Governments (provinces, cities, counties, and districts)","","","","","","","","","","","","","","","","","","","","","","Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Nutrition sensitive actions|Food security and agriculture","","http://www.mest.go.kr/me_kor/index.jsp","","WHO Global Nutrition Policy Review 2009-2010",""
"14851","YEM","Yemen","","National Nutrition Strategy for Yemen","Comprehensive national nutrition policy, strategy or plan","","English","","2009","","","Ministry of Public Health and Population Primary Health Care","","2009","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Sub-national","Ministry of Public Health and Population Primary Health Care Education and research, Environment, Food and agriculture, Health, Health, Industry, Nutrition council, Social welfare, Sub-national, Women, children, families: National Health Education Center,","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Japan International Co-operation Agency (JICA)","Bilateral and donor agencies and lenders: Japan International Co-operation Agency (JICA)","","","National NGOs","National NGOs","","","","","Other","Other: EPI section,Family Health Doctor, Midwives, Health Workers, Volunteers","
Overall goal: Health status of Yemeni people is improved through strengthening nutritional intervention by 2020.
Targets: Serious nutritional problems to be solved in this moment are malnutrition/under nutrition; including anemia, vitamin A deficiency, iodine deficiency, rickets, zinc deficiency and household insecurity.
","
Conduct the following nutrition interventions:
Control of child undernutrition
- Reduce of the prevalence rate of undernutrition among infant and young children
- Improve infant and young child feeding
- Improve dietary habit affecting nutritional status of infant and children
- Contribute improving household food security
- Improve dietary habit affecting nutritional status of infant and children
- Reduce the risk of infectious diseases
- Reduce the prevalence of LBW
- Prevent the deterioration of malnutrition cases at early stage
Control of low birth weight
- Reduce the prevalence of low birth weight
- Reduce the prevalence of malnourished pregnant women
- Reduce cases of early and frequent pregnancies
- Reduce number of pregnant women having habit of smoking cigarette /shisha and chewing qat
- Improve the services of nutrition screening and counseling for pregnant women
- Increase the access rate of monitoring and providing special care for low-birth weight babies
Control of maternal undernutrition
- Reduce the prevalence of undernutrition among women of reproductive age
- Improve dietary diversity and modification for pregnant and lactating mothers
- Detect under-nutrition of pregnant mothers at early stage and provide appropriate counseling
- Prevent early pregnancy and frequent pregnancy
- Improve the life custom of women which can be a risk factor of maternal health and nutrition such as heavy work load, smoking and chewing qat
Control of rickets
- Eliminate the prevalence of rickets among children under five
- Increase the rate of children exposure to sunlight for children and pregnant mother
- Increase the consumption of foods rich with vitamin D and calcium in children and pregnant mothers
- Increase the rate of detection and treatment cases for children with rickets symptoms at early stage
Control of iron deficiency anemia
- Reduce the prevalence of anemia among children under five and women of reproductive age
- Improve the quality and diversity of diet to increase the intake and bioavailability of iron
- Promote the use of iron fortified food
- Increase the access of iron/folate tablets among pregnant and lactating women
- Reduce the risk factor of parasitic infestation (Malaria, Schistosomiasis, Helminthes)
Control of vitamin A deficiency
- Decrease the prevalence rate of vitamin A deficiency disorder among children under five and mothers
- Increase the consumption of vitamin A rich food
- Increase the covering of foods fortified with vitamin A
- Increase the coverage of vitamin A capsule for children and mothers
Control of iodine deficiency
- To eliminate Iodine Deficiency Disorders in Yemen
- To ensure all the people can access iodized salt
Control of zinc deficiency
- Reduce of the prevalence of zinc deficiency
- Clarify the severity and the target group/area of zinc deficiency
- Increase the zinc intake among people with high risk of zinc deficiency
- Reduce the risk factor of high excretion of zinc
School nutrition
- Reduce the prevalence of undernutrition among school children aged from 6 to 15 years
- Improve food intake of school children quantitatively and qualitatively
- Decrease the incidence of infectious diseases which interrupt the nutritional status of school children
- Reduce the prevalence of malnutrition at early stage
Nutrition for emergency situation
- Reduce the critical risk of death and malnutrition during emergency situation
- Improve the situation of food shortage in the people who suffer from natural or man-made disasters (flood, drought, earthquake, war, food price crisis, etc)
- Prevent death cases from malnutrition under emergency situation
","
The overall goal is to be reached by the year 2020
To reduce the prevalence of undernutrition among children under five to half of the current level by the year 2020
- % of infant of 0-6months with exclusive breastfeeding
- Prevalence of under-nutrition (underweight, stunting, wasting) in <5 children
- % of children (2 - 5 years) who keep the recommendation of the dietary guideline
- % of households with the luck of food
- Incidence of infectious diseases (diarrhea, ARI, measles, vector borne diseases)
- Prevalence of LBW
- % of under five children with severe malnutrition
Reduce the prevalence of LBW to less than 15% by the year of 2020
- % of pregnant women with adequate body weight gain
- Prevalence of anemia among pregnant women
- Average age of first pregnancy
- Frequency of pregnancy
- % of pregnant women smoking and chewing qat
- % of pregnant women accessing the services of nutrition screening and counseling
- % of LBW babies receiving monitoring and special care services
Reduce the prevalence of undernutrition (BMI) of women to 15% by the year 2020
- Detection rate of undernourished mothers at early stage
- % of mothers accessing services of counseling
- % of teenagers pregnancy
- The average of birth space
- % of pregnant and lactating mothers who have a custom of smoking or chewing qat
Eliminate the case of rickets among children under five by 2020
- % of children exposure to sunlight
- % of children and pregnant mothers consuming vitamin D rich foods
- Detection rate of rickets case at early stage among children
- % of children with rickets receiving treatment
To reduce the prevalence of anemia to 40% by the year 2020
- % of people consuming iron rich foods
- % of people consuming food fortified with iron/folate
- % of wheat flour fortified with iron in the market
- % of pregnant and lactating women using iron tablet
- Prevalence of malaria, schistosomiasis and helminth
To reduce the prevalence of vitamin A deficiency to half of the current level by the year 2020
- Frequency of the intake of vitamin A rich foods
- % of vitamin A fortified foods in the markets
- Coverage of Vitamin A supplementation
To eliminate Iodine Deficiency Disorders by the year 2020
- % of households consuming iodized salt
- Coverage of iodized salt in the market
Reduce of the prevalence of zinc deficiency
- % of zinc deficiency among Yemeni
- Decreased % of people with risk of zinc deficiency
- % of children suffering from diarrhea
To reduce the prevalence of underweight and stunting to half of the current level by the year 2020
- Food intake of school children
","","","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|Underweight in adolescent girls|Anaemia in pregnant women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Nutrition & infectious disease|Diarrhoea or ORS|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"36084","ARM","Armenia","","Strategy for Sustainable Agricultural and Rural Development 2010-2020","Food security or agriculture sector national policy, strategy or plan with nutrition components","","Armenian","","2010","","2020","Armenian Legal Information System (ARLIS)","11","2010","Adopted","11","2010","Prime Minister of Armenia","Cabinet/Presidency|Health|Food and agriculture|Finance, budget and planning|Sub-national|Other","National Statistical Committee of Armenia; Ministry for Emergency Response.","","","","","","","","","National NGOs","","","","","","Other","Central Bank of Armenia; Food Producers","
ՌԱԶՄԱՎԱՐՈՒԹՅԱՆ ՆՊԱՏԱԿԸ
38. Հիմնական նպատակից բխող ենթանպատակներն են.
1) Գյուղատնտեսությունում և ագրոպարենային արդյունաբերությունում ֆինանսատնտեսական ճգնաժամի հետևանքների հաղթահարում և ինտեգրացիոն կապերի խորացում։
2) Ագրարային ոլորտում տնտեսավարման բազմաձևության գյուղատնտեսական և միջճյուղային կոոպերացիային զարգացում:
3) Գյուղատնտեսական և ագրովերամշակման արտադրանքների իրացման գործընթացների բարելավում և արտահանման ծավալների ավելացում:
4) Գյուղատնտեսության մրցունակության բարձրացում և նոու հաուների խթանում:
5) Գյուղատնտեսության արտադրական ներուժի հողային, ջրային, աշխատանքային և ինտելեկտուալ ռեսուրսների արդյունավետ օգտագործում:
6) Միջազգային չափանիշներին համապատասխան սննդամթերքի անվտանգության ապահովում:
7) Գյուղական բնակավայրերում ոչ գյուղատնտեսական զբաղվածության ընդլայնում և գյուղական բնակչության եկամուտների ավելացում:
8) Գյուղական համայնքների ենթակառուցվածքների զարգացում` մասնակցային ծրագրերի իրականացման միջոցով:
9) Գյուղատնտեսության սպասարկման ծառայությունների զարգացում և մատչելիության բարձրացում:
10) Գյուղատնտեսության ճյուղային կառուցվածքի բարելավում և բարձր ավելացված արժեք ապահովող արտադրանքների արտադրության խթանում:
11) Շրջակա միջավայրի և բնական լանդշաֆտների պահպանություն, ագրոտուրիզմի և օրգանական գյուղատնտեսության զարգացում:
","","","","","Food safety|Food security and agriculture","","http://www.arlis.am/DocumentView.aspx?DocID=63109","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202010%20Strategy%20for%20Sustainable%20Agricultural%20and%20Rural%20Development%202010-2020.pdf"
"11496","GMB","Gambia","","National Nutrition Policy 2010-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2010","","2020","National Nutrition Agency (NaNa)","","2010","Adopted","","2010","Government of Gambia (Vice president and Minister of Women Affairs)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Labour|Sub-national|Other","Food Safety and Quality Authority","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","The World Bank","","Other","","","","","","Private sector","Food producers","","","
Goal
To improve the nutritional status of women before, during and after pregnancy
Broad Objective
1.1 To reduce the prevalence of malnutrition among women of child bearing age
Goal
To improve the nutritional and health status of children.
Broad Objectives
2.1 To promote optimal infant and young child feeding practices
2.2 To create an enabling environment for mothers and care givers to make and implement informed feeding choices
2.3 To raise public awareness on the main problems affecting infant and young child feeding.
Goal
To achieve a reliable supply and proper utilisation of a variety of safe, adequate and nutritious foods at affordable prices at all times.
Broad Objectives
3.1 To promote the utilization of diverse and safe foods of high nutritional value
3.2 To contribute to the diversification of the food production base.
Goal
To prevent and control micronutrient malnutrition among the population especially women and children.
Broad Objectives
4.1 To increase awareness on causes, consequences and prevention of micronutrient malnutrition in the general population
4.2 To increase household consumption of iodised salt from 7% in 2005 to 90% by 2015
4.3 To eliminate vitamin A deficiency and its consequences among the general population
4.4 To reduce the prevalence of diseases related to micronutrient deficiencies among the general population especially women and children
4.5 To reduce the morbidity and mortality rates related to iron deficiency anaemia in all age groups.
Goal
To improve the Food Control System in The Gambia
Broad Objectives
5.1 To contribute towards ensuring that food produced and/or consumed by the Gambian population is of high quality and safe.
5.2 To raise public awareness on the importance of food quality and safety
Goal
To reduce the incidence of malnutrition especially among the vulnerable groups through the management and prevention of infectious diseases
Broad Objectives
6.1 To improve the nutritional status of children under five, pregnant and lactating women and other vulnerable groups
6.2 To ensure that stakeholders appreciate the importance of a good nutritional status in both the management and prevention of infectious diseases
Goal
To reduce the incidence of diet-related non-communicable diseases
Broad Objectives
7.1 To increase awareness of the risk factors and major determinants of diet-related NCDs
7.2 To reduce the mortality associated with diet-related NCDs
7.3 To improve the health and quality of life of individuals with diet-related NCDs
Goal
To improve the care and nutritional status of the socio-economically deprived and nutritionally vulnerable groups
Broad Objective
8.1 To establish an effective nutritional care and support system for the socio-economically deprived and nutritionally vulnerable groups
Goal
To improve the nutritional status and quality of life of people infected and affected by HIV/AIDS.
Broad Objectives
9.1 To increase awareness on the relationship between nutrition and HIV/AIDS
9.2 To provide nutritional information, care and support to people infected and affected by HIV/AIDS.
Goal
To prevent malnutrition among the vulnerable during emergencies.
Broad Objective
10.1 To improve timely access to adequate food by people in emergency situations
Goal
To achieve an effective and efficient Nutrition Information System (NIS) for informed decision making, policy formulation and programming
Broad Objective
11.1 To make nutrition information available to all stakeholders for appropriate decision making, planning, policy development and programming
Goal
To promote excellence in human nutrition research in The Gambia
Broad Objective
12.1 To create an enabling environment for human nutrition research
Goal
To promote nutrition education as an essential development pillar throughout The Gambia.
Broad Objective
13.1 To inform and educate the Gambian population on the need for and importance of good nutrition, through effective information and communication mechanisms.
Goal
To secure adequate and sustainable technical, material, human and financial resources for effective nutrition programming at the central, regional and community levels.
Broad Objectives
14.1 To improve on the resource base of the Agency for effective functioning and investment in nutrition
14.2 To create the enabling environment to facilitate resource mobilization for various partners and stakeholders for the provision of adequate resources
14.3 To coordinate investment in nutrition
Goal
To mainstream nutrition into the national and decentralised policy, planning and budgeting frameworks
Broad Objective
15.1 To ensure that nutrition is mainstreamed in key development policies and programmes
","
Strategies
1.1.1 Support capacity building of stakeholders on the prevention and control of malnutrition
1.1.2 Strengthen the Micronutrient Supplementation/Fortification Programmes
1.1.3 Expansion of the Integrated Community-based Anaemia Control Programme
1.1.4 Strengthen inter and intra-sectoral collaboration on the prevention and control of maternal malnutrition
1.1.5 Support the intensification of IEC/BCC on the causes, consequences, prevention and control of maternal malnutrition
1.1.6 Support nutritional status assessment of women of child bearing age
1.1.7 Advocate for the provision of labour and time saving devices
1.1.8 Advocate for the enrolment and retention of the girl child in school
1.1.9 Strengthen and expand the BFCI strategy to all communities
1.1.10 Advocate for the domestication of the ILO Maternity Protection Convention 183
1.1.11 Support adult literacy and relatedprogrammes
1.1.12 Involve men in advocacy process.
Strategies
2.1.1 Promotion of the use of nutritious, safe and locally available complementary foods
2.1.2 Increasing awareness of legislators, policy makers and the public on the importance of optimal infant and young child feeding
2.1.3 Advocate for the provision of an enabling environment to facilitate breastfeeding at workplaces
2.1.4 Support communities to implement community-based programmes, which promote, protect and support optimal infant and young child feeding practices
2.2.1 Strengthen and expand the Baby Friendly Hospital Initiative (BFHI) strategy to all health facilities
2.2.2 Strengthen and expand the Baby Friendly Community Initiative (BFCI) strategy to all communities
2.2.3 Support capacity building of health care providers, community based extension workers and community representatives on infant and young child feeding
2.2.4 Advocate for the incorporation of infant and young child feeding into the curricula at all levels of the formal, non-formal and Madrassa education system including the health training institutions
2.2.5 Support the monitoring of infant and young child feeding trends
2.2.6 Advocate for the incorporation of infant and young child feeding issues into other relevant sectoral policies and plans
2.2.7 Support Early Childhood Development interventions
2.3.1 Enforcement of the Breastfeeding Promotion Regulations 2006
2.3.2 Support interventions to promote personal hygiene and environmental sanitation
2.3.3 Support the timely and appropriate identification and management of severe acute malnutrition.
Strategies
3.1.1 Support IEC/BCC campaigns on environmental sanitation, including access to safe water supplies, the management of agricultural waste, personal hygiene, food hygiene and safety
3.1.2 Promotion of optimal infant and young child feeding practices
3.1.3 Promotion of inter-sectoral collaboration in addressing food and nutrition security issues.
3.2.1 Advocate for the availability, affordability and accessibility of food including animal sources countrywide
3.2.3 Support implementation of food-based interventions focusing on local production, processing, preservation and utilisation at community level
3.2.4 Advocate for the provision of adequate infrastructure for production, processing, storage, marketing and distribution of food commodities
3.2.5 Support self-sustaining producer groups or associations at community level in production, processing, packaging and marketing
3.2.6 Advocate for the strengthening of national capacity to assess, analyze, monitor and evaluate food and nutrition security situations
3.2.7 Support the food rights approaches
3.2.8 Support poverty reduction strategies and programmes.
Strategies
4.1.1 Promotion of the production, processing, preservation and consumption of foods rich in micronutrients
4.1.2 Revision and updating of legislation on micronutrient fortification of both locally produced and imported foods
4.1.3 Implementation of IEC/BCC on the importance of foods rich in micronutrients
4.1.4 Advocate for the introduction of nutrition education in the curricula at all levels of the education system
4.2.1 Support the enforcement of the Food Fortification and Salt Iodisation Regulation 2006
4.2.2 Monitoring national standards for iodized salt, producer compliance, quality assurance and measuring iodine nutrition
4.4.1 Strengthen collaboration and linkages between communities, Government, NGOs, private and informal sectors
4.4.2 Support the implementation of appropriate micronutrient supplementation programmes for the identified groups at risk (pregnant and lactating mothers, infant and young children, and other vulnerable groups)
4.4.3 Advocate for the integration into the EPI/RCH services, routine de-worming for all children aged 12 - 59 months at 6 monthly intervals.
Strategies
5.1.1 To Support the establishment of the Food Safety and Quality Authority
5.1.2 Support the development of standards for foods
5.1.3 Support the review, update and /or formulation of legislation, guidelines, standards and codes of practices on food quality and safety
5.1.4 Promotion of regional and international co-operation in the area of food standard, safety and quality control
5.1.5 Support the functioning of the National Codex/Sanitary and Phytosanitary Committee, Compliance Committee and Food Control Advisory Board
5.1.6 Support the functioning of Consumer Protection Groups
5.1.7 Support the functioning of National Laboratories to ensure food quality and safety
5.1.8 Coordination of intersectoral actions towards the implementation of the Food Act 2005
5.2.1 Strengthen public information and/or educational activities to sensitise the population on food quality and safety
5.2.2 Awareness creation of the food industry stakeholders on the food control laws, regulations and standards
5.2.3 Support the mobilisation of resources for proposed Food Safety and Quality Authority.
Strategies
6.1.1 Continuous promotion of optimal infant and young child feeding practices at all levels
6.1.2 Strengthen the management of moderately and severely malnourished children at community and health facility levels
6.1.3 Strengthen environmental sanitation programmes in the communities
6.1.4 Support the strengthening of inter-sectoral partnerships for the reduction of the impact of infectious diseases on the nutritional well being of the vulnerable groups
6.1.5 Support the dietary management of people with infections
6.2.1 Support the systematic collection, efficient management and dissemination of epidemiological information on infectious diseases
6.2.2 Advocate for the enforcement of legislations and regulations related to environmental sanitation
6.2.3 Strengthen IEC/BCC on the role of nutrition in the prevention and management of infectious diseases.
Strategies
7.1.1 Strengthen the IEC/BCC on diet-related NCDs
7.1.2 Capacity building of community based service providers on the prevention and management of diet-related NCDs
7.2.1 Support integrated disease surveillance aimed at quantifying the burden and trends of diet-related NCDs
7.2.2 Strengthen the promotion of optimal infant and young child feeding practices including exclusive breastfeeding for up to six months
7.2.3 Continuation of the nutrition counselling for people with NCDs
7.3.1 Advocate for the formulation of an evidence based policy on diet-related NCDs
7.3.2 Support the development of partnership with public, private sector and NGOs in the prevention and management of diet-related NCDs
7.3.3 Advocate for increased recreation facilities and their usage to improve physical activity.
Strategies
8.1.1 Capacity building for the provision of nutritional care and support to the socio-economically deprived and nutritionally vulnerable persons and households
8.1.2 Strengthen the promotion of optimal infant and young child feeding practices
8.1.3 Promotion of male participation in the provision of nutritional care and support for women and their families
8.1.4 Advocate for food and nutrition programmes directed at vulnerable groups.
Strategies
9.1.1 Intensification of Nutrition and HIV/AIDS education through outreach programmes and grass root organizations
9.1.2 Contribute to the promotion of activities of primary HIV prevention
9.1.3 Strengthened collaboration with other institutions working in HIV/AIDS
9.2.1 Awareness creation of the general public on the nutritional needs and care of people infected and affected by HIV/AIDS
9.2.2 Development and dissemination of appropriate guidelines on nutritional care and support for PLHIV
9.2.3 Capacity building of community based service providers on the nutritional care and support of PLHIV
9.2.4 Strengthen nutrition counselling, education and support for PLHIV
9.2.5 Support communities to provide care and support for PLHIV.
9.2.6 Support the adoption of safe infant feeding options.
Strategies
10.1 Support assessment of the nutritional needs during emergencies
10.2 Provision of nutritional support including emergency food aid where appropriate to the affected population
10.3 Capacity building of stakeholders to manage nutrition in emergency situations
10.4 Incorporation of nutrition related disaster preparedness tools and early warning systems in to the National Disaster Management Plan
10.5 Support mothers, families and care givers to practice optimal infant and young child feeding in emergency situations
10.6 Support the institution of mechanisms for timely access to adequate and quality food for people in emergency situations.
Strategies
11.1.1 Strengthen institutional capacity at all levels, to efficiently compile, assess, analyse and monitor nutrition and nutrition related situations
11.1.2 Expansion of the scope of the nutrition surveillance programme to include other nutrition related indicators and regions not covered
11.1.3 Advocate for the inclusion of nutrition indicators in all household surveys
11.1.4 Support the establishment of an effective integrating mechanism for all organizations and stakeholders involved in assessing, analyzing, monitoring and evaluating nutrition and nutrition - related surveillance
11.1.5 Awareness creation of all stakeholders including the households on the importance and use of a Nutrition Information System
11.1.6 Dissemination of nutrition and nutrition related information to all stakeholders including the household
11.1.7 Incorporation of Nutrition indicators into Early Warning Systems.
Strategies
12.1.1 Provision of leadership in human nutrition research
12.1.2 Build local capacity in nutrition research
12.1.3 Advocate for the strengthening of research in the diversification and development of food production, processing and preservation
12.1.4 Support research in micronutrient deficiencies
12.1.5 Strengthen collaborative research in the area of food standard, quality and safety
12.1.6 Support research on diet-related NCDs including traditional medicine
12.1.7 Support research on malnutrition among specific population groups
12.1.8 Mobilisation of resources for quality nutrition research.
Strategies
13.1.1 Support all available media to inform, communicate to and educate the Gambian populace on nutrition and related activities
13.1.2 Provision of adequate financial, human and material resources for effective nutrition information, communication and education
13.1.3 Strengthen coordination mechanisms of nutrition education programmes and activities
13.1.4 Empowerment of community structures for full participation in nutrition education and related activities
13.1.5 Strengthen nutrition education in the school system through an extended nutrition curriculum
13.1.6 Capacity building of stakeholders to carry out nutrition education activities in both formal and informal settings.
Strategies
14.1.1 Exploration of creative approaches and innovative resource mobilisation techniques with non-traditional donors
14.1.2 Provision of adequate financial, human and material resources for effective nutrition interventions
14.2.1 Development of a strategic plan and a business plan for nutrition investment and coordination
14.3.1 Articulation of nutrition budgeting and costing into the PRSP and PAGE
14.3.2 Development of mechanisms for rapidly correcting problems identified in consultation with donors
14.3.3 Provision of satisfactory reports and information on the use of donor funds
14.3.4 Advocacy for increment of government budgetary contribution to nutrition
14.3.5 Coordination of donor support for nutrition activities in The Gambia
Strategies
15.1.1 Provision of adequate staff and means for the effective functioning of the Policy Analysis, Planning and Research Unit of NaNA
15.1.2 Support the capacity building of other Planning Units in nutrition planning and mainstreaming
15.1.3 Facilitation and support of the establishment and functioning of networks of public, private sector and NGOs for nutrition advocacy, networking, dialogue and action15.1.4 Collaboration with other institutions to mobilise resources for nutrition and nutrition related programmes
15.1.5 Conduct periodic reviews of sectoral policies and programmes.
","Systematic collection, efficient management and dissemination of epidemiological information on infectious diseases
Support integrated disease surveillance aimed at quantifying the burden and trends of diet-related NCDs
Support assessment of the nutritional needs during emergencies
Strengthen institutional capacity at all levels, to efficiently compile, assess, analyse and monitor nutrition and nutrition related situations
Expansion of the scope of the nutrition surveillance programme to include other nutrition related indicators and regions not covered
Advocate for the inclusion of nutrition indicators in all household surveys
Support the establishment of an effective integrating mechanism for all organizations and stakeholders involved in assessing, analyzing, monitoring and evaluating nutrition and nutrition - related surveillance
Awareness creation of all stakeholders including the households on the importance and use of a Nutrition Information System
Incorporation of Nutrition indicators into Early Warning Systems
Conduct periodic reviews of sectoral policies and programmes
Monitoring national standards for iodized salt, producer compliance, quality assurance and measuring iodine nutrition
Support the review, update and /or formulation of legislation, guidelines, standards and codes of practices on food quality and safety
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Iodine deficiency disorders|Vitamin A deficiency|Right to food|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Infant feeding in emergencies|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Food sovereignty|Vaccination|Vulnerable groups|Local products|Imported products","","http://nana.gm/reports/NutritionPolicy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202010%20National%20Nutrition%20Policy.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"
"24684","ROU","Romania","","OUG 24/2010 privind implementarea programului de incurajare a consumului de fructe in scoli [Ordinance for the Implementation of Fruit scheme in schools]","Legislation relevant to nutrition","","Romanian; Moldavian; Moldovan","","2010","","","Government of Romania","","2010","Adopted","4","2009","Government of Romania","Health|Food and agriculture|Education and research|Sub-national","Mayors; Municipalities; Local Councils","","","","","","European Agricultural Guarantee Fund","","","","","","","","","Other","Agentia de Plati si Interventie pentru Agricultura (Agency for Payments and Intervention for Agriculture)","The Government of Romania adopts this Emergency Ordinance
Art. 1
(1) Incepand cu anul scolar 2009/2010 se acorda gratuit elevilor din clasele I—VIII care frecventeaza invatamantul de stat si privat autorizat/acreditat, pentru o perioada de maximum 100 de zile de scolarizare, mere in limita valorii zilnice de 0,3 lei/elev.
(2) Incepand cu anul scolar 2010/2011, fructele distribuite elevilor, perioada si frecventa distributiei, precum si limita valorii zilnice/elev se stabilesc si se actualizeaza anual prin hotarare a Guvernului, in functie de evolutia preturilor si tarifelor. Limita valorica cuprinde pretul integral de achizitie a fructelor, inclusiv taxa pe valoarea adaugata, cheltuielile de transport, distributie si depozitare a acestora, dupa caz.
(3) Procedura de atribuire a contractelor de furnizare a fructelor se stabileste potrivit prevederilor legislatiei in domeniul achizitiilor publice.
(4) Caietele de sarcini pentru procedurile de atribuire a contractelor de furnizare a fructelor se vor elabora de catre consiliile judetene si/sau locale ale sectoarelor municipiului Bucuresti si, respectiv, ale comunelor, Oraselor si municipiilor, dupa caz, cu respectarea specificatiilor Tehnice care vor fi aprobate
prin ordin al ministrului agriculturii si dezvoltarii rurale, in termen de 15 zile de la intrarea in vigoare a prezentei ordonante de urgenta.
(5) Masurile adiacente distributiei de fructe ale caror obiective sunt formarea si fixarea obiceiurilor
alimentare sanatoase, bugetul aferent acestora, precum si modalitatea de implementare efectiva si de
gestionare la nivelul administratiei publice se vor stabili prin hotarare a Guvernului.
Art. 2
(1) Fructele se vor distribui in pauza de dinaintea ultimei ore.
(2) Fondurile necesare finantarii programului de incurajare a consumului de fructe in scoli in anul 2010 se asigura din sumele defalcate din taxa pe valoarea adaugata aprobate prin anexele nr. 4 si 5 la Legea bugetului de stat pe anul 2010 nr. 11/2010, pentru mierea de albine.
","","","","","School fruit and vegetable scheme|Subsidies on healthy foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ROU%202010%20F%26V%20school%20scheme.pdf"
"14985","TJK","Tajikistan","","Poverty Reduction Strategy of the Republic of Tajikistan 2010-2012","Multisectoral development plan with nutrition components","","English","","2010","","2012","The Government of Tajikistan","","2010","Adopted","","2010","Government of Tajikistan","Education and research|Finance, budget and planning|Food and agriculture|Health|Social welfare|Sub-national|Trade","Ministry of Health, Ministry of Agriculture, Academy of Agricultural Sciences, Ministry of Economic Development and Trade, Local Authorities, Ministry of Education, Ministry of Finance, Ministry of Labour and Social welfare","","","","","The World Bank","","","","","","","","","","","","Food Security and Development of the Agricultural Sector
To increase gross agricultural output volume, ensure food security and allow achieving the MDGs and the priorities of the NDS, including poverty reduction, particularly in the rural areas.
- To make food available and accessible (economic and physical access) based on the sustainable development of the agricultural sector
- To ensure food security and to provide nutritional food for the population, particularly the more vulnerable segments
- To ensure a stable food supply
Expansion of access to the water, sanitation, and housing and municipal services
- Improve access to drinking water in compliance with government standards
- Improve access to basic sanitation and hygiene services
- Improve sanitation and hygiene conditions
Development of the Health Sector
- To improve child and maternal care
- To reduce child, infant and maternal mortality
- To facilitate breastfeeding
Development of the Educational System
- Promotion of equal access to basic education and other levels of education, taking into account students’ abilities
- Creating of conductive, healthy conditions for children (light, heating, sanitation and hygiene)
"," Food Security and Development of the Agricultural Sector
- Increase the efficiency of all agricultural sectors
- Improve the conditions for the development of rural entrepreneurial activity
- Provide guarantees and secure land use rights
- Provide equipment for information collection and evaluation in order to implement the Law ―On salt iodization
- Enrich processed flour with iron
- Support scientific research to supply laboratory equipment for food safety assessment
- Draft and/or adapt the recommended, temporary, national, physiological and sanitation standards for food quality and safety
Expansion of access to the water, sanitation, and housing and municipal services
- Protect public health zones
- Restore and rebuild the heating, sewage and water supply networks, interior plumbing systems and the water supply systems of towns, district centers and rural localities
- Develop and implement law on drinking water and water supply
- Improve and modernize the water distribution system
Development of the Health Sector
- Address medical problems related to nutrition
- Support scientific and practical research to ensure proper nutrition
- Take steps to prevent and treat malnutrition
- Implement State Guarantee Program and the norms of healthcare
- Facilitate breastfeeding
Development of the Educational System
- Support for children from poor families: arrange hot food and compensation for needy families
- Conduct a survey to determine the effectiveness of school meals
- Design a targeted program to organize school meals taking into account specific regional conditions
- Arrangement for a daily hot meal for students in the elementary grades
- Establish drinking water and heating sources
Task 6, which relates to ensuring proper nutrition, aims at reducing the incidence of food related illnesses and strengthening the legislative and laboratory bases. It includes the following package of measures: drafting and/or adapting the recommended, temporary, national, physiological and sanitation standards for food quality and safety; providing equipment for information collection and evaluation in order to implement the Law “On salt iodization”; enriching processed flour with iron; addressing medical problems related to nutrition; supporting scientific research to supply laboratory equipment for food safety assessment; and supporting scientific and practical research to ensure proper nutrition, taking steps to prevent and treat malnutrition
","Expansion of access to the water, sanitation, and housing and municipal services
- Law developed and implemented
- Firs phase of program on ‘Improvement of drinking water supply of population 2007-2020’ Implemented
- Proportion of schools provided with water, heating system, sanitation and hygiene conditions meeting relevant standards: 50% by 2012
- Drinking water according to GOST in cities 96% and villages 51% by 2012
Development of the Health Sector
- Mortality of children under 5 years old (per 1000 birth): 37.0 by 2012
- Infant mortality under 1 year old (per 1000 birth): 35.0 by 2012
- Maternal Mortality (per 1000 birth): 60.0 by 2012
- % of population covered by State Guarantee Program
- Number and percentage of children who receive the services based on the principals of IBDOR
- Implemented Law on breastfeeding
- Number of events conducted on importance of breastfeeding
Development of the Educational System
- Proportion of children who receive hot meals: 55% by 2012
- Proportion of children who receive compensation: 15% by 2012
- Proportion of students (boys and girls) in elementary grades in urban and rural areas who receive hot meals at school
- Percentage of children covered by schools that have fulfilled the minimum standards
Organization of healthy nutrition
- Reduction in the level of diseases as a result of food, strengthening of legislation, regulations, laboratories and personnel
- Strengthening of the regulatory and legal framework
- Enhancement for laboratory and scientific research
- Reduction in the level of food-related diseases
- Development and implementation of a scientifically justified strategy for preparing healthy food for schoolchildren
","Outcome indicators|Process indicators","","Breastfeeding|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Iodine|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/PRS20102012FINALEnglish..pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202010%20PRS%202010-2012.pdf"
"14964","TJK","Tajikistan","","Legislation on Safe Drinking- Water/ ЗАКОН О питьевой воде и питьевом водоснабжении","Legislation relevant to nutrition","","Russian","","2010","","","Government","","2010","Adopted","12","2010","President of Tajikistan","Other|Sub-national","National Sanitary Inspection, Governmental Bodies, Local Authorities","","","","","","","","","","","","","","","Other","Water Supply Companies","","","","","Ахбори Маджлиси Оли Республики Таджикистан, 2010 год, №12, ч-1, ст. 829
Принят Постановлением Маджлиси намояндагон Маджлиси Оли Республики Таджикистан от 13 октября 2010 года, № 190 (Ахбори Маджлиси Оли Республики Таджикистан , 2010 г., № 8-10 , ст. 668)
Настоящий Закон регулирует правовые и организационные основы отношений в области, касающейся питьевой воды и питьевого водоснабжения, и устанавливает государственные гарантии по обеспечению населения питьевой водой.
Задачами настоящего Закона являются:
- установление правовых гарантий и удовлетворение потребностей физических и юридических лиц питьевой водой
- установление хозяйственных и экономических основ питьевого водоснабжения
- установление государственных гарантий устойчивости питьевого водоснабжения, а также оснований ответственности за правонарушения в области питьевого водоснабжения
","Water and sanitation|Vulnerable groups|Monitoring mechanism established|Sanctions exist","","http://parlament.tj/ru/images/stories/2010/o_pitevoy_vode.doc","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202010%20Policy%20on%20Drinking%20Water.pdf"
"14842","TUR","Türkiye","","Healthy Nutrition and Active Life Program of Turkey","Comprehensive national nutrition policy, strategy or plan","","English","","2010","","2014","The Ministry of Health of Turkey, General Directorate of Primary Health Care.","3","2011","Adopted","9","2010","Prime Ministry offical gazette","Education and research|Sub-national","Provincial Educational Directorates, Ministry of Internal Affairs, Provincial Health Directorates and local Administrations, All governmental institutions and organizations, Local government","","","","","","","","","National NGOs","","Research/academia","Universities","Private sector","Health Facilities","","","The aim of this program is, to fight effectively with this disease that has an increasing prevalence in Turkey and affecting our children and adolescents; to encourage the individuals to gain the habits of adequate and balanced diet and regular physical activity by increasing the knowledge level of public on fight against obesity subject; and by this way to decrease the prevalence of obesity and obesity related diseases.
A. ESTABLISHMENT OF HEALTHY NUTRITION AND ACTIVE LIFE PROGRAM OF TURKEY MANAGEMENT AND DEVELOPMENT OF POLICY
A.1. Supplying political will and determination at national and local level and putting into application.
Aim: To supply effective fight against obesity by making the obesity prevention action plan operational with the coordination of related institutions and organizations for the prevention and decrease of obesity prevalence which is an important health problem.
Targets
1. To plan all the activities for the application/ implementation of the “Healthy Nutrition and Active Life Program of Turkey” with the cooperation and coordination of the related institutions at the national and local level.
2. To monitor and evaluate the applications achieved within the scope of action plan.
A.2. Financial arrangements in the management of obesity prevention.
Aim: To supply the required financial support within the frame of budget possibilities for the purpose of implementation of the “Healthy Nutrition and Active Life Program” effectively.
Target: To give a place to the precautions for the prevention of obesity in the policy and budget programs which are going to be developed in the fields of health, agriculture, trade, transportation, education, economics, sport, environment, city planning, working, social security, culture and tourism until 2014.
A.3. To determine the current situation at the national and local level and to support the researches that are going to be done.
Aim: To determine the prevalence of obesity and overweight according to age, gender, regions, socioeconomically development level etc. in Turkey for the purpose of forming basis to the fighting against obesity studies and to determine the risk factors according to the current situation.
Targets
1. To provide getting national and international comparable and reliable data.
2. To form the background for the ""Turkey Nutrition and Health Survey (TBSA)"" which is planned to be made in 2010-2011.
3. To make ""Provincial Nutrition, Physical Activity and Health Survey"" to be done in regional and/or provincial level.
B. ACTIONS FOR OBESITY PREVENTION
B.1. To Inform and Make The Society Conscious About Obesity, Adequate and Balanced Diet and Physical Activity
Aim: To make the society adequate and balanced diet and regular physical activity habits and to decrease obesity risk.
Target: To make the society be aware of obesity and health risks until 2014.
B.2. To Gain The Habit of Adequate and Balanced Diet and Regular Physical Activity for Obesity Prevention in Schools
Aim: To make the pre-school and school children, adolescents, young people gain adequate and balanced diet and regular physical activity habit by including the subject of prevention from obesity in the formal and extensive education programs and to provide contribution to the raising of healthy and productive generations.
Targets
1. To inform teachers and students about adequate and balanced diet and physical activity until 2014.
2. To ensure the guidance of children and young people from primary education, secondary education and universities for physical activity, sportive activities and social activities with the cooperation of family, school and media until 2014
3. To increase the physical activity possibilities by taking the budget possibilities into consideration till 2014.
4. To implement the inspections effectively in the food services given in schools and to ensure standardization until 2014.
5. To decrease obesity and overweight prevalence in schools by 5% until 2014.
B.3. Actions for Workplaces
Aim: In order to decrease work power loss and to increase efficiency; organization of the mass catering services for ensuring adequate and balanced diet of the workers, increasing the possibilities of physical activity and decreasing health risks originated from obesity.
Targets:
1. To inform and to make workers conscious of prevention from obesity until 2014.
2. To increase the mass catering services and physical activity opportunities in the workplaces till 2014.
B.4. Providing Cooperation with Food Industry for Obesity Prevention
Aim: To cooperate with food industry for obesity prevention.
Target: To plan the activities which will be performed with the cooperation of food industry until 2012 and to provide the application of the planned targets by the end of 2014.
B.5. Supporting Adequate and Balanced Nutrition and Active Life in Media News and Advertisements
Aim: To use written and visual media effectively for informing the public in adequate and balanced diet, active life and obesity subjects and to improve the related activities.
Targets
1. To update legal arrangements about food advertisements and introductory activities took place in the media until 2013.
2. To give priority to the prevention from obesity subject in the written and visual media and to encourage broadcasting of the informative scientific programs on adequate and balanced diet and physical activity till 2014.
B.6. Encouragement of Physical Activity and Improvement of Environmental Factors
Aim: To create, improve and make widespread the physical activity opportunities for making the public gain physical activity habit.
Target: To increase the public physical activity areas until 2014.
C. PRECAUTIONS FOR DIAGNOSIS AND TREATMENT OF OBESITY IN HEALTH INSTITUTIONS
Aim: To evaluate individuals in terms of overweight and obesity who applied to the health institutions, to do consultancy and treatment to the patients who are diagnosed with obesity, to decrease the health expenses resulted from the treatment of obesity and obesity related chronic diseases and to decrease the obesity prevalence.
Targets
1. To decrease the formation of obesity 5% among overweight individuals having BMI more than BMI 25 kg/m2 which creates risk for obesity until 2014.
2. To prevent uncontrolled usage of the weight loss drugs until 2012 and to make the bariatric surgery decisions to be taken by the committee (surgeon, gastroenterologist, endocrinologist, dietician, psychologist) formed under the body of the health institution
D. MONITORING AND ASSESMENT
Aim: To make the ""Healthy Nutrition and Active Life Program of Turkey"" applied effectively and widely.
Target: To establish monitoring and assessment system until 2011 for the successful application of Healthy Nutrition and Active Life Program of Turkey.
","","Progress indicators are listed for each strategy and activity in the action plan
- Prepares and published terms of reference
- Established 'Scientific Consulting, Executive and Coordination Committees'
- Number of meetings, legislation studies and participants
- Province activity reports which are monitored and evaluated (Number of meetings and meeting minutes)
- The number of actions and institutions which are regarded as the best practices
- Number of institutions who allocate funds from their budgets to related subject and the amount of budgets
- Number of communication at institutional level
- Prepared guidance document and survey
- Number of provinces completed the research and survey result reports
- Prepared and updated guidance document on physical activity by 2012
- Number of provinces that have formed an education team and number of educational programs
- Number of events and trainings and the number of people that participated
- Number of babies been breastfed and number of individuals benefitting from consulting
- Number of role models participating in events, number of media programs and trainings
- The number of developed training materials and number of students trained
- Reached number of schools and changed educational program
- Number of open facilities, number of improved or newly opened facilities and the number of usage
- Assess number and percentage of redirected students due to high or low BMI
- Increased number of suitable food- machines (automats)
- Number of campaigns implemented and inspections that found place
- In service training reports and programs, research and assessment reports
- Studies showing current situation and progress, inspection reports
- Number of institutions where menus approved by dietitians are applied, increase in number of workplaces heaving sport facilities and increased number of workplace inspections
- Number of competitions organized, prepared set training, number of people and institutions using the sport facilities
- Increase in the production and consumption data related to obesity prevention by food industry (fat reduction, salt and sugar ratio)
- Number of campaign events and participants and number of food services, restaurants doing this application
- Increased amount of programs consistent with action plan and policies
- Arranged legislation, institutional approvals and formed self-control and privet media monitoring groups
- Number of true news published in the internet, present and recently created sites about the subject
- Research results measuring the knowledge level of different sections of the public resulting from internet sources
- Number of green areas and events, number of exercise areas in the parks and changes in legislation
- Increased numbers of arranges inner-city areas, exercise areas, pedestrian lanes and activity programs
- Studies showing progress in current situation and number of prepared activity programs
- Number of prepared modules, trainings and programs for health personnel
- Number of institutions heaving obesity unit/center/school, number of refereed patients and registered patients
- Established surveillance system for following patents who apply to obesity unit
- Prepared legislations for weight loss products/ herbs
- The number of institutions and organizations that sent reports regularly, Organized Consultant and Executive Committee meetings formed monitoring and assessment subcommittee, updated monitoring system, organized annual evaluation meeting
- Prepared progress report to present to WHO and published assessment report
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Underweight in children 0-5 years|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety","","http://www.beslenme.gov.tr/content/files/home/healthynutritionandactivelifeprogramofTurkey.pdf","","",""
"14791","UGA","Uganda","","Health Sector Strategic & Investment Plan","Health sector policy, strategy or plan with nutrition components","","English","","2010","","2015","Ministry of Health","","2010","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Sub-national","Ministry of Public Service, Ministry of Gender, Labour and Social Development","","","","","","","","","","","","","","","","","","5.2.1.2 Contribute to the attainment of a significant reduction of morbidity and mortality due to environmental health and unhygienic practices and other environmental health related conditions.
o Disseminate the food hygiene and safety, safe water chain and hand washing guidelines.
o Support local governments to enforce food hygiene and safety, safe water chain and hand washing standards.
o Establish early warning systems on environmental health related risk factors e.g water quality, food safety and sanitation and hygiene related disease out breaks.
5.2.1.4 Improve the health status of the school children, their families and teachers and to inculcate appropriate health seeking behaviour among this population.
• Expand the coverage of the school health and nutrition programme to include more schools
• Strengthen the policy and legal environment for provision of school health services.
o Develop the missing health standards (e.g. nutrition and screening) and operationalise all standards
• Expand the provision of clean water and improved sanitation to schools, with special emphasis on primary schools
5.2.1.7 Scale up delivery of nutrition services:
Strategy 1: To reduce the incidence and prevalence macro- and micro-nutrient deficiencies and associated mortality among vulnerable groups.
• Strengthen maternal nutrition interventions to ensure optimal pregnancy outcomes and healthy infancy:
o Provide micronutrient supplements (iron, folic acid, vitamin A and other relevant) to target groups.
o Encourage and support antenatal care services through health and nutrition education.
o Promote the consumption of high nutrient density local foods
• Integrate infant and young child nutrition interventions into maternal, infant and young child services to ensure growth and development:
o Provide infant and young child feeding counselling services during ante-natal and post-natal care.
o Strengthen growth monitoring and promotion services at facility and community levels.
o Support infant and young child feeding in the context of HIV.
o Provide bi-annual Vitamin A supplementation and deworming to targeted groups.
• Scale up micronutrient initiatives:
o Develop a comprehensive policy framework for micronutrient deficiency control.
o Provide support for implementation of a consolidated policy on micronutrient deficiency control.
o Promote food fortification by working with relevant public and private stakeholders.
o Promote food supplementation
• Promote good quality diets through diet diversification:
o Conduct nutrition education and counselling at facility, family and community levels.
o Promote consumption of locally produced fortified foods.
o Encourage the production and preparation of a variety of locally available nutritious foods.
• Integrate the management of malnutrition into the health delivery system:
o Integrate identification, screening, referral and management of acute malnurished children into routine service delivery at facility level and community levels using national IMAM protocols.
o Support and promote national procurement of therapeutic feeds and supplies.
o Promote local production of therapeutic feeds.
• Integrate nutrition into the treatment and management of HIV/AIDS, TB and malaria:
o Incorporate nutrition support into the management and treatment of HIV/AIDS, TB and malaria interventions.
o Establish coordination mechanisms among partners involved in food and nutrition and HIV, TB and malaria interventions.
o Support community involvement in provision of nutrition support to HIV/AIDS and TB patients.
Strategy 2: To improve access and quality of nutrition services at facility and community levels.
• Support institutional feeding:
o Procure equipment for nutrition management like weighing scales, MUAC tapes, height meters, demonstration meters and food preparation equipment.
o Conduct pre- and in-service training for service providers to promote nutrition interventions.
o Develop curricula and training manuals for nutrition training.
o Determine the human resource needs for nutrition services.
o Train trainers and equip the VHTs, community resource persons and other community based organizations with nutrition knowledge and skills.
o Provide technical support supervision and mentoring of health workers.
o Support nutrition response in emergency
Strategy 3: To review, formulate, enforce and coordinate nutrition related policies, regulations, standards and programmes in consultation with other relevant sector stakeholders.
• Develop and disseminate nutrition policy and implementation guidelines:
o Initiate the review and up-date of the 2002 Uganda National Food and Nutrition Policy.
o Develop implementation guidelines for the reviewed Uganda National Food and Nutrition Policy and other related nutrition policies.
o Orient stakeholders on the revised Uganda National Food and Nutrition Policy.
• Strengthen nutrition related standards and regulations:
o Review the regulations on salt iodization.
o Review regulations on maternity protection.
o Support the development of the Codex on complementary foods and food supplements.
o Develop a regulatory framework for food fortification.
• Strengthening inter-sectoral collaboration and public-private partnership in the designing and implementation of nutrition programs:
o Operationalise the National Food and Nutrition Council and its secretariat.
o Conduct national, regional and district coordination and planning meetings.
Strategy 4: To strengthen advocacy and social mobilization for behavioural change.
• Strengthen advocacy, social mobilization and communication at all levels:
o Develop a comprehensive nutrition communication strategy.
o Develop and disseminate nutrition IEC materials using mass media including audio, visual and print media.
o Promote nutrition campaign initiatives.
Strategy 5: Strengthen nutrition information management systems for monitoring and evaluating nutrition interventions programs.
• Strengthen the regular collection of nutrition indicators in HMIS and other systems:
o Operationalise the Uganda Nutrition Information System.
o Establish nutrition sentinel sites to assess nutrition trends.
o Conduct basic and operational nutrition research.
o Collaborating with UBOS in collection of nutrition indicators during annual food consumption surveys.
o Conduct periodic nutrition surveys.
","5.2.1.2:
Percentage of households with access to safe water.
5.2.1.4:
The % of schools in Uganda that provide basic health and nutrition services increased to 25 % by 2015.
The % of primary and secondary schools with safe water source within 0.5 km radius of the school increased from 61% and 75% resp. to 80% by 2015.
5.2.1.7:
The proportion of underweight in under five year children reduced from 16% to 10%.
Vitamin A deficiency among children 6-59 months reduced from 20% to 10% and women of reproductive age from 19% to 9%.
The proportion of stunted children below 5 years reduced from 38% to 32%.
Vitamin A supplementation coverage increased for children aged 6-59 months from 60% to 80%.
Deworming coverage for children 1-14 years increased from 60% to 80%.
Iodine deficiency eliminated.
The proportion of the households consuming iodised salt increased from 95% to 100%.
The prevalence of anaemia among children decreased from 73% to 60%, women from 49% to 30% and men from 28% to 15%.
The proportion of underweight women of reproductive age decreased from 12% to 6%
Exclusive breastfeeding at 6 months increased from 60% to 80%.
Timely complementary feeding increased from 73% to 80%
Accessibility to appropriate and gender sensitive nutrition information and knowledge increased to 100%
Nutrition services to health units and the community scaled up to 100%.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/HSSIP_Final.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202010%20Health%20Sector%20Strategic%20%26%20Investment%20Plan.pdf"
"23562","UZB","Uzbekistan","","Public Health Strategy of the Republic of Uzbekistan for the period 2010-2020","Health sector policy, strategy or plan with nutrition components","","Russian","","2010","","2020","Ministry of Health. Republic of Uzbekistan","","2010","","","","","Health|Food and agriculture|Education and research|Environment|Labour|Other","","","","","","","","","","","","Research/academia","Institute of Health and Medical Statistics; Center for Anemia under the Research Institute for Hematology and Blood Transfusion; National Center for Endocrinology; Tashkent Institute of Post-graduate Medical Training; School of Public Health","Private sector","Food processing, agricultural, industrial and catering enterprises","Other","Centres of the Sanitary Epidemiological Service","Objectives
5. Mortality due to cardiovascular disease in people under 65 years should be reduced by at least 20% between 2010 and 2020.
6. Between 2009 and 2020, improved nutrition should lead to a measurable decrease in anaemia, thyroid dysfunction, malnutrition and over-nutrition.
9. MDG 4 is the reduction of the under-five mortality rate by two-thirds between 1990 and 2015. This rate was 47.8 per 1,000 live births in 1990 and 20.6 per 1,000 in 2005 (source: Health in Uzbekistan - facts and figures, 2006). Therefore the Uzbek rate should be below 16.0‰ in 2015. An additional indicator for MDG 4 in Uzbekistan is the infant mortality rate.
10. The international MDG 5 is the reduction of the maternal mortality rate by three-quarters between 1990 and 2015. The maternal mortality rate was 65.3 per 100,000 live births in 1991, 34.1/100,000 in 2001, and 31.4/100,000 in 2004 (source: Ministry of Health of the RUz). The objective is a maternal mortality rate of below 163./100,000 in 2015
Existing short to medium term programmes (control of tobacco, tuberculosis and HIV/AIDS, and the nutrition programme) will be evaluated before they expire, to be replaced by new programmes in the framework of the overall public health strategy.
Health promotion will receive more emphasis, especially regarding cardiovascular diseases, but also on nutrition and on the prevention of accidents and communicable diseases. Examples are the increased availability of healthy food (e.g. in canteens), the creation of sport facilities, the establishment of smoke-free zones, and decreasing the access to harmful substances.
Present health protection activities, such as sanitation, environmental control, food safety measures, and occupational safety & health measures will to a large extent continue as before. Examples are improved possibilities for physical exercise to combat cardiovascular disease, flour fortification, protection against passive smoking, and traffic and other safety measures.
","Activities CVD
- The Institute of Health and Medical Statistics and its oblast branches will develop and implement various programmes of health education about nutrition (see objective 6), smoking (see objective 7), and physical exercise, throughout the period 2010-2020. Health education will be provided in the form of national and local campaigns and as individual counselling in primary care.
- Guidelines will be developed and implemented for counselling on the prevention of cardiovascular disease in primary care (including advice on nutrition).
- Public schools will organise regular health promotion activities.
- Active detection and treatment of hypertension and hypercholesterolemia by primary care doctors, according to official guidelines, throughout the period 2010-2020.
Objective 6 - Nutrition: Between 2010 and 2020, improved nutrition should lead to a measurable decrease in anaemia, thyroid dysfunction, malnutrition and over-nutrition.
Activities
- The existing Action Plan for Healthy Nutrition 2005-2010 will be updated as the basis for a new Action Plan for Healthy Nutrition 2010-2020 that has clear objectives and quantitative indicators.
- The Co-ordination Committee on National Floor Fortification Program under the Cabinet of Ministers will be integrated into the new Public Health Co-ordination Committee in 2010.
- The Institute of Health and Medical Statistics and its partners in various projects and programmes will expand health education in nutrition in various settings.
- The flour fortification programme will be continued and expanded to reach 80% of the population in 2020.
- The iron and folic acid supplementation programme will be continued for children under 5, girls of 12-14 years old and pregnant women. This programme should reach 90% of the target groups in 2020.
- By 2010, at least 90% of households are using salt with a iodine content of 15 parts per million (ppm) or more.
- The vitamin A supplementation programme will reach 100% of children between 6 months and 5 years old in 2020.
- An average daily consumption of vegetables and fruits by adults will reach 200g. in 2010 and 400g. in 2020
","Indicators
- The improvement in life style factors will be monitored through regular health population surveys (see objective 4).
- Primary care doctors will provide data on the number of patients with hypertension and hypercholesterolemia under their regular control.
- Data on the real prevalence of hypertension and hypercholesterolemia should come from measurement among population samples
- In 2020, no more than 5% of children under the age of 5 should have values for height/age and weight/age that are outside the normal range.
- The proportion of children that are fully breast-fed during 6 months should be at least 90% in 2020.
- No more than 20% of women of reproductive age should have a Body Mass Index value outside the normal range (20-25 kg/m2) in 2020.
- No more than 10% of children between 6 months and 5 years and 10% of women of reproductive age should have moderate to severe anaemia in 2020.
- Compared to 2000, the use of folic acid by women in the reproductive age via the flour fortification programme should lead to a 40% decrease in the incidence of neural tube defects in 2020
- In 2020, median urinary iodine levels examined among sample population are at least 100µg/l and no more than 20% of values are below 50µg/l.
- National statistics on food consumption by the population: iodised salt, fortified flour, proteins, energy from fat, fruits and vegetables.
- Number and type of staff trained.
- Supplementation with iron and folic acid reaches 90% of pregnant women in 2020.
","Outcome indicators|Process indicators","","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|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Fat intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Nutrition education|Wheat flours|Staple foods|Food safety","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Uzbekistan/final_phstratedy_january_2010_3.pdf","","WHO 2nd Global Nutrition Policy ReviewCountry Planning Cycle Database: A World Health Organization Resource","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202010%20Public%20Health%20Strategy%202010-2020.pdf"
"25722","BLR","Belarus","","КОНЦЕПЦИЯ РЕАЛИЗАЦИИ ГОСУДАРСТВЕННОЙ ПОЛИТИКИ ФОРМИРОВАНИЯ ЗДОРОВОГО ОБРАЗА ЖИЗНИ НАСЕЛЕНИЯ РЕСПУБЛИКИ БЕЛАРУСЬ НА ПЕРИОД ДО 2020 ГОДА [Policy for Healthy Lifestyle Formulation among the Population of Belarus]","NCD policy, strategy or plan with healthy diet components","","Russian","","2011","","2020","Ministry of Health","","2011","Adopted","3","2011","Ministry of Health","Health|Education and research|Sport|Justice|Sub-national","","","","","","","","","","","","Research/academia","Medical Universities; Education Institutions","","","","","Глава 3. Цель и задачи Концепции
Основными задачами Концепции являются:
систематизация и совершенствование законодательства, обеспечивающего межведомственный подход к формированию здорового образа жизни;
формирование установки и мотивации населения на здоровье как высшую ценность; обеспечение условий для здорового образа жизни: разработка перспективных и увеличение объема существующих технологий укрепления здоровья и профилактики заболеваний;
...
формирование культуры питания, четких установок в пользу здорового рационального питания;...
","ОТРАСЛЕВОЙ ПЛАН МЕРОПРИЯТИЙ ПО ФОРМИРОВАНИЮ ЗДОРОВОГО ОБРАЗА ЖИЗНИ, СОХРАНЕНИЮ И УКРЕПЛЕНИЮ ЗДОРОВЬЯ НАСЕЛЕНИЯ РЕСПУБЛИКИ БЕЛАРУСЬ НА ПЕРИОД ДО 2015 ГОДА
- 1.2 Разработка и корректировка программ профессиональной подготовки и переподготовки специалистов, ответственных за работу по формированию здорового образа жизни населения
- 3.1 Сотрудничество с общественными объединениями и религиозными конфессиями по вопросам пропаганды идеологии нравственных ценностей и ЗОЖ
- (семинары, профилактические акции, круглые столы, диспуты, издание информационной литературы)
- 5. Формирование культуры питания, четких установок в пользу здорового рационального питания; развитие творческого потенциала, профилактика стрессов, формирование психоэмоциональной устойчивости населения к психологическим проблемам и кризисным ситуациям
- 5.1 Проведение республиканских и региональных семинаров, конференций, круглых столов по актуальным направлениям обеспечения здорового итания, нутрициологии, диетологии и гигиены питания, в т.ч. для различных категорий медицинских, педагогических работников, работников торговли и общественного питания
- 5.2 Подготовка национальных рекомендаций по питанию для отдельных групп населения, в том числе имеющих алиментарные факторы риска
- 5.3 Повышение нформированности женщин репродуктивного возраста, беременных и кормящих женщин по вопросам грудного вскармливания
- 5.4 Разработка и внедрение новых методов контроля показателей безопасности продовольственного сырья и пищевых продуктов
- 5.5 Актуализация учебных планов и программ в области нутрициологии, диетологии и гигиены питания на всех этапах олучения профессиональной подготовки медицинских работников
","Ожидаемыми результатами реализации настоящей Концепции являются:
- совершенствование законодательства в области формирования здорового образа жизни;
- внедрение технологий, рекомендаций и программ для различных групп населения, способствующих укреплению здоровья и профилактике заболеваний;
- снижение рисков развития заболеваний, связанных с поведением и образом жизни (сердечно-сосудистых, травматизма, ожирения и других), на 10% в течение 10 лет;
- повышение доли лиц, ведущих образ жизни, способствующий сохранению здоровья и профилактике заболеваний, на 20% в течение 10 лет;
- снижение трудовых потерь от временной нетрудоспособности на 20% в течение 10 лет;
- уменьшение распространенности ожирения и избыточной массы тела на 7% в течение 10 лет;
- повышение физической активности населения на 20% в течение 10 лет;
Ожидаемые результаты
- Увеличение доли детей в возрасте до 6 месяцев, находящихся на грудном вскармливании, до 35%
","Outcome indicators|Process indicators","","Breastfeeding promotion/counselling|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Creation of healthy food environment|Physical activity and healthy lifestyle|Nutrition education|Food safety","","http://minzdrav.midural.ru/document/category/count/0","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202011%20Healthy%20Lifestyle%20Formation.pdf"
"23595","BWA","Botswana","","National Health Policy 2011","Health sector policy, strategy or plan with nutrition components","","","","2011","","2021","Ministry of Health","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Ministry of Local Government; Ministry of Infrastructure,Science and Technology; Ministry ofDefense, Justice and Security; Ministry of Transport and Communications; Ministry ofEducation and Skills Development; Ministry of Labour and Home Affairs; Ministry of Lands and Housing; Ministry of Environment, Wildlife and Tourism; Ministry of Finance and Development Planning; Ministry of Presidential Affairs and Public Administration; Ministry ofMinerals, Energy and Water Resources; Ministry of Youth, Sports and Culture; Ministry ofForeign Affairs and International Cooperation","","","","","","","","","National NGOs","","","","Private sector","","","","4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf"
"23612","CHN","China","","The Twelfth Five-Year Plan for Health Sector Development","Health sector policy, strategy or plan with nutrition components","","","","2011","","2015","KPMG","","2011","Adopted","","2011","China National People's Congress","Food and agriculture|Justice|Sub-national","KPMG Food and agriculture, Justice, Sub-national: Food producers, Legal authorities, Local governments","","","","","","","","","","","","","Private sector","Health service industry","","","- We will strengthen maternal healthcare and continue to implement hospital delivery subsidy programs to rural women.
- We will enhance management of baby-friendly hospitals, increase breast-feeding rate, and promote the scientific feeding to infants and young children
- We will reduce the prevalence of child malnutrition and anemia. By 2015, under-5 stunt rate shall be limited to under 10%, and anemia prevalence rate being under 20%。
- We will build up NCD prevention and control system that covers both rural and urban settings
- We will push forward the practice in health facilities that patients over 35 years old will be checked for their blood pressure at their first encounter with doctors, and provide blood sugar tests in over 80% of the communities and township health facilities.
- We will make big efforts in ""whole-population healthy life-style"" action, establish demonstrative regions of NCD control, carry out health management, lifestyle guidance and interventions to high-risk population; and health management rate for senior residents will reach 60%.
- We will establish sound systems for food safety risk assessment and early warning, food safety standard, and emergency response and investigation.
","- Strengthen capacity building for MCH and health education. We will strengthen MCH service system and improve the medical services provided to women and children.
- Development of risk assessment system for food safety: We will provide lab test equipment to provincial and prefecture level disease prevention and control institutions.
- We will implement the national health action plan, and prioritize food safety (including catering and drinking water safety), occupational health, mental health, blood safety, NCD prevention and control, and health emergency response
- Control of risk factors of health: health response to emergencies; drinking water safety and environmental health (sanitation latrine project in rural areas and drinking water monitoring); medical care quality and safety; food safety (standard formulation and follow-up evaluation; capacity building for risk monitoring and evaluation, accident investigation and response); healthy lifestyle and health literacy promotion; blood supply and safety.
- Healthy city and town initiative, and continue establishing national hygienic cities/towns. We will practically push forward the ""national urban and rural environment health and hygiene action"" and the rural environment health project that prioritize sanitation and water. We will strengthen monitoring drinking water quality in rural areas
- We will strengthen prevention and control of Mediterranean anemia. We will strengthen child healthcare service and management, and make big efforts to improve the health of children. We will enhance management of baby-friendly hospitals, increase breast-feeding rate, and promote the scientific feeding to infants and young children. We will promote the appropriate technology of Integrated Management of Childhood Illness (IMCI),
","By 2015
- Average life expectancy (yr): increase by 1 year compared with 2010; IMR (‰) ≤12; U5MR (‰) ≤14; MMR (/100,000) ≤22
- Awareness of key information on prevention and control of major non-communicable diseases (NCDs) among the population (%) ≥50
- Standard management of hypertension and diabetes patients (%) ≥ 40
- Systematic management of under-3 children (%) ≥80
- Systematic management of pregnant women (%) ≥85
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Stunting in children 0-5 yrs|Anaemia|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHN%202011%20National%20Health%20Plan%202011-2015.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"
"23767","FRA","France","","Programme National Nutrition Santé","Comprehensive national nutrition policy, strategy or plan","","French","","2011","","2015","Ministère du travail, de l'emploi et de la santé","","2011","Adopted","","2011","Ministere chargé de la santé","Health|Education and research|Social welfare|Sport|Labour","Ministère du travail, de l'emploi et de la santé. Le PNNS associant également les ministères chargés de l’éducation nationale, des sports, de la consommation, de la cohésion sociale, de l’enseignement supérieur et de la recherche, présente par conséquent, une forte dimension interministérielle.","","","","consommateurs, patients, sport","","","","","","","","","","Mutuelles, distributeurs, industriels agro alimentaires,","","","
Améliorer l’état de santé de l’ensemble de la population, en agissant sur l’un de ses déterminants majeurs, la nutrition.
","Réduire l’obésité et le surpoids dans la population
- Stabiliser la prevalence de l’obesite et reduire le surpoids chez les adultes
- Diminuer la prevalence de l’obesite et du surpoids chez les enfants et les adolescents
Augmenter l’activité physique et diminuer la sédentarité à tous les âges
- Augmenter l’activite physique chez les adultes
- Augmenter l’activite physique et lutter contre la sedentarite chez les enfants et les adolescents
Améliorer les pratiques alimentaires et les apports nutritionnels, notamment chez les populations à risque
- Augmenter la consommation de fruits et legumes
- Reduire la consommation de sel
- Augmenter les apports en calcium dans les groupes à risque
- Lutter contre la carence en fer chez les femmes en situation de pauvrete
- Ameliorer le statut en folates des femmes en age de procreer
- Promouvoir l’allaitement maternel
Réduire la prévalence des pathologies nutritionnelles
- Denutrition, Troubles du comportement alimentaire
"," Objectif general 3 • Ameliorer les pratiques alimentaires et les apports nutritionnels, notamment dans les populations a risque
• Sous objectif général 3-1 : augmenter la consommation de fruits et légumes
OS 3-1-1 : augmenter en 5 ans, chez les adultes en population generale, la consommation de fruits et legumes, de sorte que :
- 70 % au moins d’adultes consomment au moins 3,5 fruits et legumes par jour ;
- 50 % au moins d’adultes consomment au moins 5 fruits et legumes par jour.
OS 3-1-2 : augmenter, en 5 ans, chez les adultes en situation de pauvrete, la consommation de fruits et legumes, de facon a :
- Doubler la proportion d’adultes declarant consommer des fruits et legumes au moins 3 fois par jour ;
- multiplier par 5 la proportion d’adultes declarant consommer des fruits et legumes au moins 5 fois par jour.
OS 3-1-3 : augmenter en 5 ans, chez les enfants et les adolescents de 3 a 17 ans, la consummation de fruits et legumes, de sorte que :
- 50 % au moins consomment au moins 3,5 fruits et legumes par jour ;
- 25 % au moins consomment au moins 5 fruits et legumes par jour.
• Sous objectif général 3-2 : réduire la consommation de sel
OS 3-2-1 : diminuer la consommation moyenne de sel dans la population pour atteindre, en 5 ans :
- 8 g/jour chez les hommes adultes ;
- 6,5 g/jour chez les femmes adultes et les enfants.
• Sous-objectif général 3-3 : améliorer la répartition des macronutriments dans les apports énergétiques sans alcool (AESA)
OS 3-3-1 : ramener, chez les adultes et les enfants, en 5 ans, la contribution moyenne des lipides totaux au sein des apports energetiques sans alcool à 36.5%
OS 3-3-2 : ramener, chez les adultes et les enfants, en 5 ans, la part moyenne des acides gras satures, au sein des apports en lipides totaux :
- a 36 % chez les adultes ; - a 37 % chez les enfants.
OS 3-3-3 : augmenter chez les adultes et les enfants, la part des apports en glucides complexes et en fibres et diminuer la part des apports en glucides simples issus des produits sucres dans l’apport energetique total.
OS 3-3-3-1 : augmenter, en 5 ans, la proportion de personnes ayant des apports en glucides complexes ≥ 27,5 % de l’AESA :
- de 20 % chez les adultes ; - de 35 % chez les enfants.
OS 3-3-3-2 : augmenter, en 5 ans, la proportion de personnes ayant des apports en glucides simples issus des produits sucres < 12,5 % de l’AESA :
- de 7 % chez les adultes ; - de 20 % chez les enfants.
OS 3-3-3-3 : doubler chez les adultes, la proportion de personnes ayant des apports en fibres > 25 g/jour.
OS 3-3-3-4 : reduire de 25% au moins, en 5 ans, la proportion d’enfants consommant plus d’un demi-verre de boissons sucrees par jour.
• Sous-objectif général 3-4 : augmenter les apports en calcium dans les groupes à risque
OS 34-1 : diminuer de 10 % au moins, la proportion de femmes jeunes, d’adolescents et de personnes agees ayant des apports en calcium alimentaire inferieurs au BNM (Besoin nutritionnel moyen).
• Sous-objectif général 3-5 : lutter contre la carence en fer chez les femmes en situation de pauvreté
OS 3-5-1 : reduire d’un tiers, en 5 ans, la frequence de l’anemie ferriprive chez les femmes en situation de pauvrete, en age de procreer (15-49 ans).
• Sous-objectif général 3-6 : améliorer le statut en folates des femmes en âge de procréer
OS 3-6-1 : reduire de 30 % au moins, en 5 ans, la proportion des femmes en age de procreer (15-49 ans) ayant un risque de deficit en folates (taux de folates plasmatiques < 3 ng/mL).
OS 3-6-2 : reduire de 20 % au moins, en 5 ans, la proportion de femmes ayant des apports en folates inferieurs au BNM.
OS 3-6-3 : augmenter de 50 % au moins, en 5 ans, le nombre d’unites de comprimes d’acide folique (0,4 mg) prescrits pour un projet de grossesse.
• Sous-objectif général 3-7 : promouvoir l’allaitement maternel
OS 3-7-1 : augmenter de 15 % au moins, en 5 ans, le pourcentage d’enfants allaites a la naissance.
OS 3-7-2 : augmenter de 25 % au moins, en 5 ans, la part des enfants allaites a la naissance beneficiant d’un allaitement exclusif.
OS 3-7-3 : allonger de 2 semaines, en 5 ans, la duree mediane de l’allaitement.
OS 3-7-4 : retarder d’un mois, en 5 ans, l’age median d’introduction de tout autre aliment que le lait (maternel ou formule lactee du commerce).
Objectif general 1 • Reduire l’obesite et le surpoids dans la population
• Sous-objectif général 1-1 : stabiliser la prévalence de l’obésité et réduire le surpoids chez les adultes
OS 1-1-1 : stabiliser, en 5 ans, la prevalence de l’obesite chez les adultes.
OS 1-1-2 : reduire, de 10 % au moins, en 5 ans, la prevalence du surpoids chez les adultes.
OS 1-1-3 : stabiliser, en 5 ans, chez les femmes en situation de pauvrete, la prevalence de l’obesite.
OS 1-1-4 : diminuer de 15 % au moins, en 5 ans, la prevalence de l’obesite morbide.
- Sous-objectif général 1-2 : diminuer la prévalence de l’obésité et du surpoids chez les enfants et les adolescents
OS 1-2-1 : diminuer en 5 ans, de 15 % en moyenne, chez les enfants et adolescents de 3 a 17 ans, la prevalence globale de surpoids et d’obesite.
OS 1.2.2 : diminuer en 5 ans, de 15 % au moins, chez les enfants et adolescents de 3 a 17 ans issus de milieux defavorises, la prevalence de surpoids et d’obesite.
Objectif general 2 • Diminuer l’hypercholesterolemie et l’hypertension arterielle
OS 2-1 : reduire de 5 %, dans la population adulte, la cholesterolemie moyenne (LDL–cholesterol) en 5 ans.
OS 2-2 : augmenter en 5 ans la proportion de patients atteints d’hypercholesterolemie traites et equilibres
OS 2-3: augmenter en 5 ans la proportion de patients atteints d’hypertension arterielle, traites et equilibres.
","","","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|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|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 fruit and vegetable scheme|School milk scheme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Salt reduction|Micronutrient supplementation|Food security and agriculture","","http://social-sante.gouv.fr/IMG/pdf/PNNS_2011-2015.pdf - https://extranet.who.int/ncdccs/Data/FRA_B11_PNNS%20eng.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA_2011_PNNS.pdf"
"23615","GEO","Georgia","","National Health Care Strategy 2011-2015","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Labour, Health, and Social Affairs of Georgia","","2011","","","","","Health|Education and research|Social welfare|Sport|Labour|Other","National Center for Disease Control (NCDC); National Reproductive Heath Council","World Health Organization (WHO)","","","","","","European Union","","","","","","Private sector","","Other","Civil Registry Agency","To promote a healthy lifestyle, the government will collaborate with private and non-governmental organizations to initiate educational campaigns increasing public awareness about behavioral risk factors (drug abuse, unhealthy diet, physical inactivity, alcohol and tobacco consumption and road safety). Therefore, the MoLHSA will develop and implement information, education and communication initiatives aimed at increasing the population’s awareness about health and healthy life-style issues.
","The Government will increase its efforts to promote health by implementing a number of special programs such as: the introduction of the “Healthy School” concept
By 2015, special attention will be devoted to improving legislation and elaborating efficient enforcement measures that assure health improvements. To that end, road safety, reduction of drug abuse, assuring food safety and promoting a healthy urban environment will receive prime attention.
NCDC will create and develop national registers for such chronic diseases as cancer, myocardial infarction, diabetes, epilepsy and stroke.
","","","","School-based health and nutrition programmes|Physical activity and healthy lifestyle|Food safety|Vaccination|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/GEO","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202011%20GEORGIA%20-%20NATIONAL%20HEALTH%20CARE%20STRATEGY%202011-2015.pdf"
"14839","ISR","Israel","","Health Behaviors, Prevention and Treatment of Obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2011","","2020","Ministry of Health","","2011","Adopted","","2016","Ministry of health","Health|Education and research|Sub-national|Other","Health Behaviors Committee","","","","","","","","","","","","","Private sector","Food Processing Industry","Other","Institute of Medicine of the U.S. National Academy; Media; Education Institutions; Clinics","Prevention and Treatment of Obesity
Outcome objectives
1. Reduce the proportion of adults 18 years and older who are considered obese by 11.2%.
2. Reduce the proportion of adults 18 years and older in the Jewish population who are considered obese by 10%.
3. Reduce the proportion of adults 18 years and older in the Arab population who are considered obese by 15%.
4. Increase the proportion of adults 18 years and older who are at a healthy weight by 10%.
5. Reduce the proportion of children and adolescents who are considered obese by 10%.
Developmental objectives
1. Measuring the waist circumference of all adults.
2. Conducting surveys, including anthropometric measurements (e.g height and weight) on a regular basis (at least once every five years for all age groups).
3. Assessment of the contribution of advanced nutritional labeling strategies in helping consumers choose healthful food.
Healthful Nutrition
Key objectives
Year 2020 targets were set by defining ambitious but achievable targets as per international best practice. Nutrients for which less than 75% of the population meet the EAR (Estimated Average Requirement) are listed.
Target values (%) by year 2020:
Fruits & Vegetables: 50% consuming 3 vegetables and 2 fruits per day
Calcium: 50% meeting EAR
Magnesium: 97% meeting EAR
Potassium: 50% meeting EAR
Zinc: 97% meeting EAR
Iron: 97% meeting EAR
Vitamin A: 97% meeting EAR
Vitamin B1: 75% meeting EAR
Vitamin B2: 97% meeting EAR
Vitamin B3: 97% meeting EAR
Vitamin B6: 97% meeting EAR
Folic acid: 97% meeting EAR
Vitamin B12: 97% meeting EAR
Vitamin C: 97% meeting EAR
","Prevention of Obesity
The health system
1. Monitor BMI on an annual basis, and in the future, measure waist circumference in primary care clinic.
2. Provide incentives for maintenance of a healthy lifestyle such as engaging in physical activity and adhering to healthy nutrition (via discrete funding through the Health Basket).
Industry and government
Encourage the provision of healthful food through legislation or through negotiation with the food industry to reduce the price of healthful food products and improving their content, along with reducing portion sizes, encouraging the low energy density foods, and providing information regarding the nutritional composition of ready to eat or prepared foods sold in supermarket chains, fast food chains or served in restaurants.
The media
1. Limit advertising of food with low nutritional value during children’s peak television viewing hours.
2. The media should be encouraged to use positive role models to further the consumption of healthful food.
Schools
1. Limit the sale of low nutritional value food and drink and increase the availability of healthful foods in cafeterias and vending machines.
2. Adopt innovative approaches in the teaching of nutrition, physical activity and wellness, as well as select and train appropriate teaching staff.
3. Monitor students’ BMI from the age of six and above.
4. Include education for a healthy lifestyle in the school curriculum.
Family
1. Reduce children’s “screen time” (television, computer, video games) by one of the following behavioral methods:
• Skill building, goal setting and reinforcement techniques.
• Parent or family support through provision of information on successful environmental strategies for reducing access to television, video games, and computers.
• Encourage a “TV turnoff challenge” in which participants are encouraged not to watch television for a specified number of days.
2. Encourage family meals, including provision of support for healthy decision-making with regard to the type and quantity of food, as well as the frequency of meals.
Treatment of Obesity
The health system
1. Monitor weight in the clinics by means of BMI screening and lifestyle counseling, including an assessment of barriers and readiness to make behavioral changes. This will generally be performed by the primary care team. The US Preventive Services Task Force (USPSTF) recommends BMI screening in children aged six and above.
2. Offer behavioral therapy or cognitive behavioral therapy for people suffering from obesity, through monthly or more frequent sessions. Obese children should be offered at least 25 hours of therapy over 6 months by skilled professionals such as dieticians.
3. Individual or group counseling with the aim of maintaining desired weight, through personal counseling or with written materials, as well as with technology such as the Internet, e-mail, computer programs, computerized telephone systems focused on health-promoting nutrition and physical exercise, and using pedometers with written or computerized tracking of the number of steps taken daily.
4. Offer incentives for participation in weight loss classes or workshops.
5. In cases where behavioral change has not been sufficiently successful, weight loss medication should be considered.
6. If all the above do not succeed and the person involved has a body mass index of ≥ 40 or ≥ 35 with obesity-related morbidity (e.g., diabetes), bariatric surgery should be considered.
The workplace
1. Increase employees’ knowledge of health-promoting nutrition and physical exercise by means of lectures, written information, or designated computer software.
2. Change employee behavior by means of behavioral and social strategies such as individual or group behavioral counseling, skill-building activities such as cue control, providing encouragement or rewards, and inclusion of co-workers or family members to build support systems.
3. Enact changes in policy or in the work environment, such as improving access to healthful foods by changing cafeteria offerings and vending machine content, along with provision of on-site and on-the-job time for physical activity.
Schools and families
1. Develop and field multi-year school curricula on topics such as reducing “screen time”, increasing physical activity, increasing consumption of fruits and vegetables, and reducing consumption of unhealthful foods. Involve parents in the development and family-relevant implementation of programs.
2. Cast parents as agents of change promoting a healthy lifestyle for the entire family. Efforts should be focused on families that are motivated to succeed and willing to devote effort in changing the lifestyle of the entire family.
Healthful Nutrition
Prioritized interventions:
1. Mandatory fortification of basic foods with the vitamins and minerals listed below :
a. All flour imported and/or produced in Israel should be fortified with iron (44mg/kg) and the full vitamin B complex.
b. All salt, imported and domestic, should be fortified with iodine (20 mg/kg). Future reductions of recommended salt intake and salt concentration in processed foods should be taken into account.
c. All dairy products (including milks, yoghurts, soft cheese, and milk substitutes) should be fortified with vitamin D (400 IU/liter).
d. Continued fluoridation of all community water supplies.
2. Healthful food and drink should be assured through reguation, establishment of labeling standards for macro- and micronutrients, and provision of healthful menus in cafeterias of large organizations. Particular attention should be paid to the following:
a. Banning of importing, production, and sale of trans fats-rich foods by the year 2013. These should not be replaced with saturated fats. Clearly label high trans or saturated fat foods.
b. Reduce the sodium content of manufactured foods by 25% by the year 2015, and 35% by 2020, while clearly labeling the salt content of processed foods.
c. Reduce the sugar content in processed foods by 15% by 2020. Clearly label sugars of all kinds on all products.
3. Healthcare providers should counseling people with nutritionally-sensitive chronic diseases and/or risk factors for disease, in keeping with international best practice. This includes the prescription of the following supplements (which should be funded through the Health Basket):
a. Vitamin D: Daily vitamin D supplements (400 IU/d for children and 1000 IU for those 71+) and/or measured daily exposure to the midday sun, considering individual dermal solar sensitivity.
b. Folic acid: Women of childbearing age should be encouraged by all health and social agency providers to consume 400 mg/d.
c. Iron: Infants aged 4 to 12 months should receive 15 mg of iron per day. Assess iron-deficiency status at 9 -12 months, 18 months in all infants. Assess at 24 months in high risk toddlers (Arab/Bedouin, ultraorthodox, low SES, low birth weight, and premature birth) to determine need for continued supplementation.
d. Parenteral supplementation with Vitamin K at birth to all newborns.
","8.2 Monitoring
Monitoring must take place at the individual level by healthcare providers. The Sick Funds should continue to monitor BMI, along with other health and nutrition indicators, paying particular attention to the nutritional needs of each life-stage. Along with the Well-baby clinics (Tipot Chalav), the Sick Funds should continue to monitor the nutritional status of infants, children, adolescents, as well as the elderly and other high nutritional risk groups. This data should be made available on a continuing basis.
National and municipal authorities should monitor the food provided in institutions, pre-schools and schools, workplaces and in the IDF. When new policies require changes in the ingredients of food products, the responsibility for monitoring rests with the manufacturers, but must be overseen by the government.
9.4 Monitoring, research, and oversight
Nutrition is a dynamic field of public health and agricultural, epidemiologic, and nutritional sciences. It is in a continuing state of development and reevaluation as the scientific base expands. The Ministry of Health should conduct MABAT nutrition status monitoring every ten years, with specific surveys during intervening years. Infant and child growth (height, weight, head circumference, and BMI) should be monitored annually and published in summary reports and presented by age (e.g., anthropometric data on infants and children), gender, ethnic group, region of residence, and maternal education levels. Funding for continuing nutrition research by academic centers, in cooperation with the Ministry of Health, should be made available to broaden the information base available for policy generation and revision
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Total 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|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack 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|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|Vitamin B12|Other B-vitamins|Fluoride|Micronutrient supplementation|Food fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Milk|Food distribution/supplementation for prevention of acute malnutrition|Conditional cash transfer programmes|Vulnerable groups","","https://www.health.gov.il/PublicationsFiles/Obesity-prof_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISR%202011%20Health%20Behaviors_0.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"
"14917","KGZ","Kyrgyzstan",""," ПРОГРАММА сектора здравоохранения Кыргызской Республики по адаптации к изменению климата на период 2011‐2015 [National Programme for Health Sector of Kyrgyzstan in relation to Climate Change]","Health sector policy, strategy or plan with nutrition components","","Russian","","2011","","2015","Ministry of Health","10","2011","Adopted","10","2011","Ministry of Health","Health|Food and agriculture|Education and research|Finance, budget and planning|Sub-national","","","","","Association of Industrial Science for Preventive Medicine","","","","","National NGOs","","","","","","Other","Media; Organizations for Curative and Preventive Care; Center for Family Medicine","- предупреждение и снижение риска заболеваемости и смертности населения от инфекционных и паразитарных заболеваний, за счет обеспечения безопасными продуктами питания, улучшения доступности к безопасной питьевой воде и надлежащим санитарно-гигиеническим удобствам
- предупреждение и значительное снижение заболеваемости и смертности населения от желудочно-кишечных расстройств и других последствий для здоровья путем принятия адекватных мер по улучшению доступности к безопасной питьевой воде
- Повышение информированности населения о предотвращении воздействия неблагоприятных факторов окружающей среды, в т.ч. неблагоприятного воздействия на здоровье изменения климата
- Мониторинг безопасности питьевой воды и продуктов питания
Приоритет 5 – Обеспечение доступа населения к безопасной питьевой воде
- Совершенствование нормативной базы по обеспечению населения безопасной питьевой водой в условиях изменения климата
- Улучшение обеспечения ЛПО и МЗ оздоровительных учреждений безопасной питьевой водой
- Обеспечение безопасности питьевой воды
- Оценка воздействия улучшенной инфрастуктуры питьевого водоснабжения на состояние здоровья
Приоритет 6 – Улучшение процедур контроля и качества безопасности пищевых продуктов
- Разработка Технических регламентов по безопасности продуктов питания
- Обеспечение контроля безопасности и качества за продовольственным сырьем и пищевыми продуктами
- Разработка физиологических норм питания для населения, проживающих в различных климато-географических зонах
Приоритет 10 – Обучение и повышение информированности населения по вопросам влияния климата на здоровье
- Совершенствование учебно- образовательных и информационных программ по проблеме климат и здоровье, здоровому образу жизни
- Осуществление коммуникационной стратегии по различным аспектам влияния климата на здоровье и профилактике (безопасная вода и продукты питания, профилактика инфекционных, неинфекционных заболеваний и травм и др.)
","Приоритет 5 – Обеспечение доступа населения к безопасной питьевой воде
- Внести изменения в Закон КР ""О питьевой воде"", Закон КР ""Технический регламент ""О безопасности питьевой воды"", разработать технический регламент ЕврАзЭС ""О безопасности бутилированных природных столовых и минеральных вод""
- Подготовить проектное предложение по «Протоколу вода и здоровье»
- Разработать планы мероприятий в ЛПО по обеспечению безопасной питьевой водой
- Улучшить инфрастуктуру питьевого водоснабжения ЛПО (установить фильтры, резервные емкости для запаса питьевой водой, заменить трубы и др.)
- Обеспечить контроль качества питьевой воды и рекреационных вод по показателям безопасности
- Провести исследования по оценке качества сельского водоснабжения на состояние здоровья населения в рамках проектов ""Предоставление инфраструктурных услуг на уровне населенных пунктов"" АБР, ""Сельскок водоснабжение и санитария-2"" ВБ
Приоритет 6 – Улучшение процедур контроля и качества безопасности пищевых продуктов
- Разработать технические регламенты по безопасности продовольственного сырья и пищевых продуктов
- Проводить лабораторный мониторинг безопасности продовольственного сырья и продуктов питания
- Пересмотреть физиологические нормы питания для различных групп населения
Приоритет 10 – Обучение и повышение информированности населения по вопросам влияния климата на здоровье
- Разработать модули и ИОМ (аудио, видео материалы) для образовательных учреждений (школы, СУЗы, ВУЗы)
- Проводить обучение преподавателей (школ, СУЗов, ВУЗов)
- Внедрить модули по вопросам влияния изменения климата на здоровье в учебную программу «Здоровый образ жизни» системы начального профессионального образования
- Выполнить мероприятия коммуникационной стратегии в рамках программы «Здоровые города»
- Разработать, издать и распространить брошюры, плакаты, учебные пособия для различных категорий населения
- Разработать и распространить аудио и видеоматериалы для населения
- Вовлекать СМИ в освещение вопросов влияния изменения климата на здоровье
","Мониторинг Программы сектора здравоохранения КР по адаптации к изменению климата предусматривает:
- отслеживание прогресса его реализации
- внесение необходимых коррективов
- оценку эффективности выполнения мероприятий
В Плане определяются мероприятия, необходимый бюджет, сроки выполнения и ответственные организации. Представление отчетов и ответственность за выполнение ложится на национальный организационный комитет по изменению климата и адаптации сектора здравоохранения.
","","","Underweight in children 0-5 years|Right to water|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Nutrition & infectious disease|Food safety|Food security and agriculture","","http://www.infoik.net.kg/images/files/KGZ%202011.pdf","Link to the MOH adoption document: http://climatechange.kg/wp-content/uploads/2013/11/Ob-utverzhdenii-Programmy-sektora-zdravoohraneniya.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202011%20National%20Programme%20for%20Health%20Sector%20of%20Kyrgyz%20Republic%20in%20relation%20to%20Climate%20Change.pdf"
"8559","LVA","Latvia","","Public Health Strategy for 2011-2017","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2017","Ministry of Health of the Republic of Latvia","10","2011","Adopted","10","2011","Cabinet of Ministers","Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Sub-national","Ministry of Education and Science, Ministry of Economics, Ministry of Finance, Ministry of Agriculture, Ministry of Health, Centre of Health Economics, Rural Support Service, Local Government Authorities, Latvian Association for Local and Regional Governments","","","","","","","","","National NGOs","LFFC, Latvian Association of Endocrinologists, Latvian Association of Diet and Nutrition Specialists, Latvian Association of Nutrition, Association of General Practitioners, Latvian Federation of Food Production Companies, Latvian Federation of Osteoporosis and Diseases of Bone Metabolism, Latvian Foundation of Fighting Drug Addiction and Dipsomania, Latvian National Coalition for Tobacco and Alcohol Control, Latvian Association of Gynaecologists and Obstetricians","Research/academia","Riga Stradins University","Private sector","Mass Media, 'Mum's Club' Media","Other","Rural General Practitioners","The aim of a public health policy is to prolong the healthy life years of the Latvian population and to prevent untimely deaths, while maintaining, improving and restoring health.
To be achieved by 2017:
- To increase by two years the healthy life years of individuals (from 52.6 healthy life years for men in 2009 to 54.7 years in 2017, and from 55.8 healthy life years for women in 2009 to 57. 8 years in 2017).
- To decrease by 20% the potential years of life lost (from 85,338 potential years of life lost among men in 2009 to 68,270 in 2017, and from 35,793 potential years of life lost among women in 2009 to 28,634 in 2017).
To reach the main aim of the public health policy, the following objectives have been set considering Nutrition:
- To improve the health of mother and child, and decrease infant mortality.
- To decrease the rates of morbidity and mortality from non-infectious diseases, and to decrease the negative impact of risk factors upon the health.
- To eliminate inequality in the field of healthcare services, by implementing measures to ensure equal opportunities for all Latvian inhabitants to access healthcare services.
","To decrease the rates of morbidity and mortality from non-infectious diseases, and to decrease the negative impact of risk factors upon the health.
To achieve the objective:
- Continue implementing the policy for promoting a healthy choice in society and make a healthy choice the easiest choice, using a taxation policy and raising public awareness.
- Continue implementing a united policy for the promotion of a healthy diet, improving the knowledge of inhabitants in regard to the significance of a balanced diet in maintaining and improving health levels, facilitating the availability of healthy and nutritious food in educational institutions, and ensuring that primary school students have access to free lunches.
- Continue implementing a united policy to promote physical activities in society, emphasizing the promotion of people sports, improving the opportunities for people to engage in physical activities, ensuring an environment and infrastructure that promotes physical activities, and developing people’s skills and abilities to engage in physical activities.
- Ensure regular monitoring, research and analysis of the situation concerning the prevalence of risk factors for non-infectious diseases in society.
Tasks
- To implement educational activities for the population in all age groups, taking into consideration gender differences, on the role of physical activities and healthy nutrition in maintaining health, on the role of hygiene and the impact of addiction-inducing substances upon health.
- To provide advice to local government authorities on the implementation of the guidelines for promoting physical activities in local government authorities
- To support the implementation of the program “5 a day” (or 5 helpings of fruit and vegetables per day) in Latvia, increasing the consumption of fruit and vegetables
- To develop informative educational materials on preparing cheap and nutritional food to persons with low income
- To develop a draft legal act to restrict the amount of trans- acids in food products
- To elaborate legal regulation on food rations at catering facilities in closed institutions
- Continue implementing “School Milk” program, envisaging the possibility to preschoolers and students of comprehensive institutions of education to receive dairy products in the framework of the EU support programs
- To continue implementing the program for supplying fruit and vegetables to school, envisaging the possibility to the students of comprehensive institutions of education to receive integrated fruit and vegetables in the framework of the EU support programs
- To develop legal regulation for defining energy drinks
To improve the health of mother and child, and decrease infant mortality.
To achieve the objective: Continue implementing the united policy to promote maternal and child health, improving pregnancy and newborn care, increasing the knowledge among pregnant women about the negative impact of addiction-inducing substances upon the health of the pregnant woman and fetus and promoting breast feeding and appropriate complementary food.
Tasks
- To implement educational activities for parents on the harmful impact of addiction-inducing substances upon the health of a pregnant woman and the fetus, on healthy nutrition for children, inuring children, physical activities and safety
- Organizing informative educational events on topics related to family health, including: lectures, discussion groups, health weeks, and round table discussions.
- To inform medical staff, parents and opinion shapers in mass media on the role of mother’s milk in ensuring and maintaining a child’s health
To eliminate inequality in the field of healthcare services, by implementing measures to ensure equal opportunities for all Latvian inhabitants to access healthcare services.
To achieve the objective:
- Equal access to the promotion of good health, disease prevention, early disease diagnostics, and healthcare services, irrespective of a person’s place of residence, age, gender, or social and legal status, should be ensured.
- Cooperation between public administration institutions, local government authorities, and non-governmental organisations in order to improve the accessibility of health promotion measures is something that should be ensured.
- Monitoring the health status of the general public should be ensured.
Tasks
- To cooperate with public opinion shapers, including journalists and editors of mass media, to provide more extensive information to society about public health issues.
- To identify mechanisms for ensuring effective provision of information to society and to submit to HM information on methods for informing society and the calculations of the necessary funding.
- To develop and annual public health communications plan in cooperation with other sectors.
- To develop guidelines on health promotion measures in local government authorities.
- To implement activities to inform target groups about health issues, i.e., taking into consideration gender differenced and developing informative materials aimed at male and female target audiences.
","- Mortality from diabetes
- Mortality from circulatory diseases
- Restrictions to the use of trans-acids defined in legal acts.
- Infant mortality
- Proportion of children (15yrs), who assess their health status as good (%)
- Proportion of infants who are breast-fed till the age of 6 months (%)
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Fiscal policies|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Food distribution/supplementation for prevention of acute malnutrition|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Vulnerable groups","","http://www.who.int/fctc/reporting/party_reports/latvia_annex2_public_health_strategy_2011_2017.pdf","","Head of Division of health Promotion, Department of Public Health, Ministry of Health","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LVA%202011%20Public%20Health%20Strategy.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"
"22870","PHL","Philippines","","The Implementing Rules and Regulation of Republic Act No. 10028","Legislation relevant to nutrition","","English","9","2011","","","Department of Health, Republic of the Philippines","8","2011","Adopted","9","2011","","Finance, budget and planning|Health|Labour|Other|Trade","Bureau of Internal Revenue (BIR), Department of Health (DOH), Department of Labor and Employment (DOLE), Local Government Units (LGUs), Department of Trade and Industry (DTI)","","","","","","","","","","","","","","","","","","","","","Section 1. Title - These rules shall be known and cited as the Rules and Regulations Implementing Republic Act No.10028 also known as the """"Expanded Breastfeeding Promotion Act of 2009.
Section 2. Purpose - These Rules are promulgated to prescribe the procedure and guidelines for the Implementation of the Expanded Breastfeeding Promotion Act of 2009 in order to facilitate the compliance therewith and to achieve the objectives there of pursuant to Section 18 of RA 10028.
Section 3. Construction - These Rules shall be liberally construed and applied in accordance with and in furtherance of the policy and objectives of the law. In case of conflict and/or ambiguity, which may arise in the implementation of these Rules, the agencies concerned shall issue the necessary clarification.
Section 4. Declaration of Policy - The State adopts rooming-in as a national policy to encourage, protect and support the practice of breastfeeding. It shall create an environment where basic physical, emotional, and psychological needs of mothers and infants are fulfilled through the practice of rooming-in and breastfeeding. The State shall likewise protect working women by providing safe and healthful working conditions, taking into account their maternal functions, and such facilities and opportunities that will enhance their welfare and enable them to realize their full potential in the service of the nation. This is consistent with international treaties and conventions to which the Philippines is a signatory such as the Convention on the Elimination of Discrimination Against Women (CEDAW), which emphasizes provision of necessary supporting social services to enable parents to combine family obligations with work responsibilities; the Beijing Platform for Action and Strategic Objective, which promotes harmonization of work and family responsibilities for women and men; and the Convention on the Rights of the Child, which recognizes a child's inherent right to life and the State's obligations to ensure the child's survival and development. Breastfeeding has distinct advantages which benefit the infant and the mother, including the hospital and the country that adopt its practice. It is the first preventive health measure that can be given to the child at birth. It saves children from dying. It also enhances the mother-infant relationship. Furthermore, the practice of breastfeeding could save the country valuable foreign exchange that would otherwise be used for milk importation. Breastmilk is unequalled as the best food for infants because it contains essential nutrients completely suitable their needs. It is also nature's first immunization, enabling the infant to fight potential serious infection. It contains growth factors that enhance the maturation of an infant's organ systems' Towards this end, the State shall promote and encourage breastfeeding and provide the specific measures that would present opportunities for mothers to continue expressing their milk and/or breastfeeding their infant or young child.
","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food safety|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Functioning implementation and monitoring mechanism|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12092","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20The%20Implementing%20Rules%20and%20Regulation%20of%20Republic%20Act%20No.%2010028.pdf"
"25719","MDA","Republic of Moldova","","Национальная Программа по ликвидации йододефицитных нарушений до 2015 года [National Program on IDD elimination]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","8","2011","12","2015","Monitorul Oficial Nr. 131-133","8","2011","Adopted","8","2011","Government of Moldova","Cabinet/Presidency|Health|Food and agriculture|Sub-national|Other","Customs Authority","","","","","","","","","National NGOs","","Research/academia","Academy of Science of Moldova","Private sector","Food producers, importers and retailers","Other","Public health centers, public feeding facilities","Национальная программа по ликвидации йододефицитных нарушений до 2015 года (в дальнейшем – Программа) предназначена для защиты здоровья населения относительно пищевого фактора, в частности, ликвидации пищевого недостатка йода и его последствий – йододефицитных нарушений.
Цель настоящей Программы – ликвидация йододефицитных нарушений до 2015 года путем обеспечения и поддержания йодирования соли как основной стратегии общественного здоровья.
","Для удовлетворения пищевых нужд населения в йоде и для консолидации и обеспечения устойчивого использования пищевой йодированной соли импортеры и дистрибьюторы пищевой соли на рынке Республики Молдова поставят в распоряжение предприятий пищевой промышленности, торговли пищевыми продуктами и общественного питания, в том числе в места питания в общественных и частных медико-санитарных учреждениях, в учреждения для детей и подростков на всей территории Республики Молдова адекватно йодированную пищевую соль, соответствующую действующим положениям. В свою очередь, указанные предприятия и учреждения поставят в распоряжение покупателей и потребителей адекватно йодированную пищевую соль.
Программа направлена на реализацию задач Плана действий по внедрению Национальной программы по ликвидации йододефицитных нарушений до 2015 года в соответствии с приложением к настоящей Программе, в том числе:
- обеспечение ввоза и размещения на рынке не менее 95% адекватно йодированной пищевой соли к 1 января 2014 года и устойчивое поддержание данного удельного веса;
- рост удельного веса использования адекватно йодированной соли до не менее 90% хозяйствами к 2014 году и устойчивое поддержание данного удельного веса;
- рост удельного веса предприятий по производству хлеба и хлебобулочных изделий, использующих пищевую йодированную соль, до 100% к 1 января 2012 года и последующее устойчивое поддержание данного удельного веса;
- рост удельного веса предприятий пищевой промышленности, иных, чем предприятия по производству хлеба и хлебобулочных изделий, использующих пищевую йодированную соль, до 90% к 1 января 2014 года и до 100% - к 1 января 2015 года и последующее устойчивое поддержание данного удельного веса;
9. Министерство здравоохранения обеспечит мониторинг качества пищевой йодированной соли, импортированной и размещенной на внутреннем рынке Республики Молдова.
","Ожидаемые результаты к 2015 году следующие:
- медиана выделения йода с мочой у детей 8-10 лет составит 100-300 мкг йода на литр мочи;
- 95% йодированной пищевой соли, размещенной на рынке, является адекватно йодированной (начиная с 1 января 2014 года);
- не менее 90% хозяйств будут использовать адекватно йодированную пищевую соль (начиная с 1 января 2014 года);
- 100% предприятий по производству хлеба и хлебобулочных изделий будут использовать йодированную соль (начиная с 1 января 2012 года);
- 100% предприятий пищевой промышленности, иные, чем предприятия по производству хлеба и хлебобулочных изделий, используют пищевую йодированную соль (начиная с 1 января 2015 года).
","Outcome indicators|Process indicators","","Iodine deficiency disorders|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition","","http://lex.justice.md/viewdoc.php?action=view&view=doc&id=339796&lang=2","Includes additions of 2015 (Addition details: ИЗМЕНЕНО ПП632 от 11.09.15, МО258-261/18.09.15 ст.723)","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202011%20IDD%20Elimination.pdf"
"14808","UGA","Uganda","","National Strategic Programme Plan of Interventions for Orphans and other Vulnerable Children (NSPPI-2)","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2011","","2016","Ministry of Gender, Labour and Social Development","","2011","Adopted","","","All major stakeholders from all line government sectors, civil society, UN bodies and development partners","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Sub-national","Ministry of Gender, Labor and Social Development","United Nations Children's Fund (UNICEF)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","Key strategy 1
Supporting and strengthening the capacity of households and other caregivers to protect and care for orphans and other vulnerable children (OVC).
Efforts shall be directed towards improving their incomes and productivity, ensuring the establishment of sustainable food security systems and improving nutrition for OVC and their households.
Objective 2: Expand access to essential services for orphans and other vulnerable children, their caregivers and families/households
Interventions:
- Food and Nutrition Security: 70% of households are food secure and have proper nutrition
- Health, Water, Sanitation and Shelter: Increased access to and utilization of safe water and sanitation facilities for OVC at household, community and institutional levels especially in schools, children’s and remand homes.
","Objective 2: Expand access to essential services for orphans and other vulnerable children, their caregivers and families/households.
Interventions:
2.1 Provide social assistance to OVC households to address hunger and malnutrition
a) Implement a national cash transfer programme to increase access to and utilization of food
b) Provide food aid to critically vulnerable OVC and their households
1.2 Promote increased agricultural production and livelihood diversification for OVC households to strengthen their food security
d) Promote commercial agriculture for OVC households to enable them generate income and meet their diversified dietary needs
2.3 Promote proper nutrition for OVC in homes, schools, and other institutions
a) Promote diet diversification, supplementation and fortification for children in households and institutions (children’s homes, schools)
b) Support Community education and sensitization programs on proper nutrition for children including training in food handling, preparation and storage
c) Train communities, VHT and other duty bearers in nutrition monitoring and basic health care practices
d) Promote breast feeding among lactating mothers except where it is not medically recommended
","Indicator: Number of OVC/ OVC households who receive food support. Target: 95% of all OVC fully nourished
Indicator: Number of OVC caregivers trained in food security and nutrition. Target: 400 000 (baseline not available)
Increase number of OVC households receiving emergency food aid from 34,334 OVC households with emergy food aid (baseline) to 211, 718 (target)
NSPPIS-2 does not speciy when targets are to be met (or when baseline values were predicted)
","Outcome indicators","","Breastfeeding|Underweight in children 0-5 years|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/Final_Printed_OVC_Strategic_Plan_Uganda_-NSPPI_2.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20National%20Strategic%20Programme%20Plan%20of%20Interventions%20for%20Orphans%20and%20Other%20Vulnerable%20Children.pdf"
"36037","TZA","United Republic of Tanzania","","Tanzania Agriculture and Food Security Investment Plan (TAFSIP) ","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2011","","2021","","10","2011","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Inter-Ministerial Coordinating Committee (ICC),","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","Private sector","","Other","communities, farmer organizations","Goal: contribute to the national economic growth, household income and food security in line with national and sectoral development
aspirations growth, household income and food security in line with national and sectoral development aspirations
Objective: rationalise allocation of resources to achieveannual 6 percent agricultural GDP growth, consistent with national objectives to reduce ruralpoverty and improve house hold food and nutrition security
Strategic objective: Enhanced household and national food and nutrition security
","4 THE INVESTMENT PLAN
4.3 Priority Investment Areas
4.3.5 Food and Nutrition Security
109. Food and nutrition security takes a number of forms, all of which affect the quality of life and productivity of rural people. Chronic, transitory and emergency food insecurity due to poor agricultural productivity, food inaccessibility and natural disasters all play a role. A 2005 survey found that 15 per cent of households in selected locations were food insecure and another 15 per cent were highly vulnerable. Northern and central regions were worst affected and the level of food insecurity in some areas was high as 45 percent. Food security is highly dependent on rain-fed agriculture which also is susceptible to the vagaries of weather. Therefore there is need to promote and embark on irrigated agriculture and diversification of crops (drought resistant crops) for greater reliability of food supplies.
110. Capacity of strategic food reserves; The issue of strategic food reserves needs to consider: (i) an appropriate level of stocks to hold; (ii) transparent protocols and rules for the acquisition and release of stocks, stock rotation, and the use of financial instruments to complement physical stock-holding; and (iii) policies and procedures for dealing with food price spikes of the type currently being experienced.
111. Malnutrition is one of the most serious constraints to labour productivity and economic growth. Chronic malnutrition is also high with 38 per cent of children less than five years of age being stunted, making it one of the ten worst affected countries in the world and third worst in Africa. Over the last five years (2005 to 2010) the levels of chronic malnutrition and calorie deficiency were only reduced slightly. Malnutrition reduces labour productivity and earning potential most within the agricultural sector where physical stature and body strength are critical. In children, malnutrition often contributes to increased child mortality, and for those who survive, it diminishes their ability to grow, learn and earn a decent income as adults.
112. There will continue to be a proportion of rural households needing special support to help them achieve food security and protect them against shocks, principally droughts. It is expected that advancements in other areas of the TAFSIP will progressively reduce the number of households requiring food aid and other forms of assistance to survive. The effectiveness of targeting social safety net programmes for vulnerable groups will be sharpened, and the prevalence of child and maternal malnutrition is expected to decline. As the size and cost of the safety net programme begins to decline, more resources will be available for disaster risk management including disaster preparedness and mitigation.
113. SO5 also aims at strengthening social protection systems, particularly for the most vulnerable households by improving their food and nutrition security and asset creation while promoting human capital development through education. The National Nutrition Strategy addresses the problem of chronic malnutrition by working with multiple sectors and across government agencies. This recognises that increasing food production alone does not necessarily translate into improved nutrition outcomes. Families must also be provided with information and education about good nutrition and sanitation practices. A national school feeding program will also be supported to improve food intake and increase school attendance.
114. Small, strategic and targeted support can meet the immediate nutritional needs of vulnerable households, buffering them from asset depletion and coping strategies that undermine their long-term resilience. However, emergency support will not shift households out of poverty. Therefore additional interventions such as productive safety net and household asset protection will also be implemented. These measures support productive investment through conditional transfers that provide pathways out of poverty via rural infrastructure development, market access, agricultural productivity improvement, education, healthcare and other services.
115. The Tanzania National Food Centre (TNFC) is currently finalising the National Food and Nutrition Policy. A key policy issue is the need to ensure that significant numbers beneficiaries graduate from chronic food insecurity to enable them to advance towards becoming small-scale semi-commercial farmers under SO5; and for households to improve their knowledge about how to use increasing food availability to improve the nutritional status of their children. Increasing the rate of graduation is contingent upon the rate of progress under the other three strategic objectives and should be responsive to the needs of vulnerable households affected by natural disasters. As such, it is not advisable to prescribe the rate at which social safety net programmes can be scaled down, and to retain the capacity to respond to weather-related and other crises should circumstances deteriorate, for example through a severe and widespread drought or epidemic.
116. There is a need for better integration of dietary diversification and nutrition behavior change into all agricultural sector programmes. This recognises that simply producing more and better food is not sufficient. Rural households, especially the more vulnerable and disadvantaged ones need to understand the importance of diet in overall wellbeing and have the knowledge to use the food that they have in the best possible way. In this context there are potential tensions between policies that encourage agricultural commercialisation (often involving increased specialisation) and the need to maintain diversification of farming systems and diets.
117. Other aspects of food and nutrition policy include food safety and food fortification. Current standards of food safety need to be greatly improved including microbiology, pesticide residues, labelling standards and safe storage and transport. The new food fortification standards for oil, wheat and maize flour need to be enforced. The development and enforcement of standards needs to be balanced with public education on safe food handling practices. This is also important in accessing export markets and will be increasingly important in maintaining a competitive position in the high end of the domestic market. In addition to the above, the following priority areas will be addressed: (i) finalization and implementation of nutrition strategy; (ii) establishment of high level nutrition steering committee in the Mainland ; (iii) effective 2012 designate budget line in the national budget for nutrition; (iv) stronger integration of nutrition into agricultural activities; (v) establishment of nutritional focal point at district level; and finalization and implementation of guidelines related to food fortification. The outcomes that SO4 is expected to influence, and the milestone indicators showing progress towards these outcomes are as well reflected in Annex 1.
","• % of national food requirements supplied by domestic production
• No. of rural households with calorie availablity < xxx/person/day
• % of low birth weights and stunted children under five years
• % of households eating < 2 meals/day
• % of population with anaemia, vitamin A and iodine deficiency
• % of pregnant women and children under 5 with specific nutrient/micro-nutrient deficiencies
• % of districts reporting food shortages
• % of land used for crops of high nutritional value
","Outcome indicators","","Low birth weight|Stunting in children 0-5 yrs|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Food safety|Food security and agriculture|Household food security|Food sovereignty|Vulnerable groups","","https://www.grain.org/media/W1siZiIsIjIwMTMvMDIvMjgvMTRfNDJfMTFfODBfVGFuemFuaWFfQ0FBRFBfUG9zdF9Db21wYWN0X0ludmVzdG1lbnRfUGxhbi5wZGYiXV0","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA-2011-TAFSIP.pdf"
"11524","ZMB","Zambia","","National Food and Nutrition Strategic Plan for Zambia 2011-2016","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","National Food and Nutrition Commission of Zambia","","2012","","","","","Education and research|Food and agriculture|Health|Sub-national|Women, children, families","National Food and Nutrition Commission of Zambia Education and Research, Food and agriculture, Health, Sub-national, Women, children, families: Ministry of Education, Science Vocational Training, and Early Education, Ministry of Agriculture and Livestock,","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","WHO, UNICEF, WFP, FAO, IFAD","","Concern International, CARE International, World Vision","Department of International Development (DFID)|Other|The World Bank|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: Department of International Development (DFID), The World Bank, US Agency for International Development (USAID),","","","","","","","","","","","Strategic Directions:
SD 1: Prevention of Stunting in Children Under-Two Years of Age: First 1000 Most Critical Days
SD 2: Increasing Micronutrient and Macronutrient Availability,Accessibility and Utilization through Improving Food and Nutrition Security.
SD 3: Early Identification,Treatment, and Follow -up of Severe Acute Malnutrition
SD 4: Improving Nutrition Education and Nutritious Feeding through School
SD 5: Increase Linkages among Hygiene, Sanitation, Infection Control, and Nutrition
SD 6: Food and Nutrition to Mitigate HIV and AIDS
SD 7: Nutrition Related Control and Prevention Measures of Diet Related Non Communicable Diseases
SD 8: Food and Nutrition Preparedness and Response to Emergencies
SD 9: Strengthening Governance, Capacity Building and Partnerships in Support of Food and Nutrition Interventions at All Levels
SD 10: Monitoring and Evaluating Food and Nutrition Situation, Interventions and Research to Support their Improvement and Expansion
SD 11: Expanding and Developing Communication and Advocacy Support for Food and Nutrition Interventions at Various Levels.
","Strategies:
SD 1 Strategies
a) Expansion and enhancing integration of high impact maternal and child nutrition interventions focusing on the First 1000 Most Critical Days. This will involve development of a nation -wide programme to be designed with broad cross sector and civil society participation and rapid but phased implementation supported by well-designed monitoring and communication support elements.
b) Develop a costed funding strategy seeking resources from multiple sectors, and substantial funds from international sources committed to Scale up Nutrition (SUN).
c) Plan, generate necessary buy-in from leadership, sector ministries and other stakeholders at national and sub national levels and begin implementation of a national “First 1000 Most Critical Days Programme (MCDP)” to Prevent Stunting in Children Less than two Years of Age.
SD 2 Strategies
a) Promote sustainable production, processing, preservation, storage, consumption and marketing of variety of food crops (especially legumes, vegetables, and fruits), fish, and livestock.
b) Increase production and use of fortified and bio-fortified foods including home fortification to improve micronutrient nutrition.
c) Strengthen Public –Private Partnerships and support for food fortification.
d) Promote and expand micronutrient supplementation innovations to complement food-based approaches for increasing micronutrients availability, accessibility, and utilization.
SD 3 Strategies
a) Finalization and implementation of new national protocols for the management of severe acute malnutrition at hospital, clinic and community levels.
b) Strengthen Community Groups (e.g. Community health workers, Nutrition groups etc.) roles regarding acute malnutrition in children.
c) Increase resources to support community level resources for management of moderate and severe acute malnutrition.
SD 4 Strategies
a) Review, expand , and strengthen school health nutrition programme interventions countrywide.
b) Institutionalize home-grown school feeding program.
c) Strengthen nutrition education in schools.
d) Advocate for the improvement of appropriate water and sanitation facilities in all schools to carter for all learners including those with special needs and girls.
e) Strengthen school feeding and nutrition education.
SD 5 Strategies
a) Develop and provide sustainable water supply and sanitation services in rural, urban and periurban areas.
b) Enhance capacity in effective planning, implementation and monitoring of programmes for water supply and sanitation service delivery.
c) Strengthen human, technical and financial capacity of institutions for improved water supply and sanitation service delivery in the rural, urban and peri-urban areas.
d) Enhance communication and advocacy for improved sanitation and hygiene practices.
SD 6 Strategies
a) Advocacy for mainstreaming of food and nutrition as an integral part of comprehensive HIV management and support for those infected and affected by HIV and AIDS.
b) Strengthen community-clinic linkage on nutrition support for PLHIV and affected families.
c) Strengthening the community HIV programmes nutrition support capacity.
SD 7 Strategies
a) Strengthening nutrition related aspects of non-communicable diseases’ national control programme.
SD 8 Strategies
a) Develop and implement training in key areas of food and nutrition in the context of emergency preparedness and disaster risk reduction and response.
SD 9 Strategies
a) Position food and nutrition on the national development agenda.
b) Build institutional and human capacity for the effective delivery of nutrition services, including the design, development and implementation of relevant nutrition programmes, projects and interventions.
c) Establish strategic and operational partnerships and alliances with private, public and civil society organizations in food and nutrition.
SD 10 Strategies
a) Use of evidence based information for nutrition programme design.
b) Strengthen food and nutrition results-oriented monitoring and evaluation system.
SD 11 Strategies
a) Create platforms for information sharing and networking for decision and policy formulation aimed at promoting availability, accessibility and utilization of micronutrient and macronutrient among the public.
b) Increase knowledge and awareness among mothers and other stakeholders in Zambia on the prevention of stunting in children less than two years of age.
c) Advocate for effective implementation of policies that promote food and nutrition component in care, treatment and support services for PLHIV.
d) Advocate for the strengthening of existing policies and their implementation aimed at promoting early identification, treatment and follow-up of acute malnutrition.
e) Advocate for effective implementation of policy that support food and nutrition emergency preparedness and response.
f) Advocate for the development of policies and programmes that promote prevention and control of dietary related NCDs.
g) Promote practices that enhance sustainable availability, accessibility and consumption of a variety of foods at household level.
h) Advocate for improved investment in food and nutrition interventions.
","M & E Indicators included in the Implementation Matrix
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|Maize flours|Refined sugar|Complementary foods|Biofortifcation|Acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202011-2015_NFNC-Stratergic-Plan-2011-2015%5B1%5D.pdf"
"23149","ZMB","Zambia","","National AIDS Strategic Framework","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Government of Zambia","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Development|Labour|Other","Cabinet Committee on HIV and AIDS, Ministry of Community Development and Social Services, Ministry of Youth Sports and Child Development, Ministry of Science, Technology and Vocational Training","","","","","","","","","","","","","","","","","","3.1.5. Prevention of mother to child transmission
Priority strategies:
ii. Providing technical guidance to optimize quality pediatric HIV prevention, care nutrition support
and treatment services
3.2.1. Antiretroviral therapy
Priority strategies:
v. Provide nutrition for malnourished people living with HIV (PLHIV), children and infants
3.3.1 Vulnerable households and Individuals
Priority strategies:
iii. Provide food and material support to incapacitated vulnerable households (e.g. because of
physical or life-cycle status)
iv. Promote small scale sustainable community or households agricultural projects that will
improve household food security. Some of the livelihood initiatives would be more of income
generating activities
v. Prioritise food assistance to food insecure households with chronically ill adults and children
3.3.2 Orphans and vulnerable children
Priority strategies
ii. Provide education, psychosocial and material support nutrition, and shelter, and a caregiver to in and out- of- school female and male OVC
","Annex 1. The NASF Results Framework
D) MITIGATION
Outcome result:
Vulnerable households and food security
[OC17] More people receive comprehensive and quality care at home and in the community. Female and male aged 15-59 who either have been very sick or who died within the last 12 months after being very sick whose households received certain free basket external support to care for them within the last year increased from 41% in 2009 to 50 % in 2013 and 60 % by 2015.
Output result
[OP44] Households with vulnerable persons who received all three types (medical, emotional, and social/material) of support in the last year increased from 5.5% in 2007 to 10% in 2013 and 20% by 2015
[OP45] Females and males adult PLHIV who are clinically malnourished and who received nutritional support increased from 15% in 2007 to 25% in 2013 and to 50% in 2015.
","","","Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202010%20National%20AIDS%20Strategic%20Framework.pdf"
"11543","ATG","Antigua and Barbuda","","Antigua and Barbuda Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","","Government of Antigua and Barbuda","","2012","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Sub-national|Other","THE GOVERNMENT OF ANTIGUA AND BARBUDA","Food and Agriculture Organisation (FAO)|Other|World Health Organization (WHO)","THE CARIBBEAN FOOD AND NUTRITION INSTITUTE (CFNI/PAHO/WHO), PAHO, WHO, FAO","","","","","","","","","","","","","","","The long-term goal of the Policy is to achieve sustainable food and nutrition security and to eliminate all forms of malnutrition in order to have a well-nourished and healthy population that can fulfil its aspirations to good health and economic well-being and effectively contribute to national socio-economic development.
Specific Objectives:
- Ensure that a sufficient quantity of nutritious food of appropriate quality is available to all people in Antigua and Barbuda, through increased domestic production and a sustainable level of imports, with special emphasis on a structured food import replacement programme (Food Availability).
- Ensure that all individuals in Antigua and Barbuda have access to adequate resources to acquire appropriate foods for a nutritious diet (Food Accessibility).
- Ensure that all individuals in Antigua and Barbuda reach a state of nutritional well-being through food choices and consumption that reflect Recommended Dietary Allowances (RDAs) (Food Utilization/Nutritional Status/).
- Ensure that all people in Antigua and Barbuda have access to adequate, safe and nutritious food at all times, are not at risk of losing access to it due to shocks, and consume/utilize foods that reflect physiological needs (Stability of Food Supply).
","- Increase household food production and trading
- Improve income generation and job creation opportunities Improve nutrition and food safety
- Increase safety nets and food emergency management systems
- Improve analysis and information management system
- Provide capacity building
- Hold stakeholder dialogue
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Capacity building for the Code|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|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ATG%202012%20FoodNutritionSecurityPolicyAG.pdf"
"8297","BRB","Barbados","","United Nations Development Assistance Framework (UNDAF) for Barbados and the Organisation of Eastern Caribbean States (OECS) 2012 to 2016","Non-national nutrition policy document","","English","","2012","","2016","United Nations System in Barbados and the Organisation of Eastern Caribbean States (OECS)","","2011","Adopted","","","FAO, UN women, ITU, UNDP, PAHO/WHO, UNAIDS, UNICEF, UNECLAC, UNESCO; UNFPA, UNIC, UPU; ILO, UNEP, UNIDO, UNODC","Health|Labour|Other","Ministry of Health, National AIDS programme","United Nations Development Programme (UNDP)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNODC, PAHO","","","","","","","National NGOs","Media, Environmental NGOs, Agricultural Associations, Employers and Workers Organizations, Human Rights NGOs, NGOs working in HIV/AIDS, FBOs","","","Private sector","UN-Women","","","UNDAF Priority : Improved Food and Nutrition Security
Outcome: By 2016 there is strengthened policy, legislative framework and food production environment towards higher levels of food and nutrition security.
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Outcome: A more enabling environment established for the reduction of incidence, morbidity and mortality from HIV and noncommunicable diseases
","UNDAF Priority : Improved Food and Nutrition Security:
Output 1.1 Strengthened capacities for the preparation and implementation of food and nutrition security policies at the national level strengthened.
Output 1.3 Improved production techniques and technologies to support climate resilient agricultural related livelihoods within rural and urban communities
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Output 1.1 Policies to address stigma, discrimination in vulnerable populations promoted and implementation facilitated through the provision of technical assistance, financial resources, capacity building and partnerships
Output 1.3 National Surveillance of NCD/HIV strengthened
","UNDAF Priority : Improved Food and Nutrition Security:
Indicators: # of countries with food and nutrition strategies prepared
Baseline :1
Target : 5% in increase production of selected vegetables, fruits, fish and animal products increased by
Indicators: % increase in per capita consumption of
Targeted foods increased
Baseline: 2011 production levels.
Target: 10% increase in 6 countries
Baseline: 2011 production levels
Target: 1% by 2016 in 5 countries
Output 1.1:
Indicators # of regional capacity development opportunities linked to food and nutrition planning with positive evaluations conducted.
Baseline = 0
Target = 2# of countries with food and nutrition strategies prepared.
Baseline = 2
Target = 7
Output 1.3:
Indicators # of countries with DRM/CCA plans for the agricultural sector in place.
Baseline = 2
Target ? 4 % increase in backyard food production disaggregated by sex (rural and urban)
Baseline = 2011 level of backyard production
Target = 10% and age.
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Indicators:
Regional Strategic plan in place
# countries with action agendas for NSPs in implementation.
% increase in expenditure on HIV
# of Parliamentarians advocating on issues of stigma and discrimination
25% increase in sustainable prevention programmes
25% increase in media reports over 2011 base year.
Baseline: Most countries do not yet truly know their epidemic and need to step up efforts to collect, analyse and use data for planning, policy formulation and assessing progress. Overall, significant progress has been made in increasing access to HIV care and treatment and that of NCDs and the HIV epidemic seems to reach a plateau, though at high level. Stigma and discrimination are important challenges and legislative reform is required to ensure the human rights of vulnerable populations and those infected with HIV are respected
Target: All countries have established adequate systems for surveillance of HIV/NCDs to enable countries to better understand their HIV epidemic and NCD status and inform decision making, and increase access to related health services. At least 60% of countries have policies to support HIV and noncommunicable disease programmes that address stigma and discrimination and among vulnerable groups, taking into account of gender-based HIV vulnerabilities. Countries have improved HIV and nutrition education, and clear dietary guidelines.
Output 1.1.
Indicators:
# of schools in which nutrition has been added to the school curriculum.
# of countries with food based dietary guidelines prepared.
Baseline: Countries have draft work place policies Few schools with nutrition as part of curriculum. 4 countries with food based dietary guidelines prepared
Target: At least 60% of member states have policies to support HIV and non-communicable disease programmes that address stigma, discrimination and vulnerabilities. Work place policies adopted or included in national HIV/AIDS revised policies in at least 4 countries. All new programmatic, prevention-oriented responses take account of gender-based HIV vulnerabilities. At least 6 countries have developed food based dietary guidelines and integrated nutrition into school curricula
Output 1.3 National Surveillance of NCD/HIV strengthened
Indicators: % of obesity in females and males between the ages of 16-55% of minors who regularly consume alcohol# of schools with substance abuse and HIV prevention counselling
Baseline: Reporting on UNGASS Indicators in Barbados and the OECS ranges from 27% in Dominica to 77% in St. Lucia, with 5 of the 10 countries reporting on 50% or more. Reporting on Indicators relating to most vulnerable populations is low, indicating that national decision makers have not achieved clear understanding on the most at risk populations in the epidemic. Counselling support, particularly for at risk groups need to be strengthened.
Target: All countries have adequate and functional sites and systems for surveillance of HIV/NCD and capacity of statistics offices, ministries of health, and national aids commissions strengthened through networking, exchange of experiences and training opportunities. HIV prevalence and incidence among population between 0 - 25 reduced by 25% and obesity in females and males by 25%. Policies and updated legislation in place to restrict use of alcohol among minors, support counselling in schools to address the problem of drug and alcohol abuse by students, and integrate substance use and HIV prevention messages into youth services in at least 3 countries.
","Outcome indicators","","Overweight and obesity in adults|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|HIV/AIDS and nutrition|Food security and agriculture","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202012%20UNDAF%20Barbados%20OECS%202012%20-%202016%2023.pdf"
"23237","BRA","Brazil","","Política Nacional de Alimentação e Nutrição 2012","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2012","","","Health ministry","","2012","","","","","Health|Education and research|Labour|Other","Employment, housing and culture.","","","","","","","","","","","","","","","","","A Política Nacional de Alimentação e Nutrição (PNAN) tem como propósito a melhoria das condições de alimentação, nutrição e saúde da população brasileira, mediante a promoção de práticas alimentares adequadas e saudáveis, a vigilância alimentar e nutricional, a prevenção e o cuidado integral dos agravos relacionados à alimentação e nutrição.
","As diretrizes que integram a PNAN indicam as linhas de ações para o alcance do seu propósito, capazes de modificar os determinantes de saúde e promover a saúde da população. Sendo consolidadas em:
1. Organização da Atenção Nutricional;
2. Promoção da Alimentação Adequada e Saudável;
3. Vigilância Alimentar e Nutricional;
4. Gestão das Ações de Alimentação e Nutrição;
5. Participação e Controle Social;
6. Qualificação da Força de Trabalho;
7. Controle e Regulação dos Alimentos;
8. Pesquisa, Inovação e Conhecimento em Alimentação e Nutrição;
9. Cooperação e articulação para a Segurança Alimentar e Nutricional.
","Ao viabilizar essa avaliação, deverão ser considerados indicadores que permitam verificar em que medida são consolidados os princípios e diretrizes do SUS, na conformidade do detalhamento feito no Art. 7º, da Lei n° 8.080/90, observando-se, por exemplo, se:
- O potencial dos serviços de saúde e as possibilidades de utilização pelo usuário estão sendo devidamente divulgados junto à população;
- O estabelecimento de prioridades, a alocação de recursos e a orientação programática estão sendo fundamentados na epidemiologia;
- Os planos, programas, projetos e atividades que operacionalizam a Política Nacional de Alimentação e Nutrição estão sendo desenvolvidos de forma descentralizada, considerando a direção única e as responsabilidades em cada esfera de gestão.
Pactuar, monitorar e avaliar os indicadores de alimentação e nutrição e alimentar os sistemas de informação da saúde, de forma contínua, com dados produzidos no sistema local de saúde;
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Wheat flours|Maize flours|Food security and agriculture|Conditional cash transfer programmes","","http://dab.saude.gov.br/portaldab/biblioteca.php?conteudo=publicacoes/pnan","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202012%20Pol%C3%ADtica%20Nacional%20de%20Alimenta%C3%A7%C3%A3o%20e%20Nutri%C3%A7%C3%A3o_0.pdf"
"11610","GTM","Guatemala","","Orientaciones estratégicas de política 2012-2014","Comprehensive national nutrition policy, strategy or plan","","Spanish","1","2012","12","2014","Secretaría de Planificación y Programación de la Presidencia -SEGEPLAN","2","2011","Adopted","2","2011","Secretaría de Planificación y Programación de la Presidencia -SEGEPLAN","Education and research|Finance, budget and planning|Health|Labour|Food and agriculture|Other","Instituto Nacional de Estadística - INE, Instituto Nacional de Fomento Municipal - INFOM, Ministerio de Agricultura, Ganadería y Alimentación -MAGA, Ministerio de Comunicaciones, Insraestructura y vivienda -CIV, Ministerio de Economía -MINECO, Ministerio de Educación - MINEDUC, Ministerio de Trabajo - MINTRAB, Secretaría de obras Sociales de la Esposa del Presidente -SOSEP, Secretaría de Seguridad Alimentaria y Nutricional - SESAN","","","","","","","","","","","","","","","","","El documento no plantea objetivos pero, del capítulo de presentación se deducen los siguientes:
Concretar la articulación Plan-Presupuesto y armonizar las prioridades de la gestión pública y las asignaciones presupuestarias.
Definir las orientaciones del Sistema Nacional de Planificación para contar con una herramienta para la planeación y previsión presupuestaria que de respuesta a los desafíos de las condiciones económicas, sociales y ambientales que configuran la realidad nacional.
Ubicar las prioridades del desarrollo para el trienio 2012-2014, que permitan visualizar un futuro posible e inmediato que coadyuve a reducir las brechas de exclusión y discriminación existentes en el país, con acciones estratégicas, firmes y sostenibles.
","Se incluyen los siguientes ejes:
1. Desarrollo económico
2. Seguridad alimentaria y nutrición
3. Educación
4. Salud
5. Seguridad y justicia
6. Desarrollo municipal y democrático
7. Gestión ambiental
Se construyeron matrices de trabajo por eje las que incluyen, para cada una de las acciones de política pública, lo siguiente:
- Acciones sectoriales
- Marco programático
- Enfoque territorial
- Población objetivo
- Instituciones responsables
- Indicadores de proceso
- Indicadores de impacto
- Instituciones que reportan avance de indicadores
Las acciones de política pública incluida en el eje de seguridad alimentaria y nutrición son:
- Asegurar la disponiblidad y el abastecimiento permanente y suficiente, en cantidad y calidad, de los alimentos necesarios para toda la población a través de un equilibrio razonable entre la producción nacional y la importación de alimentos.
- Promover y priorizar todas aquellas acciones tendientes a mejorar el acceso económico, físico, biológico y cultural de la población a los alimentos.
- Incidir en el mejoramiento de las conciones ambienteales y el acceso a servicios básicos, que garanticen a toda la población condiciones de salud y de amabiente necesarios para una óptima utilización biológica de los alimentos ingeridos.
- Velar por la calidad de los alimentos de consumo nacional, en cuanto a higiene, inocuidad y propiedades nutricionales y pertinencia cultural.
- Implementar un marco regulatorio, institucional y operativo para los programas de la ayuda alimentaria, incluyendo situaciones de emergencia.
- Implementar un sistema de información nacional, permanente y veraz, sobre la seguridad alimentaria y nutricional, para identificar los factores estructurales, ambientales y humanos que inciden en la misma, a fin de emitir alertas tempranas y tomar decisiones políticcas y técnicas en forma oportuna.
- Establecer mecanismos de coordinación entre las instituciones nacionales e internacionales involucrados en la temática de SAN pra la ejecución coherente y coordinada de los programas de seguridad alimentaria y nutricional a fin de optimizar los recursos y capacidades.
","En las matrices de trabajo del eje de seguridad alimentaria y nutrición (páginas 47-56 del documento adjunto) aparecen los indicadores de proceso e impacto para cada una de las acciones sectoriales, según el marco programático.
","Outcome indicators|Process indicators","","Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iron|Micronutrient powder for home fortification|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food security and agriculture|Family planning (including birth spacing)|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Orientaciones%20Estrat%C3%A9gicas%20de%20Pol%C3%ADticas.pdf"
"14838","MLT","Malta","","A Healthy Weight for Life: A National Strategy for Malta","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2020","Superintendence of Public Health (MOH)","","2012","Adopted","","2012","Superintendance of Public Health (MOH)","Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Environment|Labour","","","","","","","","","","","","","","","","Other","Representatives of Catering Industry; Representatives of Media","The overall aim of the Healthy Weight for Life Strategy is to curb and reverse the growing proportion of overweight and obese children and adults in the population in order to reduce the health, social and economic consequences of excess body weight.
","The Public Health Case for Action
- To strengthen intersectoral collaboration (as initiated through ICCO), through the appointment of focal points in key sectors so as to facilitate the implementation and monitoring of this strategy.
Economic Evaluation of Overweight and Obesity
- To commission research to explore possible variations, by locality, in the availability of shops selling fast foods and vendors selling fresh fruit and vegetables.
- To analyze the impacts of subsidies on certain healthy foods and taxes on specific unhealthy food and drinks, particularly their effects on people’s behavior and income redistribution in order to determine their overall feasibility in Malta. This analysis will seek to ascertain whether such subsidies and taxes should be implemented and if this should be the case, which products should be affected and by how much.
- To carry out feasibility studies on incentives to increase the availability of healthy food outlets (eg. smoothie bars, fresh fruit and vegetable salad bars), and restrictions related to outlets selling fast foods.
- To examine further employer tax incentives to motivate employees to adopt healthier choices (eg. tax credits/ subsidies for gym membership, sport equipment etc.)
Promoting Healthy Eating
- To complete the revision of the Malta Food and Nutrition Policy and to formulate an Action Plan.
- To promote exclusive breastfeeding and ensure that more babies are breastfed for at least six months (exclusively) and continued in the first years of life together with appropriate complementary foods.
- To provide educational programmers on maternal and infant nutrition (including breastfeeding) for health professionals (family doctors, midwives, nurses and community pharmacists) so that they may transmit optimum information and support to all mothers.
- To provide more education and support to pregnant women through augmented parent craft courses on breastfeeding techniques and infant weaning as well as on the development of healthier lifestyles for themselves and their families.
- To establish Mater Dei Hospital as a recognized baby-friendly hospital, that promotes exclusive breast feeding.
- To review the Breastfeeding Policy for Malta, followed by implementation and monitoring.
- To update existing legislation to bring it in line with the International Code of Breast Milk Substitutes (WHO, 1981) and subsequent WHO resolutions.
- To include knowledge on breastfeeding in the health/nutrition education program within Personal and Social Development (PSD) curriculum in primary and secondary schools.
- To promote the establishment of a breast-feeding friendly environment within our society.
- To enhance healthy eating among school children with parent/guardian involvement through the development of clear guidelines for parents and criers on the age-appropriate content of lunchboxes for school-age children.
- To strengthen the HELP document by adopting it as national policy and to ensure the implementation and monitoring of the HELP guidelines within all schools, with particular reference to the choice of food products in school tuck shops and the creation of an overall environment that encourages the uptake of healthy balanced school-lunches and discourages the consumption of inappropriate and no nutritious food.
- To set up a healthy lifestyle program targeting students by the provision of keep fit sessions, talks on healthy foods and weigh in sessions so that students are monitored and provided with support within the school environment.
- To assess the feasibility of providing a regular healthy breakfast to all kindergarten children on the same lines as the School Fruit Scheme so as to educate the family about healthy breakfast options and expose the child to a regular, varied and nutritious diet.
- To roll out the Nutrition Friendly School Initiative with all state, church and private schools being eligible to participate.
- To establish a competition and award on an annual basis rewarding schools for helping children to adopt healthy lifestyles on school premises.
- To include more emphasis on the food chain in the PSD, Physical Education and Home Economics curriculum with particular attention to the importance of a healthy balanced diet as opposed to the consumption of energy-dense foods.
- To promote healthy meals/snacks during extracurricular school activities such as fund-raising activities, school bazaars, sports days, etc.
- To assess the feasibility of regulatory measures to restrict access by children to nutritionally inappropriate meals and energy-dense snack foods from retail outlets located in the vicinity of schools.
- To encourage media service providers to develop codes of conduct regarding inappropriate audiovisual communications on foods and beverages, accompanying or included in children’s programs.
- To set up a Task Force led by the Ministry responsible for Health to develop action plans on the introduction of agreed mechanisms to reduce salt and sugar, limit saturated fat and eliminate trans-fat content in local food products.
- To set up a Healthy Food Scheme using color coding so that healthy food is easily identifiable to the population. The aim will be to increase the visibility, appeal and pricing of healthy foods in food stores whilst reducing the supply of energy dense food and drinks.
- To use social marketing techniques to promote moderation in food consumption and to work with stakeholders to establish protocols to standardize portion sizes in ready meals and snacks and in food outlets.
- To work with all stakeholders in the hospitality industry to enhance the preparation and increase the availability of nutrient-dense healthy meals as attractive and tasty options within their outlets, and increase the options available on children’s menus.
- To establish partnerships with the wider community and in association with local councils and NGOs for the provision of more nutrient-dense food and beverage options in the community.
- To work towards the clarity of labeling on food and drink products such that the content of products is clear and easily understood by consumers.
- To increase the complement of registered nutritionists and dieticians and recruit food community workers, to act as a resource within healthcare and community settings.
- To tighten legislation on alcohol advertising and improve the enforcement of restrictions on the sale of alcohol to children and adolescents.
- To set up a Healthy Workplace Scheme, that provides support and incentives for employers to promote healthy eating in the workplace and support weight management programs. To introduce national guidelines on food provision within canteen/cafeteria facilities at workplaces which will promote less high-energy dense foods and more healthy options that are low in fat, sugar and salt.
- To update and monitor the implementation of healthy dietary guidelines for use in homes for older people to ensure that the range of products and food portion sizes offered in meals and snacks provide an adequate amount and balance of nutrients.
- To introduce regulations to ensure that all canteens and cafeterias within institutions, hospitals and homes for older people are in line with healthy dietary guidelines, with the majority of food sold favoring healthy eating principles.
- To plan and implement training programs on healthy eating and physical activity amongst care professionals, thus re-enforcing and supporting patients and residents towards adopting healthier eating habits.
Promoting Physical Activity
- To enhance Physical Activity through national policies that target changes in a number of sectors thereby promoting physical activity both for relaxation as well as for everyday activities.
- To develop a National Physical Activity Action
- To revise the national curriculum to include at least 30 minutes of daily Physical Activity during official school hours to be increased to 3 hours per week by 2015.
- To transform school yards and recreational areas to facilitate the uptake of physical activity during breaks.
- To support the proposed National Physical Activity Guidelines for school children and young people through initial and in-service teacher training.
- To increase knowledge of children, parents, criers and teachers on the benefits of Health Enhancing Physical Activity (HEPA).
- To encourage children and parents to use a screen time log, reduce the number of hours of watching TV, use of computer/video games to not more than 2 hours per day and to encourage sit down meals as family time as opposed to TV dinners.
- To review the use of public spaces so that they can be utilized to maximize the encouragement of physical activity uptake.
- To support Local Councils and other stakeholders in developing opportunities to complement the national infrastructure for physical activity by providing better walkways built to proper standards, parks, more pedestrianized areas and creatively utilizing spaces for physical activity within their locality.
- To enhance awareness of shared spaces on our roads so that different road users such as car and bicycle users and pedestrians show more respect for each other in order to allow safe use by all.
- To work with stakeholders to widen the existent opportunities of afterschool sports and dance programs.
- To provide opportunities and incentives to encourage NGOs, local councils, schools, workplaces, sports clubs, gyms and the private sector to provide physical activity classes, active play and sports which are both accessible and affordable to the general population.
- To work with stakeholders to ensure the inclusion of persons living with disability in physical activity opportunities.
- To work towards the improvement of the existing cycle lanes and creation of further networks wherever possible and providing the necessary regulatory structures to ensure their safety.
- To explore the possibility of introducing incentives to promote the uptake of physical activity.
- To raise awareness on the importance of physical activity on the health status of the individual among health professionals.
- To strengthen and expand workplace health promotion initiatives which specially target both nutrition and physical activity.
- To establish partnerships with organizations to increase awareness on the role of nutrition and physical activity on healthy lifestyles and provide sessions of enjoyable physical activity which are available to the general population.
Healthcare Services
- To increase the inclusion of knowledge on healthy choices and behavior change strategies in the initial training and continuing education for all health professionals.
- To increase the provision by the Health Promotion and Disease Prevention Directorate of regular and accessible weight management programs for adults with BMI > 25 in different settings, with a particular emphasis on communities with a higher risk.
- To issue guidelines on messages to be delivered in weight management courses carried out in both the private as well as the public sector.
- To strengthen and diversify the provision of up to date advice by the Health Promotion and Disease Prevention Directorate in order to ensure that it is a reputable and easily available resource for the population.
- To enhance Health Promotion and Disease Prevention Directorate – organize regular and accessible physical activity programs and walking schemes especially for adults with BMI >25 for all ages and in different settings.
- To work with stakeholders to encourage active transport action groups e.g. walking bus, cycle to work.
- To set up cookery clubs at community level in schools or local councils, workplaces, mother and- baby clubs, day care centers etc.
- To set up after-school cookery clubs for adolescent children in order to provide practical education on nutrition and healthy eating.
- To work with stakeholders to include health promotion and prevention in undergraduate curricula for all health professionals.
- To work with stakeholders to provide continuing professional development training in effective health promotion to all health professionals.
- To work with stakeholders to supply health care workers with the necessary resources to encourage weight loss and healthy living.
- To set up post-secondary training courses for care professionals in order to increase the human resource pool in the sector.
- To work with stakeholders to develop a national curriculum and certification in relation to the training of professionals, facilitators and advisors in the field of weight management in the field of nutrition, weight management and physical activity.
- To ensure that only persons certified as having received the relevant training in their field of activity provide such a service to the people.
- To provide health professionals with guidelines on healthy choices i.e. nutrition, exercise and alcohol, so that a uniform and coherent message is communicated.
- To provide regular CPD events specifically dealing with overweight and obesity prevention and management issues, specific training on diet and nutrition, physical activity and health behavior change.
- To provide health professionals with the necessary resources to advise people on healthy choices.
- To ensure that health professionals proactively screen for and manage risk factors associated with overweight and obesity such as hypertension, hyperlipidemia and diabetes.
- To ensure that all primary and secondary students are measured at the beginning of each scholastic year and to ensure monitoring and appropriate referral for overweight and obese children, and regular communication and lifestyle advice and help for the family.
- To set up specialized Obesity Clinics run by a multidisciplinary team of health professionals in the Primary Health Care sector which will provide initial medical assessment of the referred patients and the necessary follow-up including specialist referral if necessary, dietetics and exercise capacity assessment and prescription, psychological support and behavioral interventions as required and evaluation of the need for and referral for more invasive therapy as may be deemed necessary. Specialized staff required will include doctors, dieticians, psychologists, behavioral therapists, and physiotherapists.
- To carry out a health technology assessment and assess the feasibility of including bariatric surgery on the list of services available from the public health care sector.
- To set up a multidisciplinary pediatric weight clinics aimed at creating a supportive environment that helps overweight or obese children (above percentile 85) and their families make lifestyle changes.
","In order to measure the effectiveness of this Strategy, we aim to demonstrate the following improvements in children and adults by 2020:
• Reduction in the self-reported proportion of the adult population who are overweight from 36% to at least 33%.
• Reduction in the self-reported proportion of the adult population who are obese from 22% to at least 18%.
• Reduction in the proportion (measured by anthropometric studies) of 7 year olds who are overweight and obese from 32% to 27%.
• Maintenance of the proportion of 13 year olds above the 95% weight centile (obese) below 15%.
Monitoring of the targets will take place on a triennial basis (in 2015 and 2018) followed by an end of plan evaluation. The Healthy Weight for Life Implementation Group will be responsible for ensuring that the actions within the different settings are achieved according to the timeframe set and within the allocated budget.
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|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|Capacity building for the Code|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 fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|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|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://health.gov.mt/en/Documents/National-Health-Strategies/hwl_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202012%20Healthy%20Weight%20for%20Life.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"
"40732","NAM","Namibia","","Namibia’s Fourth National Development Plan 2012/13 to 2016/17","Multisectoral development plan with nutrition components","","English","","2012","","2017","Office of the President National Planning Commission","","2012","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Labour|Other","Office of the President National Planning Commission, Home Affairs","","","","NGO service providers","Other","Bank of Namibia","","","National NGOs","","","","","","","","Desired Outcome 3 (DO3): By 2017, Namibians have access to a quality health system, both in terms of prevention, cure, and rehabilitation, characterised by an improvement in healthy adjusted life expectancy (HALE) from baseline 57 (2011) to 59 (2017).
Desired Outcome 4 (DO4): By 2017, the proportion of severely poor individuals has dropped from 15.8% in 2009/10 to below 10%.
Desired Outcome 9 (DO9): Agriculture experiences average real growth of 4% per annum over the NDP4 period.
","The drivers of health outcomes are multifaceted and include factors such as income, sanitation, education and health service provision. It is important to recognise the need for multi-sectoral approach that include not only the health sector, but also improvements in poverty, education, sanitation, food security (through agriculture) and infrastructure.
","","","","School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20NDP4_0.pdf"
"24694","SRB","Serbia","","Policy for Improvement of Health of the Population of Republic of Srpska until 2020/ Политика унапређивања здравља становништва Републике Српске до 2020. године","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2020","Ministry of Health","9","2012","","","","","Health|Social welfare|Sub-national","","","","","","","","","","","","","","","","","","Policy goal
The goal of this policy is to improve health of the population in the Republic of Srpska:
- by reducing differences in health status of the population,
- by investing in health, by involving citizens in health care decision-making and by creating healthy local communities,
- by carrying out control of non-communicable and communicable diseases and enhancing
- health security,
- by creating healthy and supportive environment for health and well-being,
- by strengthening user-oriented health care system,
- by strengthening public health capacities and emergency preparedness and
- by promoting and adopting “health in all policies” approach.
","Control of communicable and non-communicable diseases and enhancement of health security shall be intensified through:
- implementing the Political Declaration of the High Level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases [15], WHO Framework Convention on Tobacco Control [16], Global Strategy on Diet, Physical Activity and Health [17], Global Strategy to Reduce the Harmful Use of Alcohol [18] and Gaining Health-the European Strategy for the Prevention and Control of Non-communicable Diseases [19],
- promoting healthy choices through formulating and designing products, regulating marketing, excise duties and taxes and educating consumers,
- developing healthy environment for work and studies, promoting road safety and active living, developing healthy transport, education and nutrition, promoting safe physical and social environment that is capable to provide protection from injuries and violence,
- ...
- enhancing exchange of information and, when possible, carrying out joint surveillance and control of diseases by public health authorities (human and veterinary medicine, agriculture and food), with aim to achieve better control of zoonosis, resistant strains of microorganisms and food-borne infections,
","","","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Physical activity and healthy lifestyle|Food safety|Vaccination|Vulnerable groups","","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Pages/Javno_zdravstvo.aspx","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SRB%202012%20National%20Health%20Policy%202020.pdf"
"11521","ZAF","South Africa","","Strategic Plan for Maternal, Newborn, Child and Women’s Health (MNCWH) and Nutrition in South Africa","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2016","Republic of South Africa","","2012","","","","","Health|Food and agriculture|Education and research|Social welfare|Development|Environment|Sub-national|Other","Department of Rural Development, Department of Water Affairs and Forestry","","","","","","","","","National NGOs","National Blood Transfusion Service","Research/academia","","","","Other","","Overall Goal:
· To reduce the maternal mortality ratio and neonatal, infant and child mortality rates by at least 10% by 2016
· To empower women, and to ensure universal access to reproductive health services
· To improve the nutritional status of all mothers and children.
","Strategy 1: Address inequity and social determinants of health
Strategy 2: Develop a comprehensive and coordinated framework for MNCWH & Nutrition service delivery
Strategy 3: Strengthen community-based MNCWH & Nutrition interventions
Strategy 4: Strengthen provision of MNCWH & Nutrition services at PHC and district levels
Strategy 5: Strengthen delivery of MNCWH & Nutrition services at district hospital level
Strategy 6: Strengthen the capacity of the health system to support the provision of MNCWH & Nutrition services
Strategy 7: Strengthen human resource capacity for delivery of MNCWH & Nutrition services
Strategy 8: Strengthen systems for monitoring and evaluation of MNCWH & Nutrition interventions and outcomes
","M & E indicators included on page 44 of the Strategic Plan.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Maize flours|Staple foods|Management of severe acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20MNCWHstratplan.pdf"
"14962","TJK","Tajikistan","","Program on Agricultural Reform 2012-2020/ ПРОГРАММА реформирования сельского хозяйства Республики Таджикистан на 2012-2020 годы","Food security or agriculture sector national policy, strategy or plan with nutrition components","","Russian","","2012","","2015","Ministry of Agriculture","9","2012","Adopted","8","2012","Government of Tajikistan","Education and research|Finance, budget and planning|Food and agriculture|Sub-national|Women, children, families","National Academy for Agriculture, Ministry of Finance, Ministry of Agriculture, Local authorities, National Committee For Woman and Family Issues","","","","","","","","","","","","","","","Other","International Donors","Цели и задачи Программы
- обеспечение продовольственной безопасности и защита прав потребителей
- обеспечение наличия и доступности продовольствия (физического и экономического доступа) на основе устойчивого развития сельскохозяйственного сектора
- обеспечение продовольственной безопасности и обеспечение населения здоровой пищей (в частности, уязвимых групп населения)
- стабильное обеспечение продовольствием
- устранение гендерного неравноправия
","усиление государственного контроля в сфере обеспечения продовольственной безопасности, разработка технических регламентов продовольственной безопас- ности (согласно требованиям Кодекса Алиментариус Организации Объединных Наций) и гармонизация стандартов.
","","","","Food safety|Food security and agriculture|Vulnerable groups","","http://moa.tj/wp-content/Program_Taj_Rus_Eng_ready.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202012%20Program%20on%20Agricultural%20Reform%202012-2020.pdf"
"14872","YEM","Yemen","","National Agriculture Sector Strategy 2012- 2016","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2012","","2016","Ministry of Agriculture and Irrigation","","2012","","","","","Education and research|Environment|Food and agriculture|Other|Sub-national|Trade","Ministry of Agriculture and Irrigation Ministry of Agriculture and Irrigation","United Nations Development Programme (UNDP)","UNDP","","","","","","","National NGOs","","","","Private sector","","","","Vision Statement: The agriculture sector in Yemen will play the primary role in raising rural incomes and creating jobs, and increasing food security, while protecting the environment and natural resources.
Objectives
The overall objective of the agriculture sector is to increase growth, sustainability, and equity by raising agricultural output, and to increase rural incomes, particularly for the poor. More specifically, the objectives in the agriculture sector are to:
- Raise domestic food production through improvement in input supply, increased farmer awareness, and greater availability of agricultural credit;
- Lead efforts to fight poverty in the rural community through higher income to farmers and increased rural employment;
- Preservation of the environment and natural resources, and activating the role of community participation to ensure sustainability.
- Improve marketing efficiency and decrease post harvest losses and development of exporting capacities
","To achieve these overall objectives, it is important that development of the agriculture sector include the following strategic elements:
- Given the scarcity of arable land, the emphasis will be on raising productivity in both crop and livestock production
- More efficient use of water in irrigated agriculture through adoption of modern irrigation techniques, and increase efforts to expand rain-fed agriculture
- An increased role for rural women in meeting food needs and protecting the environment
- Watershed management, terraces rehabilitation and wadi banks protection
","","","","Nutrition sensitive actions|Food security and agriculture","","http://www.agriculture.gov.ye/PDF/NASS_Final_March2012_%20En.pdf","Policy approved by the Cabinet on 13/3/2012 by the Cabinet Decree No. (37 – 2012)","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/yemen/putting-policies-in-place","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202012%20NationalAgricultureStrategy_2012-2016.pdf"
"39373","ALB","Albania","","National Action Plan for Food and Nutrition 2013-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2020","the Ministry of Health (MoH) and the Ministry of Agriculture, Food and Consumer Protection (MoAFCP)","","2012","Adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Consumer affairs|Labour","Albanian Food and Nutrition Action Plan (AFNAP) 2013-2020 has been developed in the framework of the Joint Programme on Nutrition implemented by the Ministry of Health (MoH) and the Ministry of Agriculture, Food and Consumer Protection (MoAFCP) The Plan has been developed with the inputs of five line ministries: Ministry of Health, Ministry of Agriculture, Food and Consumer Protection, Ministry of Education and Science, Ministry of Labour, Social Affairs and Equal Opportunities, Ministry of Finance and the respective local and national institutions.","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) and the Food and Agriculture Organization of the United Nations (FAO) .","","","Other","funded by the Spanish Millennium Development Goals Achievement Fund","","","","","","","","","","","- improve physical access to food;
- raise agricultural production by up to 20%;
- strengthen the surveillance systems on food security, food safety, nutritional status, NCDs and physical activity;
- develop agricultural policies with particular attention to gender differences and strengthen the role of women in budgetary decision- making in their household and community;
- establish and operate coordination structures for food and nutrition;
- prevent and reduce poverty particularly among children by providing integrated and comprehensive social services through the social protection programme;
- develop and implement legislation on food traceability requirements;
- strengthen the risk assessment system;
- increase by about 40% (from 7% to 50%) the proportion of food business operators (FBO) implementing the hazard analysis and critical control point (HACCP) food safety system; \
- establish and operate a system for monitoring pesticide residues in foods;
- prevent malnutrition among reproductive- aged women, particularly adolescents, pregnant women and breastfeeding women;
- update and promote the Recommendations on Healthy Nutrition in Albania;
- monitor and evaluate the implementation of national and local plans for food and nutrition.
","1.1 Increase employment opportunities for youth, members of vulnerable groups and people with disabilities
1.2 Establish social businesses to hire young people, members of vulnerable groups and individuals with disabilities
2.1 Construct and/or rehabilitate markets for agricultural, animal and fish products
2.2 Establish/rehabilitate infrastructures to store agricultural, animal and fish products
2.3 Establish/rehabilitate secondary roads, especially in areas used to transport goods to market
2.4 Establish social businesses to collect and distribute local food to the poor
3.1 Deploy improved technologies (agricultural inputs, livestock breeding and nutrition)
3.2 Improve management of irrigation systems
3.3 Help build capacity in the extension services and the private sector to use local resources and identify donors to provide financial support to these initiativesto strengthen agricultural innovation systems
3.4 Help build capacity in the advisory service
3.5 Increase financial supportfor national schemes in agriculture and secure support for development research projects funded by the European Union for rural development
3.6 Study the agricultural and environmental potential at national and local (rural) level
3.7 Build social businesses to provide advice and specialized technical support to farmers
4.1 Develop national guidelines for: nutritional status indicators based on the population according to demographic data and special physiological conditions;
• standardized methods of data collection; and
• frequency of data collection, information flow, methods of data analysis and reporting of each indicator.
4.2 Develop and distribute standardized forms and create a central database or registry on the nutritional status of the population
4.3 Develop training activities with primary health care personnel and public health specialists to assess, document, and report on the nutritional status of the population
4.4 Improve the forms used to report foodborne diseases and develop guidelines for the flow of information on foodborne diseases
4.5 Create databases to collect and process national data on foodborne diseases
4.6 Strengthen technical capacity and infrastructure of public health laboratories to identify more causes of foodborne diseases
4.7 Establish and strengthen the NCD surveillance system
4.8 Assess how balanced the diet of the Albanian population is through questionnaires that collect data on the frequency/type of food consumption using 24-hour recall or food and exercise diary
4.9 Include Albania in the WHO European Childhood Obesity Surveillance Initiative for children aged 6.0–9.9 years and monitor obesity among children every three years using WHO protocols
4.10 Participate in the Health Behaviour in School-aged Children (HBSC) study which uses standardized questionnaires and reporting mechanisms to evaluate the physical (including nutrition- related) and mental health among young people aged 11, 13 and 15 years
4.11 Create a surveillance system to monitor progress on eliminating iodine deficiency with particular focus on vulnerable groups and populations with high prevalence
4.12 Monitor progress towards universal salt iodization by periodic testing of salt to ensure proper iodization
4.13 Evaluate average salt content in the main staple foods
4.14 Assess national food security
4.15 Develop standardized methods for collecting, updating and disseminating information on the demand/ supply and use of most food products
4.16 Establish an information system for prompt/early warnings, monitoring and surveillance
4.17 Prepare periodic accounts on imports and exports of food staples
7.1 Review the cash payment system for families assisted by the economic aid scheme whose aim is to improve the nutritional status of children
7. 2 Pilot the improved economic assistance scheme and its nutrition-related components: counselling, education on nutrition and the provision of food packages or coupons for at-risk populations
8.1. Draft and approve legislation for traceability: update general labelling rules and develop specific rules for labelling and controlling food and health statements made on foods
12.1 Review and update the regulatory framework (regulations, guidelines, protocols, stand- ards) on maternal and child health to prevent malnutrition and track the status of maternal and child nutrition
12.2 Assess the nutrition and feeding practices of reproductive-aged women (15–49 years old)
12.3 Organize promotional activities for healthy nutrition in pre-school and compulsory education
12.4 Determine daily feeding rates for nurseries, kindergartens and schools that offer lunch
12.5 Organize communication campaigns promoting behavioural changes to improve the nutritional practices of reproductive-aged women
12.6 Organize training activities to increase knowledge and skills of staff providing health care for women and infants
13.1 Review and update national health statistical indicators on breastfeeding and infant and young child feeding to be consistent with globally standardized indicators
13.2 Train health personnel on feeding practices of infants and young children
13.3 Periodic assessment of “baby friendly” hospitals/maternities to implement this initiative
13.4 Periodic assessment of feeding practices of infants and young children
13.5 Train the personnel providing health care for children in their growth assessment according to the standardized growth curves for children aged 0–5 years
13.6 Prepare and distribute informational materials on family and community level on feeding practices of infants and young children
14.1 Conduct a national study on the prevalence of anaemia
14.2 Develop a regulatory framework for the fortification of flour with iron, folic acid and Vitamin B12
14.3 Provide FBO training and inspectors to monitor the fortification of flour
14.4 Develop protocols to prevent and treat iron deficiency anaemia among children
14.5 Organize promotional activities to use behaviour change to improve dietary diversity
14.6. Establish social businesses that produce and distribute fortified foods to improve child nutrition
15.1 Review the Recommendations on Healthy Nutrition in Albania
15.2. Communicate and distribute Recommendations on Healthy Nutrition in Albania to health professionals
15.3 Inform the public about the Recommendations on Healthy Nutrition in Albania
16.1 Develop and approve extracurricular modules on healthy nutrition for the 9-year primary education system
16.2 Train teachers on the use of extracurricular modules on healthy nutrition for the 9-year primary education system
16.3 Develop and approve extracurricular modules on healthy nutrition for the secondary education system
16.4 Improve the public health nutrition curriculum in the undergraduate and postgraduate programmes in the Faculty of Medicine and Nursing
16.5 Train school health personnel (doctors, nurses, dentists) on the new curricula approved by the MoH
16.6 Implement in phases the European Healthy Eating and Physical Activity in Schools project
16.7 Adopt and implement in stages the Action plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016
16.8 Pilot a public school programme that offers healthy food
16.9 Develop and distribute information, education and counselling about the need to limit the intake of dietary salt
16.10 Promote physical activity and an active lifestyle
16.11 Continuous training of staff and the promotion of sanitary inspectors of the Departments of Public Health on healthy nutrition and good food hygiene practices, at local and national level.
16.12 Strengthening the capacity of local staff (municipalities, Regional Agriculture and Food Directories, Directorates of Public Health, Directorates of Education) in the planning, implementation and monitoring of interventions related to nutrition.
16.13 Implement an advocacy strategy for nutrition issues
16.14 Develop a strategy for reducing salt consumption
16.15 Assess consumer knowledge, attitudes and practices related to food safety
16.16 Raise consumer awareness on food safety
16.17 Present, inform and organize distribution of the NAFPN to all relevant stakeholders including the public
17.1 Evaluate the implementation of the Plan-based on the monitoring and evaluation framework
17.2 Evaluate the implementation of food and nutrition action plans at regional and local government levels
17.3. Strengthen the institutional capacity to monitor and evaluate the implementation of food and nutrition programmes
","- improve the nutritional status of children under five years of age by:
(a) increasing by 20% (from 39% to 60%) the proportion of children aged 0–6 months who are exclusively breastfed;
(b) increasing by 20% (from 38% to 60%) the proportion of mothers who start breastfeeding within one hour of giving birth;
(c) implementing in 80% of public and private maternity hospitals the infant feeding practices of UNICEF’s Baby- friendly Hospital Initiative;
(d) improving by 10% (from 19% to 29%) the proportion of children aged 6–23 months who are fed according to recommended feeding practices;
(e) reducing by 6% (from 19% to 13%) the proportion of children under five who have growth retardation;
- reduce by 5% (from 17% to 12% in children and from 19% to 14% in women) the proportion of children aged 6–59 months and the proportion of women aged 15–49 years who have anaemia;
- promote healthy nutrition and healthy lifestyles to improve the population’s well- being and prevent NCDs by:
(a) maintaining the proportion of children who have normal body weight
(b) decreasing by 20% the proportion of physically inactive adults
(c) maintaining the proportion of adults over 60 years old who have normal body weight
(d) increasing by 20% the average fruit consumption of adults over 60 years old
(e) maintaining the proportion of adults aged 20–59 years who have normal body weight
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Sodium/salt intake|Fruits|Growth monitoring and promotion|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Salt reduction|Vitamin B12|Iodine|Iron and folic acid|Food fortification|Nutrition education|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/ALB_B19_ligj nr. 74, dt. 25.10.2018 per pijet energjike dhe sheqer.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf"
"25916","GUY","Guyana","","Strategic Plan 2013-2020: Integrated Prevention and Control of Non Communicable Disease in Guyana","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2020","Ministry of Health","7","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Trade|Labour","Partners on healthy eating and salt reduction: Ministry of Agriculture, Ministry of Trade and Commerce,Food and Drugs, Food Policy unit, Ministry of Education, Ministry of Labor Human Services and SocialSecurity","Food and Agriculture Organisation (FAO)|World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","","","","","PLAN OF ACTION FOR PREVENTION AND CONTROL OF CHRONIC DISEASES AND THEIR RISK FACTORS
GOAL: TO PREVENT AND REDUCE THE BURDEN OF CHRONIC DISEASES AND RELATED RISK FACTORS IN GUYANA
…
2. Healthy eating (INCLUDING THE REDUCTION OF TRANS FAT AND REFINED SUGAR INTAKE)
Objective To stimulate intersectoral action that promotes the consumption of safe, healthy, tasty foods in Guyana
Expected result 2.1) Legislation, regulations, multisectoral policies, incentives, plans, protocols and programmes developed and implemented to promote food security and healthy eating. For example: a) POS #7 CFNI,CARDI) and the regional intergovernmental agencies to enhance food security, b) POS # (CRNM) supports pricing and tariffs to assure that healthy foods are available at affordable prices, c) )Reduction of transfat from the food supply b) National nutritional and quality criteria for food manufacturers in keeping with regional standards e) POS #9 Userfriendly food labeling
Indicators:
2.1.1) Legislation and regulations, multi-sectoral policies, incentives, plans, protocols and programmes that aim to improve dietary and lifestyle behaviours by 2016 supported by CARPHA
2.1.2) Incentives or disincentives to increase healthy eating and physical activity by 2016
2.1.3) Guyana adopts CROSQ developed regional standards for salt, fat and sugar content on imported and locally produced foods by 2016
2.1.4) All imported and locally produced foods with required nutritional labeling by 2016
Activities:
2.1.1.1) Food policy review at country level
2.1.1.2) Recommended legislation and regulations to improve diet and physical activity adapted, debated and enacted
2.1.2.1) Design and implement Incentives Program (taxes and subsidies) for producers and buyers - that subsidize low calorie nutritious foods, preferably local
2.1.4.1) Policy dialogue with local food manufacturers and fast food restaurants to ensure their use of national dietary guidelines in product development and menus
2.1.5.1) Develop and implement trans fat free policies and programmes by 2015
Expected result 2.2) National nutrition standards and food based dietary guidelines for school meals and food sold at workplaces and institutions
Indicators:
2.2.1) Model nutritional standards for schools, workplaces and institutions developed by 2013
2.2.2) Adopt and implement food based dietary guidelines in at least 2 sectors by 2015.
Activities:
2.2.1.1) Implement food based nutritional dietary guidelines in schools, workplaces and institutions
Specific Objective 2.3) POS# 12 A comprehensive public education campaign to promote balanced diet
2.3.1) Comprehensive public education campaigns to promote: healthy eating in 2013, 2014 and 2015
Objective 3. Healthy eating including reduction in salt intake
Expected result 3.1) Salt content of processed and prepared foods reduced.
Indicators:
3.1.1) Bureau of Standards adopts CROSQ standards for salt by 2016
3.1.2 National Nutrition Strategy to reduce salt and fat content of processed and prepared foods implemented (including in schools, workplaces and fast-food outlets) by 2016.
Activities:
3.1.2.1) Advocacy to local food manufacturers, fast food restaurants and importers to reduce the salt content of their products
Expected result 3.2) Salt consumption of the population reduced.
Indicators:
3.2.1) Salt consumption declines by 20% by 2020 ( WHO recommends less than 5grams of salt or 2 grams of sodium per person per day)
3.2.2) Use baseline and on going sampling for tracking salt consumption in population starting in 2014.
Activities:
3.2.1.1) Design and mount a public education campaign about the risk of salt to health, not to add salt at the table, and healthy, tasty alternatives.
3..2.2.1) Implement population based surveys to track salt consumption
","","","","","Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Food-based dietary guidelines (FBDG)|Food labelling|Menu labelling|Reformulation of foods and beverages|Salt/sodium|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/GUY_NCD_GUY_B3_CNCD-Strategy-2020__August_2013-Final.pdf","","WHO Noncommunicable Disease Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GUY%202013%20CNCD-Strategy-2020__August_2013-Final.pdf"
"36100","ISL","Iceland","","Action plan to reduce the prevalence of obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Icelandic","","2013","","","Ministry of Welfare","2","2013","","","","","Health|Education and research|Social welfare|Finance, budget and planning|Transport|Trade|Sub-national|Other","Office of Medical Director for Health","World Health Organization (WHO)","","","","","","","","National NGOs","VIRK; Icelandic Medical Association; Association of Icelandic Physiotherapists; Icelandic Sports Academy Association","Research/academia","Landspítali University Hospital; University of Iceland; Faculty of Health Sciences.","","","Other","Laboratory of Nutrition; Health Care Centers and Health Care Providers; Media; Food Industry","1. Tillögur að forgangsaðgerðum
Forgangsverkefni stjórnvalda er að kalla eftir samstarfi allra ráðuneyta til að samhæfa aðgerðir til þess að draga úr óheilbrigðum lifnaðarháttum og vaxandi þyngd þjóðarinnar.
- Skattur á óhollustu – ívilnun á hollustu
- Rannsóknir á lifnaðarháttum – regluleg vöktun – mat á árangri aðgerða
- Efling þjónustu heilsugæslunnar
- Ávísun á hreyfingu
- Næringarráðgjöf innan heilsugæslunnar
- Samnorrænt hollustumerki
- Klínískar leiðbeiningar um offitu fyrir börn (endurskoðaðar) og fyrir fullorðna
- Mat á heilsufarsáhrifum (health impact assessment)
- Kortleggja fitufordóma og vinna gegn þeim
","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Fibre|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes 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|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education","","https://www.velferdarraduneyti.is/media/Rit_2013/Adgerdaraaetlun-til-ad-draga-ur-tidni-offitu.pdf","Link only available for download trough Internet Explorer (Google Chrome does not work with this link)","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISL%202013%20Action%20Plan%20for%20Obesity%20Reduction.pdf"
"36130","ISL","Iceland","","Reglugerð um notkun Skráargatsins við markaðssetningu matvæla [Regulation on the use of the Keyhole in the marketing of food]","Legislation relevant to nutrition","","Icelandic","11","2013","","","Atvinnuvega- og nýsköpunarráðuneytinu","11","2013","Adopted","11","2013","Sjávarútvegs- og landbúnaðarráðherra","Health|Food and agriculture|Industry|Labour","","","","","","","","","","","","","","","","","","","","","","1. gr.
Gildissvið og skilgreiningar.
Þessi reglugerð varðar notkun merkisins, Skráargatið, við merkingu, auglýsingu og kynningu matvæla.
2. gr.
Skráargatið er valkvætt merki sem leggur áherslu á hollustugildi matvæla innan þeirra flokka sem eru taldir upp í viðauka 2 og byggir á næringarviðmiðum um innihald fitu og sykurs, salts og trefja í matvælum.
","Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Fibre|Sugar intake|Added sugars|Front of pack labelling|Front-of-pack labelling|Voluntary (FOP)|Added sugars (FOP)|Free sugars (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Total fat (FOP)|Total sugars (FOP)|Trans fatty acids (FOP)|Endorsement logo","","https://www.stjornartidindi.is/Advert.aspx?ID=7b194b44-9e13-40f7-9e05-186a2ec428cf","https://www.landlaeknir.is/skraargat/","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ICE%202013%20Keyhole.pdf"
"23553","KAZ","Kazakhstan","","Law on ratification of ILO Convention on Maternity protection/ Закон № 554-IV О ратификации Конвенции об охране материнства","Legislation relevant to nutrition","","Russian","2","2013","","","National news paper for publication of adopted policy documents","2","2012","Adopted","2","2012","Parliament of Kazakhstan","Labour","","International Labour Organization (ILO)","","","","","","","","","","","","","","","","","","","","Статья 4
1. По представлении медицинского свидетельства или после иной надлежащей проверки, предусмотренной национальными законодательством и практикой, удостоверяющих предполагаемый срок родов, женщина, в отношении которой применяется настоящая Конвенция, имеет право на отпуск по беременности и родам продолжительностью не менее 14 недель.
Статья 6
1. В соответствии с национальным законодательством или любым иным способом, соответствующим национальной практике, женщинам, отсутствующим на работе в связи с отпуском, указанным в статьях 4 или 5, предоставляются денежные пособия.
2. Денежные пособия устанавливаются на таком уровне, чтобы женщина могла содержать себя и своего ребенка в достойных с санитарно-гигиенической точки зрения условиях и иметь надлежащий уровень жизни.
Статья 10
1. Женщине предоставляется право на один или несколько перерывов в день или на повседневное сокращение рабочего времени для кормления своего ребенка грудью.
2. Срок, в течение которого допускаются перерывы или повседневное сокращение рабочего времени для кормления грудного ребенка, их количество и продолжительность, а также процедура повседневного сокращения рабочего времени определяются в соответствии с национальными законодательством и практикой. Эти перерывы или повседневное сокращение рабочего времени засчитываются как рабочее время и оплачиваются соответствующим образом.
Заявление(декларация)
В соответствии с подпунктом 2 статьи 4 Конвенции о пересмотре Конвенции (пересмотренной) 1952 года об охране материнства (Конвенция 183) имею честь от имени Правительства Республики Казахстан подтвердить, что продолжительность отпуска по беременностям и родам в Республике Казахстан составляет 18 недель (в случае осложненных родов или рождения двух или более детей - 20 недель).
","Breastfeeding|Maternity protection|Right to health|Breastfeeding promotion/counselling|Conditional cash transfer programmes|Vulnerable groups|18 weeks or more|14 weeks or more|Paid breastfeeding breaks|Unpaid breastfeeding breaks","","http://www.03portal.kz/spravochniki/pravovaya-baza/zakony-respubliki-kazakhstan/42877-zakon-respubliki-kazakhstan-ot-14-fevralya-2012-goda-554-iv ","","http://online.zakon.kz/Document/?doc_id=31124006","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202012%20Law%20on%20Maternity%20protection.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"
"24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf"
"11531","NPL","Nepal","","Multi-sectoral Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","GOVERNMENT OF NEPAL National Planning Commission","4","2012","","","","","Development|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Sub-national|Urban planning|Women, children, families","Secretary Ministry of Local Development, Secretary Ministry of Education, Ministry of Environment, Secretary Ministry of Finance, Secretary Ministry of Agriculture and Cooperatives, Secretary Ministry of Health and Population, Secretary Ministry of Commerce and Supplies, Nutrition and Food Security Steering Committee - District Level, VDC Level and Municipal Level, Secretary Ministry of Physical Planning and Works, Secretary Ministry of Women Children and Social Welfare","","","","","","","","","","","","","","","","","Goal:
The longer-term vision of the multi-sectoral nutrition plan, over the next ten years, is to embark the country towards significantly reducing chronic malnutrition to ensure that it no longer becomes an impeding factor to enhance human capital and for overall socio-economic development. The goal over the next five years is to improve maternal and child nutrition, which will result in the reduction of MIYC under-nutrition, in terms of maternal Body Mass Index (BMI) and child stunting, by one third.
Outcomes:
Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local levels.
Outcome 2: Practices that promote optimal use of nutrition ‘specific’ and nutrition ‘sensitive’ services improved, leading to enhanced maternal and child nutritional status.
Outcome 3: Strengthened capacity of central and local governments on nutrition to provide basic services in an inclusive and equitable manner.
","Activities:
1.1. Raise nutrition profile among ministries
1.2 Advocate with Ministries for prioritizing nutrition in their plans, and for including core nutrition specific and sensitive indicators
1.3 Incorporate nutrition in the national and sectoral plans, and include nutrition specific and sensitive monitoring and evaluation framework
1.4 Update National Nutrition Policy and Strategy, including M&E framework in line with the MSNP
1.5 Incorporate nutrition aspects in local plans and planning process, including nutrition specific and sensitive M&E framework
2.1 Establish/ strengthen secretariat for supporting the nutrition and food security initiatives within the NPC
2.2 Establish effective communication to improve coordination
2.3 Form multi-sectoral steering committees at local level
3.1 Implement/scale up maternal infant and young child feeding through a comprehensive approach
3.2 Maintain/expand programmes to improve maternal infant and young child micronutrient status
3.3 Scale up and manage infant and child severe acute malnutrition
3.4 Update health sector nutrition related acts, regulations, policies, strategies, standards, guidelines and nutrition training packages (including establishment of National Nutrition Centre)
3.5 Institutional strengthening of the health sector
4.1 Nutrition integration with life-skills education to adolescent girls, with a focus on improving maternal and child nutrition and on reducing chronic malnutrition (create an enabling environment)
4.2 Raise adolescent girls’ knowledge and skills on reduction of chronic malnutrition
4.3 Prepare/update resource materials on parenting education for improved child care and feeding practices
4.4 Organize programmes to enhance parental knowledge on maternal and child care and feeding practices
4.5 Develop mid-day meal to adolescent girls (grades 5 to 8) to enhance their school performance and participation
4.6 Provide nutritional support to adolescent girls (IFA with deworming to all and schools meals in the targeted areas) to increase their educational participation and performance (grades 5-8)
5.1 Organise promotional campaigns to increase practices on hand washing with soap at critical times, especially among adolescents, mothers with infants and young children
5.2 Conduct Open Defecation Free campaigns, with a particular focus among the most affected districts
5.3 Raise awareness on water safety plan and use of safe water at the point of use, with a particular focus on the most affected areas
6.1 Provide targeted support to make MN rich food available, including animal source foods, at households and community levels
6.2 Recipe development and promotion of MN rich minor/indigenous crops.
6.3 Link up programs to increase income and MNrich foods consumption among adolescent girls, pregnant and lactating mothers and children less than 2 years age from lowest quintile
6.4 Provide support for clean and cheap energy to reduce Women’s workload
6.5 Revise existing child cash grants mechanism (from pregnancy to U2 years children) based on review of the existing evidence to reduce maternal malnutrition and child stunting
7.1Build/facilitate for staff capacity development at central and local level
7.2 Carry out organisation and management assessment of the sectors for organisational strengthening
7.3 Establish uniform and results based reporting system
7.4 Review indicators in PMAS and DPMAS to incorporate MSNP key indicators
7.5 Carry out routine and joint sectoral monitoring of implementation
7.6 Establish monitoring framework and mechanisms at local levels (DDC and other line agencies)
7.7 Allocate institutional responsibilities for nutrition at all levels
8.1 Link/Update nutrition information at central level (PMAS, HMIS, EMIS, WASH, Agriculture and Local Development)
8.2 Link/Update nutrition information in DPMAS at local levels DDC, municipality; and health, education, WASH, agriculture and NGOs
","M & E Indicators included in the Action Plan
","Outcome indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Fat reduction (total, saturated, trans)|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf"
"25781","NGA","Nigeria","","National Policy and Strategic Plan of Action on Prevention and Control of Non-Communicable Diseases (NCDs)","NCD policy, strategy or plan with healthy diet components","","English","","2013","","","Federal Ministry of Health","5","2013","","","","","Health|Sub-national","","","","","","","","","","","","Research/academia","","Private sector","","","","Objective 3: To modify risk factors for hypertension.
Strategies:
- Encouraging reduction in salt intake with a view to achieving 30% relative reduction in mean population intake of salt/sodium (WHO recommendation is less than 5g of salt or 2g of sodium per person per day).
- Encouraging reduction in the prevalence of raised total cholesterol with a view to achieving ≥20% relative reduction in the prevalence of raised total cholesterol in the next 5 years (total normal blood cholesterol is <5mmol/l).
- Encouraging weight reduction measures: Halt the rise in obesity population to ≥25% of the obese population in the next 5 years.
","Key interventions to promote healthy diets shall be pursued. These include:
1. Promotion of breast feeding and ensuring optimal feeding for infants and young children including in schools.
2. Provide information, and establish dietary guidelines:
• reduce dietary salt levels
• promote iodization of salts etc
• eliminate industrially produced trans-fatty acids
• decrease saturated fats
• limit free sugars
• to increase consumption of fruits and vegetables as well as legumes, whole grains and nuts
3. Promote responsible marketing of foods and non-alcoholic beverages to children
4. Ensure provision of accurate and balanced information for consumers
","","","","Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Iodine|Food fortification|Food grade salt","","https://extranet.who.int/ncdccs/Data/NGA_B3_NCD POLICY AND STRATEGIC PLAN OF ACTION.pdf","Access policy document from the NCD Document Repository on the WHO website.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA2013National%20Policy%20and%20Plan%20of%20Action%20on%20NCDs.pdf"
"23165","RWA","Rwanda","","National Food and Nutrition Policy 2013-2018","Comprehensive national nutrition policy, strategy or plan","","English","10","2013","","2018","Government of Rwanda","10","2013","Adopted","","","Cabinet of Ministers","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Trade|Sub-national|Other","Ministry of Agriculture and Livestock Resources, Ministry of Defence, Ministry of Disaster Management and Refugees, Ministry of local government, Ministry of Gender and Family Promotion","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Other","","","","","","National NGOs","","","","","","","","Strategic objectives
1. Sustain the position of food and nutrition as central priorities of the Government across Sectors at all levels and among Development Partners.
2. Prevent stunting in children under two years of age.
3. Strengthen, expand and promote services and practices that result in household food security year round.
4. Prevent and manage all forms of malnutrition.
5. Strengthen nutrition education in schools and higher learning institutions through curricular and extracurricular activities.
6. Strengthen emergency preparedness and response in areas for nutrition and food security of families and individuals
7. Improve governance systems and accountability (planning, budget allocation, implementation and monitoring and evaluation) for nutrition and food security.
","Strategic Direction 1: Food and nutrition advocacy to sustain commitment and mobilise resources for policy implementation
Strategic Direction 2: Prevent stunting in children under two years of age at national scale
- National level 1st 1000 Days Campaign
- Refocused and strengthened District Plans to Eliminate Malnutrition (DPEM) and District Food and Nutrition Steering Committee (DF&NSC)
- Village level: “1st 1000 Days Community-Based Food and Nutrition Programs”
Strategic Direction 3: Promote services and practices that result in improved household food security
Strategic Direction 4: Prevention and management of all forms of malnutrition
Strategic Direction 5: Improving food and nutrition in schools
Strategic Direction 6: Assuring food and nutrition in emergencies
Strategic Direction 7: Supporting programmes and services
","Community based monitoring of food and nutrition needs to be strengthened. This includes development of key indicators by and for the 1st 1000 Days groups and community leaders. Frontline personnel need to monitor household participation in 1st 1000 Days CBNP.
Further improvements to multisector monitoring and evaluation systems to support nutrition and household food security programmes and strategies.
","","","Breastfeeding|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|School gardens|Dietary guidelines|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Maize flours|Milk|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","http://extwprlegs1.fao.org/docs/pdf/rwa151338.pdf","FAO FAOLEX database","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA-2013-2018-National%20Nutrition%20Policy.pdf"
"24487","RWA","Rwanda","","Rwanda United Nations Development Assistance Plan 2013-2018","Non-national nutrition policy document","","English","","2013","","2018","UN country team in Rwanda","","2013","Adopted","7","2013","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Disaster management and refugee affairs, defense, foreign affairs, infrastructure, internal security, east African community","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations 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)","UNECA, IOM, UN Women, UNEP, UN Habitat, UNV, UNCTAD, ITC, UNCDF, OHCHR","Other","","","","","","National NGOs","","","","","","","","Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf"
"7994","ZAF","South Africa","","Roadmap for Nutrition in South Africa","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","Department of Health","","2013","","","","(Policy to be signed by Minister of Health)","Health|Finance, budget and planning|Labour|Other","Department of Communication, National Planning Commission","","","","","","","","","","","","","","","","","Overall Goals:
- To contribute to increased life expectancy of the entire population by improving the quality, coverage and intensity of specific nutrition interventions that support reduction in mortality rates, especially maternal, neonatal, infant and child mortality;
- To promote optimal growth of children and prevent overweight and obesity later in life, by focusing on optimal infant and young child nutrition;
- To contribute to the prevention, control and treatment of HIV and Tuberculosis through targeted nutritional care and support strategies;
- To contribute to the effective functioning of the health sector, by reducing the demand for curative services and improving recovery rates from diseases, thus freeing up resources for preventive and promotive services
- To empower families and communities to make informed nutrition-related decisions, through advocacy regarding household food security, multisectoral collaboration and effective nutrition education.
","Strategic Aproaches:
1. Advocacy and technical support for the integration of nutrition into relevant sector strategies and programmes.
2. Positioning nutrition strategically within the health sector at national and provincial levels.
3. Delivering the key nutrition interventions through appropriate action at each of the following levels:
3.1 Population based services, including communication and market-based approaches.
3.2 Community based services.
3.3 PHC clinic services.
3.4 Hospital-based services.
4. Strengthening Human Resources to deliver effective nutrition services.
5. Strengthening the information base for effective nutrition services.
","Core Nutrition Indicators:
- Proportion of stunted children below age five (< 2yrs and 2-5yrs): from 18% (baseline) to 12% by 2016
- Proportion of wasted children below age five (< 2yrs and 2-5yrs): from 2.5% (baseline) to 2% by 2016
- Proportion of women in reproductive age with Hb<11 g/dL: non-pregnant women 10.5% (baseline), target value (2016) to be determined, no baseline values for pregnant women
- Incidence of low birthweight: from 15.5% (baseline) to 10% by 2016
- Proportion of overweight children below age five (< 2yrs and 2-5yrs): from 14% (baseline) to 10%
- Proportion ofpopulation below minimum level of dietary energy consumption: No baseline data, target value to be determined
- Proportion of Infants under 6 months who are exclusively breastfed: from 26% (baseline) to 40% at 6 months and 75% children 0-6 months
- Babies exclusively breastfed at 14 weeks rate: no baseline value to 60% by 2016
- Proportion of children 6-23 months who receive a minimum acceptable diet: no baseline data
- Proportion of People Living with HIV nutritionally assessed using anthropometric measurement that were found to be undernourished and provided with nutritional support at any point during the reporting period: No baseline data, target: 90% by 2016
- Proportion of children aged 6 to 59 years who have received two doses of Vitamin A supplements: 42% [12-59 months children,(Children who received one dose)] (baseline) to 80% (12 to 59 months) or 90% (6 to 11 months)
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","http://www.adsa.org.za/Portals/14/Documents/DOH/Nutrition%20Road%20Map%202013-2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20Roadmap%20for%20Nutrition%20in%20South%20Africa%20.pdf"
"24489","ZAF","South Africa","","The Government of South Africa United Nations Strategic Cooperation Framework, 2013-2017","Non-national nutrition policy document","","English","","2013","","2017","UN country team in South Africa","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Justice|Labour|Other","International relations, art and culture, cooperative governance, home affairs, human settlements, transport, public enterprises, public service, science and technology","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, OHCHR, UN Women, UNIC, UNODC, UNEP, UN Habitat","","","","","","","","","","","","","","","Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf"
"22935","GBR","United Kingdom","","Guide to creating a front of pack (FoP) nutrition label for pre-packed products sold through retail outlets","Government guidance","","English","","2013","","","Government","6","2013","Adopted","","","","Health|Food and agriculture|Sub-national","Administrations in Scotland, Northern Ireland and Wales, Department of Health, Food Standards Agency","","","","","","","","","","","","","","","Other","British Retail Consortium","","","","","The basic elements of a FoP nutrition label A FoP label developed in accordance with this guidance will contain:
- Information on the energy value in kilojoules (kJ) and kilocalories (kcal) per 100g/ml and in a specified portion of the product,
- Information on the amounts in grams of fat, saturated fat (“saturates”)2 , (total) sugars and salt in grams, in a specified portion of the product,
- Portion size information expressed in a way that is easily recognisable by, and meaningful to the consumer. For example, ¼ of a pie or 1 burger,
- % RI information based on the amount of each nutrient and energy value in a portion of the food, and
- Colour coding of the nutrient content of the food.
Companies may additionally include the descriptors “High”, “Medium” or “Low” (HML) together with the colours red, amber or green respectively to reinforce their meaning. The FoP label design must not mislead or confuse the consumer.
","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Food labelling|Front of pack labelling|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Front-of-pack labelling|Voluntary (FOP)|Energy value (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Total fat (FOP)|Total sugars (FOP)|Multiple traffic light system|Nutrient specific|Use of interpretative wording (e.g. high, medium, low)","","https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/207588/FINAL_VERSION_OF_THE_2013_FOP_GUIDANCE_-_WEB.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GBR%202013%20Guide%20to%20creating%20a%20front-of-pack%20nutrition%20label.pdf"
"38208","VEN","Venezuela (Bolivarian Republic of)","","Plan de la Patria Segundo Plan Socialista de Desarrollo Economico y Social de la Nacion","Multisectoral development plan with nutrition components","","Spanish","","2013","","2019","Asamblea Nacional","","2013","Adopted","","2013","Asamblea Nacional","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Environment|Industry|Labour","","","","","","","","","","","","","","","","","","Objetivo Nacional
1.4 Lograr la soberanía alimentaria para garantizar el sagrado derecho a la alimentación de nuestro pueblo.
...
Objetivo Nacional
2.2 Construir una sociedad igualitaria y justa
...
2.2.11. Asegurar una alimentación saludable, una nutrición adecuada a lo largo del ciclo de vida y la lactancia materna, en concordancia con los mandatos constitucionales sobre salud, soberanía y seguridad alimentaria, profundizando y ampliando las condiciones que las garanticen.
2.2.11.1. Fomentar políticas para incrementar la Lactancia Materna Exclusiva (LME) para cubrir al menos el 70% de la población lactante.
2.2.11.2. Desarrollar planes de apoyo, protección y promoción de la lactancia materna, así como la creación de redes de lactarios de leche materna.
2.2.11.3. Asegurar la alimentación saludable de la población, con especial atención en la primera infancia (prenatal - 8 años).
2.2.11.4. Consolidar las casas de alimentación, para adecuarlas y ampliarlas como centros de formación y atención nutricional.
2.2.11.5. Fortalecer los programas de asistencia alimentaria en el sistema educativo.
2.2.11.6. Promover hábitos alimentarios saludables y patrones de consumo adaptados a las potencialidades productivas del país.
2.2.11.7. Prevenir y controlar las carencias de micronutrientes y promoción de la seguridad alimentaria en los hogares.
","","","","","Breastfeeding|Right to food|Food security and agriculture","","http://ucs.gob.ve/descargas/Plan_de_la_Patria.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VEN%202013%20Plan_de_la_Patria.pdf"
"24446","BEN","Benin","","Plan cadre des Nation Unies pour l'Assistance au Développement UNDAF ","Non-national nutrition policy document","","French","","2014","","2018","United Nations System in Benin","3","2014","","","","","Nutrition council|Health|Food and agriculture|Women, children, families|Environment|Justice|Sub-national","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Fonds d’Equipement des Nations Unies (UNCDF), Agence internationale de l'énergie atomique(AIEA)","","","The World Bank","","","","","","","","","","","","UNDAF effet 1:D’ici à fin 2018, les populations rurales et périurbaines, notamment les jeunes et les femmes dans les communes d’intervention accroissent leur revenu et améliorent leur sécurité alimentaire
1.4 Les populations pauvres et les groupes vulnérables disposent de capacités accrues (filets de protection sociale ; transfert des revenus, techniques et technologiques appropriés) pour assurer leur sécurité alimentaire et nutritionnelle ainsi que l’accès aux marchés.
Effet 2: D’ici à fin 2018, les enfants de moins de 5 ans, les adolescents (es), les femmes en âge de procréer et les ménages bénéficient de façon équitable d’interventions à haut impact de qualité en santé y compris le VIH/SIDA, les MNT, la nutrition, la planification familiale, l’assainissement de base et les communautés adoptent des practiques favorable à la sante.
2.1 Les institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes)ont des capacités accrues pour laplanification, la coordination et le suivide la mise en oeuvre des paquets d’intervention àhautLes institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes) ont des capacités accrues pour la planification, la coordination et le suivi de la mise en oeuvre des paquets d’intervention à haut impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.
2.2 Les Zones Sanitaires et les communes retenues ont des capacités accrues pour offrir des paquets d’intervention à haut impact de qualité en nutrition, planification familiale, VIH/ Sida, MNT et sasainiessement de base.
","UNDAF effet 1
1.4 activités
Implications de tous les acteurs ; Bon ciblage des populations et zones vulnérables.
UNDAF effet 2
Engagement et appropriation des partenaires
2.2
Accessibilité aux services de santé en terme de coût des prestations et de la disponibilité des infrastructures améliorées
","UNDAF effet 1
1.4
• Nombre de ménages pauvres et vulnérables ayant bénéficié d’un appui pour la mise en place d’une AGR
• Existence d’un socle de protection sociale
UNDAF effet 2
• Taux d’accouchements assistés par du personnel qualifié (médecins, infirmiers, sage femmes) (R : 84% ; C : 90%)
• Proportion des femmes enceintes séropositives mises sous -prophylaxie ARV
• Proportion d’enfants de 6 à 59 mois présentant la malnutrition aigue
• Proportion de populations utilisant les latrines améliorées
2.1
• Existence d’un document politique/stratégie pour le financement du secteur de la santé
• Existence d’un document de coordination et de suivi de la mise en oeuvre des PIHI (paquet d'interventions à haut impact)
• Nombre de documents de politique et stratégie en santé de la mère et de l’enfant intégrant les PIHI
• Proportion d’acteurs clés formés pour faire une planification basée sur les résultats
2.2
• % de formations sanitaires des zones sanitaires retenues disposant du plateau technique adéquat (ressources humaines,matérielles, infrastructures) pour offrir: des services de prise en charge de qualité des enfants malnutris
","","","Wasting in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Vaccination","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/documents/publication/wcms_461896.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202014%20UNDAF.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"
"24708","COM","Comoros","","Plan de mise en œuvre & de suivi évaluation de la politique nationale de nutrition et d’alimentation","Comprehensive national nutrition policy, strategy or plan","","French","","2014","","2019","","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Trade|Labour","","","","","","","","","","National NGOs","","","","","","","","Objectifs :
Le présent plan de mise en œuvre se fixe comme objectifs principaux :
- Planifier et budgétiser les interventions prioritaires à mettre en œuvre entre 2014 à 2019 ;
- Traduire les interventions en actions à tous les niveaux liés à la PNNA ;
- Mettre en place un cadre de suivi et évaluation des actions retenues et mises en place.
","Axes stratégiques
- Axe stratégique 1 : Amélioration de la sécurité alimentaire des ménages
- Axe Stratégique 2 : Développement de la prise en charge de la malnutrition
- Axe stratégique 3 : Développement de la nutrition en milieu pré- scolaire et scolaire
- Axe stratégique 4 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgence
- Axe stratégique 5 : Information Education Communication / Changement de Comportement / Mobilisation sociale
- Axe Stratégique 6 : Développement du contrôle de la qualité des aliments
- Axe stratégique 7: Amélioration des systèmes de collecte, d'analyse, de diffusion des données sur la nutrition
- Axe stratégique 8 : Développement des études et de la recherche en matière de nutrition et alimentation
- Axe stratégique 9: Renforcement du partenariat avec les collectivités locales, les ONG, les associations, les agences d'exécution, le secteur privé dans la mise en œuvre des programmes de lutte contre la malnutrition
","see document P32-37
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Household food security","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA%20M%26E.pdf"
"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"
"23505","GNB","Guinea-Bissau","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2014","","2025","MINISTERE DE LA SANTE PUBLIQUE","","2013","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Environment|Industry|Labour","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","communautés de base, chefs traditionnels et religieux","4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
","4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|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://scalingupnutrition.org/sun-countries/guinea-bissau","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202014%20POLITIQUE-NATIONALE-NUTRITION.FIN_.FR_.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"
"25914","MLI","Mali","","Plan Decennal de Developpement Sanitaire et Social (PDDSS) 2014-2023","Health sector policy, strategy or plan with nutrition components","","French","","2014","","2023","Ministère de la Santé et de l’Hygiène Publique et Ministère du Travail et des Affaires Sociales et Humanitaires et Ministère de la Promotion de la Femme, de la Famille et de l’Enfant","","2014","","","","","Health|Women, children, families|Labour","","","","","","","","","","","","","","","","","","Taux d'insuffisance pondérale - Niveau de base: 19% - Cible en 2023: 14%
Déficit énergétique chronique chez les femmes en âge de procréer - Niveau de base: 13,6% - Cible en 2023: 5%
Taux de prévalence du diabète sucré - Niveau de base: 9,3% - Cible en 2023: 5%
Taux de prévalence de l’HTA - Niveau de base: 10% - Cible en 2023: 6%
","RS-1.5. La prévention de la malnutrition est assurée de manière efficace.
· La promotion des comportements individuels positifs et du changement social ciblant des pratiques appropriées de nutrition maternelle, d’alimentation du nourrisson et du jeune enfant ;
· Le renforcement de l’allaitement maternel exclusif ;
· La supplémentation en micronutriments à certaines périodes de la vie, enfance, âge scolaire, femmes enceintes, allaitantes, etc. ;
· L’implication des collectivités territoriales et des communautés à tous les niveaux ;
· La promotion de l’utilisation des aliments enrichis en micronutriments (farine et huile).
RS-1.6. La Surveillance de la croissance et du développement de l’enfant est assurée de manière permanente et efficace.
· La vulgarisation de l’utilisation des nouvelles courbes de croissance pour suivre l’évolution staturo-pondérale des enfants ;
· Les conseils aux mères ou parents-soignants sur l’état de leur enfant et les mesures à prendre pour maintenir ou corriger cet état.
· La prise en charge des cas de malnutrition aiguë, modérée et sévère dans les formations sanitaires et au niveau communautaire selon le protocole révisé de prise en charge de la malnutrition.
RS-1.7. La prévention des carences en micronutriments est assurée de manière plus efficace.
· la prise en charge des carences en micronutriments à travers les activités de routine (PEV, CPN, CPON) ;
· l’intensification de SIAN ;
· la promotion de la consommation de sel iodé au niveau ménage et communautaire ;
· la promotion de la production des aliments thérapeutiques au niveau local.
RS-1.9. Des services de santé et de nutrition de qualité sont disponibles en milieu scolaire.
· le renforcement des capacités des structures de santé communautaire qui abrite des établissements scolaires réhabilitation/équipement complémentaire, ressources humaines au besoin) ;
· la promotion de l’hygiène alimentaire en milieu scolaire;
· La prévention et la réduction de l’exposition aux principaux facteurs de risques aux plans individuel et collectif en milieu scolaire (violences, alcoolisme, tabagisme, usage des drogues etc.) ;
· La vaccination contre le tétanos ;
· La réalisation des visites médicales systématiques dans les écoles ;
· La prise en charge correcte des malades sur le plan global y compris l’organisation de la référence en milieu scolaire ;
· La réalisation d’étude en vue d’assoir un dispositif approprié de prise en charge de la question de santé scolaire.
","","","","Underweight in children 0-5 years|Underweight in women|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Micronutrient supplementation|Wheat flours|Management of moderate acute malnutrition|Management of severe acute malnutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLI-2014-2023-PDDSS.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"
"36121","ROU","Romania","","Strategia Naţională de Sănătate 2014-2020 [National Health Strategy]","Health sector policy, strategy or plan with nutrition components","","Romanian; Moldavian; Moldovan","","2014","","2020","Ministry of Health","11","2014","Adopted","","","Government of Romania","Cabinet/Presidency|Health|Education and research|Sub-national","","","","","","","","","","National NGOs","","","","","","","","2.3 Arii strategice pentru sectorul de sănătate
- Aria strategică 1: Sănătate publică
- Aria strategică 2: Servicii de sănătate
- Aria strategică 3: Măsuri transversale
4. SCOP ŞI OBIECTIVE GENERALE. ARII STRATEGICE PRIORITARE
ARIA STRATEGICA DE INTERVENŢIE 1: “SĂNĂTATE PUBLICA”
OG.1. Îmbunătăţirea stării de sănătate şi nutriţie a femeii si copilului
OG 3. Diminuarea ritmului de creştere a morbidităţii şi mortalităţii prin boli netransmisibile şi reducerea poverii lor în populaţie prin programe naţionale, regionale şi locale de sănătate cu caracter preventiv
ARIA STRATEGICĂ DE INTERVENŢIE 2: “SERVICII DE SĂNĂTATE ”
OG 4. Asigurarea unui acces echitabil a tuturor cetăţenilor, în special a grupurilor
vulnerabile, la servicii de sănătate de calitate şi cost-eficace
","OS 1.1. Îmbunătăţirea stării de sănătate şi nutriţie a mamei şi copilui şi reducerea riscului de deces infantil şi matern
Direcţii strategice/Măsuri
a. Imbunătăţirea cadrului de reglementare (e.g. introducerea în legislaţia naţională a principiilor privind Marketingul produselor de lapte praf pentru sugari, elaborat de către OMS/UNICEF, actualizarea actelor normative privind igiena şcolară)
b. Creşterea capacitaţii de management, de monitorizare şi evaluare a programului pentru adaptarea intervenţiilor la evoluţia indicatorilor anuali
c. Îmbunătăţirea cadrului metodologic şi creşterea capacităţii tehnice a furnizorilor de servicii: actualizarea/elaborarea ghidurilor de practică, inclusiv pentru asistenţii medicali comunitari, moașe cu promovarea managementului integrat al bolilor copilului, formarea personalului din asistenţa medicală primară, maternităţi, ONG și introducerea în schema de acreditare a maternitatilor a criteriilor ce decurg din cei “Zece Paşi pentru o alăptare încununată de succes” (conform OMS şi UNICEF); armonizarea ghidurilor cu intervenţiile din programele naţionale de sănătate;
d. Asigurarea accesului la diagnostic precoce, monitorizare adecvată şi/sau tratament de calitate prin diversificarea serviciilor de asistență medicală primară, cu accent pe serviciile preventive care să fie furnizate prin pachetul de servicii de bază;
e. Creşterea gradului de informare a populaţiei generale şi ţintirea familiilor şi copiilor cu risc crescut, vulnerabile, prin măsuri de intervenţie la nivel de comunitate (outreach) pentru informare, educare şi consiliere ajustate nevoilor.
OS 3.1. Creşterea eficacităţii şi rolului promovării sănătății în reducerea poverii bolii în populaţie în domeniile prioritare
Direcţii strategice/Măsuri
a. Creşterea capacităţii de a derula activităţi de promovarea sănătăţii eficace şi eficiente la nivel naţional şi subnaţional
b. Creşterea gradului de informare, conştientizare şi responsabilizare a populaţiei printr-un număr de intervenţii IEC/CSC strategic alese, adaptatei vârstei şi nevoilor beneficiarilor pentru reducerea poverii evitabile a bolilor prioritare (de exemplu, promovarea vaccinărilor cu potenţial de prevenire a bolilor cronice, promovarea comportamentelor sănătoase/prevenţie primară pentru boli netransmisibile majore, promovarea sănătaţii orale integrat cu bolile cronice), cu accent pe grupurile vulnerabile şi vârstele tinere; creşterea accesului la informaţia de calitate, inclusiv în mediul online.
c. Revizuirea/actualizarea actelor normative privind igiena şcolară şi actualizarea programei de educaţie sănătate de către Ministerul Educaţiei Naţionale pentru implementarea eficace a intervențiilor vizând promovarea sănătății şi educaţia pentru sănătate la copiii de vârstă școlară.
d. Creşterea rolului şi capacităţii liniei întâi de servicii medicale (medic de familie, asistent medicină de familie, asistent medical comunitar, medic de medicina şcolară) de a identifica riscurile de boli cronice netransmisibile, de a răspunde nevoilor de informare şi consiliere a indivizilor, mai ales a persoanelor cu risc crescut, a celor dezavantajaţi cu formarea furnizorilor de servicii inclusiv prin soluţii e-formare.
6.3. Planul naţional de Control al Diabetului
Realizarea registrelor de boală (OS 6.1.) împreună cu prevenţia primară a bolilor netransmisibile (OS 3.1), împreună cu tratamentul bolnavilor, sprijinul acordat automonitorizării bolnavilor, monitorizarea răspunsului terapeutic prin dozarea hemoglobinei glicozilate (HbA 1c) fac parte din Planul Naţional de control al diabetului.
","","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Capacity building for the Code|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)|Micronutrient supplementation|Nutrition education|Vaccination|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ROU%202014%20National%20Health%20Strategy.pdf"
"25730","TKM","Turkmenistan","","The national strategy for the implementation in 2014-2020 of tasks defined in the Ashgabat Declaration prevention and control of non-communicable diseases in Turkmenistan and ACTION PLAN for implementation of the National Strategy","NCD policy, strategy or plan with healthy diet components","","English","5","2014","","2020","Turkmen State Publishing Service","","2016","Adopted","5","2014","President of Turkmenistan","Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Sub-national|Other","State Television, Radio and Cinema Committee of Turkmenistan; Ministry of culture of Turkmenistan; State Food Industry Association of Turkmenistan","World Health Organization (WHO)","","","","","","","","","","Research/academia","","","","Other","Industry of Turkmenistan","The main objectives of the National Strategy for the following:
- Ensure priority prevention and control of non-communicable diseases at the national level to increase the possibilities of prevention of these diseases, as well as at the state level to improve the efficiency of the intersectional Council for the prevention and control of non-communicable diseases and increase intersectional coordination of activities of the Council;
- By creating the conditions that promote health, reduce the influence of risk factors leading to the emergence of non-communicable diseases, form the basis of social indicators;
- In order to create motivation among the population of a healthy lifestyle, strengthen the promotion of healthy lifestyles, raise awareness of the population about this;
- To strengthen the health system and send it to the prevention and control of noncommunicable diseases, as well as to strengthen primary health care, which is the basis of the delivery of health services and meet their needs in that at the level of primary health care;
- Provide the opportunities for public participation in the ongoing activities devoted to healthy lifestyles and promote its educational level of this;
- To improve the quality of research devoted to the prevention and control of noncommunicable diseases, to assist and encourage the work to expand the capacity of the national health research in this direction;
- To evaluate the effectiveness of the work on the prevention and control of noncommunicable diseases, to monitor indicators of infectious diseases and of work done in this direction;
- To support the development and expansion of specialized centers and centers with the best practices for the prevention and control of non-communicable diseases.
","ACTION PLAN
Objective 3: Create the conditions for establishment the interest among the population to a healthy life habits, for promotion a healthy lifestyle, for implementation of informative works and for increasing the literacy about health
20. Support the breast feeding and continue to do that, inform parents about additional feeding which should be given in time and correctly, develop ecology clean areas to supply the baby food factories by the raw materials. Raise the producing of the special products for the babies and small children
21. Follow and monitor the rules of World Health Organization on the sale of baby food and alcohol free beverages. Develop the methods of food preparation according the scientific basis for all level of population and begin to produce them
22. Develop special educational materials for achievement the below goals and for support different producers with technology instructions for new products and sale recommendations. Introduce on the label of products the information about the value of product and amount of its protein, carbohydrate and oil
23. Achieve the supply all the setting of our country including the schools and institutions with high quality and healthy food
24. Grow the producing of the agricultural products which are fully safe for producing main food products. Improve the methods of growing the vegetables and fruits with purpose to decrease the amount of harmful substances of the products (poison substances, pesticides, herbicides, nitrate, etc). Develop an action program for the agricultural, food processing, food marketing institutions and for any companies which are connected with food, state establishments on usage of healthy agricultural products and products which are produced in our country.
25. With the purpose to inform about healthy food in different ways and to reach the users held social publicities and events (actions, companies). Work closely with population and with specialized establishments until getting positive results.
26. At schools, kindergardens, hospitals, state and private establishments conduct the information works connected with healthy food, also strengthen the health, and organize the conditions for having healthy food.
27. Develop the quality and healthy indicators for the food products according World Health Organization, UN Food and Agriculture Department also according the recommendations of Alimentarius International Codex. Achieve the recordings on the labels of food products which are going for sale, the indications about product ingredients, the value of product or its effect to the health.
28. Held works on expanding and raising up the commerce of products which supply the healthy food.
29. Ensure the implementation of the ""The National Program on healthy eating of Turkmen population in years 2013-2017"". valuate the implementation and the results of the actions which were indicated in that program, also organize the work on development of the National program for the next five years
37. Prepare interviews and articles about the risks that lead to non-communicable diseases and their prevention on television and in the press
Objective 5: Widely promote and introduce a healthy lifestyle to the society, also support and continue to increase the literacy rate of citizens about health.
95. To prevent second step of diabetes conduct educational works to increase the literacy rate of citizens about health food and using healthy habits in life
117. Explore from a scientific point of view the relationship between the use of tobacco and alcohol products, poor nutrition, lack of physical activity, planned and preventive vaccination for the prevention of NCDs and communicable and non-communicable diseases
126. Add prevention measures to the epidemiological observation activities at the primary health care points. Doing this, collect data about people's behavior, about their bag habits (like alcoholism, less physical activities, smoking, poor nutrition, getting weight and fatness, high blood pressure, raising sugar in blood, and hyperglycemia), control a sale of products, alcohol, tobacco products which can be dangerous for a health
","Improving the quality and accessibility of health care are the major public health challenges in the delivery of medical health care. In order to provide basic and necessary drugs, as well as the effective management of health to provide public health care is provided to attract financial investments. This will reduce the smoking population to 30%, the use of alcoholic beverages by 10%, the use of salt / sodium in an average of 30%, hypertension 25%, lack of physical activity by 10%. Provision of essential drugs will increase to 80%, other drugs to 50%. The incidence of non-communicable diseases will decrease by 25%. As an alternative against the bad habits will develop physical culture and mass sport.
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Food safety","","https://extranet.who.int/ncdccs/Data/TKM_B3_NCD%20Plan%20of%20actions%20-%20english%20translation%20from%20TKM.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf"
"23503","ZWE","Zimbabwe","","Zimbabwe National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2018","Food and Nutrition Council","","2014","","","","","Education and research|Food and agriculture|Health|Labour|Nutrition council|Social welfare|Women, children, families","Food and Nutrition Council Education and research, Food and agriculture, Health, Labour, Nutrition council, Social welfare, Women, children, families,","","UN","","International NGOs & National NGOs","","","","","National NGOs","","","","","","","","KEY RESULT AREAS GOALS AND STRATEGIES
1) KRA 1 Adolescent and Maternal Nutrition Services
a. Goal 1: Coverage of health and community nutrition services for adolescents increased to 50% by 2018
b. Goal 2: Standard maternal health and nutrition package scaled up to 90% coverage by 2018
c. Goal 3: 50% of women of reproductive age have positive support from spouses and communities for decisions on maternal health, nutrition, healthy lifestyles and safe living environment by 2018.
2) KRA2: Infant and Young Child Nutrition
a. Goal 4: All health institutions provide the standard IYCF package (BMFHI, BF, CF, multiple micronutrient supplementation and fortification, dietary diversification, disease prevention and management, nutrition interventions in emergencies, feeding behaviours and stimulation, PMTCT, WASH and IMAM) by 2018
b. Goal 5: Community IYCF counseling package increased from 44% to 100% of districts and in at least 90% of the wards by 2018
c. Goal 6:Coverage of growth monitoring and promotion for under-fives increased from 2 districts to 20 districts by 2016 and to 40 districts by 2018 and covering 5 wards per district by 2018
3) KRA3 Clinical Nutrition Services
a. Goal 7: To increase the proportion of the adult population practicing at least one or a combination of the top 5 healthy lifestyles to 40% by 2018
b. Goal 8: Proportion of health facilities (central, provincial, mission and district hospitals) providing quality nutrition services for communicable (schistosomiasis, HIV, malaria, soil transmitted helminthes) and non-communicable diseases increased to 75% by 2018.
c. Goal 9: 30% of institutions adopt national food service and nutrition guidelines by 2018.
4) KRA4 Enhancing the Quality of Nutrition Information Systems and Effectiveness of Advocacy
a. Goal 10: Timely availability of relevant nutrition information that incorporates disaster risk reduction at all levels adequate for disaster preparedness planning and nutrition programming by 2018.
5) KRA 5 Strengthening Multi-sectoral Coordination and Collaboration for Integrated Nutrition Response
a. Goal 11:80% of women of reproductive age have the capacity to safely provide for their food, health and nutrition security using appropriate technologies
b. Goal 12: Coverage of health and community nutrition services for school children increased to 50% by 2018
c. Goal 13: All provinces and districts have Food and Nutrition Security Committees that are fully discharging their terms of reference by 2014, 50% of ward level committees functioning by 2018
d. Goal 14: To increase the proportion of households consuming safe and acceptable diets all year round to at least 80% by 2018
e. Goal 15: Scale up evidence-based nutrition sensitive interventions in social protection services to 80% coverage by 2018
f. Goal 16: At least 50% of community based health workers promote WASH related behaviour change whilst integrating nutrition messaging by 2018
g. Goal 17: To ensure that at least 50% of imported and locally produced foods are evaluated for safety by 2018.
6) KRA6 Capacity Development for Nutrition Service Delivery and Resource Mobilization
a. Goal 18:To ensure that the National Nutrition Department has a critical mass of staff with the ability, tools, supportive supervision and resources to integrate nutrition into other sectors
b. Goal 19: To increase resource allocation to nutrition to 1% of GDP per year by 2018.
","","Table 14 contains Outcome Indicators, Baseline Values, Targets and Allowable Variance
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202014%20National%20Nutrition%20Strategy.pdf"
"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"
"24452","AGO","Angola","","Partnership framework between the government of Angola and the UN system (UNPAF)","Non-national nutrition policy document","","English","","2015","","2019","Ministry of Planning and Regional Development","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Environment|Industry|Labour|Sub-national|Other","Ministry of Energy and Water","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNCHR, UNEP, UN Habitat, IOM, IAEA, UNISDR, UNCTAD","","","Other|Bill and Melinda Gates Foundation|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","Global Fund, Rotary","European Union|Other","Portuguese bilateral cooperation, cooperation with the German Embassy","National NGOs","ADPP, PIN, AAEA","","","Private sector","","","","Result 1.1: Health. By 2019 Angola reduced maternal and child morbidity and mortality, the mortality rate of its population, the risk factors for the health of adolescents and non- communicable diseases
Result 3.1 Inclusive growth, economic diversification, production and job creation. By 2019, Angola possesses and is implementing policies and strategies for the promotion of inclusive and sustainable growth to enable Angola to leave the group of Less Advanced countries
","Result 1.1. Adequate support from the central level of the Ministry of Health for capacity building of provincial and municipal staff to better implement actions in the field of health.
Recruitment of additional health personnel for the different levels of the health pyramid.
Coordination of the activities of all the actors in the health sector.
Information system on water and sanitation (SISAS) & Model for community management of water (MOGECA) launched and implemented as planned
Surveys and evaluations
Baseline Survey on Mothers and care givers awareness of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Qualitative study on Mothers and care givers awareness and behaviors of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Study on the Impact of the school feeding programme(UNICEF) (2016)
Rapid Assessment study on Mothers and care givers awareness and behavior regarding essential practices in health, nutrition and WASH (UNICEF) (2017)
Final evaluation on parents and caregivers’ awareness of essential practices in health, nutrition and WASH (UNICEF). (2019
","Result 1.1.
Indicator 1: Development and implementation of policies: Number of policies/national plans updated/produced and budgeted with the support of the UN to promote and strengthen health in line with the 9 priority programmes of the PNDS 2012 -2025.
Baseline: 4 plans produced.
Goal: 9 plans produced (1. National Strategic Plan for the Aged; 2 .National Strategic Plan for Maternal, Neonatal and Infant Health (including vaccinations); 3. Strategic Plan for Infant Nutrition; 4. National strategic Plan for the control and prevention of malaria; 5. National Plan for Water and Sanitation; 6 .National Policy for Community Interventions; 7. Multiannual Integrated Plan for Vaccination; 8. National Plan for the Elimination of Mother to child HIV; 9. Plan for Management, Procurement and Logistics )
Indicator 2: Capacity building and training. Number of teams of the government and civil society trained in health matters (sexual and reproductive health, including maternal and newborn health, family planning, HIV/AIDS, DNT, etc.).
Baseline: Not available
Goal: 1000 individuals trained in sexual reproductive health and HIV/AIDS by 2019.
Indicator 3: Supply of services. Number of provinces to implement the policy of re- vitalisation of the municipal health services, including integrated services for health, nutrition, water and sanitation and HIV/AIDS.
Baseline: 5 provinces
Goal: 10 provinces by 2019.
Result 3.1
Indicator 5: Increase in the number and improvement in the quality of research on hunger, poverty and national inequalities carried out by Angolan universities.
Baseline: At the moment, few national institutions produce research in a systematic way.
Goal: At least four national institutions produce periodic studies which help in decision making.
","Process indicators","","HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.undp.org/content/dam/angola/docs/legalframework/UNDP_AO_UNPAF2015-2019_EN.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202015%20UNPAF.pdf"
"25899","AZE","Azerbaijan","","Azerbaijan National Strategy for the Prevention and Control of Non-Communicable Diseases 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","","2015","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Industry|Labour","The Ministry of Health, The Ministry of Finance, The Ministry of Taxes, The Ministry of Education, The Ministry of Youth and Sport, The Ministry of Labour and Social Protection, The Ministry of Economy and Industry, The Ministry of Agriculture, State Committee of Family, Women and Children Affairs","","","","","","","","","National NGOs","","","","","","","","SECTION 6: TARGETS
1. A 10% relative reduction in tobacco use
2. Reducing salt intake to less than 5 grams per day for adults
3. A 10% relative reduction in prevalence of insufficient physical activity
4. Halt the rise in obesity
5. Halt the rise in diabetes
6. Halt the prevalence of raised blood pressure and achieve the reduction
7. A 90% availability of the affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities
","OBJECTIVE TWO: IMPLEMENTING EFFICIENT AND EQUITY-BASED INTERVENTIONS IN ORDER TO REDUCE THE MAIN MODIFIABLE RISK FACTORS FOR NONCOMMUNICABLE DISEASES: tobacco use, harmful use of alcohol, unhealthy diet, physical inactivity
3. Promoting healthy diet:
Implementing national Action Plan, which reflects the main nutrition issues of the country and priority areas of activities
Development of Physiological Nutrition Norms
Defining a strategy in order extracting partially the hydrogenated vegetable oils from food products and replacing saturated fatty acids with polyunsaturated fats
Defining a strategy in order to reduce the marketing impact of food products (containing saturated, trans-fatty acids, high sugar or salt) on children
Improvement of the normative documents concerning the following: Reducing salt in manufactured food products
Compulsory marking the food products containing trans-fats and saturated fats (initial stage)
Prohibiting the sale of food products containing trans-fats (second stage)
Promoting healthy eating in early childhood, including breastfeeding
Promoting healthy eating behaviors, including the enrichment of the food products among population;
Providing students with healthy nutrition in educational institutions
Promoting people to give preference to polyunsaturated fats than saturated fatty acids.
","The sale proportion of food products containing trans fats;
Age-standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ years;
Age-standardized mean proportion of total energy intake from saturated fatty acids in persons aged 18+ years;
Age-standardized mean proportion of total energy intake from trans fats in persons aged 18+ years;
The proportion of children exclusively breastfed for the first six months of life;
The proportion of children breastfed for the first 24 months of life.
","","","Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|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|Dietary guidelines|Food labelling|Front of pack labelling|Fats|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Food fortification","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/AZE_B3_NCD%20AZERBAIJAN%202015-2020.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AZE%202015%20NCD%20AZERBAIJAN.pdf"
"36191","BTN","Bhutan","","Multi-sectoral Action Plan for the Prevention and Control of Non-communicable Diseases in Bhutan ","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","Royal Government of Bhutan","","2015","Adopted","7","2015","80th Lhengye Zhungtshog session","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Trade|Labour","Royal Government of Bhutan","","WHO","","","","","","","National NGOs","","","","","","","","Target areas - 2020 - 2025
Relative reduction in risk of premature mortality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases - ..... - 25%
Relative reduction in mean population intake of salt/sodium - 15% - 30%
Relative reduction in prevalence of raised blood pressure - 10% - 25%
Halt the rise in obesity and diabetes - ..... - 0 % rise
","Action 2.3, Promote a healthy diet
Action area: 2.3 Promote a healthy diet.
Activities
2.3.1
Develop and implement a national salt reduction strategy by adapting WHO templates
2.3.1.1
Develop national salt reduction strategy and advocate recommended salt consumption
2.3.2
Obligate appropriate industries/food processors to reduce amount of salt and sugar in their products through appropriate guidelines (based on the national salt reduction strategy)
2.3.2.1
Conduct salt content analysis and identify a list of top 10 priority imported products with high salt and trans fat content
2.3.2.2
Promote the industries/food processors to reduce salt, saturated fat and sugars in processed products through awareness activities
2.3.2.3
Restrict import/retail of identified top unhealthy products with high salt and trans fats
2.3.3
Develop regulations and fiscal policies such as taxes and subsidies to promote consumption of fruits and vegetables and discourage consumption of unhealthy food options.
2.3.3.1
Encourage growth of fruits in local farms and increase the supply of fruits for year round through agricultural policy reforms.
2.3.3.2
Develop incentive measures to influence local community groups to produce more fruits and vegetables.
2.3.3.3
Monitoring of local vegetable and fruit consumption by Department of agricultural marketing division
2.3.4
Carry out public campaigns through mass media and social media to inform consumers about a healthy diet high in fruit and vegetables and low in saturated fat, sugar and salt
2.3.4.1
Advocacy and awareness on nutrition including promotion of healthy diet
2.3.5
Establish and promote guidelines that support exclusive breastfeeding for the first six months of life, continued breast feeding until two years and beyond, and timely complementary feeding.
2.3.5.1
Liaise with relevant MoH departments and other stakeholders (women’s groups) to ensure that breast feeding guidelines are promoted.
2.3.5.2
Breast feeding promotion inter-sectorial forums.
2.3.5.3
Growth monitoring for children under 5 years of age
2.3.6
Establish guidelines for nutritional labeling for all pre-packaged foods with the input from relevant stakeholders.
2.3.6.1
Develop nutritional labeling guidelines and include requirement for trans fats and other unhealthy ingredients in the food products
2.3.6.2
Strengthen monitoring and enforcement of mandatory food labeling, contents and safety practices through registration and licensing of food business
2.3.7
Strengthen collaboration between BAFRA and Public Health Laboratory of the MoH in food safety promotion and evidence building
2.3.7.1
Institute a coordination team of PHL and BAFRA and identify priority areas of collaboration for strengthening food safety
2.3.7.2
Publish joint food safety reports for public dissemination ( Refer to 4.3.2.4)
2.3.8
Develop national guidelines for school feeding based on the Bhutan 2011 Food Based Dietary Guidelines aimed at improving the diet of school-aged children.
2.3.8.1
Develop recommendations and guidelines for school feeding.
2.3.8.2
Promote school based organic farming in schools
2.3.8.3
BMI monitoring in school and equipment for measuring BMI in schools
","Annexure 1: Indicator Lists (Tentative)
...
Fruits, vegetables and salt consumption:
7. Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruits and vegetables.
8. Age-standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ years.
...
Metabolic :
11. Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for diabetes
12. Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg); and mean systolic blood pressure.
13. Prevalence of overweight and obesity in adolescents (defined according to the WHO growth reference for school-aged children and adolescents, overweight – one standard deviation body mass index for age and sex, and obese – 2 SD BMI for age and sex).
14. Age-standardized prevalence of overweight and obesity in persons aged 18+ years (defined as body mass index ≥25 kg/m2 for overweight and body mass index ≥ 30 kg/m2 for obesity).
15. Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol ≥5.0 mmol/L or 190 mg/dl); and mean total cholesterol.
...
System response
...
21. National policies that virtually eliminate partially hydrogenated vegetable oils (PHVO) in the food supply and replace with polyunsaturated fatty acids (PUFA).
","","","Overweight in adolescents|Overweight in school children|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|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|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|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)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|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.health.gov.bt/wp-content/uploads/moh-files/2015/12/The-Multisectoral-National-Action-Plan-for-the-Prevention-and-Control-of-NCDs-2015-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BTN%202015%20NCD%20Action%20Plan_1.pdf"
"24691","BGR","Bulgaria","","Национална Здравна Стратегия 2020 [National Health Strategy 2020]","Health sector policy, strategy or plan with nutrition components","","Bulgarian","","2015","","2020","Ministry of Health","9","2016","Adopted","","2015","Ministry of Health","Health|Education and research|Sub-national","Regional Health Inspectorate","","","","","","","","","","","","","","","Other","National Center for Public Health and Analyzes; Media; Health Centers; Family Doctors;","1.3.2. Реализиране на ефективни програми за промоция на здраве и профилактика на болестите, вкл. по отношение на здравословно хранене, промоция на укрепваща здравето физическа активност, намаляване употребата на тютюневи изделия и наркотични вещества и злоупотребата с алкохол и др., с акцент върху рискови групи;
3.1.9. Мултисекторно сътрудничество ивключване на храненето в усилията заосъществяване на икономически ефек-тивни действия за насърчаване на здра-вословното хранене;
- 3.1.9.1. Съвместни дейности сбраншови организации ипроизводители на храни зареформулиране на храни поотношение намаляванесъдържанието на наситенимазнини, сол и захар
- 3.1.9.2. Мултисекторносътрудничество за намаляваненатиска на маркетинга ирекламата на храни за деца
3.1.10. Промоция на здравословно и ба-лансирано хранене през всички етапи наживота чрез изграждане на подкрепящасреда;
- 3.1.10.1.Разработване наобразователни програми,информационни материали,провеждане на здравно-образователни мероприятия за промоция на здравословнохранене, при различнипопулационни целеви групи
- 3.1.10.2.Включване наздравословното хранене катоприоритет в дейността наздравния сектор - разкриване наконсултативни кабинети заздравословно и диетично хранене
3.1.11. Създаване на система за наблю-дение, мониторинг, оценка на детерми-нанти и тенденции чрез изследване нахраненето и хранителния статус на популационно ниво.
- 3.1.11.1.Наблюдение имониторинг на поднормено тегло,нормално тегло, свръхтегло изатлъстяване при различнирискови популационни групи
- 3.1.11.2.Мониторинг на анемияпри бременни и кърмещи жени,създаване на база данни
","","","","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Vaccination|Vulnerable groups","","https://www.mh.government.bg/bg/politiki/strategii-i-kontseptsii/strategii/nacionalna-zdravna-strategiya-2020/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGR%202015%20National%20Health%20Strategy%202020.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGR%202015%20National%20Health%20Strategy%202020.pdf"
"39438","CMR","Cameroon","","Politique nationale d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2035","","8","2015","","","","","Nutrition council|Health|Education and research|Sub-national","Commissions régionales, départementales et communales","","","","","","","","","National NGOs","","Research/academia","","","","Other","Partenaires au développementPartenaire Technique et Financier","But: Garantir à la population camerounaise, en particulier aux groupes les plus vulnérables, un état nutritionnel optimal leur permettant de jouir des capacités intellectuelles, physiques, psychoaffectives, pour mener une vie active, productive et contribuer à réduire les taux de morbidité et de mortalité maternelle, infantile et infanto-juvénile.
Objectifs :
- Contribuer à la réduction des niveaux de sous-nutrition.
- Contribuer à réduire la morbidité et la mortalité dues aux maladies non transmissibles dans toutes les couches de la population
- Accroitre la production et la consommation des aliments sûrs et à haute valeur nutritive, y compris dans les zones écologiques les plus vulnérables aux catastrophes naturelles (sécheresse, inondation, invasion acridienne, etc.) afin d'assurer une sécurité alimentaire durable des populations camerounaises à l’horizon 2035.
- Garantir (assurer) la mise en place d’un système durable pour la coordination des actions d’alimentation et de nutrition menées dans les différents secteurs et à différents niveaux.
- Veiller à l’intégration des considérations alimentaires et nutritionnelles dans les différents plans et programmes de développement, y compris l’allocation des ressources conséquentes à tous les niveaux.
","5. 1.Promotion de l’Alimentation du Nourrisson, du Jeune Enfant, et de la nutrition de la femme enceinte et allaitante.
- Promotion, soutien, protection et encouragement de l’alimentation de la mère et de l’enfant de la conception jusqu’a 5 ans, y compris en situations spéciales.
- Promotion des pratiques familiales essentielles (PFE)
5.2. Lutte contre la sous-nutrition et les carences en micronutriments
- Promotion d’un paquet d’interventions intégrées sur la lutte contre les sous-nutritions notamment la malnutrition chronique.
- Accroissement des apports en micronutriments
- Promotion de la surveillance nutritionnelle, notamment à assise communautaire.
5.4. Sécurité alimentaire des ménages et sécurité sanitaire des aliments
- Accroissement, diversification et intensification de manière durable, les productions agricoles, animales et halieutiques
- Renforcement de la capacité nationale à constituer des stocks de sécurité, à la transformation et à la conservation des aliments
- Redynamisation du système de veille et d’intervention pour réduire les effets de l’insécurité, alimentaire conjoncturelle
- Promotion de la production et de la consommation des denrées alimentaires à haute valeur, nutritive notamment riches en micronutriments
- Renforcement du cadre législatif et réglementaire pour le contrôle de la qualité des aliments ;
- Renforcement du système de la surveillance de la qualité des aliments sur le marché et au niveau des sites de production, de distribution et de restaurations collectives.
5.6. Lutte contre la surnutrition et les maladies liées à l'alimentation et aux modes de vie
- Promotion des comportements et modes de vie favorables à la santé y compris chez les enfants de moins de 18 ans;
- Dépistage et prise en charge globale des maladies non transmissibles dans les formations sanitaires et au niveau de la communauté;
- Surveillance des maladies liées à l’alimentation et aux modes de vie.
5. 8. Recherche, formation et renforcement des capacités dans le domaine de la nutrition et l’alimentation
- Intégration de l’enseignement de l’alimentation et de la nutrition à tous les niveaux (maternel, primaire, secondaire et supérieur) en tenant compte des réalités nutritionnelles du pays
- Renforcement du volet de la recherche d’intervention dans le domaine de l’alimentation et la nutrition orientée vers les priorités nationales et vulgarisation des résultats
- Plaidoyer pour l’allocation des ressources et le recrutement des professionnels en alimentation et nutrition et la création de leur corps de métier au niveau de la fonction publique.
- Renforcement des capacités des différents acteurs en Alimentation et Nutrition
5 .9 . Accompagnement alimentaire et nutritionnel des personnes socio économiquement vulnérables
- Renforcement l’offre alimentaire et les soins en nutrition et santé ;
- D’autres approches telles que les transferts en espèces, les coupons (conditionnés ou non) et l’assistance financière contre travail peuvent être envisagées.
","- Prévalence de la malnutrition chronique chez les enfants de 6-59 mois
- Prévalence de la malnutrition aiguë chez les enfants de 6-59 mois
- Prévalence de l’insuffisance pondérale chez les enfants de 6-59 mois
- Prévalence de l’anémie chez les enfants de moins de cinq ans, et chez les femmes en âge de procréer
- Prévalence du déficit énergétique chronique et de surpoids chez les femmes en âge de procréer
- Valeur médiane d’iode urinaire
- Taux de l’allaitement maternel exclusif chez les nourrissons de moins de six mois
- % d’enfants de 6 à 23 mois avec un régime alimentaire minimal acceptable
- Score de diversité alimentaire des ménages
- Indice de vulnérabilité à la sécurité alimentaire ;
- Les taux de vulnérabilité à l'insécurité alimentaire ;
- Valeur moyenne de la production alimentaire ;
- Production et Consommation moyenne de protéine ;
- Approvisionnement moyen protéines d’origine animale
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|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|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|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Food sovereignty|Diarrhoea or ORS|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/CMR_B14_PNAN CAM FINAL 31 08 15 consultant(1).pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%202015%20PNAN.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"
"25716","HRV","Croatia","","Nacionalni program Živjeti zdravo [National Programme 'Living Healthy']","Health sector policy, strategy or plan with nutrition components","","Croatian","","2015","","","Ministry of Health","6","2015","Adopted","","2015","Ministry of Health","Health|Food and agriculture|Education and research|Social welfare|Sport|Trade|Environment|Labour|Other","Ministry of Tourism; Office for the Association of Croatian Government","","","","","","","","","","","Research/academia","Croatian Institute of Public Heath; County Institutes for Public Health; Medical faculties; Faculty of Kinesiology; Food and Biotechnology; Faculty of Education","","","Other","Croatian Employers' Association; Croatian Chamber of Economy; Croatian National Tourist Board; Croatian Food Agency; Association of Independent the Croatian Trade Unions; Child Education Institutions; the Education and Training Agency","Nacionalni program „Živjeti zdravo“ razvijen je kao program promicanja i unapređenja zdravlja stanovnika Republike Hrvatske promicanjem pravilne prehrane i tjelesne aktivnosti u cilju prevencije prekomjerne tjelesne mase i debljine te očuvanja mentalnog i spolnog zdravlja u različitim okruženjima.
MISIJA: unapređenje zdravlja stanovništva Republike Hrvatske smanjenjem utjecaja rizičnih čimbenika na zdravlje provođenjem učinkovitih mjera promicanja zdravlja i primarne prevencije bolesti.
VIZIJA: smanjenje negativnog učinka bihevioralnih, biomedicinskih i sociomedicinskih rizičnih čimbenika te kreiranje okruženja u kojima je svim osobama u Republici Hrvatskoj omogućena najviša razina zdravlja i kvalitete života.
CILJEVI: povećati svijest o rizičnim ponašanjima za razvoj kroničnih nezaraznih bolesti i utjecati na odrednice zdravlja, spriječiti razvoj bolesti te poboljšati kvalitetu života osoba u Republici Hrvatskoj.
OPĆI CILJ:
Povećati svijest i educirati stanovništvo o ponašanjima rizičnima za razvoj kroničnih nezaraznih bolesti i drugih negativnih posljedica na zdravlje i načinima zaštite zdravlja te utjecati na odrednice zdravlja u svrhu povećanja očekivanoga trajanja života, smanjenja smrtnosti, povećanja broja godina života bez bolesti i/ili invalidnosti i postizanja najviše moguće razine tjelesnog i entalnog zdravlja, uključujući poboljšanje kvalitete života očuvanjem zdravlja i funkcionalne sposobnosti.
SPECIFIČNI CILJEVI:
1. razvoj specifičnog preventivnog panela za promicanje zdravlja
2. unapređenje životnih navika populacije Republike Hrvatske
3. povećanje svijesti i znanja o zdravim stilovima života u populaciji Republike Hrvatske
4. zaustavljanje porasta broja osoba s prekomjernom tjelesnom masom i debljinom
5. zaustavljanje porasta broja tjelesno nedovoljno aktivnih osoba
6. smanjenje učestalosti bihevioralnih i biomedicinskih rizičnih čimbenika za razvoj KNB-a.
7. smanjenje specifične stope smrtnosti od kroničnih nezaraznih bolesti za dob do 65. godina života
","Tri prioritetna područja djelovanja Nacionalnog programa „Živjeti zdravo“ usmjerena su na:
1. pravilnu prehranu, tjelesnu aktivnost i prevenciju debljine - podrazumijeva promicanje pravilne prehrane kroz edukaciju, informiranje i kampanje te poticanje na izgradnju infrastrukture u vrtićima, školama i na radnim mjestima, poticanje donošenja legislativnih okvira koji reguliraju ovo područje u
svim okruženjima, poticanje proizvođača hrane na istaknuto označavanje i proizvodnju zdravijih prehrambenih proizvoda, praćenje i nadzor prekomjerne tjelesne mase i debljine, provođenje kampanja i inicijativa koje promiču dojenje i dr.
Nacionalni program „Živjeti zdravo“ djeluje na razvoju navedenih prioriteta predlaganjem legislativnih okvira koji reguliraju područje promicanja zdravlja u svim okruženjima, kontinuiranom medijskom promidžbom te potporom implementaciji učinkovitih intervencija na lokalnoj razini s posebnim naglaskom na vulnerabilne skupine.
2&3...
Aktivnosti
Aktivnosti Nacionalnog programa osmišljene su kroz pet komponenti koje se sastoje od niza pojedinačnih projekata, a sadržajno odgovaraju gore navedenim područjima i provode se u zajednici uz aktivno sudjelovanje djece i mladih, odraslih, radno sposobnih i starijeg stanovništva Republike Hrvatske:
- Zdravstveno obrazovanje
- Zdravlje i tjelesna aktivnost
- Zdravlje i prehrana
- Zdravlje i radno mjesto
- Zdravlje i okoliš
U okviru zdravstvenog obrazovanja u školama kroz Nacionalni program “Živjeti zdravo“ planirano je:
1. Promicanje pravilne prehrane i tjelesne aktivnosti u cilju prevencije prekomjerne tjelesne mase i debljine
Uz edukaciju učitelja i učenika o temeljima pravilne prehrane, ista će se učiniti dostupnom u skladu s donesenim Nacionalnim smjernicama za prehranu učenika u osnovnim školama sa skupinom normativa i jelovnika koji su izbalansirani ovisno o nutritivnim i energetskim potrebama učenika te ovisno o godišnjem dobu i sezonskoj dostupnosti namirnica. Uz dodatnu edukaciju učitelja i učenika o važnosti tjelesne aktivnosti u očuvanju zdravlja, tjelesna aktivnost poticat će se putem dva dodatna programa, svakodnevnim 10-minutnim tjelesnim vježbanjem i poligonima za tjelesnu aktivnost školske djece....
Zdravlje i prehrana
Obilježavanjem hrane jamstvenim žigom „Živjeti zdravo“, koji se dodjeljuje za razdoblje od tri godine, želi se dodatno informirati potrošače i pružiti im mogućnost olakšanog izbora hrane čiji je sastav preporučljiv za pravilnu prehranu. Također, isticanjem jamstvenog žiga „Živjeti zdravo“ na prehrambenim proizvodima želi se potaknuti proizvođače da razvijaju ili reformuliraju proizvode prema preporučenim kriterijima za unos energije i pojedinih hranjivih tvari prema Aneksu XIII B Uredbe EU Br.1169/2011.
Proizvode za dodjelu žiga prehrambena industrija i distributeri hrane prijavljuju Hrvatskom zavodu za javno zdravstvo u kojem se obavljaju provjere zadovoljavanja kriterija koji se temelje na pojedinim elementima nutritivne deklaracije. Proizvodi se mogu analizirati u bilo kojem akreditiranom laboratoriju sukladno normi 17025, dok provjeru istih provodi Hrvatski zavod za javno zdravstvo prilikom evaluacije prijave. Ukoliko proizvod zadovoljava kriterije, dodjeljuje mu se jamstveni žig „Živjeti zdravo“. Hrvatski zavod za javno zdravstvo na nacionalnoj je razini nositelj aktivnosti vezanih uz nacionalne mjere o dodatnim oblicima izražavanja i prezentiranja hrane prema Uredbi 1169/2011 Europskog parlamenta i Vijeća Europe o informiranju potrošača o hrani, a u cilju zaštite potrošača.
Jamstveni žig „Živjeti zdravo“ dodjeljuje se na vremensko razdoblje od tri godine. Nakon dodjele jamstvenog žiga, Hrvatski zavod za javno zdravstvo jednom godišnje provodi monitoring nad prehrambenim proizvodima kojima je dodijeljen jamstveni žig kako bi se provjerilo zadovoljavaju li proizvodi i dalje propisane kriterije. Ukoliko se analizom utvrdi da proizvod više ne zadovoljava kriterije, pravo korištenja istog se oduzima.
Ovaj projekt nadovezuje se i na Strateški plan za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015.–2019. godine za 16% u navedenom razdoblju. Naime, stanovnici Hrvatske dnevno u prosjeku unose više od 11 grama soli, gotovo dvostruko više od preporuke SZO-a, što uzrokuje značajne javnozdravstvene posljedice.
Dodjeljivanjem jamstvenog žiga „Živjeti zdravo“ bit će dostupnija informacija o nutritivno povoljnijoj hrani kako bi se svima mogla osigurati pravilna prehrana. Jamstveni žig upečatljivog je dizajna koji će potrošačima pružati jednostavan uvid u proizvode koji su nutritivno povoljniji. Na taj način olakšava se odabir nutritivno povoljnijih proizvoda bez potrebnog dodatnog znanja čitanja nutritivnih deklaracija.
U Republici Hrvatskoj sve je više obiteljskih poljoprivrednih gospodarstava i malih proizvodnih pogona (mini mljekare, sirane, mesna industrija, proizvođači meda, čajeva, proizvoda od voća i povrća) koji nude nutritivno povoljne proizvode. To se dodatno želi iskazati jamstvenim žigom „Živjeti zdravo“, a na taj način će se poticati i domaća proizvodnja i suradnja s civilnim društvom i udrugama.
Zdravlje i radno mjesto
Radno mjesto je, uz obitelj i školu, jedna od tri primarne društvene zajednice te time i jedna od najvažnijih socijalnih determinanti zdravlja. Zdravo radno okruženje preduvjet je socijalnog, mentalnog i fizičkog zdravlja, a zdrav radno aktivan čovjek je preduvjet društvenog opstanka. Imajući u vidu potrebu promicanja zdravlja na radnome mjestu Hrvatski zavod za javno zdravstvo je u okviru nacionalnog programa „Živjeti zdravo“ osmislio projekt promicanja zdravlja na radnom mjestu.
Projekt „Tvrtka prijatelj zdravlja“ usmjeren je zaposlenicima i potiče uvođenje posebnih oznaka za radna okruženja koja zaposlenicima omogućuju usvajanje zdravih životnih navika, promiču zdravlje na radnom mjestu te iskazuju pozitivnu brigu o zdravlju djelatnika. Kako bi utvrdili ispunjava li tvrtka potrebne uvjete, tim stručnjaka Hrvatskog zavoda za javno zdravstvo (HZJZ) dolazi u nadzorni posjet tvrtki, a predviđena su i predavanja za djelatnike tvrtke prema definiranim temama: pravilna prehrana, tjelesna aktivnost, zdravstvena ispravnost namirnica, zlostavljanje na radnom mjestu i upravljanje stresom, pušenje, alkohol, zlouporaba droga i kockanje, okoliš i zdravlje....
","Ovaj projekt nadovezuje se i na Strateški plan za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015.–2019. godine za 16% u navedenom razdoblju
","Outcome indicators","","Sodium/salt intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|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|Salt reduction|Nutrition education|Food sovereignty|Vulnerable groups","","https://zdravstvo.gov.hr/","Includes aims to introduce National Healthy Nutrition Claim (FOP logo that stands for healthy choices). Criteria for the logo still have to be developed.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202015%20National%20Programme%20Living%20Healthy.pdf"
"36112","MLT","Malta","","A Whole School Approach To A Healthy Lifestyle: Healthy Eating and Physical Activity Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","Ministry for Education and Employment","2","2015","Adopted","","2015","Ministry for Education and Employment","Health|Education and research|Labour","","","","","","","","","","National NGOs","","","","","","","","The Whole School Approach to Healthy Lifestyle: Healthy Eating and Physical Activity Policy aims to:
- Give high priority to healthy eating and physical activity through holistic education.
- Strengthen the necessary framework and support an enabling school environment to help the whole school community to adopt healthier patterns of living by encouraging physical activity, promoting healthy foods and limiting the availability of products high in salt, sugar and fats.
- Empower children to achieve the required physical and health literacy, to adopt a healthy lifestyle from an early age and to make informed choices about their lifestyles throughout the life course.
- Make provision for a flexible curriculum which highlights health, nutrition, food safety and hygiene and food preparation, which promotes physical activity.
- Ensure that clear and consistent messages about food, drink and physical activity are delivered across the school day as to reinforce the health messages consistent with those promoted by the Health Authorities.
The Ministry for Education and Employment has the lead responsibility for monitoring the implementation of this policy.
","","","","","Overweight in adolescents|Overweight in school children|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|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)|Promotion of fruit and vegetable intake|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://education.gov.mt/en/resources/News/Documents/Healthy%20Eating%20and%20Physical%20Activity%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202015%20A%20Whole%20School%20Approach-%20Healthy%20Eating%20and%20Physical%20Activity%20Policy.pdf"
"36206","MNG","Mongolia","","National Programme on Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","2015","","2025","Government of Mongolia","11","2015","Adopted","11","2015","Prime Minister of Mongolia","Cabinet/Presidency|Health|Food and agriculture|Sport|Sub-national","National Food Safety Committee, Ministry of Health and Sports, Cabinet Members and Governors of Aimags and the Capital City","","","","","","","","","National NGOs","","","","","","","","3.1. Goal
The Programme aims to reducediet and nutritionrelated diseases through improving health and nutrition education of the general public, and supply of healthy and safe food.
3.2. Objectives
3.2.1. Establish healthy and safe foodsystems;
3.2.2. Improve maternal and child nutrition status;
3.2.3. Strengthen the health sector capacity to ensure nutrition and food safety;
3.2.4. Scale-up nutrition information, education and communication for the general public;
3.2.5. Strengthen surveillance, monitoring and evaluation system on nutrition at the national level.
","","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|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|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|Management of moderate acute malnutrition|Management of severe acute malnutrition","","https://extranet.who.int/ncdccs/Data/MNG_B14_National%20programm%20on%20nutrition.docx https://www.legalinfo.mn/law/details/11585 https://www.legalinfo.mn/annex/details/7020?lawid=11585","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MNG%202015%20National%20programme%20on%20nutrition.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MNG%202015%20National%20programme%20on%20nutrition.pdf"
"36194","MAR","Morocco","","Prevention des Maladies Non Transmissibles: Plan d’action multisectoriel pour la Promotion d’un Mode de vie sain 2015-2020","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2020","Ministre de la santé","","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Industry|Justice|Labour|Other","Ministère des Affaires Générales et de la Gouvernance, Ministère des Habous et des Affaires Islamiques","","","","","","","","","","","","","","","","","Objectif général: Réduire l’exposition aux facteurs de risque modifiables des maladies Non Transmissibles et promouvoir un mode de vie sain.
Objectifs spécifiques:
- Réduire l'usage du tabac et protéger les non-fumeurs
- Réduire la consommation de sel, de gras et de sucre dans les habitudes alimentaires chez la population et améliorer les habitudes alimentaires
- Promouvoir l'activité physique
- Ralentir la progression des maladies chroniques
","Les domaines prioritaires...
Réduction de la consommation de sel via les campagnes médiatiques et reduction de la réduction de la teneur en sel des aliments transformés et servis Et remplacement des gras trans par des gras polyinsaturés
...
Programme de sensibilisation du public sur l'alimentation et l'activité physique
- Action 1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
- Action 2 : Développement des compétences en matière de mode de vie sain
- Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
- Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
- Action 5: Développement du partenariat en matière du mode de vie sain
- Action 6 : Mise en Place d'une réglementation relative à la promotion du mode de vie sain
- Action 7: Diffusion du plan d’action multisectoriel de promotion de mode vie sain
- Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
- Action 9: Suivi et évaluation des actions multisectorielles de promotion du mode de vie sain
","Promotion d'un mode de vie sain:
- Nombre de messages produits et diffusés ( TV, radio)
- Nombre d'établissements scolaires et universitaires sensibilisés
- nombre d'hôpitaux ayant organisé des campagnes
- Nombre de manifestations organisées dans les universités
- Nombre d'industriels de l'agroalimentaire sensibilisés
- nombre de textes élaborés sur l'alimentation saine
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR_2015_PAM.pdf"
"24488","SLE","Sierra Leone","","The United Nations Development Assistance Framework (UNDAF)","Non-national nutrition policy document","","English","","2015","","2018","UN country team in Sierra Leone","","2015","","","","","Health|Food and agriculture|Social welfare|Finance, budget and planning|Justice|Labour|Sub-national|Other","Internal affairs, foreign affairs","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNOPS, IOM, UNCDF, UN Women, UNODC, IAEA, OHCHR","Other","","The World Bank","","","","National NGOs","","","","","","","","Pillar 3: Accelerating human development
D. By 2018, children under five, adolescent girls, women of reproductive age, vulnerable groups and households are better protected from hunger and show improved nutritional status as a result of stronger UN support to the government.
E. By 2018, communities have improved and equitable use of safe drinking water, sanitation and hygiene practices.
Pillar 6: Strengthen social protection systems
A. By 2018, vulnerable populations including adolescent girls have increased access to livelihoods, education and improved nutritional status
B. By 2018, 20% of extremely poor households have access to social safety nets
","","Proportion of women 15-49 years with anaemia.
Proportion of children under 2 years. that are stunted
Proportion of children under 5years that are Underweight
Proportion of infants 0-5 months that are exclusively breastfed
Proportion of population using an improved water source
Proportion of population using basic sanitation
Proportion of population that is practicing open defecation
Percentage of food secure house hold
Supplementary feeding performance rates among targeted children under 5
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Food distribution/supplementation for prevention of acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202015%20UNDAF.pdf"
"41546","SVN","Slovenia","","Resolucija o nacionalnem programu o prehrani in telesni dejavnosti za zdravje 2015-2025 [National Programme for Nutrition and Physical Activity 2015-2025]","Comprehensive national nutrition policy, strategy or plan","","Slovenian","","2015","","2025","Official Gazette of the Republic of Slovenia","","2015","Adopted","","2015","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Labour","","","","","","","","","","","","","","","","","","Vizija
V Sloveniji ustvariti pogoje in oblikovati okolja, ki bodo prebivalcem omogočali boljše prehranjevalne in gibalne navade oziroma več telesne dejavnosti ter zdrave izbire, s tem pa boljše zdravje in kakovost življenja.
Namen
Z nacionalnim programom želimo izboljšati prehranske in gibalne navade prebivalcev od najrosnejšega obdobja življenja do pozne starosti. S tem želimo zaustaviti in obrniti trend naraščanja telesne mase prebivalcev Slovenije in vplivati na manjšo pojavnost kroničnih nenalezljivih bolezni, in posledično na vzdržnost zdravstvenega sistema. S predvidenimi ukrepi želimo vplivati tudi na zmanjšanje razlik v zdravju prebivalcev, ki nastajajo zaradi nepravilnega prehranjevanja in pomanjkanja telesne dejavnosti med socialno in ekonomsko ogroženimi skupinami prebivalstva.
Z izvajanjem nacionalnega programa želimo:
- zmanjšati delež prebivalcev s prekomerno telesno maso in debelih (ITM > 25);
- povečati delež prebivalcev, ki so redno telesno dejavni;
- povečati delež dojenih otrok;
- povečati uživanje sadja in zelenjave;
- povečati uživanje rib;
- zmanjšati vnos trans maščob, nasičenih maščob, sladkorja, in soli;
- povečati vnos polnozrnatih žit in žitnih izdelkov.
...
5. PREDNOSTNA PODROČJA IN UKREPI
Izhajajoč iz namena nacionalnega programa so v nadaljevanju v podpoglavjih navedeni ukrepi na različnih prednostnih področjih:
- zagotavljanje zdravega prehranjevanje v skladu s smernicami in priporočili (organizirana vrtčevska, šolska in študentska prehrana, prehrana v bolnišnicah in domovih za starejše občane),
- izboljšanje ponudbe za zdravje koristnih izbir v sodelovanju z deležniki v živilskopredelovalni verigi ter v gostinstvu in turizmu,
- zagotavljanje dostopnosti do zdravih prehranskih izbir za socialno-ekonomsko ogrožene skupine,
- zagotavljanje varne in zdravju koristne hrane, s poudarkom na lokalno-trajnostni oskrbi in samooskrbi,
- označevanje, predstavljanje in trženje živil,
- telesna dejavnost za zdravje in okolje, ki jo spodbuja,
- vloga sistema zdravstvenega varstva,
- izobraževanje in usposabljanje ter raziskovanje,
- obveščanje in osveščanje.
...
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Saturated fat intake|Trans 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|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|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)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Trans fat|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|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Iodine|Food safety","","http://pisrs.si/Pis.web/pregledPredpisa?id=RESO101","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SVN%202015%20National_Programme_Nutrition_and_Physical_Activity_2015-2025.pdf"
"39763","TKM","Turkmenistan","","Национальный план действий по реализации Государственной программы Президента Туркменистана «Саглык» на 2015-2017 [National Action Plan for the implementation of the State Program of the President of Turkmenistan]","Multisectoral development plan with nutrition components","","Russian","","2015","","","Постановление Президента Туркменистана","7","2015","Adopted","7","2015","Постановление Президента Туркменистана №14336 г. Ашхабад 17 июля 2015 г.","Cabinet/Presidency|Health|Sub-national","Заместителей Председателя Кабинета Министров Туркменистана, Министра здравоохранения и медицинской промышленности Туркменистана, хякимов велаятов и г. Ашхабада, а также Председателя Высшей Контрольной палаты","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","Реализация Программы будет осуществляться в рамках взаимовыгодного сотрудничества с Всемирной Организацией Здравоохранения, Детским Фондом ООН, Фондом Народонаселения ООН, Программой Развития ООН и другими международными организациями.","","","","","","","National NGOs","","","","","","","","","Охрана здоровья граждан на всех этапах жизни, расширение их прав и возможностей
Планируется осуществление программ и планов действий, касающихся охраны здоровья различных возрастных групп населения, которые будут взаимосвязаны и беспрерывно продолжаться, обеспечивая охрану и укрепление здоровья граждан на всех этапах жизни.
Здоровье матери и ребенка
...
В период 2015-2025 годы будет осуществлен широкий комплекс специальных мер, направленных на охрану здоровья матерей, детей и подростков.
...
В соответствии с современными требованиями и условиями продолжится работа по реализации национальных мероприятий, основанных на глобальных и региональных стратегиях ВОЗ по грудному вскармливанию, питанию детей раннего возраста, укреплению репродуктивного и сексуального здоровья, профилактике заболеваний, передающихся половым путем.
...
Здоровье детей и подростков
...
Планируется разработка и реализация многосекторальных комплексных планов действий по охране здоровья детей в возрасте 5-8 лет и подростков в возрасте 9-18 лет.
Эти планы действий предусматривают:
...
обеспечение условий для здорового питания;
...
Отдельное внимание будет уделяться таким приоритетным направлениям охраны здоровья детей и подростков, как обеспечение хорошего начала жизни, охрана психического и физического здоровья, здоровья девочек, профилактика ожирения, инфекционных заболеваний и травм.
...
Укрепление здоровья населения и профилактика заболеваний
...
С учетом рекомендаций ВОЗ, будут проводиться мероприятия по укреплению здоровья и профилактике сердечнососудистых, онкологических, респираторных заболеваний, сахарного диабета и других широко распространенных заболеваний среди населения, отдельных граждан и лиц входящих в группу риска.
Будет проводиться широкий комплекс мероприятий по борьбе с табакокурением, наркоманией и алкоголизмом, с повышенным артериальным давлением, высоким уровнем холестерина в крови и ожирением, по активному вовлечению населения к занятиям физической культурой и спортом, стимулированию здорового питания.
...
Научно-обоснованные меры содействия здоровому рациону питания будут направлены на обеспечение баланса энергии и массы тела (ограничение или исключение трансжирных кислот; потребление жиров и сдвиг в структуре потребления жиров от насыщенных к ненасыщенным, ограничение потребления сахара и соли; увеличение потребления фруктов и овощей, бобовых, цельнозерновых продуктов и орехов).
Будет осуществлен комплекс мероприятий, направленных на повышение грамотности населения, особенно детей и подростков, в области здорового питания, повышение культуры и воспитание привычек здорового питания.
Отдельное внимание будет уделено эффективности информационно-пропагандистских мероприятий по соблюдению простых правил личной гигиены, а также созданию надлежащих санитарных условий для профилактики глистных инвазий и других заболеваний среди детей.
...
Повышение готовности системы здравоохранения к чрезвычайным ситуациям и ответным мерам по предотвращению и снижению неблагоприятного влияния окружающей среды, усиление работы санитарно-эпидемиологической службы
...
Для достижения целевых показателей по охране окружающей среды и здоровья в период до 2020 года, предусматривается:
охрана здоровья путем обеспечения безопасной питьевой водой и улучшением доступа к санитарным удобствам;
борьба с ожирением и травматизмом путем обеспечения безопасной окружающей среды, адекватного уровня физической активности и здорового питания;
профилактика заболеваний органов дыхания путем улучшения качества воздуха внутри и вне помещений;
профилактика заболеваний, связанных с небезопасной химической, биологической и физической окружающей средой.
...
Усилится санитарный надзор за обеспечением населения чистой питьевой водой, за качеством и безопасностью пищевых продуктов, в том числе импортируемых, местных продуктов, продолжаться мероприятия по предотвращению ввоза в страну генетически модифицированных пищевых продуктов.
...
Осуществление данной Программы предусматривается в период с 2015 по 2025 годы.
Реализация Программы будет осуществляться путем исполнения двух-трехгодичных Национальных планов, программ по различным направлениям здравоохранения, секторальных и межсекторальных программ и планов, проектов и комплексных мероприятий.
Созданный многосекторальный межведомственный комитет будет осуществлять постоянный мониторинг исполнения программы; на основании разработанных в соответствии с международными требованиями и стандартами индикаторов и проведенных обследований, проводить средне и долгосрочную оценку результатов.
Реализация Программы будет осуществляться в рамках взаимовыгодного сотрудничества с Всемирной Организацией Здравоохранения, Детским Фондом ООН, Фондом Народонаселения ООН, Программой Развития ООН и другими международными организациями.
Осуществление мероприятий, предусмотренных Программой, финансируются за счет средств государственного бюджета Туркменистана, за счет собственных средств Министерства здравоохранения и медицинской промышленности Туркменистана, министерств и ведомств, предприятий, организаций и других финансовых средств, не запрещенных законодательством Туркменистана.
","","","","Breastfeeding|Overweight and obesity in school age children and adolescents|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Deworming|Food safety|Water and sanitation","","https://extranet.who.int/ncdccs/Data/TKM_B22_утверждении государственной программы Туркменистана Саглык.docx","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202015_%D1%83%D1%82%D0%B2%D0%B5%D1%80%D0%B6%D0%B4%D0%B5%D0%BD%D0%B8%D0%B8%20%D0%B3%D0%BE%D1%81%D1%83%D0%B4%D0%B0%D1%80%D1%81%D1%82%D0%B2%D0%B5%D0%BD%D0%BD%D0%BE%D0%B9%20%D0%BF%D1%80%D0%BE%D0%B3%D1%80%D0%B0%D0%BC%D0%BC%D1%8B%20%D0%A2%D1%83%D1%80%D0%BA%D0%BC%D0%B5%D0%BD%D0%B8%D1%81%D1%82%D0%B0%D0%BD%D0%B0%20%D0%A1%D0%B0%D0%B3%D0%BB%D1%8B%D0%BA.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"
"24456","DZA","Algeria","","Cadre de Coopération Stratégique (CdCS)","Non-national nutrition policy document","","French","","2016","","2020","","","2016","","","","","Health|Sub-national|Other","Foreign affairs, Interior","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UN Women, UNICRI, CLCPRO","","","The World Bank","","","","","","","","","","","","Effet 2: D'ici 2020, un accès accru, incllusif et équitable à des services sociaux de qualité est offert à la population.
Effet 5: D'ici 2020, les citoyens bénéficient d'un service public de qualité répondant à leurs attentes, soutenu par l'amélioration de la mise en oeuvre des poliques publiques et une gestion moderne et participative.
","","i.2.4 Un système de surveillance des décès maternels mis en place.
i.2.6 Prévalence des maladies nontransmissibles dont (les maladies cardiovasculaires, Diabète et Cancer).
i.5.1 Niveau d’appréciation de la qualité des services publics (au niveau national et dans les wilayets ciblées). Alimentation en eau potable.
","Outcome indicators","","Raised blood glucose/diabetes|Water and sanitation","","http://www.un-algeria.org/images/CdCS_Algerie_2016-2020.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA%202016%20CDCS.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"
"39417","BOL","Bolivia (Plurinational State of)","","Plan de Desarrollo Económico Social","Multisectoral development plan with nutrition components","","Spanish","","2016","","2020","","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sub-national","","","UN","","","","","","","National NGOs","","","","","","","","- Apoyar a las niñas, niños, adolescentes y jóvenes en situación de calle en materia de salud, nutrición, educación, formación laboral y apoyo psicológico.
- Consolidar la participación social en salud a nivel municipal y departamental, logrando que todos los municipios del país aborden de manera participativa e intersectorial la problemática en salud y promuevan hábitos de alimentación saludable.
- Eliminar el hambre, la desnutrición y reducir la malnutrición
- Acceso universal a la Alimentación Complementaria Escolar (ACE).
- Acceso universal a la Alimentación Complementaria Escolar (ACE).
","- Promocionar la alimentación saludable y la revalorización de alimentos locales de alto valor nutritivo.
- Consolidar alianzas estratégicas con la participación de actores sociales para la implementación de políticas de lucha contra la malnutrición.
- Reorientar los servicios de salud hacia la promoción de la alimentación saludable y atención integral de enfermedades atribuidas a la dieta.
- Fortalecer el abastecimiento, consumo adecuado y control de calidad de los suplementos con micronutrientes y alimentos complementarios.
- Implementar la red nacional de bancos de leche humana y unidades de recolección de leche.
- Establecer mecanismos de coordinación con gobiernos departamentales y municipales para contribuir en la erradicación de la malnutrición en todo el ciclo de la vida.
- Proveer la Alimentación Complementaria Escolar (ACE), priorizando la compra de alimentos de producción local.
- Capacitar y brindar asistencia técnica a familias productoras, OECAS, OECOM, MyPES y pequeños productores de la agricultura familiar campesina.
- Asesorar y capacitar a representantes de organizaciones productivas en los procesos de venta local de alimentos, y a los Gobiernos Autónomos Municipales en procesos de contratación y compras locales de alimentos para la ACE.
- Construir, refaccionar y equipar comedores escolares con dotación de agua, saneamiento básico y huertos escolares pedagógicos.
- Capacitar a maestras y maestros, Consejos Educativos Social Comunitarios, padres y madres de familia y estudiantes en Educación Alimentaria Nutricional y ACE.
- Acreditar los Hospitales “Amigos de la madre y de la niñez”.
- Establecer incentivos financieros para que los GAMs, además de la ACE, brinden el servicio de almuerzo escolar.
","Para el logro de estos, se dará continuidad a las estrategias y acciones que se vienen desarrollando y se fortalecerá su implementación, incluyendo por ejemplo el abastecimiento de suplementos con micronutrientes y alimentos complementarios y la provisión de la Alimentación Complementaria Escolar, entre otras.
","","","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 adolescent girls|Overweight in children 0-5 yrs|Growth monitoring and promotion|Breastfeeding promotion/counselling|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|School gardens|Subsidies on healthy foods|Micronutrient supplementation|Wheat flours|Maize flours|Staple foods|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","http://www.planificacion.gob.bo/pdes/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202016%20Plan%20de%20Desarrollo%20Econ%C3%B3mico%20Social%202016%20-%202020.pdf"
"24695","BRA","Brazil","","Plano Nacional de Segurança Alimentar E Nutricional (PLANSAN 2016-2019)","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2016","5","2019","CÂMARA INTERMINISTERIAL DE SEGURANÇA ALIMENTAR E NUTRICIONAL – CAISAN","","2016","Adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Environment|Labour","","","","","","","","","","","","","","","","","","Desafio 1 - Promover o acesso universal à alimentação adequada e saudável, com prioridade para as famílias e pessoas em situação de insegurança alimentar e nutricional.
Desafio 2 - Combater a Insegurança Alimentar e Nutricional e promover a inclusão produtiva rural em grupos populacionais específicos, com ênfase em Povos e Comunidades Tradicionais e outros grupos sociais vulneráveis no meio rural.
Desafio 3 - Promover a produção de alimentos saudáveis e sustentáveis, a estruturação da agricultura familiar e o fortalecimento de sistemas de produção de base agroecológica.
Desafio 4 - Promover o abastecimento e o acesso regular e permanente da população brasileira à alimentação adequada e saudável.
Desafio 5 – Promover e proteger a Alimentação Adequada e Saudável da População Brasileira, com estratégias de educação alimentar e nutricional e medidas regulatórias.
Desafio 6 - Controlar e Prevenir os Agravos decorrentes da má alimentação.
Desafio 7 - Ampliar a disponibilidade hídrica e o acesso à agua para a população, em especial a população pobre no meio rural.
Desafio 8 - Consolidar a implementação do Sistema Nacional de Segurança Alimentar e Nutricional (SISAN), aperfeiçoando a gestão federativa, a intersetorialidade e a participação social.
Desafio 9 - Apoio a iniciativas de promoção da soberania, segurança alimentar e nutricional, do direito humano à alimentação adequada e de sistemas alimentares democráticos, saudáveis e sustentáveis em âmbito internacional, por meio do diálogo e da cooperação internacional.
","- Identificar quais as localidades e/ou municípios prioritários, urbanos e rurais, por meio de parcerias com a sociedade civil organizada, para as ações de busca ativa para inclusão no Cadastro Único de famílias da população negra, dos povos ciganos e dos povos de terreiro/ povos e comunidades de matriz africana e demais GPTEs.
- Oferta de alimentação escolar a 40 milhões de estudantes da rede pública de ensino, por ano, sendo 230 mil indígenas e 230 mil quilombolas.
- Promoção do acesso dos pescadores e pescadoras artesanais em situação de insegurança alimentar e nutricional à Ação de Distribuição de Alimentos à Grupos Populacionais Específicos do Ministério do Desenvolvimento Social.
- Articular, por meio da CAISAN os sistemas de informação relacionadas a SAN e Soberania Alimentar existentes (SISVAN e SIASI).
- Incentivo à produção aquícola de base familiar com ênfase na inclusão produtiva de pescadores e pescadoras artesanais, aquicultores e aquicultoras familiares, quilombolas, indígenas, assentados e assentadas da reforma agrária e pessoas do meio rural em situação de extrema pobreza.
- Demonstrar o valor nutricional de espécies da sociobiodiversidade brasileira e o papel que essas espécies podem desempenhar na promoção da segurança alimentar e nutricional e soberania alimentar.
- Aprimorar mecanismos para o desenvolvimento da inteligência estratégica da agropecuária e do abastecimento alimentar e nutricional.
- Implementação da rede brasileira de banco de alimentos.
- Elaboração de estudos sobre a capacidade da população acessar alimentos saudáveis.
- Promoção de campanhas como Campanha Brasil Saudável e Sustentável, com o objetivo de fortalecer as ações de educação para o consumo saudável para a população em geral.
","De acordo com o artigo 21 do Decreto 7.272/2010, o monitoramento e avaliação da PNSAN será feito por sistema constituído de instrumentos, metodologias e recursos capazes de aferir a realização progressiva do direito humano à alimentação adequada, o grau de implementação daquela Política e o atendimento dos objetivos e metas estabelecidas e pactuadas no Plano Nacional de Segurança Alimentar e Nutricional. O sistema terá como princípios a participação social, equidade, transparência, publicidade e facilidade de acesso às informações. Deverá organizar, de forma integrada, os indicadores existentes nos diversos setores e contemplar as seguintes dimensões de análise:
I - produção de alimentos;
II - disponibilidade de alimentos;
III - renda e condições de vida;
IV - acesso à alimentação adequada e saudável, incluindo água;
V - saúde, nutrição e acesso a serviços relacionados;
VI - educação; e
VII - programas e ações relacionadas à segurança alimentar e nutricional.
O sistema de monitoramento e avaliação ainda deverá identificar os grupos populacionais mais vulneráveis à violação do direito humano à alimentação adequada, consolidando dados sobre desigualdades sociais, étnico-raciais e de gênero. Dessa forma, o monitoramento do PLANSAN objetiva acompanhar a execução das ações governamentais voltadas para a promoção da SAN e aferir o desempenho da atuação governamental nessa temática, possibilitando intervenções que visem o aprimoramento da gestão pública. O conjunto de informações gerado nas atividades de monitoramento também é fundamental para a prestação de contas da ação governamental à sociedade. A CAISAN é a instância responsável por tornar públicas as informações relativas à SAN da população brasileira (§3o, art. 21, decreto 7.272/2010). Para isso, instituiu um Comitê Técnico permanente cuja atribuição é definir instrumentos e metodologia para monitorar, avaliar e divulgar as análises a respeito dos determinantes da SAN e da implementação dos objetivos e metas do PLANSAN. A seguir, são apresentados os indicadores de SAN para cada desafio do Plano e as dimensões de análise a eles associadas. Importante ressaltar que os dados serão desagregados por urbano/rural, raça/cor, etnia e gênero sempre quando houver informação disponível. Os indicadores constantes no quadro não se esgotam aqui e serão objeto de discussão posterior em um seminário técnico a ser organizado pela CAISAN.
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight in adolescents|Sugar intake|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Media campaigns on healthy diets and nutrition|Sugar reduction|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Food sovereignty|Conditional cash transfer programmes|Vulnerable groups","","http://www4.planalto.gov.br/consea/eventos/plenarias/documentos/2016/plano-nacional-de-seguranca-alimentar-e-nutricional-plansan-2016-2019-metodologia-e-estrutura/view","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202016%20PLANSAN.pdf"
"39458","SLV","El Salvador","","Plan Estratégico Nacional Intersectorial de Promoción, Protección y Apoyo a la Lactancia Materna 2016 - 2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2016","","2019","Ministerio de Salud","","2016","","","","","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Labour","","","UNICEF","","Salvadorian Institute for Women, College of Physicians, Centre for Breastfeeding support","","","","","National NGOs","","","","","","","","Propósito:
Incrementar la práctica de la lactancia materna exclusiva y prolongada hasta los dos años, en el ámbito familiar y comunitario, contribuyendo a la salud integral de la niñez de El Salvador.
Objetivo:
Establecer las estrategias, mecanismos y acciones que favorezcan la promoción, protección y apoyo a la lactancia materna durante el período del 2016 al 2019.
","Actividades
- Difundir mensajes educativos en lactancia materna a través de espacios virtuales institucionales.
- Diseño e implementación de una herramienta metodológica para el desarrollo un curso virtual en lactancia materna para el personal de salud del SNS 1.2.2 Formación de tutores en lactancia materna para la implementación del curso virtual.
- Implementar salas de lactancia en centros de trabajo de las instituciones de la CONALAM
- Promover la implementación de salas de lactancia y cumplimiento de la hora de permiso para lactar en centros de trabajo públicos y privados.
- Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
- Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
- Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
- Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
- Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
Indicadores
- Número de instituciones difundiendo mensajes educativos en lactancia martena
- Herramienta metodológica implementada.
- Un curso implementado
- Número de tutores en lactancia materna formados
- Número de salas de lactancia implementadas por institución
- Número de actividades de promoción realizadas
","Línea estratégica 3: Monitoreo y evaluación
Objetivo Específico:
Establecer mecanismos y acciones que permitan monitorear y evaluar la promoción, protección y apoyo a la lactancia materna.
Actividades e Indicadores
Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
- Evaluación anual del plan
Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
- Evaluación del código internacional de comercialización de sucedáneos realizada
Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
- No centros de trabajo que cumplen con la sala de lactancia y hora de permiso/ total de inspecciones programadas del período
Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
- Documento de la iniciativa elaborado.
Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
- 10 hospitales acreditados
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Breastfeeding promotion/counselling|Monitoring of the Code","","http://asp.salud.gob.sv/regulacion/pdf/planes/plan_estrategico_lactancia_materna_2016_2019.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202016%20Plan%20Estrat%C3%A9gico%20Nacional%20Intersectorial%20de%20Promoci%C3%B3n%2C%20Protecci%C3%B3n%20y%20Apoyo%20a%20la%20Lactancia%20Materna%202016%20-%202019.pdf"
"36195","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2020","Government of the Federal Democratic Republic of Ethiopia","","2016","Adopted","","2017","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Labour|Other","Government of the Federal Democratic Republic of Ethiopia Ministry of Health, Agriculture and Natural resource, livestock and fishery, ministry of water, irrigation and electricity, ministry of education, Labor and social affairs, women and children affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Concern Worldwide|Global Alliance for Improved Nutrition (GAIN)|Nutrition International|Other, please specify under further details","Alive and Thrive, CIFF, BIG win, SCI(GTN, INSPIRE), SUN-Coalition, etc.","Bill and Melinda Gates Foundation","","","","","","Research/academia","","Private sector","chamber of commerce","","Professional associations","
STRATEGIC OBJECTIVE 1: Improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)
STRATEGIC OBJECTIVE 2: Improve the nutritional status of children from birth up to 10 years
STRATEGIC OBJECTIVE 3: Improve the delivery of nutrition services for communicable and non-communicable/lifestyle related diseases
STRATEGIC OBJECTIVE 4: Strengthen the implementation of nutrition-sensitive interventions across sectors
STRATEGIC OBJECTIVE 5: Improve multisectoral coordination and capacity to implement the national nutrition program
","","
2020 TARGETS
- Reduce the prevalence of anemia in adolescent girls from 30% to 15%.
- Reduce the prevalence of anemia among women of reproductive age (15-49 years) from 19.3% to 12%.
- Reduce the prevalence of anemia among pregnant women from 22% to 14%.
- Reduce the proportion of women of reproductive age with BMI <18.5% from 27% to 16%.
- Reduce the proportion of newborns with low birth weight (less than 2.5kg at birth) from 11% to 5%.
- Reduce stunting prevalence among under-five children from 40% to 26%.
- Reduce the prevalence of underweight among under-five children from 25% to 13%.
- Reduce the prevalence of wasting among under-five children from 9% to 4.9%.
- Reduce the prevalence of low birth weight (less than 2.5kg at birth) from 11% to 5%.
- Reduce the prevalence of anemia in under-five children from 39% to 24%.
- Increase the proportion of children 6-23 months with minimum dietary diversity score from 5% to 40%.
- Increase mean number of days of consumption of meat from 1.2 days to 3 days per week.
- Increase national food consumption score from 26% to 40%.
- Increase proportion of households consuming diversified food by 40%.
- Increase the proportion of primary schools with a homegrown school feeding program from 0 to 25%.
- Increase the proportion of schools that provide biannual deworming to 60%.
- Eighty percent of the health development army will be trained in the preparation of diverse complementary food and follow up support through home visits.
- All NNP implementing sectors will establish an appropriate structure that can carry out nutrition activities within that sector.
- National research capacity will be strengthened in the areas of food and nutrition.
- The National Nutrition and Food Policy will be developed and disseminated.
- Regional nutrition coordinating bodies and technical committees will be established and/or strengthened in all regions.
- Zonal and woreda nutrition coordinating bodies and technical committees will be established and strengthened in all zones and woredas.
- All woredas will establish and strengthen kebele level nutrition coordination platforms.
- The reporting and accountability mechanism between national, regional, zonal and woreda coordinating bodies will be strengthened.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20National%20Nutrition%20Programme%20II.pdf"
"39359","ETH","Ethiopia","","Health Sector Transformation Plan","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","FMOH","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Labour|Other","Ministry of Capacity Building","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","International NGOs","","","","","National NGOs","","","","","","","","","
Strategic Initiatives:
Nutrition
8. Scale-up community-based nutrition (CBN) program and the first 1000 days initiative
9. Implement the Sequota declaration of ending child under nutrition
10. Implement Baby-friendly hospitals initiative in all hospitals
","
Reduce childhood stunting, wasting and under-weight in under-5 year from 40%, 9% and 25% to 26%, 4.9% and 13%, respectively
Increase proportion of children ages 6-59 months who received vitamin A supplementation to 95%
Increase availability of quality assured iodized salt to 100%
Increase proportion of under 5 children with regular growth monitoring to 95%
More indicators in table on p. 165 (Nutrition) and p. 169 (NCDs)
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vaccination","","www.moh.gov.et","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Health%20Sector%20Transformation%20Plan.pdf"
"39357","ETH","Ethiopia","","Nutrition Sensitive Agriculture Strategic Plan","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Agriculture and Natural Resource, Ministry of Livestock and Fishery","","2016","Adopted","","2016","MOANR, MOLF","Food and agriculture|Sub-national","Ministry of Agriculture and Natural resource, Ministry of livestock and fisheries, (sub-) regional administrations","Food and Agriculture Organisation (FAO)","","","","US Agency for International Development (USAID)","","","","National NGOs","","","","","","","","
Strategic objective 1. Leverage nutrition in to agriculture policy, strategy, and program documents at all level
- Result 1.1 Updated agriculture sector policy/strategies and guidelines linked with nutrition sensitive interventions
Strategic objective 2: Establish and strengthened structure responsible for nutrition mainstreaming and build capacity of agricultural sector at all
- Result 2.1: Strengthened food and nutrition unit within the structure of MOA at all level
- Result 2.2: Capacity building on nutrition sensitive agriculture at all level of MOA
- Result 2.3: Higher education institutions’ college of Agriculture and ATVET College agriculture curricula are revised and strengthened with nutrition sensitive agriculture competencies.
Strategic objective 3. Enhance resilience of vulnerable community and households prone to climate change and moisture stress.
- Result 3.1 Build resilience of food insecure communities and households by entrenching nutrition sensitive intervention in the resource transfer programs/projects
Strategic objective 4. Increase year-round availability, access, and consumption of diverse, safe, and nutritious foods
- Result 4.1. Increased production and household consumption variety nutrient dense crops
- Result 4.2. Increased production and household consumption of animal source foods
- Result 4.3: Integrated nutrition sensitive approaches to transfer programs
- Result 4.4. Enhanced Agricultural research and adoption of technology for increased household access to safe nutritious food
- Result 4.5. Improved natural resources base to improve food availability
- Result 4.6. Increased nutrition-sensitive agriculture knowledge and practice of farmers
Strategic Objective 5. Gender
- Result 5.1 Empower women and enhance their role in nutrition sensitive agriculture
Strategic objective 6. Develop strong multi-sectorial coordination
- Result 6.1 Improved inter-sectorial nutrition coordination at all level
- Result 6.2 Strong linkage with NNP actress and other relevant national
","","Table of indicators p. 22-31
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|School fruit and vegetable scheme|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Nutrition education|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Nutrition%20Sensitive%20Agriculture%20Strategic%20Plan_0.pdf"
"25764","GEO","Georgia","","სურსათში ინდუსტრიული ტრანსიზომერული ცხიმების რეგულირებასთან დაკავშირებული სამოქმედო გეგმა და შესაბამისი ღონისძიებები [Action Plan and Regulating Measures Related to Industrial Trans Fats]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Georgian","1","2016","","","Legal Portal of Georgia","","2015","Adopted","11","2015","Government of Georgia","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Justice|Labour|Sub-national|Other","National Center for Disease Control and Community Health","","","","","","","","","","","","","Private sector","Food Producers","Other","Child Care and Education Institutions","","დანართი: სურსათში ინდუსტრიული ტრანსიზომერული ცხიმების რეგულირებასთან დაკავშირებული სამოქმედო გეგმა და შესაბამისი ღონისძიებები
1.1. მოსახლეობის ინფორმირება სურსათში ინდუსტრიული ტრანსცხიმების ადამიანის ჯანმრთელობაზე მავნე ზეგავლენის და ჯანსაღი კვების პრინციპებთან დაკავშირებით
1.2. ბიზნესოპერატორების ინფორმირება დაგეგმილ ცვლილებებთან ან და მათ მიერ შესაბამისი აქტივობების (ახალი რეცეპტურის დანერგვა, მომწოდებლების მოძიება და ხც.)განხორციელებასთან დაკავშირებით
2.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ნორმირება: სურსათში ინდუსტრიული ტრანსცხიმების ნორმად განისაზღვროს 2 გრ ტრანსიზომერი 100 გრ მცენარეულ ცხიმზე გადაანგარიშებით
2.2. ჩვილ ბავშვთა კვების პროდუქტებსა და ბავშვთა კვების პროდუქტებში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში (სკოლა, საბავშვო ბაღი, სანატორიუმი, ბანაკი, სპორტული სკოლა, ბავშვთა სახლი, ბავშვთა გასართობი ცენტრი სამედიცინო დაწესებულება და ა.შ.) გამოყენებულ სურსათში ინდუსტრიული ტრანსცხიმების არსებობის აკრძალვა
2.3. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ეტიკეტზე განთავსების (მითითების) ვალდებულების შემოღება
3.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის ეტიკეტზე განთავსების (მითითების) შესახებ მოთხოვნის შესრულებაზე კონტროლის განხორციელება
3.2. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის ეტიკეტზე განთავსების (მითითების) შესახებ მოთხოვნის შესრულებაზე კონტროლის განხორციელება
3.3. ბავშვთა კვების პროდუქტებისა და ბავშვთა ორგანიზებულ კვების დაწესებულებებში გამოყენებული სურსათის კონტროლის განხორციელება ინდუსტრიული ტრანსცხიმების შემცველობაზე (როგორც ბაზარზე (მათ შორის საზოგადოებრივი კვების ობიექტში) განთავსებულ, ისე იმპორტირებულ სურსათში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში გამოყენებულ ურსათში)
","","","","Fat intake|Trans fat intake|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment","","https://matsne.gov.ge/ka/document/view/3071941",""Action Plan and appropriate activities related to regulation of consumption of industrial TFAs in a food" was approved by the government of Georgia, and order №2567 is signed by primer-minister, on 27-th on November of 2015. https://matsne.gov.ge/ka/document/view/3071941","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202015%20Action%20Plan%20and%20Regulating%20Measures%20Related%20to%20Industrial%20Trans%20Fats.pdf"
"36106","LTU","Lithuania","","National Public Health Development Programme","Health sector policy, strategy or plan with nutrition components","","Lithuanian","","2016","","2023","Government of Lithuania","12","2015","Adopted","12","2015","Government of Lithuania","Health|Sub-national","","","","","","","","","","National NGOs","","Research/academia","Lithuanian University for Health; Lithuanian Center for Health Education, Prevention, Nutrition and Physical Activity; Institute for Hygiene.","","","Other","Media; Municipal Health Councils.","1. Stiprinti fizinę ir psichinę sveikatą – formuoti sveiką gyvenseną ir jos kultūrą, skatinti sveikatos raštingumą
1.1. Ugdyti gyventojams sveikos mitybos įpročius ir gerinti galimybes visoms gyventojų grupėms pasirinkti sveikatai palankų maistą
1.2. Didinti gyventojų fizinį aktyvumą ir sudaryti jiems sąlygas būti fiziškai aktyviems visose gyvenimo veiklos srityse
","12. Uždaviniai pirmajam Programos tikslui pasiekti:
12.1. Ugdyti gyventojams sveikos mitybos įpročius ir gerinti visoms gyventojų grupėms galimybes pasirinkti sveikatai palankų maistą. Įgyvendinant šį uždavinį numatoma:
12.1.1. kurti sveikos mitybos aplinką ugdymo, sveikatos priežiūros, žmonių socialinės globos įstaigose, darbo vietose;
12.1.2. skleisti mokslo įrodymais grįstą informaciją apie sveiką mitybą ir sveiką gyvenseną, – rengti įvairių gyventojų grupių (ypač vaikų, nėščiųjų, žindyvių, asmenų, rizikuojančių susirgti lėtinėmis neinfekcinėmis ligomis) mokymą ir skelbti socialinę reklamą;
12.1.3. gausinti rinkoje sveikatai palankių maisto produktų (turinčių mažai sočiųjų riebalų, riebalų rūgščių transizomerų, cukraus ir druskos, daug skaidulinių medžiagų), gerinti jų prieinamumą ir atpažįstamumą, atitinkamai keisti kitų maisto produktų sudėtį ir taikyti ekonomines sveikesnio pasirinkimo skatinimo priemones;
12.1.4. skatinti išimtinį kūdikių žindymą iki 6 mėnesių, mažinti vaikams skirtos sveikatai nepalankių maisto produktų (turinčių daug energijos, sočiųjų riebalų, riebalų rūgščių transizomerų, cukraus ir druskos) rinkodaros poveikį;
12.1.5. skatinti efektyvesnę gyventojų dantų priežiūrą, taikyti vaikams profilaktines dantų ėduonies priemones;
12.1.6. vykdyti įvairių gyventojų grupių mitybos įpročių ir faktiškos mitybos stebėseną, siekiant vertinti pokyčius ir įgyvendinamų priemonių veiksmingumą.
12.2. Didinti gyventojų fizinį aktyvumą ir sudaryti jiems sąlygas būti fiziškai aktyviems visose gyvenimo veiklos srityse. Įgyvendinant šį uždavinį numatoma
","- gyvensenos pokyčiai dėl sveikatos (procentais)
- daržovių ir vaisių suvartojimas vienam gyventojui (gramais per dieną)
- sveikatai palankių maisto produktų, paženklintų simboliu „Rakto skylutė“, skaičius (vienetais)
- gyventojų, priklausančių mažo fizinio aktyvumo grupei, dalis (procentais)
","Outcome indicators","","Overweight in children 0-5 yrs|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Fibre|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Regulation on marketing of complementary foods|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|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|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vulnerable groups","","https://e-seimas.lrs.lt/portal/legalAct/lt/TAD/35c41ab0a3c411e59010bea026bdb259?positionInSearchResults=0&searchModelUUID=dd47cea9-6de5-4cb4-b3c5-2d9e471c9423","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LTU%202015%20National%20Public%20Health%20Development%20Programme.pdf"
"36118","NLD","Netherlands","","Landelijke nota gezondheidsbeleid [National Health Policy Note]","Health sector policy, strategy or plan with nutrition components","","Dutch","","2016","","2019","Ministry of Health, Welfare and Sport","12","2015","Adopted","12","2015","Council of Ministers","Health|Finance, budget and planning|Sport|Transport|Environment|Sub-national|Other","Ministry of foreign affairs","","","","","","","","","National NGOs","","","","","","Other","Gezondheidsraad (National Health Council)","De meeste gezondheidswinst is nog steeds te behalen met verbetering van de trends voor de speerpunten: roken, overmatig alcoholgebruik, (ernstig) overgewicht, bewegen, depressie en diabetes. Onze ambitie is om voor elk van deze speerpunten in 2030 een substantiële verbetering te realiseren ten opzichte van de trends zoals die zijn gerapporteerd in de VTV-2014. Hiervoor blijft het kabinet stevig inzetten op het stimuleren van een gezonde leefstijl. Aanbod van gezond voedsel en gezonde (groene) leefomgeving passen daarbij. De integrale aanpak via onderwijs, werk, wijk/omgeving en zorg staat centraal.
","- De Schijf van Vijf wordt in 2016 geactualiseerd op basis van de nieuwe richtlijnen Gezonde Voeding.
- Via programma’s als het Nationaal Programma Preventie, Gezond in, Jongeren Op Gezond Gewicht, Sport en Bewegen in de Buurt, Grenzeloos Actief, Veilig sportklimaat en Sportblessurepreventie, ondersteunen we gemeenten hierbij.
- Voor een gezonde start bij opvoeding en onderwijs trekken OCW, VWS en SZW samen op bij het ondersteunen van scholen en kinderopvang om structureel in te zetten op gezondheid(sbevordering). Nieuw is dat in het voorjaar van 2016 de huidige lijn van de aanpak Gezonde School verbreed wordt met de aanpak Gezonde Kinderopvang
","","","","Overweight in adolescents|Overweight in school children|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)|Dietary guidelines|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Nutrition education|Vulnerable groups","","https://www.rijksoverheid.nl/binaries/rijksoverheid/documenten/kamerstukken/2015/12/04/kamerbrief-over-landelijke-nota-gezondheidsbeleid-2016-2019/kamerbrief-over-landelijke-nota-gezondheidsbeleid-2016-2019.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202015%20National%20Health%20Policy%20Note.pdf"
"25744","POL","Poland","","Narodowy Program Zdrowia na lata 2016–2020 [National Health Program for 2016-2020]","Health sector policy, strategy or plan with nutrition components","","Polish","","2016","","2020","Legal Journal of the Government of Poland","9","2016","Adopted","8","2016","Government of Poland","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Labour|Other","Ministry of Tourism; National Defense","","","","","","","","","","","Research/academia","","","","Other","Mass Media; Public Education and Recreation Centers","Cele operacyjne obejmują:
1. Poprawę sposobu żywienia, stanu odżywienia oraz aktywności fizycznej społeczeństwa.
Podmiot odpowiedzialny: minister właściwy do spraw zdrowia we współpracy z ministrem właściwym do spraw: kultury fizycznej, pracy, rodziny, turystyki, finansów publicznych, rolnictwa, obrony narodowej oraz oświaty i wychowania.
5. Promocję zdrowego i aktywnego starzenia się.
Podmiot odpowiedzialny: minister właściwy do spraw zdrowia we współpracy z ministrem właściwym do spraw pracy, rodziny i zabezpieczenia społecznego.
","V. Wykaz zadań służących realizacji celu operacyjnego 1: Poprawa sposobu żywienia i stanu odżywienia społeczeństwa oraz aktywności fizycznej społeczeństwa
1. Działania promujące właściwe nawyki żywieniowe i aktywność fizyczną.
1.1. Prowadzenie prozdrowotnej polityki publicznej ukierunkowanej na:
1) zwiększanie dostępności produktów spożywczych zalecanych do spożycia i zmniejszanie dostępności produktów niezalecanych do nadmiernego spożycia;
2) ograniczanie presji marketingowej produktów niezalecanych do nadmiernego spożycia, kierowanej w szczególności do dzieci i młodzieży;
3) upowszechnianie w szkołach i placówkach systemu oświaty wiedzy dotyczącej zdrowego odżywiania się i aktywności fizycznej;
4) tworzenie warunków umożliwiających kształtowanie i utrzymanie prawidłowych
wzorców odżywiania i aktywności fizycznej w środowiskach nauki, pracy, służby i wypoczynku;
5) określanie warunków zabudowy miast, budowy dróg i mostów w sposób sprzyjający ruchowi pieszemu, rowerowemu i aktywności fizycznej, uwzględniając potrzeby osób niepełnosprawnych.
1.2. Działania informacyjne i edukacyjne, w tym:
1) podejmowanie inicjatyw upowszechniających prawidłowe żywienie;
2) utworzenie i prowadzenie ogólnopolskiego centrum edukacji żywieniowej i zdrowego stylu życia, którego zadaniem będzie: a) upowszechnianie w społeczeństwie wiedzy na temat zasad zdrowego odżywiania i aktywności fizycznej, w tym przez stworzenie interaktywnej platformy internetowej, za pomocą której będą udzielane na bieżąco porady dotyczące zdrowego odżywiania i aktywności fizycznej, b) prowadzenie działalności informacyjno-edukacyjnej, w tym w mediach, działalności szkoleniowej bezpłatnej dla uczestników, a także działalności wydawniczej w zakresie powszechnej edukacji zdrowotnej;
3) wzbogacanie programów kształcenia przed- i podyplomowego kadr medycznych w zakresie prowadzenia edukacji zdrowotnej dotyczącej chorób zależnych od stylu życia;
4) promocja karmienia piersią, w tym: a) sprzyjanie powstawaniu lokalnych grup wspierających karmienie piersią oraz informowanie kobiet opuszczających oddziały położnicze o ich działalności, b) upowszechnianie w społeczeństwie wiedzy o zaletach karmienia piersią, c) promowanie inicjatyw dotyczących prawidłowego żywienia noworodka, d) prowadzenie kampanii upowszechniającej aktualną wiedzę w zakresie karmienia piersią, e) zapewnienie dostępności do profesjonalnej pomocy w zakresie rozwiązywania problemów laktacyjnych, f) dążenie do podnoszenia kompetencji personelu medycznego sprawującego opiekę nad matką i dzieckiem w zakresie wiedzy o laktacji, g) upowszechnienie wśród kadry medycznej zasad Międzynarodowego Kodeksu Marketingu Produktów Zastępujących Mleko Kobiece, h) gromadzenie i analiza danych dotyczących karmienia piersią;
5) prowadzenie działań informacyjnych i edukacyjnych dotyczących suplementów diety;
6) promowanie inicjatyw dotyczących prawidłowego żywienia i podejmowania aktywności fizycznej wśród służb mundurowych.
1.3. Promowanie kultury fizycznej przez:
...
1.4. Rozwój kompetencji osób uczestniczących w zadaniach na rzecz ograniczania występowania nadwagi i otyłości przez:
1) edukację pracowników ochrony zdrowia w zakresie zasad zdrowego odżywienia i aktywności fizycznej;
2) doskonalenie zawodowe nauczycieli wychowania fizycznego oraz nauczycieli prowadzących zajęcia z zakresu edukacji zdrowotnej;
3) działania edukacyjne dla przedstawicieli administracji rządowej i przemysłu spożywczego – upowszechnianie wiedzy na temat korzyści zdrowotnych i gospodarczych związanych ze zmniejszeniem zawartości soli, cukru i stosowaniem poszczególnych rodzajów tłuszczów w produktach spożywczych;
4) działania edukacyjne dla pracodawców, kadry zakładów pracy, organizacji pracowniczych, specjalistów służby medycyny pracy w zakresie przygotowania i animacji programów promocji aktywności fizycznej i zdrowego odżywiania w zakładach pracy.
2. Prowadzenie działań na rzecz zachowania właściwej masy ciała, w tym:
1) zapewnianie od 2017 r. dostępności do porad żywieniowo-dietetycznych dla kobiet w ciąży i rodziców dzieci w wieku 0–5 lat finansowanych ze środków publicznych oraz wzmocnienie roli położnych, pielęgniarek i higienistek szkolnych w działaniach profilaktycznych;
2) zapewnianie dostępności do świadczeń opieki zdrowotnej ukierunkowanych na wczesne wykrywanie problemów zdrowotnych wynikających z nieprawidłowego sposobu odżywiania oraz na zapobieganie powikłaniom zdrowotnym związanym z otyłością;
3) wsparcie rodzin z problemem otyłości: tworzenie zespołów terapeutycznych dla rodzin z dwiema lub więcej osobami z otyłością, zapewniających profesjonalną pomoc dietetyczną, psychologiczną i medyczną;
4) prowadzenie programów redukcji nadwagi i otyłości wśród służb mundurowych;
5) zadania związane z przeciwdziałaniem nadwadze i otyłości;
6) tworzenie grup wsparcia dla osób z otyłością;
7) upowszechnianie wytycznych leczenia osób z otyłością.
3. Badania, analizy i współpraca międzynarodowa.
3.1. Prowadzenie działalności naukowo-badawczej oraz współpracy międzynarodowej, w tym:
...
5) prowadzenie w 2017 r. oraz w 2018 r. badań nad opracowaniem i wprowadzeniem systemu przyjaznego etykietowania żywności prostym przekazem dotyczącym zawartości poszczególnych składników odżywczych w żywności z wykorzystaniem wiedzy o wypracowanych dotychczas rozwiązaniach;
6) przeprowadzenie aktualizacji norm żywienia dla populacji, w tym norm żywienia zbiorowego służb mundurowych, w oparciu o najnowszą wiedzę medyczną oraz badania naukowe krajowe i zagraniczne, w tym opracowanie i opublikowanie w formie cyfrowej i drukowanej oraz dystrybucję w 2017 r. oraz w 2020 r.;
7) badanie zawartości izomerów trans nienasyconych kwasów tłuszczowych w żywności w 2017 r. i prowadzenie bazy danych dotyczących izomerów trans w środkach spożywczych w latach 2017–2020;
8) przeprowadzenie aktualizacji danych dotyczących składu i wartości odżywczej środków spożywczych dostępnych na rynku i wzorców spożycia, m.in. celem zachęcania producentów żywności do zmiany składu produktów spożywczych (w tym analiza składu wybranych produktów spożywczych oraz analiza składu wybranych produktów spożywczych na podstawie informacji o wartości odżywczej podawanej na etykietach produktów) w latach 2017 i 2020;
...
3.2. Działania pilotażowe i wsparcie podmiotów uczestniczących w realizacji zadań z zakresu profilaktyki nadwagi i otyłości, w tym:
...
","3. Wskaźniki monitorowania poszczególnych celów operacyjnych 1) cel operacyjny 1
16. Współczynnik chorobowości i zapadalności na cukrzycę NFZ
17. Wskaźnik masy ciała w populacji
18. Ciśnienie krwi
19.Spożycie/ dostępność owoców
20. Spożycie/ dostępność warzyw
21. Odsetek kobiet karmiących piersią
22. Odsetek osób podejmujących aktywność fizyczną w badanym okresie z podziałem na grupy wiekowe i płeć
23. Odsetek szkół mających dostęp do jakiegokolwiek boiska lub urządzenia sportowego
","Outcome indicators","","International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Reformulation of foods and beverages|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|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education","","dziennikustaw.gov.pl/du/2016/1492/D2016000149201.pdf https://extranet.who.int/ncdccs/Data/POL_B22_NHP%202016-2020%20PL.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/POL%202016%20National%20Health%20Policy%202016-2020.pdf"
"36111","MDA","Republic of Moldova","","National Programme on prevention and control of HIV/AIDS and STI’s 2016-2020","Health sector policy, strategy or plan with nutrition components","","Russian","10","2016","","2020","Monitorul Oficial Nr. 369-378 (Government)","10","2016","Adopted","10","2016","Government of Moldova","Health|Education and research|Sport|Justice|Labour|Sub-national","Other: National HIV/AIDS council","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Other","Global Fund","","","National NGOs","","","","","","","","- К 2020 году уровень передачи ВИЧ-инфекции от матери к плоду не превысит 2%
- Обновление Национального клинического протокола относительно профилактики передачи ВИЧ от матери к плоду
- Обеспечение детей в возрасте 0-12 месяцев детским питанием
","","","","","Complementary food provision|HIV/AIDS and nutrition","","http://lex.justice.md/viewdoc.php?action=view&view=doc&id=367272&lang=2","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202016%20National%20Programme%20on%20prevention%20and%20control%20of%20HIV-AIDS%20and%20STI%E2%80%99s%202016-2020.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"
"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"
"24490","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan","Non-national nutrition policy document","","English","","2016","","2021","UN country team of Tanzania","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry|Sub-national|Other","","International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, ITC, OHCHR, UN Habitat, UNCTAD; UNEP, UNODC, UNV, UN Women, UNCDF, IOM","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome statement: Increased coverage of equitable, quality and effective nutrition services among women and children under five
Output: Improved nutrition specific services for women and children under five available
Output: Relevant MDAs and select LGAs are better able to realize a multi-sectoral nutrition response at national, regional and district level
Output statement: Vulnerable groups have increased access to safe and affordable water supply sanitation and hygiene
Output: Select MDAs are better able to formulate policies, plans and guidelines for the sustainable management of water, sanitation and hygiene
Output: Select LGAs have enhanced capacity to plan and implement sustainable water, sanitation and hygiene services
","Tanzanians’ consistently poor nutritional status demands action. UN Tanzania will therefore support duty bearers to realize a multi-sectoral nutrition response at national, regional and district levels for those living on both the mainland and Zanzibar, supported by an effective nutrition information and surveillance system. The quality and coverage of services for those most at risk of poor nutritional outcomes, namely women and children under five, will also be enhanced.Key government institutions and select LGAs will be supported to effectively integrate nutrition in their planning and budgeting processes, with emphasis given to a multi-sectoral approach with concomitant resources for coordination. It is anticipated that >80% of all LGAs on the mainland will implement nutrition plans and budget that include at least five nutrition specific or sensitive interventions integrated in their MTEFs by 2021. Regional and district nutrition officers plus health workers will be given regular technical and supervisory training to ensure they meet the highest professional standards whilst agricultural extension workers will be afforded supplies and technical expertise to mainstream nutrition in their food security interventions.
Nutrition services for women and children under five will receive a boost with service providers enabled to promote appropriate Maternal, Infant and Young Child Feeding methods through counselling and supplies provision, including use of iron-folic acid supplements during pregnancy, exclusive breastfeeding for infants under five months and provision of vitamin A supplements and deworming for those between 6-59 and 12-59 months respectively. Additional support will be afforded for the treatment of Moderate and Severe Acute Malnutrition (SAM) by health workers, including those operating at the community level. It is anticipated that the numbers of children with Moderate Acute Malnutrition treated in UN supported districts will rise from 5,000 in 2014 to 30,000 by 2021, whilst those treated for SAM will increase from 7,000 to 80,000 over the same five year period. Moreover, small and medium scale producers will be facilitated to provide food fortified with micronutrients specifically Vitamin A, Iron and Iodine.
Implementation of the national Nutrition Action Plan will be monitored through regular sector reviews and remedial action effected where required. Furthermore, regular nutrition surveys at national, regional and district levels will provide timely, quality and disaggregated data for decisionmaking, resource mobilization and effective programming, with accountability improved through the use of nutrition scorecards across mainland and Zanzibar.
Further, the MoHSW will be supported to develop and disseminate the national strategy and guidelines for WASH in health facilities which includes the promotion of sound WASH behaviours and management of medical waste. As a complement, technical and financial assistance will be afforded for the implementation of WASH in priority health facilities alongside schools and communities, with compliance to national guidelines assured. In addition, a National Behaviour Change Communication Strategy for the promotion of sanitation and hygiene will be developed and disseminated.
","% of girls and boys age 6-59 months who receive vitamin A supplement during the previous 6 months
% of pregnant women who receive iron-folic acid supplement for at least 90 days
% of infants 0-5 months (girls and boys) who are exclusively breastfed
% of children aged 0-59 months with Severe Acute Malnutrition (SAM) appropriately treated
% if targeted districts with at least 90% of children aged 6-59 months covered with two annual doses of vitamin A supplement
% of small and medium scale miller fortifying flour in UN supported Districts in mainland
% of mothers/caregivers of children 0-23 months who participate in counselling sessions on IYCF in UN Supported Distrcits
# of SAM children treated according to WHO guidelines in UN Supported Districts
# of MAM children treated according to WHO guidelines in UN Supported Districts
% of children 6-23 months participating in supplementary feeding programme in UN Supported Districts in mainland
% of districts on the mainland with nutrition plan and budget that includes at least five nutrition specific or sensitive interventions integrated in MTEF
% of LGA budgets on the mainland allocated to nutrition activities
% of population using improved safe drinking water source
Status if national WASH behaviour change communication (BCC) strategies
% of LGAs implementing activities based on a comprehensive MIS- informed local plan for WASH
% of schools with a functional WASH package meeting national guidelines in UN supported districts
% of health care facilities complying with national WASH guidelines in UN supported districts
% of water points which are functional
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/---ilo-dar_es_salaam/documents/publication/wcms_549240.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20UNDAP.pdf"
"24491","ZMB","Zambia","","Zambia- United Nations Sustainable Development Partnership Framework (2016-2021)","Non-national nutrition policy document","","English","","2016","","2021","UN country team in Zambia","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Justice|Sub-national|Other","Community, Mines, Disaster management, Tourism","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UNECA","Other","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","African Development Bank, Government of Sweden, Embassy of Finland","European Union","","National NGOs","","","","Private sector","","","","Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf"
"24492","AIA|ATG|ABW|BRB|VGB|DMA|GRD|JAM|MSR|KNA|LCA|VCT|TTO|BLZ|GUY|SUR","Anguilla|Antigua and Barbuda|Aruba|Barbados|British Virgin Islands|Dominica|Grenada|Jamaica|Montserrat|Saint Kitts and Nevis|Saint Lucia|Saint Vincent and the Grenadines|Trinidad and Tobago|Belize|Guyana|Suriname","","United Nations Multi-Country Sustainable Development Framework in Caribbean","Non-national nutrition policy document","","English","","2017","","2021","UN country teams in the Caribbean","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Trade|Labour|Other","Social transformation","","","Other","","The World Bank","","Other","CARICOM","National NGOs","","Research/academia","","Private sector","","","","Improve health and wellbeing by addressing the ability of the state to provide services, increasing access to healthy nutrition, a healthy environment and knowledge as preventive measures. Sustainable health financing and direct action to addresses NCDs, SRH and HIV/AIDS and related stigma is also necessary for better health outcomes.
Universal access to quality health care services and systems, and Laws, policies, and systems introduced to support healthy lifestyles among all segments of the population
Laws, policies and systems introduced to support healthy lifestyles among all segments of the population.
","","Number of countries that have achieved targets in reducing prevalence of hypertension rates
Number of countries that have achieved their targets in reduction of diabetes prevalence
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure","","http://www.2030caribbean.org/content/unct/caribbean/en/home/resources.html ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CARIBBEAN%202017%20MSDF.pdf"
"24467","ERI","Eritrea","","The strategic partnership cooperation framework (SPCF) between the government of the state of Eritrea and the United Nations","Non-national nutrition policy document","","English","","2017","","2021","Eritrea UN country team","1","2017","","","","","Health|Food and agriculture|Education and research|Development|Environment|Labour|Other","National Union of Eritrean Women (NUEW)","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IAEA, UNEP, UNODC","","","","","","","","","","","","","","","Outcome 1. Health and Nutrition. By 2021, children under five, youth, women and other vulnerable groups including refugees, have improved access to and utilization of quality, integrated health and nutrition services for the achievement of universal health coverage (UHC) to safeguard healthy lives and promote well-being for all.
Outcome 2. Water, Sanitation and Hygiene (WASH). By 2021, all people, including refugees, benefit from available and sustainable water, sanitation and hygiene services.
Outcome 6. Food Security and Livelihoods. By 2021, smallholder households have improved access to, and utilisation of quality food and enhanced livelihood opportunities.
","Outcome 1. (iii) Strengthen the capacity of community health workers to implement integrated community case management, promote appropriate childcare and care seeking practices at household and community levels, and to make timely referrals to the next level of care. There will be a strong focus on integrated nutrition security, infant and young child feeding practices.
Outcome 2. (i) Involving communities in strengthening their capacity to operate and maintain rural water supplies and to develop and implement sanitation action plans.
(ii) Capacity building support to develop implementation protocols and guidelines on WASH in Institutions, rural water supply and sanitation and hygiene through the Community-Led Total Sanitation (CLTS) approach.
(iii) Evidence generation through support to the GoSE to conduct necessary assessments, surveys, and formative research such as the Eritrea Population and Health Survey (EPHS) and Knowledge, Attitude and Practice (KAP) surveys, as well as formative studies on community based approaches.
(iv) Policy dialogue and advocacy to promote balance between upstream policy and institutional development and the downstream work of capacity building, monitoring, and service delivery in the critical areas of child survival and development through equity-focused programming.
(v) Provision of service delivery assistance in the form of supplies, cash and services to facilitate the government, as implementing partners, to continue to provide WASH services. Service delivery assistance will also assist the GoSE sustain the service delivery gains as well as provide models of best practice to scale-up critical child survival and developmental WASH interventions.
Outcome 6. (i) Continue to support the GoSE expand, diversify and make more sustainable the productive base and engage the international community.
(ii) Continue to provide upstream support by engaging partners in a dialogue to identify capacity and policy gaps and to unlock potential development resources in the agriculture sector.
(iii) Identify diversified productive sectors that could provide sustainable livelihood opportunities for the population. The experience with the mining sector could be replicated in other sectors with higher job intensity, such as manufacturing, food processing and tourism.
(iv) Continue to work with communities to increase food and nutrition capacity, productivity and livelihoods with a special focus on youth and women.
(v) Provide technical assistance to the GoSE in the areas of institutional and human capacity development, quality seed production; improvement of crop and animal production; improved water management through the introduction and installation of new irrigation systems; provision of agricultural inputs; food processing for export and value addition of agricultural products to further increase employment and incomes in the agricultural sector
","1.8: Proportion of infants under 6 months exclusively breastfed
1.9: Proportion of children 6-59 months receiving two doses of vitamin A supplementation per year
1.11: Proportion of children 6-59 months with SAM enrolled in therapeutic feeding programme
2.1: Proportion of the population using an improved source of drinking water
2.3: Percentage of people who wash their hands with soap after defecation.
6.1: % of smallholder households using nutritious foods
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of severe acute malnutrition|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","http://reporting.unhcr.org/sites/default/files/UNDP%20ERITREA_SPCF%202016%20Low%20res%20fa.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ERI%202017%20SPCF.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","","",""
"36113","MNE","Montenegro","","Action Plan for Nutrition 2017-2018","Comprehensive national nutrition policy, strategy or plan","","Bosnian","","2017","","2018","Ministry of Health","","2017","Adopted","","2016","Ministry of Health","Health|Education and research|Sub-national","","","","","","","","","","National NGOs","","","","","","Other","Health Centers","- Napraviti okruženje koje postiče pravilnu ishranu
- Promovisati prednosti zdrave i pravilne ishrane tokom cijeloga života, naročito za vulnerabilne grupe
- Jačanje zdravstvenog sistema u cilju promocije zdrave ishrane
- Podrška nadzoru, monitoring, evaluacija i istraživanje
","- Usvajanje nacionalnog Programa za smanjenje prekomjernog unosa soli hranom
- Sprovođenje mjera iz Programa za smanjenje prekomjernog unosa soli hranom
- Usvajanje Smjernica o postupcima nabavke, pripreme i serviranja hrane sa fokusom na so za institucije u javnom sektoru
- Priprema nacionalnih smjernica za ishranu učenika u predškolskim ustanovama i osnovnim školama
- Omogućiti i povećati dostupnost školskih dvorana i sportskih terena djeci i mladima i pored redovne nastave
- Medijsko praćenje aktivnosti usmjerenih na poboljšanje okruženja koje podstiče pravilnu ishranu
- Izrada Smjernica o smanjenju reklamiranja hrane za djecu bogate kalorijama, zasićenim mastima, trans mastima, šećerima i soli
- Kontinuirano sprovoditi edukaciju o važnosti pravilne ishrane , bezbjednosti hrane i fizičkih aktivnosti, kao dio školskog kurikuluma
- Promovisanje prednosti zdrave i pravilne ishrane tokom cijelog života, kao i intervencije, naročito za stare
- Izmjena Pravilnika o kvalitetu i drugim zahtevima za so za ljudsku ishranu i proizvodnju namirnica kako bi bio u skladu sa preporukama SZO
- Nastavak implementacije i promocija “Vodiča za dojenje” i ""Kodeksa zabrane reklamiranja zamjena za majčino mlijeko""
- Nastaviti kontinuiranu medicinsku edukaciju zdravstvenih radinika o promociji pravilne ishrane, prevenciji i liječenju prekomjerne težine
- Priprema Smjernica za ishranu bolesnika u bolnicama
- Priprema nacionalnog istraživanja o prehrambenim navikama odojčadi i male djece
- Priprema nacionalnog istraživanja o prehrambenim navikama odraslih
- Priprema nacionalnog istraživanja o unosu soli u populaciji
- Priprema nacionalnog istraživanja o poremećajima unosa joda u populaciji
- Priprema nacionalnog istraživanja o mikronutritivnim deficitimaanemija kod djece i trudnica
- Nastaviti aktivnosti u međunarodnim mrežama vezano za hranu i ishranu
","","","","International Code of Marketing of Breast-milk Substitutes|Iodine deficiency disorders|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Right to food|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)|Salt/sodium|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|Nutrition education|Food safety|Vulnerable groups","","www.mzdravlja.gov.me","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MNE%202017%20Action%20plan%20for%20nutrition.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"
"41889","TJK","Tajikistan","","ПОСТАНОВЛЕНИЕ О СТРАТЕГИИ УСТОЙЧИВОГО РАЗВИТИЯ ШКОЛЬНОГО ПИТАНИЯ В РЕСПУБЛИКЕ ТАДЖИКИСТАН НА ПЕРИОД ДО 2027 ГОДА / On Sustainable Development of School Nutrition in Tajikistan up to 2027","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","9","2017","","2027","Government of Tajikistan","9","2017","Adopted","9","2017","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Sub-national|Other","National Standards Agency","","","","","","","","","","","Research/academia","Agricultural Institutes; Nutrition Research Institutes","","","Other","Public Schools","6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
- совершенствование государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан;
- организационное обеспечение и координация деятельности государственных органов, заинтересованных лиц и организаций;
- обеспечение стабильного финансирования и планирования;
- разработка и реализация государственной программы развития школьного питания;
- участие общества в развитии школьного питания и связанных с ним секторов экономики.
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
- разработка и утверждение порядка финансирования питания учащихся общеобразовательных учреждений, определяющий категории учащихся, имеющих право на получение дотации на школьное питание, в том числе получение бесплатного, частично дотируемого школьного питания, и порядок их предоставления;
- в рамках действующей системы государственных закупок разработка и утверждение типовых требований по осуществлению закупок товаров и услуг для организации школьного питания;
- разработка и утверждение нормативов предоставления субсидий на частичное возмещение затрат на строительство, реконструкцию, модернизацию и создание новых предприятий, производственно-логистических центров и комбинатов социального питания, а также на компенсацию логистических издержек, обусловленных поставками товаров местных производителей.
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
- определение объема средств, направляемых из бюджета на реализацию мероприятий, связанных с развитием системы школьного питания, контролирует эффективность их расходования; утверждение и ежегодная индексация нормативов финансирования школьного питания за счет государственного бюджета;
- определение размеров субсидий, выделяемых для частичной или полной компенсации стоимости школьного питания для целей оказания адресной поддержки детям из малообеспеченных семей в соответствии с установленными категориями нуждаемости населения;
- обеспечение консолидации средств бюджетов различных уровней, финансовой помощи и средств, поступающих от родителей и иных источников, для софинансирования программ школьного питания;
- (...)
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
- разработка рационов питания на основании проводимых научных исследований с учетом необходимости удовлетворения физиологических потребностей учащихся общеобразовательных учреждений в основных пищевых веществах и энергии;
- разработка необходимых для организации питания учащихся меню в соответствии с рекомендуемым для использования в школьном питании ассортиментом основных продуктов, а также с учетом региональных и возрастных особенностей питания и состояния здоровья учащихся;
- разработка санитарно-эпидемиологических требований к организации питания учащихся общеобразовательных учреждений, а также рекомендации по созданию условий, обеспечивающих сохранение и укрепление здоровья обучающихся;
- разработка мер, направленных на развитие системы производства, переработки, поставок и реализации продукции для школьного питания; - разработка мер по поддержке местных производителей сельскохозяйственной продукции, используемой в школьном питании, включая определение видов такой продукции и требований к ней;
- разработка и реализация пилотных проектов апробации различных моделей развития производства и переработки продукции на местном уровне, обобщение и распространение наиболее ценного опыта.
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
- проведение разъяснительной и просветительской работы, пропаганда принципов здорового питания, в том числе через средства массовой информации;
- привлечение к работе по развитию местного производства учащихся и аспирантов сельскохозяйственных вузов для оказания помощи в обустройстве пришкольных хозяйств, проведения научно-исследовательских работ, оптимизации процессов производства и переработки сельскохозяйственной продукции и реализации научно-исследовательских проектов, связанных с развитием сельского хозяйства;
- обеспечение расширения знаний административных работников, учителей и иных сотрудников учреждений общего образования об отрицательном влиянии недостаточного питания на способность к обучению, приобретение профессии;
- внесение изменений в учебные планы в целях формирования у учащихся знаний о значении полноценного питания, умения осуществлять оценку правильности своего питания, навыков приготовления здоровой еды в рамках курсов домоводства, навыков выращивания сельскохозяйственной продукции с использованием местных ресурсов в рамках трудового воспитания и уроков биологии;
- участие общеобразовательных учреждений в мероприятиях, связанных с выбором вариантов организации школьного питания и контролем за его качеством; - предоставление родителям информации об ассортименте питания учащихся, включая указание в ежедневном меню наименований блюд и объемов порций, а также замены блюд для детей с пищевыми аллергиями и сахарным диабетом.
- осуществление переподготовки младшего медицинского персонала, работающего в образовательных учреждениях, в том числе в целях своевременного выявления детей с пониженным весом, обследования условий жизни семей школьников;
- обеспечение участия медицинского персонала родителями (семьями), включая принятие мер для навыков в области здорового питания и гигиены;
- обеспечение распространения знаний о последствиях недостаточного и неправильного питания, формирование навыков организации здорового питания, распространение знаний о возможных способах улучшения питания, в том числе за счет изменения рациона питания и расширения доступа к ресурсам, позволяющим обеспечить производство продуктов питания.
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
- развитие нормативной правовой базы школьного питания;
- формирование эффективной организационно-управленческой инфраструктуры;
- разработка пилотных проектов по внедрению моделей организации школьного питания, определение условий и стоимости их реализация;
- развитие кадрового потенциала; - развитие системы мониторинга, разработка методик определения целевых индикаторов и показателей, проведение научных исследований.
47. На втором этапе (2019 - 2020 годы) осуществляется:
- внедрение моделей организации школьного питания в рамках разработанных пилотных проектов с уточнением их стоимости;
- мониторинг и анализ достигаемых результатов;
- отбор наиболее перспективных моделей организации школьного питания и связанных с ними решений.
49. На третьем этапе (2021 - 2026 годы) осуществляется:
- выполнение мероприятий национальной программы школьного питания в соответствии с утвержденными календарными планами;
- распространение системы школьного питания на все районы Республики Таджикистан;
- постепенный переход к самостоятельной реализации программ улучшения школьного питания, финансируемых за счет средств государственного бюджета и иных источников.
","38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
- уровень достижения установленных рациональных норм питания обучающихся в учреждениях общего образования, в том числе по качеству, калорийности, разнообразию, количеству белков, жиров, углеводов, витаминов, макро- и микроэлементов, потребляемых обучающимися с учетом школьного питания;
- уровень охвата учреждений общего образования школьным питанием, соответствующим, установленным требованиям;
- количество обучающихся, обеспеченных школьным питанием, соответствующим установленным требованиям, в том числе с учетом частично дотируемого и бесплатного школьного питания;
- увеличение объема производства продуктов для обеспечения системы школьного питания, в том числе специализированных продуктов (детского и лечебного питания), полуфабрикатов, обогащенных продуктов;
- объем государственных и местных закупок продовольствия и услуг по обеспечению школьного питания, в том числе у местных производителей;
- сокращение затрат при производстве и переработке пищевой продукции для школьного питания, а также при предоставлении питания обучающимся.
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
- улучшение питания учащихся и рост уровня жизни семей в Республик, Таджикистан, в особенности семей с недостаточным уровнем дохода;
- pocт посещаемости, повышение качества обучения и успеваемости учащихся;
- снижение уровня заболеваемости учащихся, в том числе хроническими заболеваниями, укрепление здоровья населения Республики Таджикистан, в том числе за счет формирования культуры здорового питания;
- создание гарантированного рынка сбыта сельскохозяйственной продукции, в том числе продукции местных производителей, повышение производительности и уровня доходов в сельском хозяйстве;
- технологическую модернизацию и реструктуризацию отрасли, развитие современной производственно-логистической инфраструктуры;
- формирование устойчивых, долгосрочных хозяйственных связей между производителями сельскохозяйственной продукции и организациями школьного питания;
- ускоренное развитие отраслей, связанных с переработкой, транспортировкой, хранением и реализацией продовольствия;
- рост уровня защищенности от внутренних и внешних угроз продовольственной безопасности.
","","","Right to food|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|Distribution of take home rations|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Food sovereignty|Vulnerable groups","","http://base.mmk.tj/view_sanadhoview.php?showdetail=&sanadID=602&language=ru","","http://extwprlegs1.fao.org/docs/pdf/taj189452.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202017%20School%20Nutrition.pdf"
"38165","ARE","United Arab Emirates","","الخطة الوطنية للوقاية والتصدي ل لمراض غير السارية في دولة الامارات العربية المتحدة [National Plan for Prevention and Response For noncommunicable diseases State of United Arab Emirates]","NCD policy, strategy or plan with healthy diet components","","Arabic","","2017","","","","","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Transport|Sub-national","multi sectoral الشركاء الاستراتيجيين للخطة الوطنية لمكافحة الامراض الغير سارية - القطاعات الصحية الحكومية) هيئة صحة دبي ، هيئة صحة ابوظبي( وزارة التربية و التعليم وزارة الاقتصاد البلديات المحلية هيئة الامارات للمواصفات و المقاييس المجلس الوطني للإعلام الهيئة العامة لتنظيم قطاع الاتصالات الهيئة العامة لرعاية الشباب و الرياضة القطاع الصحي الخاص بالدولة الجامعات منظمات المجتمع المدني الغير حكومية مركز الامارات للدراسات و للبحوث الخطة وزارة الد ولة لشؤون المجلس الوطني الاتحادي هيئة الطرق والمواصلات","","","","","","","","","","","","","","","","","١ اعتبار مكافحة الامراض غير السارية والوقاية منها جزء لا يتجزأ من السياسات الوطنية في جميع القطاعات ووفقا لظروفها وتشريعاتها الخاصة
ووضع وتعزيز السياسات والخطط الوطنية للوقاية ومكافحة الآمراض غير السارية، وللحد من عوامل الاختطار والمحددات ذات الصلة بها، كجزء لا يتجزأ من الطار الوطني للصحة والتنمية.
٢ إنشاء لجنة وطنية متعددة القطاعات ورفيعة المستوى لتخطيط وتوجيه ورصد وتقييم عملية وضع السياسة الوطنية الخاصة للوقاية ومكافحةالآمراض غير السارية .
٣ تعزيز وترسيخ مبدأ المسؤولية المشتركة لكافة القطاعات لأن الامراض غير السارية تشكل تحديا اجتماعيا كبيرا وان القطاع الصحي لا يستطيع ان يواجه هذا التحدي بمفرده
٤ إجراء تقييم شامل للأمراض غير السارية، بما في ذلك تحليل أثر السياسات التي تنتهجها مختلف القطاعات الحكومية بشأن حجم المشكلة وخصائص الآمراض المعنية ومحدداتها، وتحديد سياسه موحده لتوقي ومكافحة الآمراض غير السارية .
٥ استعراض وتعزيز التشريعات والسياسات المعنية بالأمراض غير السارية، ولاسيما التشريعات والسياسات المعدة من أجل الحد من عوامل الاختطار الخاصة بالأمراض غير السارية
٦ وضع وتنفيذ خطة مسندة بالبيانات لتعزيز الصحة وتوقي الآمراض غير السارية، وذلك بهدف الحد من عوامل الاختطار الرئيسية الخاصة بالأمراض غير السارية .
٧ تنفيذ البرامج التي تستهدف المحددات الاجتماعية للأمراض غير السارية خاصة فيما يتعلق بالتدخل المبكر بمراحل الطفولة الاولية والتمويل وعدالة الاستفادة من خدمات الرعاية الصحية الاولية لتكون بمتناول الجميع
٨ ا رساء منظومة دقيقة للموارد المالية والتقنية من قبل جميع الشركاء لضمان تنفيذ الخطط المرحلية بصورة فاعلة وارساء البرامج اللازمة لبناء القدرات الوطنية لتحقيق اهداف الخطة الوطنية، واستغلالها بصورة تؤدي الى نتائج ايجابية ملموسة وقابلة للقياس.
٩ إنشاء برامج تجريبية للتدخلات المجتمعية و إنشاء آليات للكشف المبكر وتحري الأمراض غير السارية
١٠ تعزيز ودعم انشطة وبرامج التدخل للحد من عوامل الاختطار للأمراض غير السارية خاصة المتعلقة باستخدام التبغ والغذاء غير الصحي وقلة الحركة وغيرها عن طريق :
تنظيم ومتابعة عملية استخدام التبغ وتشجيع المدخنين للتخلص من هذه العادة الغير الصحية .
تعزيز العادات الغذائية الصحية بدءً من الرضاعة الطبيعية وخلال الطفولة ومراحل العمر المختلفة بالإضافة الى التسويق المسؤول للمنتجات الغذائية الصحية .
تنفيذ برامج للنشاط الحركي بشكل منتظم خلال مراحل الطفولة والمدرسة وفي اماكن العمل.
١١ التعرف على الفوارق المجتمعية و الثقافية واحترامها وتأكيد المشاركة الايجابية للمستفيدين
١٢ ارساء نظام فعال لترصد ومتابعة محددات الامراض غير السارية وتقييم التقدم المحرز في مكافحتها والوقاية وتشجيع الدراسات والبحوث العلمية للاسترشاد
بها في تطبيق ومراجعة الخطط التنفيذي
","ترتكز الخطة الوطنية على اربع محاور رئيسيه تتماش ى مع خطة العمل القليمية لمكافحة الامراض غير السارية والتي تعتمد على برنامج تنفيذ القرار
السياس ي للأمم المتحدة UN POLITICAL DECLERATION
١- القيادة والحوكمة
٢- الوقاية وتقليص عوامل الاختطار
٣- الترصد والمراقبة والتقييم والبحوث
٤- تعزيز مجال الرعاية الصحية من الامراض غير السارية
","
مؤشرات الأجندة الوطنية حسب رؤية الامارات ٢٠٢١
خفض معدل الوفيات بسبب أمراض القلب والشرايين من ٢٩٧.٦ (٢٠١٤) الى ١٥٨.٢/١٠٠.٠٠ بحلول عام ٢٠٢١ a.
خفض معدل الوفيات بسبب مرض السرطان من ٩٩ (٢٠١٤) الى ٦٤.٢/١٠٠.٠٠ بحلول عام ٢٠٢١ b.
خفض معدل السكري بين سكان الامارات الفئة العمرية (٢٠-٧٩ عام) من بنسبة ١٩.٣٪ لعام ٢٠١٥ الى نسبة ١٦.٣٪ لعام ٢٠٢١ c.
خفض معدل السمنة بين الاطفال من عمر ٥-١٧ عاما من نسبة ١٤.٤٪ لعام ٢٠١٤ الى ١٢٪ بحلول عام ٢٠٢١
خفض معدل التدخين اليومي من ٢١.٦٪ للذكور و ١.٩٪ للاناث لعام ٢٠١٠ حسب نتائج مسح الاسرة الى نسبة ١٥.٧٪ للذكور و ١.٦٦٪ للاناث d.
الكشف المبكر عن الامراض غير السارية وعوامل الاختطار الفئة المستهدفة ٤٠ عاما فما فوق e.
الغايات والمؤشرات الوطنية المستمدة من مؤشرات منظمة الصحة العالمية ٢٠٢٥
١. خفض الوفاة المبكرة ومخاطر الاصابة بسبب امراض القلب والاوعية الدموية، والسرطان، أمراض الجهاز التنفسي المزمنة، والسكري بين البالغين ( العمر ٣٠-٧٠ سنة) بنسبة ٢٥٪ بحلول عام ٢٠٢٥ من ٨١.٤٪ الى ٦١.٠٪
٢. وقف الزيادة بمعدل انتشار السمنة وداء السكري
٣. خفض معدل قلة ممارسة النشاط البدني بنسبة ١٠٪ من ٣٨.٤٪ الى ٣٤.٥٪
٤. خفض نسبة الزيادة بمعدل ارتفاع ضغط الدم ٢٥٪ من ١٤.٧٪ الى ١١٪)
٥. خفض نسبة استهلاك الافراد للملح والدهون المشبعة ٣٠٪
٦. خفض نسبة التدخين للافراض ١٥ سنة فما فوق بنسبة ٣٠٪ من ٢١.٦٪ الى ١٥٪
٧. توفير الخدمات التشخيصية والمخبرية بنسبة ٩٠٪
٨. توفير الأدوية اللازمة لعلاج الأمراض غير السارية بنسبة ٩٠٪ في جميع مراكز الرعاية الصحية الأولية
","","","Overweight in adolescents|Overweight in school children|Sodium/salt intake|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARE_UAE%20national%20NCD%20plan%202017%20.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",""
"40702","ECU","Ecuador","","Plan intersectorial de alimentación y nutrición Ecuador 2018-2025","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2018","","2025","Ministerio de Salud Pública","","2018","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Women, children, families|Social welfare|Development|Sport|Urban planning|Environment|Industry|Labour|Other","","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","","","","","Objetivo general
Alcanzar una adecuada nutrición y desarrollo de la población ecuatoriana durante todo el curso de vida, brindando atención integral y, generando mecanismos de corresponsabilidad entre todos los niveles de gobierno, ciudadanía y sector privado; en el marco de intervenciones intersectoriales que incidan sobre los determinantes sociales de la salud.
Objetivos específicos
1. Fortalecer el rol del Estado, la coordinación intersectorial y la participación ciudadana en la aplicación de este plan.
2. Brindar atención integral de salud durante todo el ciclo de vida, con énfasis en los 1000 primeros días, la etapa escolar, así como, el fomento y protección de la lactancia materna.
3. Fortalecer y generar intervenciones que incidan sobre los determinantes de la salud, enfocados en la promoción de la salud, la protección social, la seguridad y soberanía alimentaria y agua-saneamiento.
","Lineamiento estratégico 1. Dinamizar la coordinación intersectorial entre todos los actores públicos y privados con el fin de generar mecanismos de corresponsabilidad.
Lineamiento estratégico 2. Asegurar el monitoreo continuo y evaluación periódica de las políticas de alimentación y nutrición.
Lineamiento estratégico 3. Asegurar la atención integral en salud y nutrición de los grupos prioritarios en todo el curso de vida en todos los niveles de atención.
Lineamiento estratégico 4. Fomentar y proteger la práctica de la lactancia materna y la alimentación complementaria adecuada.
Lineamiento estratégico 5. Fomentar espacios y prácticas saludables durante todo el ciclo de vida.
Lineamiento estratégico 6. Incrementar el acceso a agua segura y servicios de saneamiento adecuados.
Lineamiento estratégico 7. Contribuir a la autosuficiencia y diversidad de alimentos sanos, nutritivos y culturalmente apropiados de forma permanente.
Lineamiento estratégico 8. Fortalecer la protección e inclusión social a través de estrategias de fomento del ejercicio de derechos de los ciudadanos en todo su ciclo de vida
","En el marco de la implementación del Plan Intersectorial de Alimentación y Nutrición es evidente la necesidad de fortalecer el monitoreo de las acciones propuestas, así como la evaluación del Plan en sí mismo. Para esto, el mejoramiento continuo de los sistemas de información, así como los registros administrativos, y la implementación periódica de encuestas, es indispensable para la generación de insumos a nivel intersectorial, para la toma de decisiones. Líneas de acción 2.1 Articulación y mejoramiento continuo de los sistemas de información. 2.2 Levantamiento y generación de información periódica de alimentación y nutrición. 2.3 Monitoreo y evaluación permanente de los planes, programas, proyectos, iniciativas e intervenciones de nutrición y alimentación saludable.
Indicadores
- Porcentaje de ejecución financiera del Programa Presupuestal articulado al Plan Intersectorial de Alimentación y Nutrición por tipo de actor
- Sistemas de información articulados y mejorados según priorización para alimentación y nutrición
- Instituciones responsables de la implementación del Plan que cumplen con las metas establecidas para sus indicadores
- Porcentaje de niños nacidos por parto institucional, atendidos en el Sistema Nacional de Salud, que cumplieron con las prácticas integrales del parto
- Porcentaje de mujeres embarazadas que reciben el paquete priorizado completo de prestaciones
- Porcentaje de niños menores de 5 años que reciben el paquete priorizado completo de prestaciones
- Prevalencia de anemia en niños menores de 5 años.
- Porcentaje de niños de 5-11 años en riesgo de sobrepeso y obesidad que reciben el paquete priorizado de prestaciones para su edad .
- Cobertura de la prestación de consejería en alimentación y nutrición para adolescentes, adultos y adultos mayores con sobrepeso y obesidad.
- Proporción de cobertura de tratamiento de la desnutrición aguda severa en niños.
- Porcentaje de niños de 0 a 6 meses cuyas madres recibieron paquete de lactancia materna
- Porcentaje de madres de niños menores de 24 meses que han recibido el paquete de atención en alimentación complementaria
- Porcentaje de instituciones públicas y privadas que cumplen con la licencia de maternidad
- Porcentaje de Instituciones públicas y privadas que cuentan con lactarios institucionales
- Porcentaje de empresas que cumplen con el Código Internacional de Comercialización de Sucedáneos de la Leche Materna
- Porcentaje de instituciones educativas que cumplen con las condiciones higiénico-sanitarias y lineamientos alimentarios y nutricionales establecidos en la normativa
- Porcentaje de productos alimenticios que cumplen con el etiquetado tipo semáforo
- Porcentaje de empresas que cumplen con la restricción de promoción, publicidad y patrocinio de productos alimenticios para niños
- Ventas de bebidas endulzadas
- Porcentaje de instituciones públicas y privadas que han implementado programas de hábitos saludables
- Porcentaje de servicios de alimentación reconocidos como responsables con la nutrición
- Existencia y aplicación de ordenanza regulatoria de ventas en la vía pública en instituciones educativas
- Hectáreas de espacios de recreación al aire libre y de acceso público por cada 100000 habitantes (parques, equipamiento deportiv
- Prevalencia de actividad física moderada en mayores de 12 años
- Porcentaje de hogares que compran productos alimenticios procesados y ultraprocesados
- Porcentaje de la población de 10 a 59 años que reconoce, entiende y usa el sistema de etiquetado nutricional
- Porcentaje de instituciones que utilizan en sus programas las Guías Alimentarias
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Underweight in children 0-5 years|Anaemia|Complementary feeding|Overweight and obesity in adults|Overweight in school children|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Monitoring of the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food fortification|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Household food security|Food sovereignty|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://www.salud.gob.ec/wp-content/uploads/2018/08/PIANE-2018-2025-final-compressed-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ECU%202018%20PIANE-2018-2025-final-compressed-.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"
"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"
"96700","CPV","Cabo Verde","","Plano Nacional de Alimentação e Nutrição (PNAN) 2021-2025","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2021","","2025","Ministério da Saúde e da Segurança Social","12","2020","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Environment|Industry|Justice|Labour","","United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","2.2 Objetivos
2.2.1 Objetivo geral
Contribuir para a melhoria do estado nutricional e de saúde da população através da promoção de hábitos alimentares saudáveis e adequados.
2.2.2 Objetivos específicos
1 - Assegurar processos permanentes de Educação Alimentar e Nutricional (EAN) e de promoção da alimentação adequada e saudável para a popula¬ção em geral, e em particular crianças, adolescentes, grávidas, aleitantes, doentes crónicos e idosos;
2 - Garantir a prevenção e o tratamento dos distúrbios nutricionais, em espe¬cial a anemia e a obesidade;
3 - Reforçar políticas que promovam, protejam e apoiem o consumo de ali¬mentos seguros e saudáveis;
4 - Reforçar o quadro institucional e legal para garantir a equidade no acesso aos serviços de nutrição à população;
5 - Reforçar o sistema de vigilância alimentar e nutricional e a sua integração no Sistema Nacional de Informação Sanitária e de Segurança Alimentar e Nutricional.
2.3 Princípios orientadores
• Alimentação adequada como um Direito Humano;
• Segurança Alimentar e Nutricional como responsabilidade pública;
• Universalidade e Equidade no acesso aos serviços de nutrição de qualidade;
• Implementação de atividades com base em evidências científicas;
• Descentralização na prestação dos cuidados nos diferentes níveis de atenção de saúde;
• Transparência na gestão e utilização dos produtos;
• Promoção de sistemas alimentares sustentáveis;
• Parceria e complementaridade entre os sectores e intervenientes em alimenta¬ção e nutrição;
• Sensível ao gênero e garantir a inclusão de deficiências;
• Promoção de um programa de qualificação dos recursos humanos, visando a valorização dos profissionais e o desenvolvimento de competência profissionais sociais e pessoais;
2.4 Metas
1 - Reduzir em 40%, até 2025, o número de crianças menores de 5 anos que sofrem desnutrição crónica;
2 - Reduzir em 50%, até 2025, a anemia em mulheres em idade reprodutiva;
3 - Reduzir em 30%, até 2025, os casos de insuficiência ponderal em crianças menores de 5 anos;
4 - Travar, até 2025, qualquer aumento da prevalência de excesso de peso em crianças menores de 5 anos;
5 - Aumentar até no mínimo 50%, até 2025, a taxa de aleitamento materno exclu¬sivo nos primeiros 6 meses de vida;
6 - Reduzir e manter abaixo de 5%, até 2025, a desnutrição aguda em crianças menores de 5 anos;
7 - Eliminar, até 2025, os distúrbios devidos à carência de iodo na população;
8 - Reduzir em 20%, até 2025, a prevalência de anemia em grávidas;
9 - Reduzir em 20%, até 2025, a prevalência de anemia em crianças menores de 5 anos;
10 - Reduzir em 20%, até 2025, a prevalência da anemia nos alunos do Ensino Básico Integrado;
11 - Aumentar em 10%, até 2025, a percentagem da população que consome pelo menos 5 porções frutas e hortícolas diariamente;
12 - Aumentar em 10%, até 2025, a percentagem da população que consome me¬nos que 5 g de sal diariamente.
2.5 Medidas prioritárias
1 - Estabelecer bons hábitos de alimentação, higiene e saúde como comportamen¬tos positivos determinantes para a saúde
2 - Promover, proteger e apoiar o aleitamento materno
3 - Intensificar ações multissectoriais para reduzir a subnutrição (incluindo as defi¬ciências em micronutrientes)
4 - Intensificar ações multissectoriais para reduzir o excesso de peso/obesidade.
5 - Integrar/Reforçar as ações essenciais de nutrição nos serviços de saúde e de¬mais setores
6 - Reforçar o ambiente alimentar para promover o consumo saudável ao longo da vida;
7 - Desenvolver capacidades para a gestão dos programas e a prestação de ser¬viços;
8 - Reforçar a legislação, os sistemas regulamentares e a fiscalização para a se¬gurança alimentar e nutricional;
9 - Promover a investigação e o uso de dos dados de rotina, desagregados por idade, sexo, situação socioeconómica e região geográfica para identificar gru¬pos vulneráveis e desfavorecidos e programar melhor o acesso aos serviços de nutrição.
","","","","","Baby-friendly Hospital Initiative (BFHI)|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|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Overweight in children 0-5 yrs|Sodium/salt intake|Fruit and vegetable intake|Right to food|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|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|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|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|Food grade salt|Deworming|Food security and agriculture|Household food security|Water and sanitation","","https://extranet.who.int/ncdccs/Data/CPV_B16_s21_PNAN_2021_2025_FINAL_TIP_web.pdf","WHO NCD Document Repository","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CPV%202020%20PNAN_2021_2025_FINAL_TIP_web.pdf"
"41507","PAK","Pakistan","","National IRMNCAH&N Strategy (2016- 2020) National vision for ten priority actions to address challenges of reproductive, maternal, newborn, child, adolescent health and nutrition","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Government ","","2016","Not adopted","","","","Health|Women, children, families|Sub-national","","","","","","","","","","","","","","","","","","Objective 5:Improve reproductive health including family planning.
Objective 6:Investing in nutrition especially of adolescent girls, pregnant and lactating women, children under 5
Objective 7: Investing in addressing social determinants of health.
","A National Overview Of The Provincial IRMNCAH Action Plans
pages 32-44
","Table 2: Strategic objectives with key indicators of achievement.
Core Indicators of achievement
- Integration of the FP and RMNCAH services at the PHC level
- Reduction in Unmet need for contraception
- % decrease in Maternal and Adolescent Anemia
- % increase in IYCF practices
- % Decrease in wasting, anemia and Zinc deficiency
- Integrated mechanism to address the social determinants in place
- Laws pertaining to mandatory female school enrollment and early girl marriages passed and in place
","","","Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Management of moderate acute malnutrition|Diarrhoea or ORS|Family planning (including birth spacing)","","","","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/PAK%202016%20National%20RMNCAH%26N%20Strategy%202016-2020.pdf"
"41517","UGA","Uganda","","The National Integrated Early Childhood Development Policy Action Plan of Uganda (2016-2021)","Other, please specify","Child or adolescent plan with nutrition components","English","","2016","","2021","Ministry of Gender, Labour and Social Development","3","2016","Not adopted","","","","Health|Women, children, families|Development|Labour","Ministry of Gender, Labour and Social Development","","","","","","","","","","","","","","","","","1.2.3 Goal of the policy
The goal of the policy is to provide direction and guidance to all sectors for quality, inclusive, coordinated and well-funded ECD services and programs.
1.2.4 Objectives of the policy
The NIECD Policy of Uganda has three objectives;
To harmonize existing ECD policy related goals, objectives and strategies and initiatives within and across all sectors.
To set, improve and align standards for ensuring access to well- coordinated, quality, equitable and inclusive ECD services within and across sectors
To build and strengthen capacity of systems and structures to deliver integrated quality and inclusive ECD programs.
","Food Security and Nutrition
Strategies
a) Promote micronutrient supplementation and diet diversification.
b) Promote and improve food security at household and community level.
c) Promote breastfeeding and optimal feeding practices for infants and young children
Priority Program Initiatives
- Awareness programs on good nutrition, food taboos, dietary diversification, nutrition practices
- Early detection and management of malnutrition among young children and expectant mothers
- Nutritional education, assessment, counseling and management of children, adolescents, expectant and lactating mothers· Micronutrient supplementation programs
- Promote local production, value addition and diversification of nutritious food
- Promote appropriate technology for food production, processing, preservation , handling
- integration of nutrition services in all routine & outreach health services and programs
- Growth monitoring and promotion
- Training, certification and support of nutritionists, health workers and other care providers
","% Stunting of children under five years
% Underweight – prevalence in under-fives
% Low birth weight - newborns less than 2.5 kg
% of children 6-59 with anemia, vitamin or other mineral deficiency
% children 6-59 who receive micro nutrient supplementation and deworming
% women 15-49 years (adolescents, expectant women and lactating mothers) with anemia vitamin or other mineral deficiency
% women (adolescents, expectant women and lactating mothers) 15-49 years who receive micro nutrient supplementation
% of families/households that are engaged in production of nutritious foods
% of families/households that have diverse sources of food
% of families/households accessing education and extension services (health, agriculture and nutrition)
% of infants who exclusively breastfeed to 6 months
% of infants who start breastfeeding within 1 hour of birth
% of infants who continue breastfeeding up to 20 -23 months
% of infants who start receiving solid, semi solids or soft foods at 6 months of age
% of infants (6-23 months) who receive minimum acceptable diet(four food groups)
% of infants who receive fortified foods
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|Micronutrient supplementation|Food fortification|Deworming|Food security and agriculture|Household food security|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","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/UGA%202016%20The%20National%20Integrated%20Early%20Childhood%20Development%20Policy%20Action%20Plan%20of%20Uganda%202016-2021.pdf"
"40684","CUB","Cuba","","Programa Nacional de Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Dirección Nacional Materno Infantil, MINSAP","","2011","Adopted","","","","Nutrition council|Health|Women, children, families|Sub-national","Comisión Nacional, integrada por miembros permanentes del MINSAP, MINED, MES, INDER, MINCULT, FMC, CDR, OPJM, FEEM, FEU, MINJUS, ICRT, CTC, responsable del Programa Nacional de VIH/SIDA y órganos del Poder Popular.8.1.2. Un Grupo Técnico Asesor Nacional integrado por la Dirección Nacional Materno Infantil, Dirección Nacional de Atención Primaria de Salud, Dirección Nacional de Hospitales, Promoción de Salud, Epidemiología, MINED, MES, organizaciones políticas y de masas y otros, según resulte conveniente.","","","","","","","","","","","","","","","","","Objetivo general
Mejorar, a través de una alimentación óptima, el estado de nutrición, el crecimiento y el desarrollo, la salud y, de este modo, la supervivencia de los lactantes y los niños pequeños, lo que contribuye a elevar la calidad de vida del adulto.
Objetivos Específicos
- Lograr la atención diferenciada a las embarazadas y madres que lactan, con participación multi e interdisciplinaria en todos los niveles del Sistema de Salud.
- Identificar y atender precozmente a las embarazadas y madres que lactan con situaciones de riesgo y sus familias.
- Desarrollar acciones de promoción de salud y prevención dirigidas a modificar los principales problemas de salud de las embarazadas y madres que lactan.
- Perfeccionar y desarrollar los conocimientos de profesionales, técnicos y otros trabajadores del Sistema Nacional de Salud sobre la lactancia materna y nutrición.
- Promover el diseño y ejecución de investigaciones sobre la lactancia materna, factores protectores y de riesgo.
- Fomentar la participación intersectorial, comunitaria y de la familia para mejorar la salud integral en las embarazadas y madres que lactan.
- Lograr el desarrollo de los Bancos de Leche Humana.
","Actividades Específicas
Para cumplir el objetivo 1:
- Se fortalecerán las Comisiones Nacional, Provinciales, Municipales y de unidades de base de Lactancia Materna.
- En cada nivel, incluidas las unidades ejecutoras, se garantizará que esté disponible la información que permita realizar el diagnóstico de los indicadores de lactancia materna en la población que atienden.
- En las unidades hospitalarias se formarán y desarrollarán equipos de salud multidisciplinarios para los servicios de hospitalización y ambulatorios, dirigidas a dar cumplimiento a este Programa.
- Se controlará el funcionamiento del Alojamiento Conjunto Inmediato para los partos y las cesáreas en todas las unidades, para garantizar el inicio de la lactancia materna en los primeros 30 minutos post parto.
- Lograr la Recertificación en los 28 pasos a todos los Hospitales Amigos de la Madre, la Niña y el Niño, así como realizar un trabajo sistemático y permanente en el movimiento de Consultorios, Policlínicos y Municipios Amigos. Para lograr esta actividad, se realizarán revaluaciones periódicas de las unidades para garantizar el mantenimiento, sostenibilidad y credibilidad de la iniciativa a largo plazo.
- Desarrollo de la iniciativa de los 10 Pasos de Hospital Amigo de la Madre, la Niña y el Niño en los Hospitales Pediátricos.
- Velar por la alimentación adecuada del lactante y del niño pequeño en circunstancias especialmente difíciles y de la necesidad de asegurar que todos los servicios de salud protejan y apoyen la lactancia materna exclusiva y la lactancia complementaria oportuna y adecuada sin interrupción de la lactancia materna.
- Contribuir al desarrollo y perfeccionamiento de los Grupos de Apoyo Nutricional (GAN) en policlínicos, municipios y hospitales, teniendo en cuenta las expectativas de este programa.
- Conocimiento de las leyes y programas vigentes relacionadas con la salud de la embarazada por parte de todo el personal de salud vinculado a su atención, así como el monitoreo del cumplimiento del Código Internacional de Sucedáneos de la Leche Materna.
- Recomendar la adopción de una Ley de Protección, Promoción y Apoyo a la Lactancia Materna.
- Los médicos y enfermeras de la familia desarrollarán las acciones de salud con la población objeto de este programa en su radio de acción, adecuándolas a las necesidades identificadas, según dispensarización y diagnóstico de salud.
- En los consultorios de la comunidad y consultas de seguimiento en instituciones hospitalarias se realizarán controles de peso, talla y examen físico (incluyendo examen de Mamas), con la periodicidad establecida, para la detección precoz de alteraciones, así como otros problemas de salud.
- En todos los niveles del sistema el médico y la enfermera priorizarán la atención a las embarazadas y madres que lactan con riesgos socio-conductuales relacionados con medio familiar desfavorable, con la participación del equipo de salud.
- El equipo de salud en la comunidad prestará especial atención a la alimentación y nutrición de las embarazadas y madres que lactan y sus hijos.
- En todos los niveles de atención se ofrecerá atención médica diferenciada a la adolescente embarazada (gestación, parto, puerperio).
- En todos los niveles de atención se cumplirá estrictamente con los principios de la Ética Médica.
Para cumplir el objetivo 2:
- El Centro Nacional de Capacitación en Lactancia Materna será el centro rector del desarrollo de las actividades de capacitación en lactancia materna, nutrición de la mujer y Bancos de Leche Humana en todos los niveles del Sistema Nacional de Salud.
- En las universidades no médicas, incorporar temas relacionados con la lactancia materna, en la medida que lo permitan sus currículos de estudio.
- Las Comisiones de Lactancia a nivel local, en estrecha coordinación con las Vice Direcciones Docentes correspondientes, capacitarán al personal de salud que labora directamente con embarazadas y madres que lactan, enfatizando en el médico y enfermera de la familia, en temas de lactancia materna.
- Los profesores que participan en el Programa en cada instancia, son los encargados de velar por el desempeño adecuado del mismo, aspecto clave para lograr el cumplimiento de los objetivos propuestos.
- En cada nivel del Sistema de Salud se organizará y programará la Capacitación en el trabajo a profesionales, técnicos y personal que presten servicios de salud a embarazadas y madres que lactan.
- El Centro Nacional de Capacitación para la Lactancia Materna, de conjunto con el Ministerio de Educación identificarán los contenidos que necesiten los docentes y conveniarán con los Institutos Superiores Pedagógicos las vías para prepararlos en la orientación y estimulación de la lactancia materna.
- Se conveniará con el ISCM los nuevos contenidos sobre nutrición y alimentación de la madre y el lactante para los planes de estudios de pre y posgrado de las carreras de Medicina, Enfermería y otros profesionales y técnicos de la Salud.
- El Centro Nacional de Capacitación en Lactancia Materna contribuirá a la preparación de profesionales en diplomados y maestría en nutrición y lactancia materna.
- Desarrollar cursos de varias modalidades (cortos, largos, presenciales, semipresenciales, a distancia, etc.), para lograr una adecuada capacitación de todos los involucrados en el programa.
- Se crearán Centros de Referencia para la Capacitación en Lactancia Materna provinciales, organizando y aprovechando los recursos humanos y materiales que se encuentran disponibles para la capacitación preferencial de los jefes de programas y consultores en Lactancia Materna a nivel local.
- Se celebrarán eventos científicos en las diferentes instancias del Sistema Nacional de Salud, previa coordinación con la Comisión Nacional de Lactancia Materna en los niveles correspondientes, con una periodicidad no mayor de un año.
- Se desarrollarán Jornadas Nacionales de Lactancia Materna y Nutrición de la Mujer en el marco de la Jornada Mundial de la Lactancia Materna, y Congresos Nacionales e Internacionales cada 3 años.
- Creación de una Red Nacional de Lactancia Materna y Bancos de Leche Humana.
- Creación de una página web del Centro Nacional de Capacitación en Lactancia Materna, con aspectos relacionados con la lactancia materna, nutrición en la mujer y Bancos de Leche Humana.
Para cumplir el objetivo 3:
- Se desarrollarán investigaciones sobre lactancia materna por las diferentes instancias y unidades del Sistema de Salud.
- Se utilizarán las publicaciones científicas existentes para difundir los resultados de las investigaciones y actualizar conocimientos sobre lactancia materna y nutrición de la mujer.
- Esta estrategia pretende ser una guía para la adopción de medidas, ya que se basa en la evidencia de pruebas científicas acumuladas. Para mantener su dinámica, se deberá seguir el ritmo de los descubrimientos y adelantos, por lo que se deben fomentar las investigaciones clínicas y poblacionales, así como las relacionadas con los comportamientos humanos relacionados con las prácticas de la lactancia materna.
Para cumplir el objetivo 4:
- Incorporar a los Círculos Infantiles y Jardines de la Infancia al Movimiento de Amigos de la Madre, la Niña y el Niño.
- Crear la iniciativa de Centros de Trabajo Amigables con las Mujeres, donde se facilite y creen condiciones para cumplir las leyes de protección a la mujer y la niñez, y se pueda desarrollar de forma satisfactoria la lactancia materna entre las madres trabajadoras.
- Recomendar la formación de Consejeros o Consultores en Lactancia Materna a nivel local.
- Se brindará información acerca del Programa de Lactancia Materna y sus estrategias a las diferencias instancias del Gobierno, que incluyan a los diferentes sectores vinculados con el mismo y a las organizaciones de masas.
- El personal de los equipos de salud local que atiende directamente a las embarazadas y madres informará cara a cara y grupal a la población sobre las características, ventajas y técnicas de la lactancia materna.
- Los médicos y enfermeras de la familia, contribuirán a mejorar los conocimientos en lactancia materna en la población mediante actividades educativas.
- El médico y la enfermera de familia y el Grupo Básico de Trabajo orientarán a la familia en temas relacionados con la lactancia materna, involucrando a maestros, profesores y brigadistas sanitarias de la FMC.
- Los Consejeros o Consultores de Lactancia contribuirán al desarrollo de este Programa a través del apoyo directo a las mujeres.
- Se utilizará todos los canales de la comunicación (interpersonal, grupal y masiva), para la orientación en temas relacionados con la lactancia materna.
- Los Centros Nacional y Provinciales de Promoción y Educación para la Salud coordinarán con los medios de comunicación masiva los espacios dedicados a temas relacionados con la lactancia materna.
- Los Centros Nacional y Provinciales de Promoción y Educación para la Salud, en coordinación con la Comisión Nacional de Lactancia Materna, el Ministerio de Educación y las Direcciones Provinciales de Educación, diseñarán los materiales y soportes educativos que se produzcan, abordándose temas relacionados con la lactancia materna.
- En todos los Servicios o Salas de hospitalización de embarazadas, puérperas y pediatría, estarán disponibles para los pacientes y sus familiares materiales educativos sobre aspectos relevantes en lactancia materna.
- Involucrar a personalidades y líderes (del gobierno local, culturales, deportivos, religiosos, etc.) en la promoción de la lactancia materna.
- Establecer mecanismos con el ICRT para verificar antes de su salida al aire de programas de difusión masiva relacionados con la nutrición, embarazo, parto, puerperio, lactancia materna, cuidado de los niños y de temas relacionados con la alimentación del lactante.
- El Centro Nacional de Capacitación para la Lactancia Materna, con la participación y apoyo de otras instituciones del Sistema de Salud, elaborará módulos para desarrollar la capacitación de los promotores de salud en la comunidad en el tema de la lactancia materna.
- Las Comisiones de Lactancia Materna programarán y controlarán la ejecución de cursos-talleres para la capacitación de promotores de salud en los niveles municipal, provincial y nacional.
Para cumplir el objetivo 5:
- Creación y desarrollo de los Bancos de Leche Humanas, según condiciones de las unidades hospitalarias, mediante la reorganización y adecuación de los recursos materiales y humanos ya existentes, en los diferentes tipos de hospitales donde esta programada su implementación, siguiendo la guía del Manual de Procedimientos de los Bancos de Leche Humana.
- Lograr la realización del Proyecto Apoyo Técnico para la Implementación de Bancos de Leche Humana en Cuba, en colaboración con la Agencia Brasileña de Colaboración (ABC), el Ministerio de Salud Pública de Brasil y el Gobierno de Brasil.
","Evaluación
El cumplimiento de las actividades del Programa se analizará una vez al año en las Reuniones Nacionales Territoriales del PAMI, semestralmente en las Provinciales y trimestralmente en las Municipales.
Evaluación parcial
- El cumplimiento de las actividades del Programa se analizará mensualmente en las unidades hospitalarias y áreas de salud.
- La supervisión tendrá periodicidad trimestral en el nivel municipal, semestral en el provincial y anual en el central.
- Se evaluarán los aspectos siguientes:
- Comisiones de Lactancia Materna en los niveles nacional, provincial y municipal.
- Grupos Básicos de Trabajo capacitados en Lactancia Materna.
- Médicos y Enfermeras de la Familia capacitados en Lactancia Materna.
- Existencia de Grupo multidisciplinario integrado por todas las especialidades con que cuente la unidad hospitalaria y que se relacionen con la atención a embarazadas y madres que lactan.
Evaluación final
- Se considerarán cumplidos los objetivos de este programa cuando se alcancen las metas y actividades programadas.
- Metodología a cumplir por el responsable del Programa de Lactancia Materna en las diferentes instancias
- Será parte del Grupo Técnico Asesor de la instancia correspondiente.
- Tendrá la responsabilidad de la adaptación y el control de las normas y directrices que emanen del Grupo Técnico Asesor Nacional.
- Establecerá las coordinaciones con los organismos participantes.
- Programará y coordinará los adiestramientos programados.
- Controlará el funcionamiento de los Grupos Técnicos Asesores subordinados de la instancia inferior.
- Participará en la selección de sitios centinelas, y mantendrá el control sobre los mismos.
- Coordinará las actividades inherentes a la información educativa, radial, televisiva y escrita.
- Fomentará la realización de trabajos de terminación de la residencia en las especialidades que lo ameriten.
- Promoverá la realización de investigaciones sobre lactancia materna.
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|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 feeding and care of LBW infants|Infant feeding in emergencies|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Capacity building for the Code|Maternity protection|Complementary feeding promotion/counselling","","","","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/CUB%202011%20Programa%20Nacional%20de%20Lactancia%20Materna.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"
"41888","NLD","Netherlands","","Alles is gezondheid… Het Nationaal Programma Preventie 2014 - 2016 / Everything is Health... National Prevention Program 2014-2016","NCD policy, strategy or plan with healthy diet components","","Dutch","2","2014","12","2016","Ministry of Health ","","2014","Adopted","","2014","Government of the Netherlands","Nutrition council|Health|Education and research|Finance, budget and planning|Sport|Environment|Industry|Sub-national","","","","","","","","","","","","Research/academia","National Institute for Public Health (RIVM); Free University (VU)","","All Schools; Health Insurance Companies; Public place owners; Employers ","Other","Central Statistical Bureau (CBS); Municipal Sanitary Service (GGD); Catering services union (Veneca); Healthcare providers; NOC*NSF; Stichting MVV Nederland; KNHB","In het NPP spreken wij met onze partners af dat wij voor elk van de speerpunten -roken, overgewicht, overmatig alcoholgebruik, bewegen, diabetes en depressie- een substantiële verbetering willen t.o.v. waar de huidige trends ons in 2030 zouden brengen.
Zo is de Gezonde School Aanpak van het RIVM Centrum Gezond Leven een methode voor scholen en professionals om structureel aan de slag te gaan met een gezonde leefstijl. Ook op rijksniveau nemen we daarbij, passend bij onze rol, onze verantwoordelijkheid. In deel twee staat een groot aantal nauwkeurig uitgewerkte activiteiten. Zo gaan we er bijvoorbeeld samen voor zorgen dat in 2030 alle scholen gezonde scholen zijn, op basis van een bewuste inzet van scholen zelf. In 2016 moeten 850 (van de 8000) scholen een Vignet Gezonde School hebben als uiting van aandacht en beleid voor een gezonde leefstijl. Daarmee krijgen ca 180.000 leerlingen een gezonde leeromgeving.
Doel In 2015 hebben alle scholen in het voortgezet onderwijs en MBO een gezonde schoolkantine.
Gezond gewicht Doel: Minimaal 75 JOGG-gemeenten in 2015. Op termijn is de ambitie dat álle 408 gemeenten zich aansluiten.
Doel Er is een verbinding tot stand gebracht tussen gezondheid en natuur, en gezondheid is structureel onderdeel van het ontwerp van de publieke ruimte.
Doel Een actief gezondheidsbeleid in MKB-bedrijven stimuleren
Doel Bijdragen aan een gezonde voeding van werknemers via de bedrijfscatering. Reduceren van verzuim- en/of zorgkosten.
Doel De gezonde keuze makkelijker maken door de samenstelling van producten te verbeteren waar het gaat om zout, verzadigd vet en suiker, en door een gezond aanbod in school- en sportkantines en bedrijfsrestaurants.
Doel Het hoge niveau van voedselveiligheid behouden, de ervaren voedselveiligheid (voedselvertrouwen) vergroten, waakzaam blijven voor nieuwe risico’s, slagvaardig handhaven en effectief reageren bij eventuele incidenten
Doel Het hoge niveau van productveiligheid behouden.
","8.1.1 Ondersteunen van ouders, jeugd en (voor)scholen Bewustwording en gezondheidsinformatie voorschoolse opvang en peuterspeelzalen
- JOGG, onderdeel van het Convenant Gezond Gewicht, gaat in het schoolseizoen 2013-2014 in JOGG-gemeenten het drinken van water stimuleren. Aandacht voor ‘DrinkWater’ is er onder meer op kinderdagverblijven en basisscholen; jong geleerd is oud gedaan. JOGG heeft DrinkWaterbekers voor de peuters, en er is een digitale toolkit met informatie en best practices en tips voor professionals. Het Convenant Gezond Gewicht (26 publieke en private partijen, zes landelijke bedrijfspartners) en de 27 JOGG-gemeenten werken hierbij samen.
- Van 7 oktober tot en met 29 november 2013 kunnen scholen voor PO, VO en MBO via www.gezondeschool.nl ondersteuning (financieel of advies op maat) aanvragen om in 2014 mee aan de slag te gaan. VWS en OCW stellen hiervoor 1,14 miljoen euro beschikbaar vanuit de middelen van de Jeugdimpuls en de Onderwijsagenda. Afhankelijk van de behoefte zal de ondersteuning de jaren erna een vervolg krijgen.
- Ouders zijn de eerstverantwoordelijke voor een gezonde opvoeding. Het kabinet ondersteunt ouders onder meer via de JGZ en door te voorzien in betrouwbare informatie. Ouders zijn betrokken bij de school en de ontwikkeling van gezond schoolbeleid, waarin thema’s als gezonde traktaties en aanpak van pesten gezamenlijk worden opgepakt. Kinderen zijn immers gebaat bij samenhang tussen hun wereld thuis, in de buurt en op school.
8.1.2 Gezonde schoolomgeving
Gezonde schoolkantines: Inzet, middelen en betrokken partijen Deze ambitie van het Convenant Gezond Gewicht wordt in opdracht van het ministerie van VWS ondersteund door Het Voedingscentrum. In 2013 is voor de uitvoering van het programma de Gezonde Schoolkantine € 1.300.000 beschikbaar. Dit wordt onder andere ingezet voor de Schoolkantinebrigade, die scholen advies op maat geeft. In 2014 wordt de ondersteuning in vergelijkbare mate voortgezet. Ook private partijen zoals cateraars, de automatenbranche en leveranciers, zetten zich in voor een gezonder assortiment op scholen op basis van het Handvest Gezonder Voedingsaanbod op Scholen. Dit Handvest is inmiddels door 40 partijen ondertekend.
8.2 Wonen en leven in een gezonde wijk en omgeving
- Diverse initiatieven in het land - soms specifiek gericht op een thema als sport en bewegen of gezond gewicht - dragen eraan bij dit doel te bereiken.
- Lokale organisaties kunnen gebruikmaken van het instrumentarium van het programma ‘Sport en Bewegen in de Buurt’ (buurtsportcoaches en Sportimpuls).
- Er zijn nu 27 gemeenten aangesloten bij Jongeren Op Gezond Gewicht. Deze gemeenten werken volgens de intersectorale JOGG-aanpak, die bewezen effectief is om de stijging van overgewicht en obesitas bij kinderen om te zetten in een daling.
8.3 Werken is gezond en gezond werken kan nog beter
- Het stimuleren van actief gezondheidsbeleid en kennisverspreiding in bedrijven.
- bewustwording bij werkgevers en werknemers in het MKB van het feit dat een gezond bedrijf meerwaarde heeft voor henzelf en voor de maatschappij;
- de algemene gezondheid stimuleren door meer bewegen;
- De brancheorganisatie van cateraars (Veneca), een grote zorgverzekeraar en onderzoekers van de VU ontwikkelen op basis van wetenschappelijk onderbouwde informatie een plan van aanpak en een cateringconcept
- Dit concept wordt vervolgens bij enkele verschillende typen bedrijven getest. De resultaten worden verwerkt tot een concept dat breed door alle werkgevers alias opdrachtgevers (grotere en kleinere bedrijven) en cateraars ingezet kan worden bij een programma De Gezonde Werkvloer. Werkgever, werknemer en HR-medewerkers worden betrokken bij de aanpak en het onderzoek.
- Deze activiteit sluit aan op en wordt afgestemd met deelconvenant werk van het Convenant Gezond Gewicht en wordt inhoudelijk ondersteund door het Voedingscentrum. Cateringorganisaties Sodexo, Albron, SAB en KLM Cateringservices zijn betrokken bij de uitvoering. Opdrachtgevers waar het concept getest wordt, worden nog gezocht. Het plan wordt ook afgestemd met Stichting IKB (Vinkje logo) en de ministeries van SZW en VWS. Voor eind 2013 is het plan van aanpak gereed. Dit zal in ieder geval via de site van het convenant vindbaar zijn.
9. Preventie een prominente plek in de zorg
- In de Alliantie Voeding Gelderse Vallei werken Ziekenhuis Gelderse Vallei (Ede) en Wageningen Universiteit samen om een gezond voedingsadvies en maaltijdaanbod basisonderdeel van preventie en medische behandeling te maken, door aandacht voor voeding vóór, tijdens en na behandeling van ziekte. Een voorbeeld van zulke transmurale voedingszorg is het Zorgpad Ondervoeding. Dit zorgpad borgt de screening en behandeling van ondervoeding in het verzorgingsgebied van het ziekenhuis. In overleg met partner Menzis zal een landelijke uitrol van dit zorgpad plaatsvinden (via o.a. brochure en website). Via het Alliantie project Cater with Care (2013-2016, 4.3 miljoen) werken bedrijven en zorg- en kennisinstellingen samen aan de ontwikkeling van smakelijke en effectieve voeding die bijdraagt aan de preventie en behandeling van ondervoeding bij ouderen.” www.alliantievoeding.nl.
- Diverse partijen in het veld nemen een rol op zich in proeftuinen en pilots. Hierbij is het een goed teken dat er op nieuwe manieren in de wijk gewerkt wordt aan gezondheid. VWS monitort deze proeftuinen de komende jaren. De proeftuinen die zich richten op preventie en gezondheidswinst kunnen interessante informatie opleveren over wat er wel en niet werkt in de bekostiging. De kennis uit deze proeftuinen is te gebruiken voor zowel andere regio’s als voor verder beleid.
- Versterking van de netwerkfunctie is een taak die primair bij de verschillende zorgverleners ligt. Hoewel de overheid hier een faciliterende rol in wil en zal spelen, zal de daadwerkelijke verbetering alleen kunnen slagen als partijen de netwerkfunctie met elkaar oppakken. Het gaat hierbij om een breed scala aan zorgverleners, uit de huisartsenzorg, de fysiotherapie, de mondzorg, de diëtetiek, de thuiszorg en de verloskunde.
10.2 Gezond voedingsaanbod, voedsel- en productveiligheid
- De minister van VWS heeft bedrijven opgeroepen meer sectorbrede afspraken te maken over productverbetering in verschillende productcategorieën (bijvoorbeeld, soepen, sauzen, en koek en gebak). Dit najaar maakt VWS afspraken met het bedrijfsleven over concrete ambities en het tijdpad dat daarbij hoort. De Kamer wordt hierover geïnformeerd.
- In 2013 en 2014 zal het Convenant Gezond Gewicht gericht zijn op gezondere sportkantines. De uitvoering gebeurt samen met onder andere NOC*NSF, Stichting MVV Nederland en de KNHB. Een gezonder assortiment en verantwoord alcoholbeleid zijn hierbij de belangrijkste pijlers. Sportverenigingen kunnen hierbij ondersteuning op maat (tools, begeleiding) krijgen via de portal www.gezondesportkantine.nl.
- Initiatieven met schoolkantines en bedrijfsrestaurants staan in de paragrafen 1.1.2 en 1.3 beschreven.
","Inzet op deze activiteiten levert op dat:
- in 2015 het aantal scholen met een Vignet Gezonde School gestegen is naar 850
- (1 september 2013: 62 scholen);
- de stijgende trend van overgewicht en obesitas bij kinderen is omgebogen in een daling;
- het percentage jongeren dat de beweegnorm haalt is gestegen;
","Outcome indicators|Process indicators","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Saturated fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Fats|Salt/sodium|Sugars|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|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Management of moderate acute malnutrition|Food safety|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/NLD_NCD_NLD_B3-alles-is-gezondheid-nationaal-programma-preventie-2014-2016.pdf","","WHO NCD Document Repository.","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202014%20NCD%20Policy.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"
"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"
"41556","THA","Thailand","","The 2nd National Reproductive Health Development Policy and Strategy (2017-2026): Promotion of Healthy Birth and Child Development","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2026","","","2017","Not adopted","","","","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Industry|Justice|Labour","","","","","","","","","","","","","","","","","","4. The 2nd National Reproductive Health Development Policy and Strategy (2017-2026): Promotion of Healthy Birth and Child Development
...
5. Target group
5.1 Women and men of reproductive age
5.2 Pregnant women
5.3 Children aged 0-5 years
6. Goals
...
6.3 Promote safe motherhood, postpartum care, and childrearing in an environment that is suitable for healthy growth and appropriate development, one which will provide optimal learning and education opportunities for the child.
7. Indicators
...
7.3 Healthy newborns and child development
...
7.3.3 Percentage of low birth weight infants
7.3.4 Percentage of children aged 0-5 years who have an appropriate level of growth and development for their age
7.3.5 Percentage of children aged 0-5 years who have an appropriate height for their age.
8. Strategies, measures, indicators, goals, and responsible agencies
...
Sub-strategy 1: Improving the relevant legislation, policies, and strategies
...
Sub-strategy 2: Improving the health service system and establishing equal access to services
...
2.1 Pre-marriage and pre-pregnancy
Indicators
...
5. Percentage of women of reproductive age who want to have a child and who receive iron supplement tablets and folic acid 12 weeks before their pregnancy
6. Percentage of women of reproductive age who have anemia
7. Percentage of women of reproductive age who have an appropriate body mass index (BMI)
...
Measures
...
2. Advocate for a policy to provide iron and folic acid supplement tablets to pregnant women of reproductive age and for those who want to have a child.
...
2.2 During pregnancy
Indicators
...
4. Percentage of pregnant women who have anemia
5. Percentage of pregnant women who receive iodine, iron, and folic acid supplements
6. Pregnant women with less than 150 microgram/litres of median urine iodine
concentration
7. Percentage of pregnant women who are underweight
8. Percentage of pregnant women with a tendency to gain significant weight
Measures
...
- Provide services to pregnant women to ensure that their weight is under surveillance so that they achieve standard weight gains and consume a proper diet during their pregnancy.
- Provide services to pregnant women to ensure that they receive iodine, iron, and folic acid supplement tablets during their pregnancy and until 6 months after they give birth.
2.3 During delivery
Indicators
...
- Percentage of low birth weight infants (less than 2,500 grams)
...
2.4 Postpartum period
Indicators
...
- Rate of mothers who breastfeed exclusively for 6 months.
- Percentage of children aged 6 months – 5 years who receive food appropriate to their age.
- Percentage of children aged 0-5 years who have an appropriate height.
- Percentage of children aged 0-5 years have stunted growth.
- Percentage of children aged 0-5 years who are underweight.
- Percentage of children aged 0-5 years who are overweight or obese.
- Percentage of children aged 6 months – 5 years who receive iron supplement tablets.
- Percentage of children under the age of 5 years who receive the recommended childhood immunizations.
- Percentage of mothers who nurse for 6 months and who receive iodine, iron, and folic acid supplements
...
Measures
- Implement a standard child growth and development surveillance system.
...
3. Promote exclusive breastfeeding for 6 months followed by breastfeeding in combination with age-appropriate food until the child is 2 years of age or older.
4. Promote the importance of an age-appropriate diet at home, at their child care center, and at school among children aged 6 months to 5 years.
5. Provide children aged 6 months to 5 years with liquid iron supplement once a week. In the case of newborns with low birth weight, liquid iron supplement is given daily from 2 to 6 months and then the dosage is reduced to once a week.
6. Provide required immunization for children.
7.Conduct surveillance on child nutrition, oral health, and development by parents or child care givers using the Maternal and Child Health Handbook as guidance.
...
Sub-strategy 3: Improving the social welfare system
...
2.4 Postpartum period
...
4. Promote working families who want/have children.
- Allow mothers to take a leave with pay for antenatal care without counting that as a leave.
- Expand the right to maternity leave.
- Allow the father and mother to take leave to take care of their children with full pay.
- Establish nurseries supported by the government.
- Promote government and private organizations to have a breastfeeding corner and day care center for their workers’ children.
...
","","","","","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|Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Maternity protection|Complementary feeding promotion/counselling|Iodine|Iron and folic acid|Family planning (including birth spacing)|Vaccination","","https://rh.anamai.moph.go.th/th/download-03/download?id=39713&filename=2nd_RH_Policy_FINALVERSION.pdf&type=pdf&url=%2Fweb-upload%2F7x027006c2abe84e89b5c85b44a692da94%2Fm_document%2F31985%2F13761%2Ffile_download%2Fa0a97d2c74aac44e3b19d99971016bbe.pdf&mid=3","","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=Documentshttps://rh.anamai.moph.go.th/th/download-03","https://extranet.who.int/nutrition/gina/sites/default/filesstore/THA%202017%20The%202nd%20National%20Reproductive%20Health%20Development%20Policy%20and%20Strategy.pdf"
"41533","MNG","Mongolia","","Хүүхдийн хөгжил, хамгааллын үндэсний хөтөлбөр [National Programme of Action for the Development and Protection of Children]","Other, please specify","Child or adolescent plan with nutrition components","Mongolian","","2017","","","The Government of Mongolia","9","2017","Not adopted","","","","Cabinet/Presidency|Health|Social welfare|Labour","","","","","","","","","","","","","","","","","","Гурав.Хөтөлбөрийн хүрээнд хэрэгжүүлэх үйл ажиллагаа
3.1.Хөтөлбөрийн “хүүхдийн эрүүл, аюулгүй орчинд амьдрах эрхийг хангасан хүүхдэд
ээлтэй орчныг бүрдүүлэх”1 дүгээр зорилтын хүрээнд дараах үйл ажиллагааг хэрэгжүүлнэ:
3.1.1.хүүхдэд ээлтэй эрүүл мэндийн тусламж, үйлчилгээний чанар, хүртээмжийг
сайжруулж,хүүхдийн сэргийлж болох өвчлөл,эндэгдлийг бууруулах чиглэлээр:
...
3.1.1.2.товлолт болон сайн дурын дархлаажуулалтад5 хүртэлх насны хүүхдийн хамралтыг
нэмэгдүүлэх;
...
3.1.1.5.хөдөөгийн болон орлого багатай өрхийн хүүхдэд үзүүлэх эрүүл мэндийн тусламж,
үйлчилгээний хүртээмжийг сайжруулах арга хэмжээ авч, нэн шаардлагатай амин дэмээр
хангах, амин дэм түгээх явцад хоол тэжээлийн зөвлөгөө өгөх ажлыг хавсран явуулах;
...
3.1.1.7.цэцэрлэг, сургуулийнхүүхдийн хоол, хүнсний бүтээгдэхүүний чанар, эрүүл ахуйн
аюулгүй байдалдхяналт тавих ажлыг эцэг, эхийн оролцоотой зохион байгуулах;
3.1.1.8.хүүхдийн эрүүл мэндэд сөргөөр нөлөөлөх хүнсний бүтээгдэхүүний худалдаа,
үйлчилгээг сургууль, цэцэрлэгийн орчинд хориглох.
...
3.1.3.2.Нялх, балчир хүүхдийн хүнсний тухай хуулийг сурталчлах, хүүхдийг эхийн сүүгээр хооллохыг дэмжихэд чиглэсэн мэдээлэл,сурталчилгааг өргөжүүлэх;
...
","","","","","Breastfeeding|Breastfeeding promotion/counselling|Nutrition counselling on healthy diets|Food safety|Vaccination","","https://www.legalinfo.mn/law/details/12903","","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/MNG%202017%20Development_and_Protection_of_Children.pdf"
"40696","LSO","Lesotho","","National Adolescent Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","","The Government of Lesotho","11","2006","Not adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Justice|Labour|Other","the National AIDS Commission","","","","","","","","","","","","","","","","","5. GOAL
To contribute to the improvement of the health status of all adolescents in
Lesotho.
6. OBJECTIVES AND TARGETS
In order to achieve the policy goal, the National Adolescent Health Policy defines the following priority objectives and targets to be achieved in a five-year period.
Objective 1: To reduce maternal morbidity and mortality due to pregnancy and childbirth, among adolescents
Targets
...
- To reduce prevalence of anaemia among expectant adolescents by 20%
...
Objective 10: To increase awareness about prevalent non-communicable diseases affecting adolescents
Targets
- To increase universal awareness among adolescents and the public about prevalent non-communicable diseases affecting adolescents
- To increase the proper management of prevalent non-communicable diseases in adolescents by 80% of the current national management coverage
...
8. MAIN AREAS OF IMPLEMENTATION
The policy main areas of implementation shall be focused on promotion of adolescent health, prevention of health problems and provision of health services.
...
The main elements of prevention of health problems shall be the prevention of the following:
...
- Poor diet and nutrition
- Poor personal hygiene
...
10. INSTITUTIONAL FRAMEWORK
...
10.2 The roles of other sectors
The other sectors should review their policies so as to support the national adolescent health policy and accompanying implementation strategy and guidelines. To support the policy the following ministries shall undertake the specified interventions.
...
10.2.8 Role of the Ministry of Agriculture and Food Security
- Re-orient agriculture extension workers to promote and provide adolescent health services.
- Create public awareness and develop programmes to address adolescent nutrition.
- Mobilise resources and develop programmes to provide adolescents of working age with livelihood skills in agriculture.
","","","","","Anaemia|Raised blood cholesterol|Raised blood glucose/diabetes|Improved hygiene / handwashing","","","","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/LSO%202006%20National_Adolescent_Health_Policy.pdf"
"41559","GEO","Georgia","","საქართველოს დედათა და ახალშობილთა ჯანმრთელობის ხელშეწყობის 2017-2030 წლების ეროვნული სტრატეგიისა და მისი [National Strategy for the Promotion of Maternal and Newborn Health of Georgia for 2017-2030 and the Action Plan for its Implementation for 2017-2019]","Health sector policy, strategy or plan with nutrition components","","Georgian","","2017","","","Government of Georgia","","2017","Not adopted","","","","Cabinet/Presidency|Health|Social welfare|Labour","The Ministry of Labor, Health and Social Affairs of Georgia","","","","","","","","","","","","","","","","","2.3. Objectives and priority interventions for improving the health of mothers and newborns in Georgia
...
Priority interventions:
Task 2: By 2030, the quality of maternal and neonatal medical services will be improved, services will be integrated and standardized
A) Strengthening continuous maternal and neonatal services by increasing the efficiency of antenatal, intranatal and postpartum care services and their interfering referral system
...
An important component of maternal and neonatal health and survival is the promotion of healthy nutrition before pregnancy and during pregnancy, as well as improving the effectiveness of iron, folic acid and other micronutrient supplementation programs by strengthening their supply chain systems and ensuring established protocols.
At the same time it should be noted that the support of early breastfeeding, exclusive breastfeeding and the use of depleted breast milk are extremely important for the health and survival of newborns. Effective interventions in this regard should be aimed at removing barriers to exclusive breastfeeding and promoting a hospital-friendly hospital initiative.
...
8. Action Plan for the Implementation of the National Strategy for the Promotion of Maternal and Newborn Health Care of Georgia for 2017-2019
...
Objective 2: By 2020 quality of maternal and neonatal health services will be improved and standardized along with integration of these services
Outcome 2: Quality of maternal and neonatal health services is improved and standardized, as measured by indicators listed below, that should be included in the standard monitoring system.
Indicators:
...
2. % of pregnant women who receive the recommended number of iron/folate supplements during pregnancy
Baseline: 22% (2016)
Target: ≥95%
...
14. Prevalence of low birth weight from total number of livebirth
Baseline: 6.1%
Target: 5% reduction
15. % of newborns who were exclusively breastfed at the hospital discharge
Baseline: 95%
Target: 98%
...
Output
2.1. Mechanisms for strengthening the continuum of care for MNH through enhancing preconception, antenatal, intrapartum and postpartum/ postnatal care connected with effective referral system to improve pregnancy outcomes are established
...
Activity
...
2.1.10. Promote, support and protect early and exclusive breastfeeding:
2.1.10.1. Evaluate the implementation of the Law of Georgia on Protection and Promotion of Breastfeeding;
2.1.10.2. Develop and implement the Law enforcement mechanisms.
2.1.11. Forecast demand, procure and supply essential supplies, medicines for MNH services, specifically folic acid, Iron, micronutrient supplements and surfactant
...
","","","","","Low birth weight|Breastfeeding|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Iron and folic acid|Family planning (including birth spacing)","","https://matsne.gov.ge/ka/document/view/3825285?publication=0","MCA policy survey","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/GEO%202017%20National%20Strategy%20for%20the%20promotion%20of%20MNCH%20and%20Action%20Plan.pdf"
"40419","CUB","Cuba","","Programa Nacional de Atención Materno Infantil","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","1989","","","Ministerio de Salud Publica","","1989","Not adopted","","","","Health|Sub-national","Los Directores Provinciales y Municipales;","","","","","","","","","","","","","","","","","VI. Actividades
Objetivo 1
Vincular el trabajo del médico de familia a las actividades del Programa de Atención Materno Infantil.
...
Objetivo 2
Incrementar la educación para la salud dirigida a la mujer y a la comunidad.
...
Objetivo 3
Elevar la calidad de la atención ginecobstetricia.
...
Objetivo 4
Promover un adecuando estado nutricional en la mujer en edad fértil y de mondo especial en las gestantes
...
Objetivo 5
Elevar la calidad de la atención medica en especial a los grupos de riesgo
...
Objetivo 6
Mejorar la atención medica de las pacientes con afecciones ginecológicas e impulsar el desarrollo de la ginecológica infantil y del adolescente.
...
Objetivo 7
Reducir la mortalidad materna.
...
Objetivo 8
Incrementar las salas de Cuidados Especiales Perinatales (CEP).
...
Objetivo 9
Mejorar la atención del trabajo de parto y del parto.
...
Objetivo 10
Mejorar la calidad de la atención durante el puerperio.
...
Objetivo 11
Reducir la mortalidad perinatal.
...
Objetivo 12
Incrementar la lactancia materna.
...
Objetivo 13
Disminuir la morbi-mortalidad por cáncer ginecológico.
...
Objetivo 14
Mejorar el diagnóstico, tratamiento y control de las enfermedades de transmisión sexual
...
Objetivo 15
Contribuir a la promoción de la educación sexual
...
Objetivo 16
Incrementar el estudio y tratamiento de la pareja infértil.
...
Objetivo 17
Proporcionar e incrementar en la población medios para la regulación de la fecundidad y conocimientos adecuados sobre estos.
...
Objetivo 18
Mejorar la atención al aborto
...
Objetivo 19
Elevar la calidad de la atención medica del niño y adolescente.
...
Objetivo 20
Promover un adecuado estado nutricional en el niño y adolescente.
...
Objetivo 21
Incrementar la Educación para la Salud a la población infantil, adolescentes, familia y comunidad.
...
Objetivo 22
Lograr niveles adecuados de vacunación.
...
Objetivo 23
Elevar la calidad de la atención medica en Instituciones Infantiles, Escuelas Primarias y Enseñanza Media
...
Objetivo 24
Brindar atención medica integral a los impendidos físicos y mentales
...
Objetivo 25
Desarrollar la rehabilitación del paciente pediátrico
...
Objetivo 26
Reducir las principales causas de muerte pediátrica y del adolescente.
...
Objetivo 27
...
Objetivo 28
...
Objetivo 29
Promover el perfeccionamiento de médicos, enfermeras, técnicos y demás trabajadores de la salud en relación con el programa.
...
Objetivo 30
Generalizar y ampliar el Programa de Tecnología Avanzada en el diagnóstico precoz, pre y post-notal de las anomalías congénitas y enfermedades genéticas, y del metabolismo.
...
Objetivo 31
Mejorar la calidad de la información estadística.
...
Objetivo 32
Implantar el Registro Nacional de anomalías congénitas.
...
33
Contribuir al desarrollo de investigaciones en Salud materno infantil.
...
","","","","","Low birth weight|Wasting in children 0-5 years|Anaemia|Breastfeeding|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Iron and folic acid|Vitamin D|Micronutrient supplementation|Nutrition education|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination","","","","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/CUB%201989%20Programa%20Nacional%20Materno%20Infantil%20page%209-16.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/CUB%201989%20Programa%20Nacional%20Materno%20Infantil%20page%209-16.pdf"
"25747","CZE","Czechia","","Zdraví 2020 Národní strategie ochrany a podpory zdraví a prevence nemocí. Akční plán č. 2: Správná výživa a stravovací návyky populace na období 2015–2020 b) Prevence obezity [Health 2020 Action Plan 2b: Obesity Prevention]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Czech","","2015","","2020","Ministry of Health","9","2015","Adopted","3","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Labour","","","","","","","","","","","","","","","","Other","Food producers and retailers","3. Rozsah aktivit
...
c) Podniknutí potřebných aktivit
Klíčová priorita 1: Tvorba prostředí s vhodnými potravinami
1. Klíčová priorita: Tvorba prostředí s vhodnými potravinami
1.1. Vytvoření systému společenské odpovědnosti za správnou výživu obyvatelstva.
...
1.2. Reformulace potravin, tj. změna složení potravin ve smyslu snížení soli, cukrů, živočišných tuků a trans mastných kyselin. Podpora vhodných potravin na trhu, aby byly více zastoupené a ekonomicky dostupné.
...
1.3. Podpora nabídky správné výživy ve školách a školských zařízení.
...
1.4. Ochrana dětí před marketingem nevhodných potravin prostřednictvím zákona o regulaci reklamy.
...
Klíčová priorita 2: Podpora získávání a osvojování si správné výživy a zdravého životního stylu v průběhu celého života, zejména u nejvíce zdranitelných skupin obyvatelstva
2. Klíčová priorita: Podpora získávání a osvojování si správné výživy a zdravého životního stylu v průběhu celého života, zejména u nejvíce zranitelných skupin obyvatelstva.
2.1. Zvýšení zdravotní gramotnosti ve správné výživě, diferencované podle věkových skupin v celé populaci.
...
2.2. Individuální poradenství ve výživě zdravotnickými odborníkyve výživě, hrazené z veřejného zdravotního pojištění.
...
2.3. Navýšení nutriční kvality institucionálního stravování (ve školách a školských zařízeních, v závodním stravování, ve vězeňské službě, v nemocnicích a ústavech dlouhodobé a následné péče).
...
2.4. Podpora dostupnosti výživy, získávání a osvojování si správné výživy u nejvíce zranitelných skupin obyvatel v oblasti výživy.
...
Klíčová priorita 3: Posilování zdravotního systému v podpoře správné výživy a zdravého životního stylu
3. Klíčová priorita: Posilování zdravotního systému v podpoře správné výživy a zdravého životního stylu
3.1. Odborné řízení akčního plánu a tvorba systému výživových doporučení, jejich přijetí a garance státem.
...
3.2. Zavedení celoplošného vyhledávání osob v riziku malnutrice v rámci primární i sekundární zdravotnické péče.
...
3.3. Poskytování komplexní diferencované péče nemocným s nadváhou a obezitou.
...
3.4. Vybudování sítě ambulancí nutričních terapeutů (poradenství v primární i sekundární péči ve výživě).
...
3.5. Identifikace a řešení mikronutrientních deficitů v populaci, či ohrožených skupinách (subpopulacích)
3.6. Navýšení dozorové činnosti zaměřené na nutriční složení ve všech typech společného stravování.
3.7. Systémové navyšování či zavádění výuky správné výživy a klinické výživy do studijních pregraduálních plánů lékařských a s výživou spojených nelékařských profesí ve zdravotnictví.
3.8. Vytvoření sítě odborných pracovišť pro vzdělávání, testování nutričního stavu a zdravotně orientované tělesné zdatnosti, preskripci výživy a fyzické aktivity a edukaci široké veřejnosti.
...
Klíčová priorita 4: Podpora dozoru, sledování, hodnocení a výzkumu správné výživy a nutričního stavu obyvatelstsva ČR a jeho podskupin
4. Klíčová priorita: Podpora dozoru, sledování, hodnocení a výzkumu správné výživy a nutričního stavu obyvatelstva ČR a jeho podskupin.
4.1. Monitoring a hodnocení výživy a výživového stavu populace v souvislosti s ukazateli zdraví.
...
4.2. Monitoring vývojových trendů malnutrice a jejích dopadů na zdraví a průběžná a závěrečná evaluace efektivity jednotlivých i celkových výstupů akčního plánu.
4.3. Výzkum v oblasti výživy a zdraví.
...
Klíčová priorita 5: Posílení role veřejné správy v oblasti správné výživy a přizvání k řízení a rozhodování všech složek společnosti a sociálních skupin ČR, tvorba komunit a aliancí
5. Klíčová priorita: Posílení role veřejné správy v oblasti správné výživy a přizvání k řízení a rozhodování všech složek společnosti a sociálních skupin ČR, tvorba komunit a aliancí
5.1. Kraje více aktivní v řízení správné výživy svých obyvatel.
...
5.2. Podpora a rozvíjení komunitních programů, které řeší správnou výživu jako jednu z prioritních oblastí.
...
5.3. Podpora vytváření aliancí, platforem, sítí zájmových skupin společnosti s cílem aktivizace, podpory a rozvoji společnosti v oblasti správné výživy a prevence obezity a podvýživy
5.4. Vytvoření Platformy výživy fyzické aktivity a zdraví, podporované státem, kde se aktivní složky společnosti dobrovolně zavazují k aktivitám, které budují antiobezigenní prostředí.
5.5. Podpora již existujících sítí.
5.6. Podpora vytváření nových sítí.
...
4. Předpokládané benefity APSV a jejich indikátory
...
Benefit splnění klíčové priority 1
Zlepšení dostupnosti vhodných potravin - pokles průměrné spotřeby soli na dospělého obyvatele ČR (věkově standardizováno) o 20 %; cukrů o 10 %, transmastných kyselin pod 1 % celkové přijímané energie. Posílení domácí produkce potravin.
...
Benefit splnění klíčové priority 2
Snížení prevalence osob, které jedí méně než 5 porcí ovoce a zeleniny (400 g) denně (věkově standardizováno) o 20 %. Pokles průměrného příjmu nasycených tuků o 5 % u dospělých (věkově standardizováno). Snížení počtu osob s podvýživou způsobenou chudobou o 5 %. Zlepšení dostupnosti věrohodných informací.
...
Benefit splnění klíčové priority 3
Zlepšení zdravotní situace skrze zlepšení výživy a nutričního stavu obyvatelstva (zlepšení zdravotního stavu obyvatelstva. Ušetření nákladů včasným záchytem a adekvátní léčbou malnutrice (obezity i podvýživy), a tak zabránění rozvinutí:
a) komorbidit obezity ve formě chronických neinfekčních onemocnění a nádorových onemocnění.
b) rozvinuté podvýživy a zvýšeným nákladům na léčbu doprovodných onemocnění.
...
Benefit splnění klíčové priority 4
Vytvoření báze znalostí pro efektivní řízení a zvládání dvojité malnutrice (epidemie obezity a podvýživu) a jejích zdravotních a ekonomických dopadů v ČR.
...
Benefit splnění klíčové priority 5
Prodloužení délky života bez nemoci v jednotlivých krajích o 1 rok. Snížení rychlosti nárůstu prevalence obezity, diabetu mellitu, hypertenze o 10 % u dětí i dospělých. Posílení zdravotních aktivit obyvatelstva.
...
Ad 1.1: Počet legislativních změn a celostátních opatření podporujících správnou výživu; Funkční systém mezirezortní odpovědnosti za správnou výživu; existence státem garantované, pro obyvatele volně přístupné databáze nutričního složení potravin.
Ad 1.2. Pokles obsahu soli v komoditách (chléb a pečivo, masné výrobky a dalších nejvíce obsahem soli a spotřebou zatěžujících komodit) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let; posílení domácí produkce vhodných potravin.
Ad.1.3. Plnění ukazatelů spotřebního koše a pestrosti v 80 % školních jídelen; pokles nabídky nevhodných potravin v doplňkovém prodeji škol a školských zařízení o 100 %; zavedení nutričních doporučení pro školní stravování, proškolení pracovníků ve školním stravování; zvýšení nabídky zeleniny ve školních obědech o 30 %.
Ad 1.4. Pokles marketingu (reklamy) nevhodných potravin v čase od 7 do 19 hod o 50 %
Ad 2.1. Zvýšení zdravotní gramotnosti o výživě o 20 %. Zlepšení dostupnosti věrohodných informací.
Ad 2.2. Počet výkonů edukace ve výživě za kalendářní rok.
Ad 2.3. Minimálně 80 % vydávané stravy odpovídá nutričním doporučením.
Ad 2.4. Snížení počtu osob s podvýživou způsobenou chudobou o 5 %.
Ad 3.1. Řízení AP a vznik sady výživových doporučení.
Ad 3.2. Vybudování systému celonárodního screeningu malnutrice – počty zachycených.
Ad 3.3. Komplexní diferencovaná léčba obezity – počty léčených.
Ad 3.4. Včasná léčba malnutrice – počty léčených.
Ad 3.5. Intervenční programy mikronutrientních deficitů v populaci.
Ad 3.6. Počet provedených šetření.
Ad 3.7. Počet studentohodin.
Ad 3.8. Síť odborných vzdělávacích pracovišť v životním stylu a jejich výkon.
Ad 4.1. Monitoring a hodnocení výživy a výživového stavu populace v souvislosti s ukazateli zdraví.
Ad 4.2. Evaluace AP správné výživy - závěrečná zpráva.
Ad 4.3. Základní a aplikovaný výzkum v oblasti výživy a prevence nemocí - nástroje jeho hodnocení.
Ad 5.1. Počet krajských opatření podporujících správnou výživu. funkční systém odpovědnosti za správnou výživu na úrovni krajů; sběr dat ohledně výživy a zdraví z jednotlivých krajů. Pokles obsahu soli v komoditách regionální produkce (chléb a pečivo, masné výrobky a další komodity, které spotřebou a obsahem soli zatěžují nejvíce) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let.
Ad 5.2. Počet funkčních komunitních programů podporujících správnou výživu, do kterých je kraj zapojen. Zvýšení nabídky zeleniny a ovoce ve školách a školských zařízeních o 30 %.
Ad 5.3. Snížení rychlosti nárůstu prevalence obezity, diabetu mellitu, hypertenze o 10 % u dětí i dospělých.
Obesity Action Indicators
Ad 1.1 Monitoring prevalence nadváhy a obezity a jejich determinant
Ad 1.2. Evaluace AP proti obeziě - závěrečná zpráva
Ad.1.3. Základní a aplikovaný výzkum v oblasti obezity a prevence neinfekčních nemocí -instrumenty jeho hodnocení
Ad 2.1: Navýšení procenta plně kojených dětí do 6 měsíců věku u 5 % (o ¼). Navýšení relativního zastoupení dětí, které mají denně pohybovou aktivitu minimálně ve střední intenzitě zátěže o 10 %. 10% snížení zastoupení dětí a mládeže mladší 18 let, které denně konzumují slazené nápoje. Navýšení zastoupení škol s programem Ovoce a zelenina o 10 %.
Ad 2.2: Dle indikátorů WHO Akčního plánu prevence NCD (i NCD) č. 15: Snížení zastoupení saturovaných mastných kyselin v celkovém energetickém příjmu dospělých pod 10 % (věkově standardizováno). Snížení počtu dospělých osob, které denně konzumují méně než 400 g zeleniny a ovoce o 30 % (i NCD) č. 16.
Ad 2.3: Zastavení nárůstu prevalence nadváhy a obezity u dospělé populace
Ad 3.1. Zvýšení zdravotní gramotnosti v aktivním životním stylu a prevenci nadváhy a obezity o 30 %.
Ad 3.2. Navýšení individuálního poradenství v aktivním přístupu k prevenci a léčbě obezity o 50 % zajišťovaném zdravotnickými odborníky, ve výživě, fyzioterapii, psychoterapii, hrazené z veřejného zdravotního pojištění.
Ad 4.1. Vybudovaná sít obezitologických pracovišť 1. a 2. typu, která odpovídá požadavkům počtu obézních v ČR.
Ad 4.2. Standardizace léčebných postupů při léčbě nadváhy, obezity a jejích komplikací a počet výkonů poskytované léčebně-preventivní péče obézním – navýšení na dvojnásobek současného stavu.
Ad 4.3. Zavedení specializačního vzdělávání v obezitologii - počet lékařů se získáním specializace.
Ad 5.1.: Regionální aktivity cílené na prevenci obezity.
Ad 5.2. Vytvořené aliance a platformy.
Ad 5.3. Zastavení nárůstu prevalence nadváhy a obezity obezity u dospělých.
","","","Outcome indicators|Process indicators","","Breastfeeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|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|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|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|School fruit and vegetable scheme|School milk 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)|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|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron|Vitamin D|Micronutrient supplementation|Nutrition education|Food safety|Vulnerable groups","","http://www.mzcr.cz/verejne/dokumenty/akcni-plany-pro-implementaci-narodni-strategie-zdravi-2020_10814_3016_5.html","https://www.mzcr.cz/Verejne/dokumenty/zdravi-2020-narodni-strategie-ochrany-a-podpory-zdravi-a-prevence-nemoci_8690_3016_5.html","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CZE%202015%20Health%202020%20Action%20Plan%20Obesity.pdf"
"23777","MDA","Republic of Moldova","","Национальная Программа в области питания и рациона питания на 2014-2020 годы [National Programme in the field of food and nutrition 2014-2020]","Comprehensive national nutrition policy, strategy or plan","","Russian","9","2014","","2020","Monitorul Oficial Nr. 270-274","9","2014","Adopted","9","2014","Government of Moldova","Nutrition council|Health|Food and agriculture|Education and research|Sub-national|Other","National Health Insurance Company","","","","","","","","","","","","","Private sector","Food production and distribution stakeholders","Other","Media, health facilities and centers, food retailers","Цель Национальной программы в области питания и рациона питания на 2014-2020 годы заключается в снижении бремени предупреждаемой заболеваемости и инвалидности и исключении преждевременной смертности по причине неинфекционных заболеваний, обусловленных рационом питания, плохим питанием и дефицитом нутриентов.в снижении бремени предупреждаемой заболеваемости и инвалидности и исключении преждевременной смертности по причине неинфекционных заболеваний, обусловленных рационом питания, плохим питанием и дефицитом нутриентов.
","Действия, которые должны быть предприняты
32. Для создания к 2016 году адекватного управления в области здоровья и питания и обеспечения его устойчивого функционирования предусматриваются следующие направления деятельности:
1) создание межсекторного консультативного совета на уровне центрального публичного управления под председательством заместителя министра по социальным вопросам. Учитывая широкий спектр межсекторных действий в области общественного здоровья, предусмотренных в настоящей Программе и планах действий, cоздание консультативного совета преследует цель, предусматривающую улучшение межсекторного диалога, повышение эффективности внедрения Программы и планов действий, а также улучшение мониторинга и оценки;
2) ежегодная организация конференции по вопросам питания для обсуждения достижений и проблем, связанных со здоровым питанием и внедрением настоящей Программы;
3) организация в течение 2015 года национального семинара на тему снижения потребления соли;
4) разработка рекомендаций по суточному потреблению энергии и нутриентов на основе рекомендаций ВОЗ;
5) разработка национальных рекомендаций по питанию для всего населения на основе пищевых продуктов, в том числе в виде рисунков;
6) внесение изменений и дополнений в некоторые действующие нормативные акты в области этикетирования пищевых продуктов с целью установления обязательного информирования потребителя о пищевой ценности продукта, в том числе о содержании натрия/соли, сахара, насыщенных жиров и трансжиров, а также об обязательном размещении информации о содержании данных ингредиентов на лицевой стороне упаковки;
7) укрепление потенциала Национального центра общественного здоровья и территориальных центров общественного здоровья с целью межсекторального сотрудничества, ведения переговоров по вопросу здорового питания и ответственности относительно воздействия питания на здоровье;
8) внесение изменений и дополнений в Закон о рекламе, Закон о пищевых продуктах и Закон о государственном надзоре за общественным здоровьем в целях ограничения рекламы нездоровых продуктов питания и запрещения вовлечения детей в их рекламирование и продвижение;
9) анализ воздействия принятой сельскохозяйственной и пищевой государственной политики на здоровье и питание населения;
10) анализ воздействия вновь разработанной государственной политики в области сельского хозяйства и пищевых продуктов на здоровье населения;
11) изменение и дополнение программы обучения и непрерывного образования для врачей и медицинских сестер с целью включения аспектов рациона питания и здорового питания;
12) изменение и дополнение программы обучения и непрерывного образования по педагогической специальности, а также в области инженерных и пищевых технологий с целью включения аспектов, связанных со здоровым питанием;
13) изменение и дополнение программы обучения в колледжах и профессиональных школах пищевого профиля с целью включения вопросов здорового и питания.
33. Увеличение к 2020 году соотношения детей, находящихся исключительно на грудном вскармливании первые 6 месяцев, до 60% и средней продолжительности грудного вскармливания не менее чем до 4 месяцев будет осуществляться путем реализации следующих направлений деятельности:
1) обеспечение внедрения инициативы «Больница – друг ребенка» во всех профильных медико-санитарных учреждениях (роддомах) и ее устойчивого поддержания, а также обеспечения рождения не менее 95% детей в роддомах, аккредитованных как «Друг ребенка»;
2) укрепления потенциала врачей и медицинских сестер по продвижению грудного вскармливания, правильного и адекватного введения прикорма и консультирования матерей по данным вопросам;
3) разработки и проведения информационных кампаний по продвижению грудного вскармливания, в том числе на рабочем месте будущих мам;
4) полная гармонизация национального законодательства с Международным кодексом по маркетингу заменителей материнского молока. Внесение изменений и дополнений в Закон о пищевых продуктах, Закон о рекламе, Закон об исполнении профессии врача и Кодекс о правонарушениях.
34. Снижение воздействия факторов риска на неинфекционные заболевания, обусловленные неравенством и измененным питанием, недостаточностью питания и дефицитом микронутриентов, путем создания к 2020 году среды, продвигающей здоровое питание, в 80% образовательных учреждений, 70% больниц и 30% рабочих мест, будет осуществляться посредством реализации следующих направлений деятельности:
1) пересмотра практик и законодательства о выдаче субсидий в сельском хозяйстве с целью роста субсидий для производства фруктов и овощей и других здоровых продуктов и исключения субсидий для нездоровых продуктов;
2) разработки и внедрения стимулов роста производства и размещения на рынке фруктов и овощей, а также обеспечения доступа к ним уязвимых слоев населения;
3) разработки и внедрения программы по бесплатному обеспечению фруктами и овощами детей в образовательных учреждениях;
4) разработки и внедрения программы по бесплатному обеспечению молоком детей в образовательных учреждениях;
5) разработки и утверждения рекомендаций по питанию на основе продуктов питания для образовательных учреждений (питание в дошкольных и школьных учреждениях);
6) изменения и дополнения школьной программы с целью введения занятий по рациону питания, в том числе и в межпрограммную деятельность;
7) внесения изменений и дополнений в Закон о пищевых продуктах в целях запрещения установки торговых автоматов в образовательных и медико-санитарных учреждениях;
8) изменения и дополнения воспитательной программы в дошкольных учреждениях с целью включения занятий о здоровом питании;
9) организации рабочих семинаров с учителями, медицинскими работниками, персоналом, ответственным за питание, и другими заинтересованными работниками школ по вопросам здорового питания;
10) организации рабочих семинаров с представителями предприятий общественного питания по вопросам здорового питания.
35. Снижение к 2020 году по сравнению с 2014 годом потребления насыщенных жиров на 3%, добавляемых сахаров на 5%, потребления трансжирных кислот, по крайней мере, до 1% как доли из общего потребления энергии, общего потребления натрия/соли на 30% и достижение нулевого роста распространения ожирения у детей и взрослых будет осуществляться путем реализации следующих направлений деятельности:
1) внесения изменений и дополнений в Налоговый кодекс в целях введения повышенных акцизов на пищевые продукты с высоким содержанием насыщенных жиров и на безалкогольные напитки;
2) внесения изменений и дополнений в Закон о пищевых продуктах и Закон о государственном надзоре за общественным здоровьем путем введения предельных значений для содержания соли в хлебе и исключения трансжиров из состава пищевых продуктов;
3) продвижения реформулирования пищевых продуктов в целях уменьшения содержания соли, сахара и насыщенных жиров и исключения трансжиров;
4) разработки и проведения информационных кампаний для населения относительно риска потребления избыточного количества соли для здоровья.
36. Переориентация системы здравоохранения с целью усиления подхода по предупреждению и контролю неинфекционных заболеваний, обусловленных рационом питания, недостаточным питанием и дефицитом микронутриентов, путем оказания услуг первичной медицинской помощи, ориентированных на население и его всеобщий охват, будет осуществляться посредством реализации следующих направлений деятельности:
1) изменения и дополнения учебных программ и непрерывного обучения врачей и медицинских сестер, специалистов Службы государственного надзора за общественным здоровьем в целях включения вопросов по надзору и продвижению здорового питания и физической активности;
2) разработки руководства для первичной медицинской помощи по консультированию в области здорового питания и физической активности;
3) укрепления потенциала человеческих ресурсов первичной медицинской помощи Службы государственного надзора за общественным здоровьем;
4) pазработки программы обучения в области питания для медицинских сестер.
37. Для обеспечения к 2020 роста уровня знаний населения в области здорового питания не менее чем на 50% предусматриваются следующие направления деятельности:
1) разработка стратегии маркетинга и информирования в области здорового питания, включающей снижение потребления соли, сахара и жиров, продвижение потребления фруктов, овощей и цельных зерновых, продвижение среды здорового питания;
2) создание логотипа Программы, который бы сопровождал все мероприятия в ходе реализации данной программы и сделал бы их более видимыми;
3) создание web-страницы о рационе питания и здоровом питании и обеспечение ее устойчивого функционирования;
4) внесение изменений и дополнений в законодательство относительно профилактического фонда Национальной компании медицинского страхования для установления возможности его использования в целях реализации задач Программы;
5) разработка брошюры для населения по разъяснению использования информации о составе продукта на этикетке;
6) разработка в сотрудничестве с супермаркетами и размещение в них плакатов, продвигающих потребление фруктов и овощей в контексте сбалансированного рациона питания;
7) разработка рекламного ролика, продвигающего здоровое питание, и его размещение на телевизионных каналах с наибольшим покрытием;
8) обеспечение информирования и консультирования молодежи относительно здорового питания через центры ресурсов для молодежи.
38. Укрепление надзора, мониторинга, оценки и исследований в области здорового питания, пищевого статуса и оказывающих влияние детерминант, а также их тенденций будет осуществляться путем реализации следующих направлений деятельности:
1) создания адекватной системы надзора, мониторинга и оценки, в основном посредством периодических исследований, которая включает здоровое питание, пищевой статус и его детерминанты, а также обычаи питания населения, и обеспечение ее устойчивого функционирования;
2) создания механизма мониторинга содержания соли в пищевых продуктах;
3) создания механизма мониторинга посредством периодических исследований содержания натрия в моче;
4) переложения стандартов ВОЗ о росте/развитии детей в национальные стандарты;
5) участия в мероприятиях по надзору и действиях в области здорового питания, установленных ВОЗ (Инициатива по надзору за ожирением у детей – COSI, поведенческие и биологические факторы риска и здоровье – STEPS, снижение потребления соли, снижение торгового прессинга на детей и др.);
6) разработки таблиц о составе пищевых продуктов в качестве инструмента, способствующего росту навыков населения относительно правильного питания.
","К 2020 году ожидаются следующие результаты:
1) адекватное управление в области здорового питания;
2) увеличение детей, находящихся исключительно на грудном вскармливании до 6 месяцев, не менее чем на 60%;
3) средняя продолжительность грудного вскармливания не менее чем до 4 месяцев;
4) внедрение среды, продвигающей здоровое питание, в 80% образовательных учреждений, 70% больниц и 30% рабочих мест;
5) снижение потребления насыщенных жиров на 3%, потребления добавленных сахаров на 5% и, по крайней мере, до 1% потребления трансжиров в качестве доли от общего потребления энергии;
6) снижение потребления соли на 30%;
7) снижение среднего значения систолического артериального давления на 2-3 ммHg ;
8) снижение среднего значения холестерина в крови на 5%;
9) снижение среднего значения глюкозы в крови на 5%;
10) снижение распространенности повышенного артериального давления у взрослого населения на 15%;
11) снижение распространения повышенной глюкозы крови у взрослого населения на 15%;
12) нулевой рост распространения ожирения у детей.
Показатели прогресса и производительности
48. Для оценки уровня достижения результатов будут использованы следующие показатели:
1) соотношение детей в возрасте до 6 месяцев, находящихся исключительно на грудном вскармливании;
2) средняя продолжительность грудного вскармливания;
3) своевременное введение прикорма;
4) удельный вес образовательных учреждений, больниц и рабочих мест, в которых внедрена здоровая среда питания;
5) ежедневное среднее потребление необходимых фруктов и овощей населением в целом;
6) доля лиц, потребляющих ежедневно 5 и более фруктов и овощей;
7) среднее значение систолического артериального давления у взрослого населения;
8) среднее значение холестерина в крови у взрослого населения;
9) среднее значение глюкозы крови у взрослого населения;
10) распространение повышенного артериального давления у взрослого населения;
11) распространение повышенного содержания глюкозы в крови у взрослого населения;
12) удельный вес детей с избыточным весом и ожирением;
13) удельный вес взрослого населения с избыточным весом и ожирением;
14) удельный вес населения, которое ознакомлено с принципами здорового питания;
15) количество переформулированных пищевых продуктов с целью снижения содержания соли, добавленных сахаров и жира;
16) количество переформулированных пищевых продуктов с целью исключения трансжиров;
17) заболеваемость диабетом второго типа;
18) количество реализованных отчетов о мониторинге.
Показатели прогресса и производительности
48. Для оценки уровня достижения результатов будут использованы следующие показатели:
1) соотношение детей в возрасте до 6 месяцев, находящихся исключительно на грудном вскармливании;
2) средняя продолжительность грудного вскармливания;
3) своевременное введение прикорма;
4) удельный вес образовательных учреждений, больниц и рабочих мест, в которых внедрена здоровая среда питания;
5) ежедневное среднее потребление необходимых фруктов и овощей населением в целом;
6) доля лиц, потребляющих ежедневно 5 и более фруктов и овощей;
7) среднее значение систолического артериального давления у взрослого населения;
8) среднее значение холестерина в крови у взрослого населения;
9) среднее значение глюкозы крови у взрослого населения;
10) распространение повышенного артериального давления у взрослого населения;
11) распространение повышенного содержания глюкозы в крови у взрослого населения;
12) удельный вес детей с избыточным весом и ожирением;
13) удельный вес взрослого населения с избыточным весом и ожирением;
14) удельный вес населения, которое ознакомлено с принципами здорового питания;
15) количество переформулированных пищевых продуктов с целью снижения содержания соли, добавленных сахаров и жира;
16) количество переформулированных пищевых продуктов с целью исключения трансжиров;
17) заболеваемость диабетом второго типа;
18) количество реализованных отчетов о мониторинге.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Iodine deficiency disorders|Overweight in children 0-5 yrs|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|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|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|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|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|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|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food security and agriculture","","http://lex.justice.md/viewdoc.php?action=view&view=doc&id=354645&lang=2","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202014%20Decree%20on%20Implementation%20of%20the%20National%20Nutrition%20Programme%202014-2020_0.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"
"23757","JAM","Jamaica","","National Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","","Government of Jamaica","","2014","Adopted","","2013","Cabinet Office","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Labour|Other","Government of Jamaica Ministries of Health; Education; Commerce; Agriculture; Foreign Affairs; Labour and Social Security; Finance; Planning Institute of Jamaica; Early Childhood Commission","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO; UNICEF; FAO","","","","","","","","","","","","","","","1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
- General
- Health care workers
- Early childhood education
- Counselling of Parents/Guardians of Young Children
3.4.3 Health Care Delivery
- General
- Antenatal care services
- Intra-partum
- Immediate post-partum and early neonatal
- Post-partum and neonatal
- Neonatal and Infancy
- Special circumstances
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf"
"23598","AUS","Australia","","Australian National Breastfeeding Strategy 2010-2015","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","2015","Australian Health Ministers' Conference","","2009","Adopted","","2009","Commonwealth of Australia","Health|Sub-national","Australian Health Ministers' Conference","","","","","","","","","National NGOs","","","","","","","","Objective: To increase the percentage of babies who are fully breastfed from birth to six months of age, with continued breastfeeding and complementary foods to twelve months and beyond.
The aim of the Australian National Breastfeeding Strategy is to contribute to improving the health, nutrition and wellbeing of infants and young children, and the health and wellbeing of mothers, by protecting, promoting, supporting and monitoring breastfeeding.
The goal is to enable mothers to understand the value of breastfeeding and to breastfeed successfully by equipping them with knowledge and establishing or consolidating their support networks.
Efforts to extend breastfeeding during the long postnatal stage include the continuation of health professional and peer support, and the creation of enabling breastfeeding friendly environments in a range of settings including workplaces, child care and public spaces, and the broader community.
","","Monitoring encompasses data collection on breastfeeding rates and duration. Also relates to monitoring and evaluation of specific programs or interventions.
- Improve breastfeeding initiation rates
- Improved breastfeeding training for health professionals
- Increase the percentage of babies who are fully breastfeed from birth to six months and continue breastfeeding with complementary foods to 12 months and beyond
- Increase the access to parental leave.
- Increase the number of model breastfeeding friendly workplaces, services and environment
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Breastfeeding promotion/counselling","","http://www.health.gov.au/internet/main/publishing.nsf/Content/6FD59347DD67ED8FCA257BF0001CFD1E/$File/Breastfeeding_strat1015.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AUS%202009%20Australian%20National%20Breastfeeding%20Strategy%202010-2015.pdf"
"23563","UZB","Uzbekistan","","Постановление Президента Республики Узбекистан О государственной программе по дальнейшему укреплению репродуктивного здоровья населения, охране здоровья матерей, детей и подростков в Узбекистане на период 2014-2018/ Maternal, child and youth protection","Legislation relevant to nutrition","","Russian","","2014","","2018","Assembly of Legislations","","2014","Adopted","8","2014","President of Uzbekistan","Education and research|Health|Sport|Sub-national","Ministry of Education, Ministry of Health, Ministry of Culture and Sport, Ministerial council of Municipalities","","","","","","","","","","","","","","","Other","Media","","","Улучшение питания и здоровья, особенно матерей, детей и подростков, путем реализации программ по:
- обеспечению около 400 тыс. беременных женщин, проживавших в сельских районах, специальными комплексами общеукрепляющих комплексов поливитаминов, содержащих в том числе фолиевую кислоту
- обеспечению рационального питания младенцев и детей раннего возраста, с максимальным охватом детей до 6 месяцев исключительно грудным вскармливанием
- саплементации витамином А около 95% детей в возрасте 6-59 месяцев
- фортификации ежегодно 1200 тыс. тн муки: йодированию ежегодно 50 тыс. тн. соли
","Outcome indicators|Process indicators","","Maternity protection|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Wheat flours|Vulnerable groups|Monitoring mechanism established","","https://www.mindbank.info/item/5298","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202014%20Decree%20on%20child%2C%20mother%20and%20youth%20protection%202014-2018.pdf"
"130355","BWA","Botswana","","Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2018-2023","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2023","Republic of Botswana Ministry Of Health & Wellness","","2018","Not adopted","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Ministry of Land Management","","","","","","","","","National NGOs","","","","","","","","3.4.1 Priority Area 1: Primordial Prevention and Health Promotion
Goal 1. Reduce risk factors through awareness, promotion of healthy lifestyles and creation of enabling environments
...
• Objective 1.2. To create a legislative and policy environment conducive to healthy living
...
o Unhealthy diet and physical inactivity
Provide access to healthy food as part of school health programs
...
Manage food taxes and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
...
Promote breastfeeding
...
Table 6: Botswana Multi-sectoral National Strategic Plan implementation framework
Priority area 1: primordial prevention and health promotion
...
2. To create a legislative and policy environment conducive to healthy living
...
Develop and implement national regulations to promote healthy diet, limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans-fatty acids, free sugars, or salt
...
Promote access to healthy food, including at schools (taxation on imports of unhealthy foods, regulations on food provided at schools or packed from home in both private and public schools)
...
Institute fiscal incentives and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
...
Priority area 2: primary prevention, early detection, quality treatment, care and support
Implement screening for overweight and unhealthy living (diet, exercise, smoking, alcohol) at primary care level
Conduct screening for overweight, tobacco, alcohol at schools
Conduct screening for overweight, tobacco, alcohol in the workplace
Conduct screening for obesity, tobacco, alcohol in communities (e.g. churches, places of trade)
...
WHO framework element (where relevant)
Indicator name
Baseline (year)
FY 2023 Target
..
Obesity
Age-standardised prevalence of obesity and overweight among adults aged 18+ years
30.5% (2014)
0% increase
…
Unhealthy diet
Age-standardised prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day
94.8% (2014)
30% relative reduction
…
Diabetes
Age-standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).
4.5% (2014)
0% increase
…
Hypertension
Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.
29.3% (2014)
25% relative reduction
…
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Monitoring of children’s growth in school|Reformulation of foods and beverages|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","https://extranet.who.int/ncdccs/Data/BWA_B3_S23_Botswana%20NCD%20Strategy%20Final.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202018_Botswana%20NCD%20Strategy%20Final.pdf"
"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"
"23640","PHL","Philippines","","Philippine Plan of Action for Nutrition 2011-2016","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2016","National Nutrition Council","","2012","Adopted","1","2012","NNC GOVERNING BOARD Resolution No. 1, Series of 2012","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Industry|Labour","National Nutrition Council Development, Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Labour, Nutrition council, Social welfare,","","","","","","","","","","","","","Private sector","Private sector","","","Goals:
To contribute to improving the quality of the human resource base of the country and to reducing child and maternal mortality.
Objectives
Hunger
Indicator
2008 (Baseline)
Target by 2016*
Households with inadequate calorie intake
66.7
32.8
Underweight-for-age, stunting, wasting
Indicator
Baseline (2008)
Target by 2016
Prevalence (in percent) of underweight under-five children
20.6
12.7
Prevalence (in percent) of stunted under-five children
32.3
20.9
Prevalence (in percent) of wasted under-five children
6.9
< 5.0
Prevalence (in percent) of underweight children 6-10 years old (IRS)
25.6
21.8
Prevalence (in percent) of thin children 6-10 years old
8.1
< 5.0
Percent of pregnant women who are nutritionally-at-risk
26.3
22.3
Percent of low birthweight
19.6
< 19.6
Vitamin A deficiency, percent of population with low to deficient serum retinol, μmol/L
Population Group
2008
2016
Preschool children, 6-60 months old
15.2
< 15%
Pregnant women
9.5
< 15%
Lactating women
6.4
< 15%
Anemia, percent with hemoglobin level below recommended level
Population Group
2008
2016
Infants
55.7
< 40%
One-year old children
41.0
< 40%
Pregnant women
42.5
< 40%
Lactating women
31.4
< 40%
Iodine deficiency based on urinary iodine excretion (UIE), μg/L
Indicator
2008
2016
Children, 6-12 years old
- Median UIE
132
At least 100
- Moderate and severe (%)
19.7
<20%
Pregnant women
- Median UIE
105
At least 150
Lactating women
- Median UIE
81
At least 100
Overweight and obesity
Population Group
2008
2016
Children, 0-5 years old
3.3
≤3.3
Children 6-10 years old
6.5
≤6.5
Adults, 20 years and above
26.6
≤26.6
","Directions
1. Contribute to the reduction of disparities related to nutrition through a focus on population groups and areas highly affected or at-risk to malnutrition, specifically:
a. Pregnant women, infants, and children 1-2 years old
b. Families with pregnant women, children 0-2 years old, and underweight children 0-5 years old
c. Local government units (LGUs) with high levels of child undernutrition or at risk to increased levels of undernutrition
2. Increase investments and go to scale in effective interventions that could impact more significantly on undernutrition among under-fives
a. Promotion of optimum infant feeding and young child feeding practices anchored on exclusive breastfeeding in the first six months of life, the introduction and use of complementary foods that are calorie- and nutrient-dense and safe from 6th month of life onward with continued breastfeeding up to 2 years of age and beyond.
b. Promotion of sanitary practices including personal hygiene and handwashing
c. Supplementation with vitamin A, zinc in the management of diarrhea, iron-folic acid for pregnant women and infants and young children and iodine for pregnant women in areas with levels of iodine deficiency disorders and low access to adequately-iodized salt.
d. Deworming
e. Appropriate medical and dietary management of acute malnutrition as well as of other forms of nutrition-related infections
f. Iron fortification of rice and flour, vitamin A fortification of other staples, and iodization of salt
3. Revive, identify, document, and adopt good practices and models for nutrition improvement
4. Strengthen food-based approaches to address malnutrition
5. Strengthen the nutrition component of the healthy lifestyle package
6. Philippine Plan of Action for Nutrition 2011-2016
7. Strengthen the linkage of nutrition with other sectors of development and converge with existing sectoral efforts, e.g. conditional cash transfer, universal health care coverage, agriculture development, labor and employment, among others.
8. Strengthen and nurture interagency structures for integrated and coordinated implementation of nutrition and related services at national and local levels
9. Strengthen system for planning, monitoring and evaluation of nutrition plan implementation at national and local levels
10. Formulate and implement a nutrition research agenda
","Indicator, Baseline (2008), Target (2016)
Prevalence (%) of underweight under-five children, 20.6, 12.7
Prevalence (%) of stunted under-five children, 32.3, 20.9
Prevalence (%) of wasted under-five children,6.9, <5.0
Prevalence (%) of underweight children 6-10 years old (IRS), 25.6, 21.8
Prevalence (%) of thin children 6-10 years old, 8.1, <5.0
Percent of pregnant women who are nutritionally-at-risk, 26.3, 22.3
Percent of low birthweight, 19.6, <19.6
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Preschool children, 6-60 months old), 15.2. <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Pregnant Women), 9.5, <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Lactating Women), 6.4, <15
Anemia (% with hemoglobin level below recommended level)(Infants), 55.7,<40
Anemia (% with hemoglobin level below recommended level)(one-year old children), 41.0, <40
Anemia (% with hemoglobin level below recommended level)(Pregnant women), 42.5, <40
Anemia (% with hemoglobin level below recommended level)(Lactating women), 31.4, <40
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, median UIE), 132, >100
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, moderate and severe %), 19.7, <20
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Pregnant women, median UIE), 105, >150
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Lactating women, median UIE), 81, >100
Overweight and obesity (%, Children 0-5), 3.3, ≤3.3
Overweight and obesity (%, Children 6-10), 6.5, ≤6.5
Overweight and obesity (%, Adults 20+), 26.6, ≤26.6
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Rice|Staple foods|Food grade salt|Refined sugar|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Vaccination|Water and sanitation|Conditional cash transfer programmes","","http://www.nnc.gov.ph/plans-and-programs/ppan/itemlist/tag/PPAN","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20PPAN.pdf"
"26293","FSM","Micronesia (Federated States of)","Yap","State Tax Act of 1979","Legislation relevant to nutrition","","English","","1979","","","Yap State Code Commission","","1979","","","","","Sub-national","","","","","","","","","","","","","","","","","","","","","","§103. Excise tax.
(a) There is levied an excise tax at the following rates:
(1) Live animals; animal products.
(A) One percent (1%) ad valorem of live animals.
(B) One percent (1%) ad valorem of meat and edible meat offals.
(C) One percent (1%) ad valorem of fish, crustaceans and mollusks.
(D) One percent (1%) ad valorem of dairy produce; birds' eggs; natural honey; edible products of animal origin, not elsewhere specified or included.
(E) One percent (1%) ad valorem of products of animal origin, not elsewhere specified or included.
(2) Vegetable products.
(A) One percent (1%) ad valorem of live trees and other plants; bulbs, roots and the like; cut flowers and ornamental foliage.
(B) One percent (1%) ad valorem of edible vegetables and certain roots and tubers.
(C) One percent (1%) ad valorem of edible fruit and nuts; peel of melons or citrus fruit.
(D) One percent (1%) ad valorem of coffee, tea, mate and spices.
(E) One percent (1%) ad valorem of cereals.
(F) One percent (1%) ad valorem of products of the milling.
(G) One percent (1%) ad valorem of oil seeds and oleaginous fruit; miscellaneous grains, seeds and fruits; industrial and medical plants; straw and fodder.
(H) One percent (1%) ad valorem of lacs; gums, resins and other vegetable saps and extracts.
(I) One percent (1%) ad valorem of vegetable plaiting materials; vegetable products not elsewhere specified and included.
(3) Animal and vegetable fats and oils and their cleavage products: prepared edible fats; animal and vegetable waxes.
(A) One percent (1%) ad valorem of animal and vegetable fats and oils and their cleavage products; prepared edible fats; animal and vegetable waxes.
(4) Prepared foodstuffs; beverages; spirits and vinegar; tobacco.
(A) One percent (1%) ad valorem of preparations of meat, of fish, of crustaceans or mollusks.
(B) One percent (1%) ad valorem of sugars and sugar confectionery.
(C) One percent (1%) ad valorem of cocoa and cocoa preparations.
(D) One percent (1%) ad valorem of preparations of cereals, flour or starch; pastrycooks' products.
(E) One percent (1%) ad valorem of preparations of vegetable, fruits or other parts of plants.
(F) One percent (1%) ad valorem of miscellaneous edible preparations.
(G) Twenty-seven cents ($0.27) per container of 12 fluid ounces or less of beer, ale and malt beverages, and thirty-three cents ($0.33) per container of more than 12 fluid ounces of such alcoholic beverages; nine dollars ($9.00) per gallon of distilled alcoholic beverages; four dollars and fifty cents ($4.50) per gallon of wine; ten cents ($0.10) per container of 12 fluid ounces or less and fifteen cents ($0.15) per container of more than 12 fluid ounces of soft drinks and non-alcoholic beverages other than pure fruit or vegetable juices and dairy products.
","Taxation on unhealthy foods|Ad valorem excise tax|Volume or weight based specific excise tax|Sub-national level SSB tax|Mineral, aerated or flavoured waters (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)|Fruit and vegetable juices (100%) (taxes)|Sweetened milks and milk or youghurt drinks (taxes)|Syrups, powders or concentrates (taxes)|Fats and oils (taxes)|Sugars (solid or liquid) (taxes)|Foods and snacks (taxes)","","http://fsmlaw.org/yap/code/title13/T13_Ch01.htm","","http://fsmlaw.org/yap/code/index.htm","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FSM%201979%20State%20Tax%20Act.pdf"