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"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.
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6. PREPORUKE ZA PLANIRANJE ŠKOLSKE PREHRANE
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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"
"24696","SRB","Serbia","","Смјернице за исхрану дојенчади и дјеце предшколског и школског узраста [nutrition guidelines for infants and preschool and school age children]","Government guidance","","Serbian","","2013","","","Министарство породице, омладине и спорта","6","2013","","","","","Health|Social welfare|Sport","","","","","","","","","","National NGOs","","Research/academia","Institute of Public Health of Republic of Srpska","","","Other","Food Producers; Health Centers; Professional Associations","","","","","II ДИО
2. Смјернице правилне исхране у установама за дјецу и омладину (Колективна исхрана)
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2.3. Шта треба поштовати приликом планирања исхране у предшколској и школској установи?
Препоручује се да се сви облици организоване исхране у предшколским и школским установама ускладе са принципима правилне исхране дјеце и омладине:
јеловнике треба ускладити са препорученим уносом енергије и хранљивих материја за све узрасне групе дјеце и омладине, прилагођене дневно умјереној физичкој активности (Прилог 1, Табела 1);
енергетски унос и потрошња енергије требају бити уравнотежени, што се може регулисати физичком активношћу дјеце и омладине и подстицајем школа и родитеља да се дјеци и омладини обезбиједи уз физичко васпитање и најмање
један сат дневно спортских/локомоторних активности;
припремљени оброци треба да буду састављени од препоручене комбинације различитих врста намирница из свих група пирамиде исхране, како би се уз одговарајући енергетски унос омогућио задовољавајући унос и свих потребних хранљивих материја за нормалан раст, развој и функционисање организма;
основу оброка треба да чине намирнице биљног поријекла воће и поврће, као и житарице и њихови производи као квалитетан извор угљених хидрата (нпр. цијела зрна житарица и производи од њих), потом млијеко и млијечни производи као високо квалитетна протеинска храна, као и риба, посне врсте меса и махунарке), те квалитетне масноће (нпр. маслиново, репичино, сојино уље и друга биљна уља);
у току оброка, а нарочито између оброка дјеци и омладини треба обезбиједити довољну количину текућине, нарочито хигијенски исправне воде за пиће;
ритам и организовање исхране треба ускладити са наставом и активностима те водити бригу о редовном узимању препоручених оброка (четири до пет оброка дневно), од којих је један од најважаних доручак;
како би дјеца уживала у сваком оброку треба им обезбиједити довољно времена за оброке, а оброк треба понудити у амбијенту и на начин који пружа позитиван став према јелу;
код планирања оброка треба поштовати жеље дјеце и омладине, те их ускладити с препорукама, енергетско-нутритивним потребама, квалитететом и здравственом безбједности оброка;
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2.3.3.1. Састав јеловника
У изради јеловника треба узети у обзир:
• разнолик састав јеловника, који се не смије понављати за мање од три недјеље (21 дан);
• препоруке о учесталости конзумирања намирница;
• предност дати нутритивно богатим намирницама с довољно свјежег воћа и поврћа;
• препоруке за унос воде за пиће и других напитака;
• препоруке за смањен унос нутритивно лоше хране и пића;
• квалитет услуга.
Како бисмо помогли при изради јеловника, у Прилогу 4 дати су неки од примјера сезонских јеловника за различите узрасне групе дјеце и омладине [7].
2.3.3.1.1. Јеловници за предшколске установе и ниже разреде основне школе
Треба припремати богат јеловник са комбинацијом намирница које су различитих боја и облика, и потенцирати потребе за правилном исхраном.
За доручак треба користити производе од црног, раженог, зобеног, хељдиног и других врста брашна од цијелог зрна житарица, који су различитих „облика“: лепиње, кроасани, нарезан хљеб. Треба користити млијечне производе, на примјер млади посни сир са додатком поврћа, рибе, воћа, итд., а повремено и кисело врхње и мекани маргарин с квалитетним саставом масти. Као прилог може се понудити мрква у свјежем стању, келераба и др.
Умјесто воћних јогурта с додатим шећером, може се убацити свјеже воће нарезано у обични јогурт. Бирати разноврсно сезонско воће. Када се купује компот, треба бирати онај са мало или без шећера или га самостално припремати.
Сваки дан јеловник треба да садржи млијеко и/или млијечне производе. Због већих енергетских потреба дјеца до навршене двије године, , треба да користе пуномасно млијеко и млијечне производе. Затим, здрава дјеца до уписа у школу постепено прелазе на кориштење полуобраног млијека и млијечних производа од дјелимично обраног млијека. Све до пете године живота не препоручује се употреба обраног млијека (≤0,5% мм). Како би се олакшала организација исхране у предшколским установама се може користити пуномасно млијеко за све узрасне групе дјеце.
Ако дјеца не воле млијеко, треба им припремати храну са млијеком (бухтле са рижом, гриз, пудинг) или га замијенити с другим млијечним производима (млади сир, јогурт, павлака). Пастеризовано млијеко има предност над стерилизиованим. Термички обрађено млијеко не треба поново кувати. Такође млијеко без велике потребе не треба замрзавати.
Дјеци треба препоручити да пију углавном хигијенски исправну воду за пиће. Воћни сокови којима се додаје шећер садрже више енергије која засићује, па дјеца не једу понуђени оброк. Малој дјеци се не препоручује да пију минералну воду.
Приликом послуживања супе треба бити опрезан. У овој узрасној групи супу треба конзумирати у мањим количинама, како се дјеца не би заситила и одбила да једу другу, нутритивно гушћу храну која им се нуди иза супе, треба бити маштовит у припреми поврћа јер га дјеца тог узраста често одбац ују. Може се припремити крем супа од поврћа итд. Ако дјеца не воле укус рибе, риба се може маскирати додавањем поврћа и припремањем разних умака. Ако дјеца воле да једу рибље штапиће, не треба их пржити у масноћи него их треба пећи без масноће у рерни.
Пржена јела укључити у јеловник само повремено. Ако постоји могућност не припремати их класично, него у конвектомату. Приликом класичног пржења треба бити обазрив на којој се температури припрема и уље треба често мијењати.
Месни производи треба да су ријетко укључени у јеловник. Када их се планира у исхрани, треба бирати оне прерађевине којој је видљива структура (шунка, пилећа или чурећа прса), а не оне гдје је структура хомогена зато што је месо мљевено.
Избјегавајте десерт с пуно скривених масноћа: нпр. класичне пржене крофне и производе од лиснатог тијеста. Осим скривених масноћа, неки десерти садрже разне адитиве, који за ову узрасну групу нису дозвољени. Стога, прије него што их наручите, провјерите декларацију произвођача. Дјеци треба понудити колаче припремљене од интегралног брашна, кнедле, производе од житарица и кнедле са воћем, воћне штрудле, воћне салате.
Умјесто сладоледа, може се понудити расхлађен јогурт са воћем. Воће се може додати пудинзима, кифлицама, или бухтлама.
Обратити пажњу на ограничења у овом узрасту и на припрему јела по кулинарској технологији која онемогућава улазак хране у дисајне путеве удисањем и/или дављење храном. Избјегавати намирнице као што је риба са костима, цијели ораси, грубо мљевена зрна (нпр. пура), плодови мора, гљиве, итд. код дјеце млађе од четири године. Савјетује се не узимање кикирикија због могућности тешке алергијске реакције. Ако дијете има алергију на неке састојке у храни мора бити са тим упознат васпитач или наставник. У таквим случајевима, родитељи се договарају о одговарајућој исхрани њиховог дјетета са директором установе.
Производи припремљени од соје (нпр. хамбургери, пахуљице), се због јаког надимања, не препоручују малој дјеци [7,22].
2.3.3.1.2. Јеловници за више разреде основне и средње школе
У овом узрасту у изради јеловника не постоје специфична ограничења, осим у дијелу који укључује уравнотежену и правилну исхрану.
Јеловници треба да буду разноликог састава, добро осмишљени, тако да садрже и оно шта желе дјеца и омладина, али у складу са препорукама правилне исхране. Често се са укусима и жељама становништва не ускладе и начела уравнотежене исхране. Важно је указати на препоручену комбинацију намирница у складу са стандардима.
За пиће увијек, прије свега, понудити питку воду, или воћне сокове разријеђене водом. Треба на пажљив и одговарајући начин припремати храну: умјесто пржења у масноћи јела се могу пећи у конвектомату; користити зачине умјесто велике количине соли; колаче који се припремају у кухињи сладити медом умјесто шећером, припремити пицу с мање соли и пуно поврћа, припремити месо и поврће на жару. Ако технологија у кухињи то омогућава, треба кувати поврће на пари (конвектомат), а не у води, да не изгуби витамине и минерале.
Припремити разне салате које су привлачне изгледом, комбиновати поврће различите врсте и различитих боја.
Повремено спровести анкету исхране. То омогућава прилагођавање јеловника жељама дјеце и омладине.
2.3.4. Избор намирница и начин припреме
У табели 5. дате су препоруке у вези са избором намирница које су извор појединих хранљивих материја како би се олакшала реализација препорука у планирању исхране.
2.3. 5. Препоруке за конзумирање намирница лошег квалитета
Непрепоручљива храна није у потпуности забрањена, али у дневном јеловнику треба да је ријетко – то јест да се конзумира у великим размацима или релативно ниске учесталости (до неколико пута мјесечно), умјерено, то јест у малим количинама - то је још увијек прихватљив услов или у износу који не прелази више прихватљивих услова (у складу с препорукама нутритивног уносa), те у комбинацији с препорученом храном.
Приликом планирања јеловника треба узети у обзир препоруке за поједине групе намирница гледано у складу са групама намирница [7].
2.3. 5. 1. Непрепоручљиве намирнице
1. Пекарски и кондиторски производи, те индустријски десерти
Као по правилу, садрже висок удио масти и шећера, па се препоручује да се у случају њиховог укључивања у јеловник служи помоћу одређених производа који садрже мање масноћа и шећера, а на темељу млијека (јогурт), интегралног пшеничног брашна, уз додатак воћа, сјеменки, орашастих плодова, итд., чиме би се значајно повећала нутритивна вриједност хране.
2. Газирана и негазирана слатка пића (""""""""soft drinks"""""""")
Газирана и негазирана слатка пића су произведена на бази умјетних боја и арома воћа са доданим шећерима или умјетним сладилима, тако да се њихова употреба не препоручује.
Мање погодни су воћни сокови, који садрже мали удио воћа и додат им је шећер. Потпуно је непрепоручљиво пити пића која садрже кофеин (кола, кава, чај, енергетска пића).
Најбољи избор пића понуђен уз оброке и између њих је хигијенск и исправна вода за пиће, минералне воде (понекад), незаслађени чајеви без кофеина и природни воћни сок или сок од поврћа без доданог шећера [6,7,16,22].
3. Месо, мајонеза, крем/ чоколадни намази, чврсти маргарин (видјети декларацију)
Садрже висок удио масти и / или непожељних транс масних киселина, па се њихова употреба не препоручује. Више одговара да умјесто њих користе млијечни намази, намази на темељу махунарки (сланутак, соја, лећа), дијетни маргарини или киселу павлаку [7].
4. Храна с високим удјелом масти и масти које садрже углавном засићене и транс масне киселине
Припрема хране уз додатну употребу масноће повећава удио масноће у цјелодневном оброку, због тога се препоручује умјерено кориштење масноће. Животињске масти треба у већој мјери замијенити са квалитететним биљним уљима.
Класичним пржењем храна се натопи с прегријаном масти, због тога овакав начин припреме намирница треба ограничити. Ако се укључе у јеловник, треба обратити пажњу на употребу свјежег уља, као и на температуру уља у припреми пржене хране [7,22].
5. Месни производи
Препоручује се умјерена и повремена употреба месних производа. Треба одабрати такве код којих је видљива структура меса (као што су пршут, пилећа прса, итд..), а не оне гдје је структура хомогена због мљевења.
6. Инстант супе и супе од концентрата и слични концентровани производи
Не препоручују се због високог садржај соли и адитива. Треба ограничити употребу претјерано сланих производа.
Инсталација апрата за слатке и слане грицкалице и слатка пића је непотребна у предшколским и школским установама у којима је организована исхрана и водоснабдјевање и неоправдана са здравственог, економског и социјалног аспекта, и због тога се не препоручује. Гдје су аутомати једини могући начин снабдијевања храном треба настојати обезбједити храну у складу са препорученим намирницама.
Само у посебним приликама (на примјер, слављење рођендана, нове године...), препоручује се умјерено кориштење колача и слаткиша и/или сланих грицкалица. И у овом случају треба потицати дјецу да користе препоручене намирнице. Предлаже се на примјер користити свјеже сезонско воће или воћне салате, мање слатке колаче са додатком воћа или сендвиче од интегралног хљеба или пецива са додатком сира и поврћа [7,22].
","Dietary practice|Fat intake|Sodium/salt intake|Sugar 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|Regulation on marketing of complementary foods|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)|Dietary guidelines|Food labelling|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food fortification|Nutrition education|Food safety|Food security and agriculture|Food sovereignty|Vulnerable groups|Voluntary standards|Any foods and beverages offered in school|Schools (standards)|Procure from local sources|Use less resource-intensive food|Use seasonal produce|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Carbonated or non-carbonated soft drinks (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Ready-to-drink tea or coffee (standards)","","https://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/mpos/media/vijesti/Documents/Smjernice%20za%20ishranu%20dojencadi%20i%20djece%20predskolskog%20i%20skolskog%20uzrasta.pdf","","",""
"61676","CHN","China","","营养与健康学校建设指南 [Guidelines for the Construction of Schools for Nutrition and Health]","Government guidance","","Chinese","6","2021","","","家卫生健康委、教育部、市场 监管总局和体育总局依职责负","6","2021","Adopted","6","2021","国卫办","Health|Education and research|Sport","","","","","","","","","","National NGOs","","","","","","","","","","","","第一章 总 则
第一条 根据《“健康中国 2030”规划纲要》、《健康中 国行动(2019—2030 年)》和《国民营养计划(2017—2030 年)》 的要求,为指导和规范营养与健康学校建设,制定本 指南。
第二条 本指南适用于全日制普通中、小学校营养与健 康学校的建设,普通高校、中等职业学校、幼儿园建设营养 与健康学校可参照执行。
第二章 基本要求
第三条 学校食堂和校外供餐单位要依法取得食品经 营许可证。
第四条 连续 3 年未发生因自身原因引起的突发公共卫 生事件,连续 2 年未受过相关的行政处罚。
第五条 严格遵守国家相关法律法规,禁止非法交易、 食用野生动物,落实卫生防疫相关规定和要求。
第三章 组织管理
第六条 按照《中华人民共和国食品安全法》及其实施 条例、《中华人民共和国教育法》、《学校卫生工作条例》、《学 校食品安全与营养健康管理规定》、《关于落实主体责任强化 校园食品安全管理的指导意见》、《餐饮服务食品安全操作规 范》等相关法律法规,制定营养与健康相关规章制度。
第七条 将营养与健康学校建设纳入到工作规划,并提 供人员、资金等保障。
第八条 设立由学校领导、后勤、工会和食堂管理等部 门人员组成的营养与健康学校工作领导小组,学校主要领导 担任负责人。
第九条 建立防范和抵制食物浪费制度,并采取措施予 以落实。
第四章 健康教育
第十条 建立健全健康教育制度,拓展健康教育课程资 源。将食品安全、合理膳食、卫生防疫、科学运动、口腔健 康、视力保护、心理健康等纳入健康教育教学内容,完善并 实施教学评价与质量监控。
营造珍惜食物、节约为荣的氛围。重点培养学生珍惜食 物的认识,不偏食不挑食,读懂食品标签标识,养成勤俭节 约的良好习惯。
第十一条 明确健康教育课程课时安排。以班级为单位 的健康教育课程开课率达到 100%,每学期至少 6 学时。
第十二条 配备有资质的专(兼)职健康教育教师,定 期接受相关培训。
第十三条 依托“5·20”中国学生营养日、“师生健康 中国健康”主题健康教育等重要时间节点和活动,多渠道、 多形式对学生、教师和家长开展主题健康教育活动。
第十四条 鼓励学校设立健康社团,班(年)级设立健 康兴趣小组,开展健康讲座和实践活动,每年至少组织一次 相关活动。
第五章 食品安全
第十五条 学校食堂和校外供餐单位要建立健全食品 安全管理制度,并在显著位置公示。定期开展食品安全自查, 发现问题和隐患立即整改,并保留自查和整改记录。
第十六条 学校食堂和校外供餐单位要严格按照《餐饮 服务食品安全操作规范》要求,严格执行进货查验、集中用 餐信息公开和食品留样等制度,规范食品加工制作过程,确 保提供的餐饮符合食品安全要求。
第十七条 学校食堂要建立食品安全追溯体系,鼓励采 用信息化手段,采集、留存食品原料采购、食品贮存及食品 加工制作等信息,保证食品可追溯。
第十八条 学校食堂要实施“明厨亮灶”,鼓励运用 “互联网+明厨亮灶”加强对食品加工制作全过程的监督。
第十九条 学校食堂和校外供餐单位要配备有资质的 专(兼)职食品安全管理人员,定期接受有关部门组织的食 品安全、营养健康、卫生防疫等方面的培训与考核。
第二十条 建立学校相关负责人陪餐制度和家长陪餐 制度。制定陪餐计划,明确陪餐人员和要求,做好陪餐记录。
第二十一条 学校食堂内不同类别的食品原料、半成品、 成品要分开存放。盛放容器和加工制作工具要分类(色标) 管理、分开使用,定位存放。
第二十二条 学校食堂要设置专用的备餐间或操作区, 并在显著位置公示人员操作规范。校外供餐单位要提供备餐、 分餐、送餐温度和时间等记录。
第二十三条 学校食堂和校外供餐单位的餐具饮具要 使用物理高温消毒。
第二十四条 学校食堂要实施分餐制度,提高餐饮健康 安全水平,要求学生餐一人一份(套)餐具、一人一份(套) 饭菜,实现餐具、菜(饮)品等不交叉、无混用的餐饮方式。
座位间要保持一定距离,避免高密度聚集用餐。
第六章 膳食营养保障
第二十五条 不得在校内设置小卖部、超市等食品经营 场所,不得售卖高盐、高糖及高脂的食品和酒精饮料。不得 对含糖饮料、调味面制品等零食进行广告宣传。
第二十六条 学校食堂和校外供餐单位要根据当地学 生营养健康状况和饮食习惯搭配学生餐,做到营养均衡;制 定食谱和菜品目录,每周公示带量食谱和营养素供给量,带 量食谱定期更换。
第二十七条 学生餐每餐供应的食物要包括谷薯杂豆 类、蔬菜水果类、水产畜禽蛋类、奶及大豆类等 4 类食物中 的 3 类及以上。食物种类每天至少达到 12 种,每周至少 25 种。
第二十八条 学生餐要采用合理的烹调方法,尽量减少 煎、炸等可能产生有毒有害物质的烹调方式。采取有效措施, 逐步降低盐、油和糖的用量。
第二十九条 按照《餐饮食品营养标识指南》对所提供 的餐饮食品进行营养标示;学校食堂和校外供餐单位提供自 制饮料或甜品时,要标示添加糖含量。
第三十条 学校食堂和校外供餐单位要配备有资质的 专(兼)职营养指导人员。营养指导人员需要具备为不同人 群提供营养配餐的能力,指导采购、配料、加工和营养标示, 制定食谱和菜品目录,开展营养健康教育,指导食堂分餐员 帮助学生合理选餐。
定期组织学校食堂和校外供餐单位负责人、营养指导人 员、食堂从业人员等进行营养健康知识和传染病防控技能培 训。学校食堂和校外供餐单位负责人、营养指导人员、食堂 从业人员需要接受食品安全及营养健康、卫生防疫以及食物 采购、储藏、烹饪和“三减”等方面的重点培训,每年度不 少于 20 学时;食堂炊事员需要接受低盐、低油、低糖菜品 制作技能培训。
每年组织一次学校食堂和校外供餐单位负责人、营养指 导人员、食堂从业人员的岗位能力自我测评和考核。
第七章 营养健康状况监测
第三十一条 建立健全学生健康体检制度,了解学生膳 食、体重、骨骼、口腔、视力、脊柱、心理等状况,建立学 生健康档案,将体检结果及时反馈家长,提出有针对性、有 效的综合干预措施。
第三十二条 在显著位置摆放身高和体重测量工具,张 贴自测自评方法,并定期维护。
第八章 突发公共卫生事件应急
第三十三条 建立突发公共卫生事件报告制度,设立专 (兼)职报告人。
制定学校突发公共卫生事件应急处置预案和规程。
第三十四条 定期开展学校突发公共卫生事件应急处 置、防控知识及技能宣传和培训。每学年至少开展一次突发 公共卫生事件应急演练。
第九章 运动保障
第三十五条 宣传科学运动理念和方法,培养运动健身 习惯,实施学生体重管理,构建体医融合模式。
第三十六条 学校体育场地设施配备要达到国家标准, 按照体育与健康课程标准及有关规定开齐开足体育课。
第三十七条 学生每天在校需要进行至少 1 小时符合要 求的阳光体育运动,包括但不限于拉伸练习、平衡灵敏协调 练习、心肺耐力练习、力量练习、脊柱健康练习和骨质增强 型运动。
第三十八条 学生需要掌握 1~2 项运动技能。
学生体质健康标准测试优良率小学达到 80%以上、初中 75%以上、普通高中及中等职业学校 70%以上。
第三十九条 建立健全体育教师健康教育培训和考核 制度。
第十章 卫生环境建设
第四十条 开展新时代校园爱国卫生运动,改善校园环 境卫生,整治校园整体环境。建立生活垃圾分类制度,实施 生活垃圾分类管理。
第四十一条 改善教学设施和条件,为学生提供符合用 眼卫生要求的学习环境。严格按照建设标准,落实教室、图 书馆(阅览室)、宿舍等采光和照明要求,使用有利于视力 健康的照明设备。教室照明达标率达 100%。
第四十二条 坚持实施眼保健操等护眼措施,提醒学生 采用正确的执笔姿势。要科学合理使用电子产品,教学和布 置作业不依赖电子产品,使用电子产品开展教学时长原则上 不超过教学总时长的 30%。
第四十三条 采购符合标准的可调节课桌椅,每间教室 内至少配置 2 种不同高低型号,教室内学生应当每人一张。
根据学生座位视角、教室采光照明状况、学生视力变化情况 及卫生防疫要求,每月调整学生座位与间隔距离,每学期个 性化调整学生课桌椅高度,使其适应学生生长发育变化。
第四十四条 向学生提供免费、充足、符合卫生标准的 白开水或直饮水。盛装开水的器皿(如保温桶等)要定期清 洗消毒并加盖上锁。教室或宿舍桶装饮用水要符合相关标准 要求,饮用水机等涉水产品要依法取得卫生健康行政部门许 可批件。
第四十五条 按照学生与教职员工数量,配备洗手、消 毒设施或用品。
第四十六条 建设无烟校园,校园内全面禁止吸烟,设 置禁止吸烟标识。
第十一章 附 则
第四十七条 本指南由国家卫生健康委、教育部、市场 监管总局和体育总局依职责负责解释。
第四十八条 本指南自发布之日起施行。
","Total fat intake|Sodium/salt intake|Sugar intake|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Menu labelling|Regulating marketing of unhealthy foods and beverages to children|Food safety|Voluntary menu or vending machine labelling|Added sugars (M/V)|Energy value (M/V)|Sodium-salt (M/V)|Total fat (M/V)|Total sugars (M/V)|School canteens|Settings where children gather such as schools, childcare and other educational establishments|Predefined list of foods and beverages (marketing)|Sugar-sweetened beverages (marketing)|Voluntary marketing restrictions|Voluntary in schools only|Voluntary standards|Any foods and beverages offered in school|Schools (standards)|Milk (standards)|Fruit and vegetables (standards)|Fish (standards)|Water (standards)|Fried foods (standards)","","http://www.nhc.gov.cn/sps/s7887k/202106/f0c87a90f08a4756ab0fd1d728be7d3b/files/d438db236cd447c5b2c95a80481f0020.pdf","关于印发营养与健康学校建设指南的通知国卫办食品函﹝2021﹞316号http://www.nhc.gov.cn/sps/s7887k/202106/f0c87a90f08a4756ab0fd1d728be7d3b.shtml","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHN%202021%20Guidelines%20for%20the%20Construction%20of%20Schools%20for%20Nutrition%20and%20Health_1.pdf"
"8712","MAR","Morocco","","Plan d'Action National en Faveur de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1993","","","Ministère de la Santé Publique","9","1993","Adopted","","1995","Interministerial Commission on Food and Nutrition","Education and research|Food and agriculture|Health|Industry|Information|Sport|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","Process indicators","","Breastfeeding|Breastfeeding - Continued|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|Fiscal policies|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Vitamin D|Food grade salt|Edible oils and margarine|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%201993%20Plan%20D%27Action%20National%20En%20Faveur%20De%20La%20Nutrition.pdf"
"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"
"8136","BOL","Bolivia (Plurinational State of)","","Estrategia AIEPI Nut Clínico","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","1996","","","MSD","","1996","Adopted","","1996","MSD","Cabinet/Presidency|Health|Sport","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food fortification|Food security and agriculture","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202009%20-%20AIEPI%20nut%20clinico.pdf"
"8035","BDI","Burundi","","Plan National d'Action pour l'Alimentation et la Nutrition au Burundi","Comprehensive national nutrition policy, strategy or plan","","","","2003","","2015","Ministère de la Santé Publique","","2003","","","2003","Ministère de la Santé Publique et de la Lutte contre le SIDA","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Information|Other|Sport|Transport","Ministère de la Santé Publique Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Information, Sport, Transport: Ministère de l'Aménagement du Territoire, de l'Environnement et du Tourisme, l'Agriculture et l'","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|World Food Programme (WFP)|World Health Organization (WHO)","Unicef, FAO, PAM, OMS","","Nationales et internationales","European Commission (EC)","European Commission","","","","","","","Private sector","Banque de la République du Burundi, Chambre de Commerce, d'Industrie et d'Agriculture","Other","Other: Bureau d'Education Rurale, Bureau d'Etudes des Programmes de l'Enseignement Secondaire","
Objectif No.1: Assurer un environnement politique, social et économique favorable à l'instauration de conditions permettant de réduire la pauvreté et au maintien permanent de la paix en faisant participer équitablement toutes les couches de la population (les hommes, les femmes et les jeunes).
Objectif No2.: Améliorer de façon permanente l'accessibilité physique et économique de tous à une alimentation suffisante, nutritive et saine.
Objectif No3.: Mettre en place des mécanismes d'approvisionnement alimentaires aux ménages de façon durable en développant la production aliementaire et le secteur rural par des méthodes participatives et durables, en veillant à maintenir en état les ressources naturelles.
Objectif No.4: Instaurer des politiques concernant le commerce des denrées alimentaires et agricoles et les échanges en général de manière à renforcer la sécurité alimentaire pour tous grâce à un systéme commercial à la fois juste et axé sur le marché.
Objectif No.5: Mettre en place des mécanismes de réponses rapides aux catastrophes naturelles et aux crises provoquées par l'homme, notamment en s'y préparant et répondant aux besoins alimentaires provisoires d'urgence d'une façon qui renforce la capacité de satisfaire les besoins futurs.
Objectif No.6: Affecter et utiliser de façon optimale l'investissement public et privé pour faire progresser les ressources humaines, le système alimentaire et agricole durables et le développement rural dans youtes les régions du pays.
","
Stratégie en Matière de Nutrition
Axe stratégique No.1: Renforcer le système de surveillance nutritionnelle
Axe stratégique No. 2: Renforcer le système d'intégration des activités de nutrition dans les services de santé.
Axe stratégique No.3: Optimiser la prévention de la malnutrition.
Axe stratégique No.4: Créer un cadre adéquat de coordination, suivi et exécution des activités.
Axe stratégique No.5: Faire un plaidoyer pour la mise en place des programmes de nutrition à assise communautaire.
Stratégie pour Améliorer la Sécurité Alimentaire des Ménages au Burundi
Axe stratégique No1.: Améliorer la disponibilité alimentaire par l'augmentation de la production agricole.
Axe stratégique No.2: Améliorer l'accesibilité physique et économique des produits alimentaires.
Axe stratégique No.3: Amélioer la stabilité des approvisionnemnts alimentaires.
Axe stratégique No.4: Assurer la sécurité sanitaire des aliments.
Axe stratégique No.5: Coordonner les actions des divers intervenants dans le domaine de ola sécurité alimentaire pour une m,ailleure synergie des actions.
Axe stratégique No.6: Intégrer la femme au processus de déveleoppement
Axe stratégique No.7: Intégrer les jeunes au processus de développement
Axe stratégique No.8: Renforcer la capacité nationale de gestion, de recherche et de planification des programmes de sécurité alimentaire.
Stratégie en Matiére d'Education Nutritionnelle
Axe stratégique No.1: Réalisation des enquêtes nationales régulières sur les problèmes alimentaires et nutritionnels.
Axe stratégique No.2: Choisir les méthodes et les techniques d'éducation nutritionnelle.
Axe stratégique No.3: Améliorer la communication multimédia en Nutrition
Axe stratégique No.4: Renfocer les capacités des animateurs et éducateurs nutritionnels.
Axe stratégique No.5: Former les élèves en Nutrition et introduire le cours de diététique dans les écoles paramédicales.
Axe stratégique No.6: Renforcer le contrôle de la qualité des produits alimentaires destinés à être vendus sur la voie publique.
","
A. Les indicateurs d'impacts (sécurité alimentaire, nutritionnelle)
Les principaux indicateurs d'impacts sont:
- Taux de mortalité, morbidité et taux de prévalence de la malnutrition
- Proportion de population ayant une autosuffisance alimentaire
- Niveau de pauvreté humaine durablement réduite au sein de la population
B. Les indicateurs de résulats
Ils correspondent aux indicateurs spécifiques de chaque programme et sont développés dans les fiches de projets.
C. Les indicateurs d'activités
Ils sont spécifiques à chaque programme et sont également contenus dans les fiches de projets.
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202003%20Plan%20National%20d%27Action%20pour%20l%27Alimentation%20et%20la%20Nutrition%20au%20Burundi.pdf"
"8410","NAM","Namibia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","2008","MOHSS","","2003","","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Information|Labour|Sub-national|Other","MOHSS National Multi-sectoral AIDS Coordination Committee (NAMACOC), Gender, Regional Government, Sport and Culture","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","
Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
- To increase exclusive breastfeeding rates from the current 3% at 4 – 6 months to 15% at six months by the end of 2008.
- To increase the proportion of children still breastfeeding at 18 months from 44% to 54% by end of 2008.
- To empower health workers with knowledge, facts and skills, and support to enable them to provide quality care for mothers, children and caretakers through at least one exposure to a minimum of 18 hours of training on lactation management, counselling on infant feeding and counselling on HIV/AIDS.
- To provide skilled support for adequate feeding to all HIV positive mothers, fathers and other caretakers of children born by HIV positive mothers.
- To transform all healthcare facilities in Namibia to be Baby and Mother Friendly through the implementation of the Ten Steps to Successful Breastfeeding.
- To create an enabling community support system for infant and young child feeding through implementation of household and community IMCI.
- To provide education and information on the feeding options listed in the guidelines for the implementation of this policy to every HIV positive pregnant woman and their partners or immediate companions that come in contact with the healthcare system, either private or state, at least once.
","
Strategies:
- Promotion of breastfeeding and sound infant and young child feeding practices.
- Protection of breastfeeding and young child feeding through the implementation of national and international measures namely the regulations for infant and young child nutrition, relevant World Health Assembly resolutions, the ILO Maternity Protection Convention, etc.
- Support of exclusive and continued breastfeeding and appropriate complementary feeding practices for the majority of infants who can breastfeed, as well as support of mothers who are artificially feeding their infants through the establishment of support groups for mothers with infants and young children.
- Capacity building of all health care workers at all levels (national, regional, district) in skills necessary to manage, implement, monitor and evaluate infant and young child feeding.
- Foster partnerships to expand the scope of actors and to influence human, organizational and financial resources towards improving child feeding practices, nutrition and care, and prevention of HIV transmission.
- Special support will be made available to infant and young child feeding for orphans and vulnerable children i.e. infants and young children who do not have biological mothers or whose mothers are unable to breastfeed or feed them due to illnesses (including AIDS) or other incapacities and children affected by emergencies and disasters.
- Operational research and utilization of research results to improve and amend policy and guidelines on infant and young child feeding.
- Monitoring and evaluation is an ongoing process to guide the implementation of the policy and guidelines.
","
- Proportion of children whose growth is monitored every month for those under the age of one year; every three months for those from 12 months to 36 months of age; and thereafter every six months up to five years of age.
- Proportion of children under five years who are stunted, low height for age.
- Proportion of children under five years who are wasted, low weight for height.
- Proportion of children under five years who are underweight low weight for age.
- Proportion of children exclusively breastfed at 6 months.
- Proportion of mothers’ breastfeeding at 18 months.
- Proportion of women counselled on effective and frequent feeding and practicing it correctly at 6 months of age.
- Proportion of HIV positive mothers and fathers counselled on breastfeeding and options for alternative feeding.
- Proportion of health care facilities with at least 80% of staff caring for mothers and babies, trained in lactation promotion and management.
- Proportion of PMTCT Programme with at least 80% of staff trained in infant feeding counselling.
- Proportion of community groups involved in infant and young child feeding.
- Proportion of health care facilities with functional BMFI Task Force to ensure the implementation of the Ten Steps to Successful Breastfeeding.
- Number of hospitals reassessed and maintaining BMFI status.
- Number of supportive supervisory visits conducted by officials from national and regional levels.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Food fortification|Nutrition education|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NMB%202003%20National%20Policy%20Infant%20Young%20Child%20Feeding_0.pdf"
"8061","NZL","New Zealand","","Healthy Eating - Healthy Action: Oranga Kai - Oranga Pumau Implementation Plan: 2004-2010","Comprehensive national nutrition policy, strategy or plan","","English","","2004","","","Ministry of Health","6","2004","","","","","Health|Sport","Ministry of Health, Sport and Recreation New Zealand (SPARC)","","","","","","","","","National NGOs","","","","Private sector","Food industry","","","Priority 1: Lower socioeconomic groupsSignificant health gains can be achieved through improving nutrition,increasing physical activity and maintaining a healthy body weight amonglower socioeconomic groups, who may have difficulty accessing goodnutrition and being physically activePriority 2: Children, young people, and their families and whanau (including older people)Services and programmes will have a focus on the nutritional and physicalactivity needs of infants, children, young people, and their families andwhanau, including older people, to build the foundation of health for alifetime.Priority 3: EnvironmentsEnvironments need to be developed and modified to support goodnutrition, physical activity and healthy weight across all key sectors andsettings.Priority 4: CommunicationClear and consistent messages promoting the importance of goodnutrition, physical activity and healthy weight will be understood by thegeneral public and key stakeholders across relevant sectors and be effectivein improving health outcomes.Priority 5: WorkforceA skilled and knowledgeable workforce will be in place to supportimproving nutrition, increasing physical activity and reducing obesity.","Objective 1.1:Build healthy public policies for lower socioeconomic groupsObjective 1.2:Create supportive environments for lower socioeconomic groupsObjective 1.3:Strengthen community action for lower socioeconomic groupsObjective 1.4:Develop personal skills among lower socioeconomic groupsObjective 1.5:Reorient services and programmes to focus on lower socioeconomic groupsObjective 1.6:Monitor, research and evaluate the nutrition, physical activity, and overweight andobesity status of lower socioeconomic groupsObjective 2.1:Build healthy public policies for children, young people, and their families andwhanauObjective 2.2:Create supportive environments for children, young people, and their families andwhanauObjective 2.3:Strengthen community action for children, young people, and their families andwhanauObjective 2.4:Develop personal skills among children, young people, and their families andwhanauObjective 2.5:Reorient services and programmes to focus on children, young people, and theirfamilies and whanauObjective 2.6:Monitor, research and evaluate physical activity and nutrition status in children,young people, and their families and whanauObjective 3.1: Build healthy public policies for healthy environmentsObjective 3.2:Create supportive environmentsObjective 3.3:Strengthen community action in local environmentsObjective 3.4:Develop personal skills to improve environmentsObjective 3.5:Reorient services and programmes to modify environmentsObjective 3.6:Monitor, research and evaluate environmentsObjective 4.1:Build health public policy that supports effective communicationObjective 4.2:Create supportive environments that are reinforced through health-promotingcommunicationObjective 4.3:Strengthen community action communication strategiesObjective 4.4:Develop personal skills through effective communicationObjective 4.5:Reorient services and programmes to communicate effectivelyObjective 4.6:Monitor, research and evaluate communication strategiesObjective 5.1:Build healthy public policies to support workforce developmentObjective 5.2:Create supportive environments to facilitate an expanding and more effectiveworkforceObjective 5.3:Strengthen community action to develop an effective workforce for local needsObjective 5.4:Develop personal skills to improve the effectiveness of the workforceObjective 5.5:Reorient services and programmes to expand and improve the effectiveness of theworkforceObjective 5.6:Monitor, research and evaluate the workforce","Monitoring short-term outcomesThis includes:• fruit and vegetable consumption• salt, fat and sugar content of manufactured foods• blood pressure• physical activity levels.Monitoring long-term outcomesThis includes:• rates of diet-related cancers• rates of type 2 diabetes• rates of obesity.","Outcome indicators,Process indicators","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Regulating marketing of unhealthy foods and beverages to children|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Home, school or community gardens|Vulnerable groups","","http://www.health.govt.nz/publication/healthy-eating-healthy-action-oranga-kai-oranga-pumau-implementation-plan-2004-2010","","",""
"8336","BEL","Belgium","","Politique de promotion des attitudes saines sur les plans alimentaire et physique pour les enfants et les adolescents [Policy for promotion of healthy nutritional habits and physical activity of children and adolescents]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2005","","","Gouvernement de la Communauté française","","2005","","","","Gouvernement de la Communauté française","Cabinet/Presidency|Health|Education and research|Sport","","","","","","","","","","","","","","","","","","
Renforcer le bien-être des enfants et des adolescents.
- Développer une culture des bonnes habitudes alimentaires basée davantage sur le plaisir et les repères plus que sur la médicalisation et le curatif.
- Améliorer les habitudes alimentaires des enfants afin de favoriser l’adoption généralisée de réflexes sains et positifs.
- Mieux identifier les facteurs connexes ou aggravants des problèmes de santé pour renforcer la prévention de ceux-ci.
- Réduire significativement le nombre d’enfants et de jeunes en surcharge pondérale.
- Développer l’acquisition de rythmes de prise alimentaire adéquats et encourager à la pratique régulière des activités physiques.
- Renforcer le discernement des enfants et des jeunes face aux signaux publicitaires ou commerciaux.
- Mobiliser les apprentissages intellectuels pour favoriser les attitudes saines, et réciproquement.
- Assurer la cohérence des politiques, balises et messages édictés par les différentes autorités compétentes et dans les différents lieux de fréquentation publique.
- Renforcer le maillage entre famille et autorité dans le domaine de l’alimentation et de l’activité sportive grâce aux associations de proximité, aux fédérations et aux pouvoirs locaux.
","
Mieux connaître les pratiques de terrain.
- Valoriser les « bonnes pratiques » rencontrant les objectifs généraux énoncés ci-dessus.
- Systématiser les « bonnes pratiques » les plus porteuses au travers de campagnes, d’outils pédagogiques, de formations, de réglementations…
- Sensibiliser, former et outiller les professionnels au service des enfants et des adolescents.
- Edicter des règles univoques de comportements et d’attitudes dans les lieux de fréquentation publique (écoles, clubs de sport, associations de jeunes, …).
- Mobiliser les opérateurs susceptibles de renforcer la démarche autour de partenariats équilibrés.
- Coordonner l’action de toutes les forces intéressées à l’éducation à la santé et à la promotion de la santé, développer les synergies existantes et impulser de nouvelles initiatives, en fonction d’un cadre à la fois dynamique et cohérent.
","","","","Overweight and obesity in school age children and adolescents|Breastfeeding promotion/counselling|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 meal standard|Nutrition counselling on healthy diets","","http://www.adeps.be","http://www.mangerbouger.be","NOPAWHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202005%20Politique%20de%20promotion%20des%20attitudes%20saines.pdf"
"8423","NLD","Netherlands","","Convenant Overgewicht: Een balans tussen eten en bewegen [Covenant on overweight and obesity - a balance between eating and physical activity]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Dutch","1","2005","","","Ministry of Health, Welfare and Sport","3","2005","Adopted","1","2005","Ministry of Health, Welfare and Sport","Health|Education and research|Social welfare|Sport","","","","","","","","","","National NGOs","Federation of Food Industry (FNLI); Royal Union for Entrepreneurs in the Hospitality (KHN)","","","Private sector","Health Insurance Companies","Other","Central Bureau for Food Trade (CBL); MKB Union Netherlands; Dutch Olympic Committee; Ditch Sport Federation (NOC*NSF)","
Artikel 1
- De convenantpartijen zoeken elk vanuit hun eigen maatschappelijke activiteit en rol naar mogelijkheden die kunnen bijdragen aan het realiseren van de in de preventienota Langer Gezond Leven 2004-2007 genoemde kabinetsdoelstellingen met betrekking tot overgewicht in Nederland.
- Leidraad daarbij is het bewaren of herstellen van de balans tussen eten en bewegen. Dit is mogelijkerwijs te bereiken door:
- te bevorderen dat het individu de gezonde keuze voor eten en bewegen maakt door de gezonde keuze mogelijk te maken en tevens gemakkelijk en aantrekkelijk;
- te inventariseren welke factoren hieraan kunnen bijdragen;
- na te gaan hoe en door wie die factoren kunnen worden ingezet;
- synergie na te streven in de samenwerking tussen de convenantpartijen opdat de activiteiten van convenantpartijen elkaar versterken.
","
Artikel 3
- Onder leiding van het in artikel 2 genoemde projectbureau inventariseren de convenantpartijen de in artikel 1 bedoelde mogelijkheden, waarbij activiteiten worden beschreven inclusief een voorstel voor nulmeting en monitoring. Het projectbureau stimuleert en ondersteunt de convenantpartijen, zorgt voor de organisatie van de werkzaamheden en voor de samenhang en synergie daarin.
- Aan de hand van de geïnventariseerde mogelijkheden stelt het projectbureau een activiteitenplan op voor de periode 2005-2007.
- Het activiteitenplan wordt door de gezamenlijke convenantpartijen geaccordeerd.
- De Minister van VWS, gehoord de convenantpartijen, stelt het activiteitenplan vast en rapporteert daarover aan de Tweede Kamer.
- Partijen die na de totstandkoming van het activiteitenplan 2005-2007 meewerken aan de uitvoering van het activiteitenplan sluiten één of meer vervolgconvenanten af. Onderdelen van dit vervolgconvenant of deze vervolgconvenanten vormen afspraken over nulmetingen, monitoring en evaluatie, alsmede een regeling voor eventuele geschillen tussen partijen en eventuele opzegging door een partij.
","","","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://zoek.officielebekendmakingen.nl/stcrt-2005-53-p25-SC69292.pdf","Regulations for cooperation agreements between government, NGO's and private sector to reduce overweight and obesity with healthy nutrition and physical activity.","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202005%20Covenant%20on%20Overweight.pdf"
"43109","PRT","Portugal","","Código de Boas Práticas na Comunicação Comercial a Menores [Code of Good Practices in Commercial Communication to Minors]","Voluntary codes or measures relevant to nutrition","","Portuguese","9","2005","","","APAN – Associação Portuguesa de Anunciantes","9","2005","","","","","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","
20. A publicidade a alimentos e bebidas não deve conter situações que demons-trem menosprezo pela saúde ou por práticas de vida saudável, nomeadamente enco-rajando o consumo excessivo ou compulsivo;
21. Todas as mensagens nutricionais e de benefícios para a saúde relacionados com alimentos e bebidas devem ser suportados por uma base científica. Testes de preferência não podem ser utilizados de maneira a sugerirem validade estatística se não a houver;
","Regulating marketing of unhealthy foods and beverages to children|Regulation of marketing of FNAB to children|Advergames|Cinemas (marketing)|Internet|SMS, telephone, email, newsletter|TV|Using celebrities|Covers children up to 13 years of age|Covers children up to 18 years of age|Voluntary marketing restrictions","","https://extranet.who.int/ncdccs/Data/PRT_B15_Portugal_codigo_marketing_menores.pdf","","",""
"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"
"8054","CRI","Costa Rica","","Plan de Acción Nacional Estrategia Mundial Alimentación, Actividad Física y Salud","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2006","","2021","Ministerio de Salud. Secretaría de la Política Nacional de Alimentación y Nutrición(SEPAN)","","2006","Adopted","","2006","Dra. Rosa María Novygrodt VargasDirectora Técnica de la Secretaría de la Política Nacional de Alimentación y Nutrición(SEPAN)Secretaria Ejecutiva COTESS.","Health|Education and research|Social welfare|Sport","Ministerio de Educación Pública, Ministerio de Salud - Secretaría de la Política Nacional de Alimentación y Nutrición(SEPAN), Caja Costarricense de Seguro Social, ICODER","","","","","","","","","","","","","","","","","
Disminuir la obesidad al 2021 en un mínimo del 15% en niños y adolescentes, y en el adulto un rango del 5 al 8%.
","
AREA DE ACCIÓN: Promoción Régimen alimentario sano y actividad física.
Objetivo 1: Aumentar el consumo de frutas y vegetales en todos los grupos de edad.
Promoción del consumo de frutas y vegetales en 5 porciones al día.
Objetivo 2: Fortalecer la educación y comunicación alimentaria nutricional y la actividad física en la población
Desarrollar un programa de educación alimentaria nutricional y actividad física para el consumidor.
AREA DE ACCIÓN: Seguridad Alimentaria Nutricional.
Objetivo 1: Contribuir a garantizar la seguridad alimentaria nutricional como componente esencial de la seguridad integral del ser humano.
Fortalecimiento de la Seguridad Alimentaria y Nutricional local, mediante la inclusión de la estrategia de alimentación saludable, actividad física y salud en las acciones desarrolladas por los COSAN
Controlar el etiquetado de alimentos y promocionar el consumo de alimentos inocuos y nutritivos.
Regular el etiquetado nutricional con el fin de informar a la población.
AREA DE ACCIÓN: Promoción de la Salud “Costa Rica en movimiento da vida al corazón”.
Objetivo 1: Promocionar la actividad física con participación social.
Promoción de la actividad física para la salud en el ámbito comunitario.
Objetivo 2: Promocionar estilos de vida saludable con prioridad en alimentación saludable, actividad física, ambientes libres de tabaco, recreación y disminución del consumo de alcohol.
Promover los estilos de vida saludables en los diferentes escenarios de la vida cotidiana a través de la permanencia del Programa Costa Rica en movimiento da vida al corazón
AREA DE ACCION: Promoción de la salud y prevención de enfermedades crónicas no transmisibles mediante alimentación saludable y actividad física.
Objetivo: Contar con recursos humanos formados, capacitados, comprometidos y calificados, para que asuman de manera idónea los procesos relacionados con la promoción de alimentos saludables y actividad física, y la prevención de enfermedades no transmisibles.
Formación de recursos humanos óptimos en promoción de la salud y prevención de ENT. Incorporación de los componentes de actividad física y alimentación saludable en los planes de estudio Capacitación en Promoción y Prevención mediante la alimentación saludable y la actividad física. Investigación en Promoción y Prevención de enfermedades crónicas no transmisibles.
AREA DE ACCION: Investigación.
Objetivo: Fomentar la realización de investigaciones científicas en alimentación sana, actividad física y salud, en forma integrada.
Realizar el diagnostico a través de una Encuesta Nacional sobre la situación de alimentación saludable, actividad física y salud en el 2007 y la evaluación del impacto del plan de acción del DPAS en el 2021.
AREA DE ACCION: Vigilancia de la nutrición preventiva.
Objetivo: Desarrollar el Sistema Nacional de información, comunicación y análisis para la identificación de los riesgos de una malnutrición, explicando sus determinantes de manera que podamos prevenirla en forma oportuna.
Implementación del Sistema de Vigilancia alimentaria y nutricional
AREA DE ACCION: Prevención y control de la obesidad y de enfermedades relacionadas con ésta.
Objetivo 1: Disminuir la obesidad al 2021 en un mínimo del 15% en niños y adolescentes, y en el adulto un rango del 5 al 8%.
Desarrollar, implementar y evaluar el Sistema Nacional de Prevención y Control de la Obesidad
Objetivo 2: Prevenir y reducir el sobrepeso en los centros educativos y centros a la salud en población menor de 18 años.
Desarrollar y formalizar el Programa de prevención y disminución del sobrepeso en menores de 18 años
Objetivo 3: Disminuir la obesidad de la población adulta en por lo menos un rango de un 5% a 8% en el 2021, y disminuir la incidencia de enfermedades relacionadas tales como: hipertensión arterial, hiperlipidemias, diabetes tipo 2, cáncer gástrico, mama, próstata, útero y colon.
Creación de programa atención integral de la obesidad
Objetivo 4: Mejorar el marco jurídico en materia de alimentación, para disminuir el riesgo de las hiperlipidemias y otros problemas por grasas trans.
Regular la calidad de las grasas para el consumo humano.
• Decreto sobre niveles de grasas trans oficializado al 2007
• Decreto de normas y etiquetado en grasas trans implementado al 2008
","","","","Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Fat intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Ban or virtual elimination of industrial trans fatty acids|Food security and agriculture","","http://www.ministeriodesalud.go.cr","","WHO Global Nutrition Policy Review 2009-2010",""
"17802","IDN","Indonesia","","National Action Plan for Food and Nutrition 2006 - 2010","Comprehensive national nutrition policy, strategy or plan","","English","","2006","","2010","National Development Planning Board","","2007","Adopted","","2007","","Education and research|Food and agriculture|Health|Industry|Other|Sport|Trade|Women, children, families","Agency for Supervision of Food and Drugs, Central Bureau of Statistics","","","","","","","","","","","","","","","","","
B. OBJECTIVES
1. General Objective
To realize the people with good nutrition condition as the basis for achieving people who are healthy, intelligent, and productive through strengthening the naional and regional resilience in food and nutrition in the year 2010.
2. Special Objective
i. Increase knowledge, attitude and behavior of healthy living with the high awareness to nutrition of the people as part of the efforts for improvement of
people’s nutrition.
ii. Increase the capacity of the peole and the individual to access food with balanced nutrition needed for healthy living, which is reflected from the
availability of sufficient, good in amount as well as in the the nutrition quality of food, safe, evenly distributed and affordable.
iii. Increase the capacity of the people and the individual for access to nutrition and health services evenly, affordable and in quality as well as cost-effective.
iv. Increase the access of the family to nutrition and health information to form a food and nutrition awareness behavior as well as living healthy.
v. Support the policy and efforts in alleviation of poverty through special nutrition services for the poor people therefore realizing public nutrition improvement as a capital in reducing poverty.
vi. Increase the security of food circulated through increased food producer participation and implementation of effective and efficient supervision.
C. THE TARGET
1.Reduce prevalence of various forms of malnutrition, which are lack of nutrition, lack of iron, lack of vitamin A, and lack of iodine, in the year 2010, at least becoming 50 percent of the prevalence in the year 2005, as well as to prevent the increasing prevalence of overweight due to excess nutrition.
2.Increase the consumption of food per capita to fulfill the need of a balanced nutrition with sufficient energy of minimal 2,000 kcal/day and protein as much as 52 grams/day and sufficient micro nutrients as well as to increase the food variety with a score of Food Pattern Expectancy (PPH) minimal 85, therefore the consumption of rice will decline as much as 1 percent per year, root plants to increase 1-2 percent per year, vegetables to increase 4.5 percent per year, fruits increase 5 percent per year, and livestock food increase 2 percent per year.
3.Reduce the number of population experiencing vulnerable food consumption by making effective the food distribution system and increasing the easiness/ capacity of the people to access to food, including fotified food.
4.Maintain availability of energy per capita minimal 2.200 kcal/day and provision of protein per capita minimal 57 grams/day, especially animal protein as well as increasing the consumption of vegetables and fruits.
5.Increase coverage and quality of nutrition services to the people especially to vulnerabvle groups with the following targets :
i. Increase giving of exclusive breast feeding milk to babies until 6 months of age.
ii. Increase the percentage of children aged 6 - 24 months to obtain the right food supplement to breast feeding milk(MP - ASI).
iii. Reduction of prevalence of anaemia in pregnant mothers and Fertile Age Women.
iv. Increase effectiveness of surveillance and intervention in WUS, pregnant mothers and young women having risks of Chronic Energy Deficiency (LILA < 23,5 cm).
v. Reduction of prevalence to xerophthalmia.
6.Increase knowledge and capacity of the family to apply the healthy living pattern and awareness behavior in food and nutrition, which is indicated by increase of access to nutrition services and family food consumption.
7.Increase security, quality and hygiene of food consumed by the people by reducing violations towards food security regulations until 90 percent and increasing research in order to seek for safe preservatives and affordable by the poor people.
","
E. THE STRATEGY
Accessibility to Food:
1. Development of programs for the dicersification of food is enhanced through assesment of various ”useful precise technology” and affordable in regard to the processing of flour based food, for : (a) maintaining the local food consumption pattern which in the region and certain society groups have a variety especially in their staple food, and (b) development of the culinery aspect and acceptance of the consumers, through various nutrition education, training, and nutrition campaigns to inc rease the local food image, as well as to increase the income
and general education.
2. Preparation of the development policies in the field of food and nutrition ha ving a cross sector nature, therefore promoting commitment and investment in the field of food and nutrition therefore i the national and regional development.
3. Increase of the capacity of the local government and people in developing and benefiting the food and nutrition awareness system for early detection of possible occurrences of vulnerable food disasters, hunger and malnutrition, as well as quick actions that must be conducted by the people and the local government.
4. Increase of activities and targets of food resilience not only in the aspect of provisions of food in the macro level, but also the aspect of food access which
assures food consumption with balanced nutrition for the family and individual, as well as the impacts to the nutrition status.
Nutrition Status :
1. Priority to the nutrition program target to very vulnerable groups which are : young women in their fertile age, pregnant mothers, breast feeding mothers, and babies until 2 years of age in the frame of strengthening the achievement basis of the program for development of children in their early childhood (PAUD) in determining th future quality of human resources (SDM).
2. Increase in the program for prevention and overcoming micro malnutrition matters, through supplementation and fortification of vitamins and minerals
especially iron, iodine, and vitamin A in order to increase the quality of human resources.
3. Increase nutrition awareness of the family and people through communication, information and education to prevent disturbances.
4. Prioritization of the nutrition program targets to the poor people through efforts in alleviation of poverty caused not because of the income (“non-income poverty”) in the frame of development of human resources.
5. Increase quality of services to excessive nutrition patients through periodic monitoring of the body weight and height, integrated management in handling
excessive nutrition cases and increase of KIE.
6. Increase in efforts of overcoming infectious diseases especially to children under five years of age through prevention and overcoming the risk factor, increase in surveillance and epidemiology, immunization as well as KIE.
Food Security :
1. Increase awareness regarding food and nutrition security through efforts in early prevention and law enforcement in the frame of maintaining the quality of food security.
2. Increase food security through strengthening of regulations, monitoring and law enforcement, consumer protection in the frame of protecting the public health status.
Healthy Living Pattern :
1. Increase physical activity of the people through increase of promotion, increase in provisions of means and facilities of sports and open space, in the frame of growing and creating awareness of all the levels of society.
2. Increase promotion fr consumption of vegetables and fruits through a balanced nutrition eating pattern in the frame of prevention of degenerative diseases.
3. Increase of promotion of low fat eating pattern, as well as salt and sugar especially to certain high risk groups through preparation of regulations that
regulate regarding advertisements of food and drinks in order to reduce incidences of degenerative diseases in the youth.
4. Increase promotion regarding the danger of smoking through regulations in advertisments related to smoking, policies in reducing demand of cigarette
supply in order to prevent chronic diseases.
Institutional Aspect:
1. Increase cooperation in cross sectors through coordinated food and nutrition programs in the frame of development in the field of food and nutrition.
2. Revitalization of SKPG to increase availability of food and nutrition data in the region
3. Strengthen cooperation between the government and the people in conducting the food and nutrition program.
4. Digging for and benefitting the potency of resources from the people in overcoming the problems of food and nutrition.
5. Increase capacity and quality of research and development of food and nutrition through research institutions, universities, and the people, in the frame of
producing more reliable data and information.
6. Increase the capacity of administrative workers and professionals through coordination in planning and management of the food and nutrition program in
order to maximize the effectiveness of the public nutrition improvement program.
7. Increase the education and use of professionals in nutrition in various levels of the Central and Regional, as well as the people, in order to maximize the role of professionals in the nutrition program.
","","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Fruit and vegetable intake|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Subsidies on healthy 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|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IDN%202006%20National%20Action%20Plan%20for%20Food%20and%20Nutrition.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"
"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"
"36081","AND","Andorra","","ENNES (Estratègia Nacional per la Nutrició Esport i Salut)","Comprehensive national nutrition policy, strategy or plan","","Catalan; Valencian","","2007","","","Govern d'Andorra","","2007","Adopted","","2007","Govern d'Andorra","Health|Education and research|Sport|Other","Govern d'Andorra; Ministerio de Salud; Ministerio de cultura, juventud y deporte; ministerio de educación y enseñanza superior","","","","","","","","","National NGOs","","","","Private sector","Centre Comercial Illa Carlemany","","","","","","","","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|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.salut.ad/departament-de-salut/estrategia-nacional-per-a-la-nutricio-esport-i-la-salut","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"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"
"8142","POL","Poland","","Program of prevention of overweight, obesity and chronic non-communicable diseases through improved nutrition and physical activity 2007-2011","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Polish","","2007","","2011","Ministry of Health","","2007","Adopted","","2009","Ministry of Health","Nutrition council|Health|Food and agriculture|Education and research|Sport","","","","","","","","","","National NGOs","Dietetic Association","","","","","Other","Healthcare Service Providers; Food Producers; Media","
Cele programu:
- Zmniejszenie, głównie poprzez poprawę żywienia i wzrost aktywności fizycznej, częstości występowania nadwagi i otyłości.
- Zmniejszenie zachorowalności i umieralności na przewlekłe choroby niezakaźne w Polsce (choroby układu krążenia, nowotwory, cukrzycę typu II, nadciśnienie tętnicze i inne).
- Zmniejszenie wydatków na ochronę zdrowia związanych z leczeniem przewlekłych chorób niezakaźnych, a w tym w szczególności otyłości i jej powikłań, a także zmniejszenie skutków ekonomicznych niepełnosprawności i przedwczesnej umieralności
Cele szczegółowe programu to:
- Poprawa żywienia i aktywności fizycznej dzieci i młodzieży w szkołach;
- Wdrażanie zasad prawidłowego żywienia i poradnictwa dietetycznego w szpitalach oraz podstawowej i specjalistycznej opiece zdrowotnej z uwzględnieniem zaleceń Rady Europy.
","
3. Plan działań – opis działań, które mają doprowadzić do osiągnięcia celów Poprawa sposobu żywienia, zwiększenie aktywności fizycznej i poprawa stanu odżywienia ludności w Polsce w celu zatrzymania epidemii nadwagi i otyłości oraz zmniejszenia wydatków na ochronę zdrowia, a także zmniejszania częstości występowania żywieniowych czynników ryzyka przewlekłych chorób niezakaźnych poprzez:
- ułatwienie świadomego wyboru produktów spożywczych poprzez edukację społeczeń- stwa, w tym na temat znakowania żywności i oświadczeń żywieniowych,
- współpracę z przemysłem spożywczym na rzecz produkcji żywności o walorach prozdrowotnych, − stałe upowszechnianie w społeczeństwie wiedzy o roli żywienia i aktywności fizycznej w prewencji pierwotnej przewlekłych chorób niezakaźnych,
- ustawiczne kształcenie i podnoszenie kwalifikacji grup zawodowych zajmujących się zdrowiem człowieka (lekarze, pielęgniarki, dietetycy),
- opracowanie i wdrażanie systemu poradnictwa dietetycznego do podstawowej i specjalistycznej opieki zdrowotnej oraz szpitali,
- oddziaływanie na rzecz stworzenia dzieciom i młodzieży możliwości uczestniczenia w pozalekcyjnych zajęciach sportowo - rekreacyjnych na terenie szkół i miejsc zamieszkania,
- wdrażanie standardów żywienia w szpitalach w celu poprawy skuteczności leczenia i zmniejszenia jego kosztów,
- opracowanie i wdrażanie systemu poradnictwa w zakresie poprawy aktywności ruchowej pacjentów hospitalizowanych z różnych przyczyn w celu poprawy skuteczności leczenia.
","
5) wskaźniki monitorowania oczekiwanych efektów
- Ocena skuteczności działań interwencyjnych w oparciu o wyniki badań zależności pomiędzy żywieniem, stanem odżywienia i aktywnością fizyczną a chorobowością i zachorowalnością na przewlekłe choroby niezakaźne na podstawie ogólnopolskich, reprezentatywnych badań żywienia, stanu odżywienia i aktywności fizycznej (populacja dzieci, młodzieży i dorosłych) przeprowadzanych okresowo (co 5 lat, pierwszy raz w 2010 r. – w roku 2009 opracowanie założeń i odpowiednich kwestionariuszy dla przeprowadzenia tej oceny).
- Prowadzenie okresowo (co 5 lat, pierwszy raz w 2010 r.) badań oceniających stan wiedzy populacji polskiej na temat związków pomiędzy żywnością, żywieniem, aktywnością fizyczną a przewlekłymi chorobami niezakaźnymi.
- Przeprowadzanie analiz ekonomicznych związanych z wpływem poprawy żywienia, aktywności fizycznej na zmniejszenie wydatków systemu ochrony zdrowia na leczenie otyłości i jej powikłań oraz przewlekłych chorób niezakaźnych.
- Opracowywanie okresowego raportu dla Rządu dotyczącego sytuacji epidemiologicznej w zakresie stanu odżywienia, sposobu żywienia i aktywności fizycznej oraz zachorowalności i chorobowości na przewlekłe choroby niezakaźne w Polsce, niezbędnego do przedstawienia na spotkaniach międzynarodowych.
","Process indicators","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|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)|Dietary guidelines|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|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|Salt reduction|Nutrition education","","http://www2.mz.gov.pl/wwwfiles/ma_struktura/docs/otylosc_06012010.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/POL%202007%20NCD%20and%20Overweight%20Programme.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"
"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",""
"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"
"23219","CHE","Switzerland","","Nationales Programm Ernährung und Bewegung (NPEB) 2008–2012 [National policy on Nutrition and physical activity 2008-2012]","Comprehensive national nutrition policy, strategy or plan","","","","2008","","2012","Swiss Federal Office of Public Health (FOPH)/Bundesamt für Gesundheit (BAG)","","2009","Adopted","","","","Health|Sport","Swiss Federal Office of Public Health (FOPH)/Bundesamt für Gesundheit (BAG) Health, Sport: Schweizerische Konferenz der kantonalen Gesundheitsdirektorinnen und -direktoren (GDK), Bundesamt für Sport","","","","","","Bilateral and donor agencies and lenders: Stiftung Gesundheitsförderung Schweiz","","","","","","","","","","","
Auf nationaler Ebene orientiert sich das Nationale Programm Ernährung und Bewegung NPEB an der Schweizer Ernährungsstrategie. Das NPEB verfolgt fünf Ziele, die von den vier Partnern des NPEB (Bundesamt für Gesundheit BAG, Bundesamt für Sport BAS PO und Gesundheitsförderung Schweiz sowie den Kantonen) umgesetzt werden:
-Sicherstellung der nationalen Koordination
-Förderung einer ausgewogenen Ernährung
-Förderung von Bewegung und Sport
-Integrierte Ansätze zur Förderung eines gesunden Körpergewichts
-Optimierung der Beratungs- und Therapieangebote
","
Förderung einer ausgewogenen Ernährung: Salzstrategie, actionsanté, Qualitätsstandards für die Gemeinschaftsgastronomie
","
Die bisher regelmässig erschienenen Schweizerischen Ernährungsberichte und die Schweizerischen Gesundheitsbefragungen bilden wichtige Elemente der Gesundheitsberichterstattung. Die Koordination bestehender Monitoringsysteme soll verbessert und gegebenenfalls durch noch zu schaffende Systeme mit relevanten Parametern von ernährungs- und bewegungsabhängigen Krankheiten und Indikatoren der Verhältnisprävention ergänzt werden.
Auf dem Gebiet der Ernährung soll durch das BAG in enger Zusammenarbeit mit Fachexperten/innen eine Nationale Ernährungserhebung (National Nutrition Survey Switzerland, NANUSS) realisiert werden. Diese dient der Ermittlung von Ernährungsdaten der Schweizer Bevölkerung als Basis für Risikogruppenerkennung, Ernährungsempfehlungen, Planung und Evaluation von Präventionsprogrammen sowie Festlegung von Richtlinien. Eine zentrale Rolle spielt in diesem Zusammenhang auch ein Monitoring zum Bewegungs- und Sportverhalten nicht nur der Erwachsenenbevölkerung, sondern auch der Kinder.
","","
(Die gesetzliche Grundlage zur Information der Öffentlichkeit auf dem Gebiet der Ernährungsprävention besteht auf Bundesebene im Lebensmittelgesetz vom 9. Oktober 1992 (Art. 1 und 12).)
","Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets","","www.bag.admin.ch/themen/ernaehrung_bewegung/13227/index.html?lang=de&download=NHzLpZeg7t,lnp6I0NTU042l2Z6ln1acy4Zn4Z2qZpnO2Yuq2Z6gpJCGfYR9gWym162epYbg2c_JjKbNoKSn6A--","","WHO 2nd Global Nutrition Policy Review","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHE%202008-2012%20Nationales%20Programm%20Ernaehrung%20und%20Bewegung.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"
"7926","FJI","Fiji","","National Food and Nutrition Policy for Schools","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2009","","","Ministry of Education","","2009","Adopted","","2009","Ministry of Education","Health|Education and research|Sport","Ministry of Health, Ministry of Education, national heritage, culture, and sports","","","","","","","","","","","","","","","","","","","","","","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|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School fruit and vegetable scheme|School gardens|Creation of healthy food environment","","http://www.nutrition.gov.fj","","WHO Global Nutrition Policy Review 2009-2010",""
"23729","NAM","Namibia","","Health Sector Strategic Plan 2009-2013","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2013","Ministry of Health and Social Services","","2009","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Sport|Transport|Other","Ministry of Health and Social Services, OPS, Home Affairs, Works and Transport, Gender, Youth Sport and Culture","","","Other, please specify under further details","Red Cross; NAPPA; TCE; NANASO; NFPDN; Health Unlimited; NASOMA; Catholic AIDS Action; ELCIN AIDS Action; ELCAPLife Line/ Child Line, FBOs","","","","","","","","","","","","Director PHC, SWS, trade unions (all)","
Objectives
- Reduce malnutrition
- Decrease morbidity rates
","
Initiatives
","
Reduce malnutrition
- Rate of underweight (under 5 years) from 16% (baseline) to 1% (2013)
- Stunting rate (under 5) from 30% (baseline) to 15% (2013)
- Rate of obesity (under 5) to 5% (2013) (no baseline)
Decrease morbidity rate
Incidence of non-communicable diseases
- Diabetes from 2% (baseline) to 0.5% (2013)
- Hypertension from 1% (baseline) to 0.5% (2013)
- Asthma from from 1% (baseline) to 0.5% (2013)
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Overweight in children 0-5 yrs|Food security and agriculture","","http://www.africanhealthleadership.org/wpc/uploads/MOHSSStrategicPlan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202009%20Health%20Sector%20Strategic%20Plan.pdf"
"23628","BOL","Bolivia (Plurinational State of)","","Plan sectorial de desarrollo","Health sector policy, strategy or plan with nutrition components","","Spanish","","2010","","2020","","","2010","","","","","Cabinet/Presidency|Health|Sport","Government","","Banco Mundial, UNICEF, PNUD, UNFPA, OPS/OMS","","","","","","","","","","","","","","","
El Proyecto Sectorial2.1 “Intersectorialidad para Vivir Bien ” tiene como objetivodesarrollar acciones conjuntas, coordinadas y corresponsables entre la población, el sector salud,otros sectores de desarrollo y autoridades del poder ejecutivo, para transformar las determinantes de salud y erradicar la desnutrición
","
Dentro del Proyecto Sectorial 2.1, se desarrollaran
también
las siguientes
líneas operacionales:
Erradicación de la desnutrición y malnutrición en toda la población, a partir de acciones intersectoriales para disminuir la vulnerabilidad alimentaria y de buenas prácticas nutricionales,priorizando los alimentos producidos localmente y nacionalmente. También secontinuará la atención integral a desnutridos. Desarrollo de acciones intersectoriales de mitigación al cambio climático y eventos adversos ambientales, creando mecanismos de prevención, promoción y atención de enfermedades.
Control de calidad de determinantes de la salud (agua, contaminación, etc.) con priorización de los municipios, comunidades y zonas de Bolivia menos desarrollados en cuanto a acceso a agua potable, saneamiento básico, vivienda saludable, etc.
Mejora de la salud ocupacional y de las condiciones de trabajo para la salud en coordinación con el Sector Empleo y los Sectores productivos.
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in women 15-49 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Complementary feeding promotion/counselling|Dietary guidelines|Vitamin A|Micronutrient supplementation|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/bolivia_plurinational_state_of/http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/bolivia_plurinational_state_of/bolivia_plan_sectorial_de","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202010_plan_sectorial_de_desarrollo_2010-2020_final_con_rm.pdf"
"39482","CIV","Côte d'Ivoire","","Politique nationale de nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","","Ministère de la santé et de l’hygiène publique","","2010","Adopted","","","Ministère de la santé et de l’hygiène publique","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Transport|Consumer affairs|Trade|Environment|Industry|Information|Other","Ministère des infrastructures économiques","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","associations de consommateurs","","","Private sector","","","","
VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
- Promouvoir l’habilitation des populations cibles à améliorer leur situation nutritionnelle et de santé ;
- Renforcer les systèmes de coordination à tous les niveaux ;
- Promouvoir l’engagement des autorités nationales, régionales, locales et traditionnelles ;
- Accorder la priorité aux stratégies préventives dans la lutte contre la malnutrition, notamment du nourrisson et du jeune enfant ;
","
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
- Promotion de l’extension des Unités Nutritionnelles (UNT, UNTA, UNS) pour la prise en charge des cas de malnutrition sévère, modérée, surtout dans les zones d’insécurité alimentaire ;
- Suivi des enfants sortis des UNTA/CNS au niveau des sites communautaires;
- Mise en place d’un système de référence et de contre référence ;
- Organisation des stratégies avancées pour le dépistage et le traitement ;
- Introduction de la supplémentation en zinc dans le schéma de prise en charge de la diarrhée chez les enfants;
- Promotion du suivi et de la croissance des enfants de 0-5 ans dans les centres de santé et centres sociaux;
- Renforcement de l’intégration des interventions nutritionnelles aux autres programmes de santé maternelle et infantile (déparasitage, Prévention de la Transmission Parents Enfant (PTPE), supplémentation en fer et acide folique, traitement présomptif intensif du paludisme des femmes enceintes, vitamine A, PEV, PF, …) en adoptant l’approche « Actions Essentielles en Nutrition » ;
- Promotion l’utilisation des aliments fortifiés localement pour la récupération des enfants modérément malnutris ;
- Mise en œuvre du protocole national de prise en charge de la malnutrition
- Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) : Promotion et protection de l’allaitement exclusif des nourrissons de la naissance jusqu’à six mois, y compris les nourrissons nés de mères séropositives qui ne peuvent pas remplir les conditions à moindre risque d’alimentation de remplacement ; Promotion de l’allaitement continu jusqu’à vingt-quatre mois ou plus, avec une alimentation de complément appropriée à l’âge de l’enfant à partir de six mois;
- Promotion de l’allaitement Maternel par la redynamisation des « Hôpitaux Amis des Bébés (IHAB) » en vu de décerner un label;
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’exercice physique ;
- Promotion de régimes et pratiques alimentaires adéquats et des modes de vie sains contre les excès alimentaires.
2. Au niveau communautaire
- Prise en charge et suivre au niveau des sites communautaires les enfants sortis des UNTA/CNS ;
- Institutionnalisation de la semaine d’intensification des activités de nutrition au niveau communautaire couplée à des campagnes de dépistage de la malnutrition en stratégie avancée dans les zones à forte prévalence ;
- Mise en oeuvre de l’approche FARN (Foyer d’Animation et de Réhabilitation nutritionnelle qui utilise la « Déviance Positive » pour l’amélioration de la qualité et de l’efficacité des prestations au niveau communautaire;
- Intensification de la prévention de la malnutrition saisonnière (soudure) due à l’insécurité alimentaire et aux maladies infectieuses (maladies diarrhéiques, infections respiratoires aiguës, rougeole et paludisme).
- Soutien des suppléments alimentaires aux groupes vulnérables (enfants, femmes enceintes et allaitantes) ;
- Renforcement du lien entre les sites de nutrition communautaire et les centres de santé, ainsi que l’utilisation des soins de santé primaires par la communauté (PEV, PCIME, CPN, etc.).
- Promotion de l’utilisation des aliments fortifiés localement pour la récupération des enfants modérément malnutris ;
- Promotion du suivi et promotion de la croissance des enfants de 0-5 ans;
- Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) ;
- Promotion de l’allaitement Maternel par la redynamisation des groupes de soutien
- Mise en place des Communautés Amis de la nutrition des bébés en vu de décerner un label;
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’exercice physique ;
- Promotion de régimes et pratiques alimentaires adéquats et des modes de vie sains contre les excès alimentaires.
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
- Promotion de l’allaitement Maternel ;
- Institutionnalisation de la supplémentation en vitamine A chez les enfants à partir du 6ème mois jusqu’à 59 mois tous les 6 mois en routine ou en campagne et des femmes dans le post partum immédiat ;
- Supplémentation en fer/ acide folique chez la femme enceinte et allaitante;
- Supplémentation en zinc dans le traitement de la diarrhée ;
- Supplémentation en Fluor dès 6 mois;
- Fluoration de l’eau de consommation publique en vue de la prévention des caries dentaires ;
- Promotion de la consommation des aliments locaux riches ou enrichis en micronutriments
- Promotion de la fortification alimentaire en micronutriments (fer/acide folique, vitamines du groupe B, vitamine A…) :
- Mise en place d’une politique pour faciliter l’accès de la population aux denrées alimentaires fortifiées en micronutriments ;
- Promotion de la consommation du sel iodé comme stratégie pour éliminer les TDCI
- Renforcement des activités des structures de contrôle du sel iodé et autres aliments fortifiés notamment les sites sentinelles ;
- Déparasitage : développement des approches intégrées de lutte contre l’anémie (supplémentation en FAF, déparasitage et distribution de moustiquaire) chez les femmes enceintes et les enfants d’âge préscolaire (1-5ans) et scolaire dans les formations sanitaires, dans les écoles et au niveau communautaire ;
- Dépistage et prise en charge des cas.
C. N°3 : Amélioration de la sécurité alimentaire des ménages
- Promotion de la diversification de la petite production familiale (jardin potager/fruitier, pisciculture, petit élevage ;
- Diversification et amélioration de l’utilisation des aliments au niveau des ménages.
D. N°4 : Promotion de la sécurité sanitaire des aliments
- Renforcement de l’application de la législation sur le sel iodé ;
- Mise en place du code réglementant la commercialisation des substituts du lait maternel ;
- Mise en place du code réglementant la commercialisation des produits alimentaires et des boissons non alcoolisées auprès des enfants ;
- Promotion des normes et standards des aliments ainsi que des mesures d’hygiène de l’eau et des aliments;
- Renforcement du code du travail en vue de protéger la santé et la nutrition du nourrisson et du jeune enfant, ainsi que la nutrition et la santé des mères et des travailleurs en général (congés de maternité payés, prolongation de congés de maternité, création d’espace d’allaitement maternel dans les lieux de travail et lieux publics (des crèches « amis des bébés »….) ;
- Elaboration et promulgation des réglementations/normes nationales sur la fortification des aliments locaux ou importées.
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
- Evaluation de l’ampleur des maladies chroniques non transmissibles liée à l’alimentation (diabète, goutte, maladies cardiovasculaires (MCV), Surpoids/obésité et cancer) ;
- Prévention et gestion des carences nutritionnelles et des maladies de surcharge
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’activité physique ;
- Promotion des styles de vie sains ;
- Intégration de la nutrition dans la stratégie de lutte contre le VIH/SIDA – concernant l’allaitement maternel et substituts au lait maternel, l’alimentation de complément du jeune enfant, l’alimentation des personnes vivant avec le virus de sida tant au niveau sanitaire qu’au niveau des sites de nutrition communautaire ;
- Promotion du suivi du statut nutritionnel ;
- Prise en charge des cas de malnutrition ;
- Elaboration, adoption ainsi que la diffusion d’une stratégie nationale sur l’alimentation du nourrisson et du jeune enfant dans le contexte du VIH/Sida ;
- Intégration de l’alimentation du jeune enfant dans les guides et protocoles nationaux pour le conseil et le dépistage volontaire, la prévention de la transmission du VIH de la mère à l’enfant, ainsi que la prise en charge pédiatrique du VIH/SIDA.
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
- Supplémentation en micronutriments ;
- Promotion d’une collation fortifiée ;
- Déparasitage;
- Promotion des jardins potagers ;
- Promotion des services de restauration dont les cantines scolaires ;
- Promotion de l’éducation nutritionnelle (promotion de la nutrition et de l’hygiène) ;
- Promotion des « écoles amies de la nutrition ».
G. N° 7 : Intégration de la nutrition en milieu carcéral
- Supplémentation en micronutriments ;
- Déparasitage ;
- Promotion du suivi du statut nutritionnel ;
- Promotion des jardins potagers ;
- Promotion des bonnes pratiques nutritionnelles (promotion de la nutrition et de
- l’hygiène alimentaire) ;
- Prise en charge des cas de malnutrition.
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
- Mise en place d'un système d'identification des personnes âgées (65ans et plus) ;
- Définition d'une politique de suivi et de prise en charge nutritionnelle;
- Promotion de la consommation des fruits, des légumes et autres aliments riches en micronutriments ;
- Promotion de l’exercice physique.
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
- Promotion du droit à une alimentation et à une nutrition adéquate (quantité et qualité) ;
- Promotion de la notion de nutrition et de sécurité alimentaire des ménages auprès des décideurs ;
- Intégration de la lutte contre la malnutrition dans tous les programmes de développement ;
- Intégration des indicateurs de nutrition parmi les indicateurs de développement et de pauvreté.
Sensibilisation
- Promotion du changement de comportement durable de la population en matière de nutrition et santé (IEC, éducation nutritionnelle, …) à tous les niveaux ;
- Promotion des Actions Essentielles en Nutrition (AEN) ;
- Développement d’un système de communication qui prend en compte la promotion des bonnes pratiques nutritionnelles et la lutte contre les tabous et autres interdits alimentaires.
Mobilisation sociale
- Mobilisation de la communauté pour les activités de santé /nutrition (supplémentation en micronutriments, suivi promotion de la croissance, dépistage communautaire de la malnutrition….).
J. N°10 : Promotion de la recherche en matière de nutrition
- - Recherche opérationnelle
- - Recherche fondamentale
- - Recherche appliquée
K. N°11 : Développement des compétences en matière de nutrition
- Développement des connaissances des prestataires de services en matière de nutrition
- Amélioration des conditions des prestataires à la pratique des activités de la malnutrition (locaux, matériels, intrants, médicaments, personnel qualifié) ;
- Intégration des Actions Essentielles en Nutrition (AEN) notamment la prise en charge de la malnutrition, l’alimentation du nourrisson et du jeune enfant… dans le curriculum des écoles de formation médicale et paramédicale ;
- Renforcement des capacités des établissements sanitaires dans la prise en charge nutritionnelle selon les protocoles mis en place.
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
- Promotion de l’allaitement maternel ;
- Soutien alimentaire (surtout dans les zones affectés par des pénuries alimentaires) et supplémentation en micronutriments en priorisant les enfants, les femmes enceintes et allaitantes ;
- Renforcement des capacités des structures de prise en charge des cas de malnutrition ;
- Intensification et extension des activités de nutrition communautaire dans les zones exposées aux catastrophes naturelles avant une catastrophe pour assurer une bonne préparation à l’urgence et aussi après la catastrophe pour assurer une réhabilitation plus rapide des communautés affectées ;
- Intégration d’une dimension nutritionnelle dans les activités de réhabilitation, (ex. vivre contre travail (VCT), activi
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in the school curriculum|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Vitamin B12|Other B-vitamins|Iodine|Iron and folic acid|Zinc|Fluoride|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC146623","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202010%20Politique%20Nationale%20de%20Nutrition.pdf"
"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"
"39466","MYS","Malaysia","","National Strategic Plan for Non-Communicable Disease","NCD policy, strategy or plan with healthy diet components","","English","","2010","","2014","Ministry of Health Malaysia","","2010","Adopted","","2016","Ministry of Health Malaysia","Health|Food and agriculture|Education and research|Women, children, families|Development|Sport|Transport|Trade|Information|Other","Ministry of Health Malaysia, Ministry of Education, Ministry of Women, Family and Community Development, and other related ministries and government agencies","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","National NGOs","","Research/academia","Academia","Private sector","Federation of Malaysia Manufacturers (MAFMAG)","","Paediatric Society, Civil Society, Associated of Registered Childcare Providers of Malaysia","OBJECTIVES
The general objective of the NSP-NCD is to prevent or delay the onset of CVD and diabetes and their related complications, and to improve their management, thus enhancing quality of life of our population, leading to longer and more productive lifes.
The specific objectives are:
1. To raise the priority accorded to NCDs in development work at global and national levels, and to integrate prevention and control of such diseases into policies across all government departments;
2. To establish and strengthen national policies and plans for the prevention and control of NCDs;
3. To promote interventions to reduce the main shared modifiable risk factors for NCDs: tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol;
4. To promote research for the prevention and control of NCDs;
5. To promote partnerships for the prevention and control of NCDs;
6. To monitor NCDs and their determinants, and evaluate progress at the national, regional and global levels.
","Strengthening existing content & creating new content for health promotion addressing the main diabetes (NCD) risk factors; unhealthy eating and physical inactivity (other NCD risk factors will also be included). The main messages are:
- Increase the awareness of overweight and obesity as a major public health threat
- Inculcate healthy eating habits among Malaysians
- Inculcate active living (physical activity) / exercise among Malaysians
- Increase the awareness of other NCD risk factors and importance of early and regular screenings (family history, smoking status, mental stress, alcohol abuse, dyslipidaemia, hypertension and elevated blood glucose)
- Increase the awareness of Malaysians on total cardiovascular risks
Strengthening of the School Health programmes to include a component involving the family and community, in both health education and health-promoting activities, with emphasis on:
- Increase and re-orient physical education in the curricula
- Promote extracurricular physical activity
- Improve access to healthy food at schools
- Increase barrier to unhealthy food at schools
- School-based NCD risk factor screening & intervention
Strengthening of the Workplace-based Health programmes, in both health education and health-promoting activities, with emphasis on:
- Promoting physical activity
- Improve access to healthy food & increase barrier to unhealthy food
- Workplace-based NCD risk factor screening & intervention
Strengthening of the Community-based Health programmes, in both health education and health-promoting activities, with emphasis on:
- Promoting physical activity
- Improve access to healthy food & increase barrier to unhealthy food (e.g. Kafeteria Sihat and Pasaraya Sihat, or Healthy Cafeteria and Healthy Supermarket)
- Community-based NCD risk factor screening & intervention
Identification and involvement of all relevant stakeholders in strengthening Community-based health programmes in the promotion of healthy diet and physical activity.
Continue to collaborate with the food industries (including food technologists and retailers) to increase the production and promotion of low fat, low sugar foods.
Continue to establish partnerships with the media and advertising industries to promote the messages of healthy eating and being active, together with factual information on obesity and weight reduction. This includes engaging presenters/hosts and celebrities to use the ‘celebrity status’ as ‘role models’ for healthy eating and being physically active.
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Promotion of availability of fresh local fruits and vegetables, via subsidies for farmers, and to hold more regular fairs (e.g. Malaysian Agriculture, Horticulture & Agrotourism (MAHA) show in all states).
To continue to regulate and decrease the content of salt and sugar in all processed food and drink, via regulations and self-regulation by industries
","Table 3: Key Performance Index For NSP-NCD In Malaysia
Diabetes Mellitus (≥18 years):
No. NHMS III (2006) 11.6%
Proposed Target* (2016) <13.6%
Obesity (BMI ≥27.5kg/m2) (≥18 years):
No. NHMS III (2006) 26.2%
Proposed Target* (2016) <33.7%
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.moh.gov.my/images/gallery/nspncd/NSPNCD.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS%202010%20National%20strategic%20plan%20for%20NCD.pdf"
"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"
"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"
"17819","MAR","Morocco","","La Stratégie Nationale de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2011","","2019","Ministère de la Santé","","2011","Adopted","","2012","Ministère de la Santé/Direction de la Population","Health|Food and agriculture|Education and research|Women, children, families|Sport|Industry|Information|Other","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","I. Composante de la Stratégie Nationale de Nutrition
A. Principes directeurs :
Les principes directeurs ci-dessous sont essentiels pour la réussite de la Stratégie Nationale de Nutrition (SNN ):
- Une approche intégrée et multidimensionnelle fondée sur la collaboration entre les différents partenaires et la coordination à tous les niveaux ;
- Un engagement et une mobilisation de la communauté ;
- Un partage de l’information entre les différents intervenants afin d’aider à une prise de décision éclairée ;
- Un renforcement du partenariat public-privé.
B. Vision:
La Stratégie Nationale de Nutrition vise à promouvoir un bon état nutritionnel pour l’ensemble de la population marocaine afin de contribuer à l'amélioration de son état de santé.
Cette stratégie fondée sur l’analyse approfondie de la situation nutritionnelle au Maroc, sur les acquis, les opportunités et prenant en considération les contraintes identifiées, constituera une plateforme pour la planification et la mise en oeuvre de toute intervention dans le domaine de la nutrition.
C. But :
La Stratégie Nationale de Nutrition (2011-2019) a pour but de contribuer à l’amélioration de l’état de santé de la population en agissant sur l’un de ses déterminants majeurs qui est la nutrition.
D. Objectifs spécifiques :
- Améliorer les indicateurs de l’état nutritionnel de la population tout au long du cycle de la vie ;
- Promouvoir un mode de vie sain afin de prévenir les troubles nutritionnels et les maladies chroniques liées à la nutrition ;
- Améliorer l’accessibilité des ménages aux produits alimentaires de qualité et en quantité suffisante ;
- Renforcer les compétences institutionnelles et professionnelles en nutrition ;
- Renforcer les mécanismes de coordination entre les différents intervenants en Nutrition ;
- Développer la recherche et l’expertise en nutrition.
","II. Fondements de la Stratégie Nationale de Nutrition
A. Axes stratégiques et domaines d’intervention :
Axe stratégique 1: Renforcement de la composante nutrition dans les programmes de santé :
Plusieurs programmes de santé intégrant la composante nutrition doivent être renforcés afin de contribuer à l’amélioration du statut nutritionnel de la population marocaine. Ainsi, trois domaines d’intervention ont été retenus.
1.Promotion de l’alimentation du nourrisson et du jeune enfant
2.Prévention et prise en charge des troubles nutritionnels durant le cycle de vie
3.Prévention et lutte contre les carences en micronutriments.
Axe stratégique 2 : Renforcement de la sécurité alimentaire et sanitaire :
La sécurité sanitaire des aliments constitue une priorité. Elle doit être accompagnée de mesures réglementaires pour assurer l’accessibilité, l’hygiène et l’innocuité des aliments.
4.Renforcement d’un approvisionnement durable en aliments surs et sains
Axe stratégique 3 : Intégration de la composante nutrition dans les programmes éducatifs et dans les actions communautaires :
Les politiques et programmes scolaires et universitaires devraient favoriser l’adoption d’une alimentation saine et une pratique de l’exercice physique. Aussi, la participation communautaire s’avère utile pour modifier les normes sociales en matière d’alimentation.
5.Promotion de la nutrition dans le milieu scolaire et universitaire.
6.Promotion de la nutrition au niveau communautaire.
Axe stratégique 4 : Développement de mesures d’appui à la Stratégie Nationale de Nutrition :
Des mesures d’accompagnement en rapport avec l’Information, Education et Sensibilisation, la surveillance nutritionnelle, le développement de la recherche et de l’expertise sont la clé du succès de la stratégie.
7.Mise en place d’un plan d’Information, Education et Sensibilisation en matière de nutrition
8.Mise en place d’un système de surveillance nutritionnelle
9.Développement de la recherche et de l’expertise en matière de nutrition
","Indicateurs : (Valeur actuelle, Valeur 2012, Valeur 2019)
Taux de pratique de la mise au sein précoce : (52%, 80%, 90%)
Prévalence de l’insuffisance pondérale chez les enfants de moins de 5 ans : (10%, 8%, 5%)
Allaitement maternel exclusif (0-6mois) : (15%, 50%, 60%)
Pourcentage des femmes qui donnent une alimentation de complément adéquate : (20% 30 % 50%)
Prévalence de la carence en vitamine A chez les enfants <5 ans : (41%, 10%, Élimination)
Incidence de l’hypothyroïdie congénitale : (1/1952, -, Élimination)
Prévalence d’anémie ferriprive
- Femmes enceintes : (37.2%, 31.5%, 18 %)
- Enfants de moins de 5 ans : (25%, 21%, 16%)
- Hommes : (20%, 18 %, 12 %)
La prévalence des malformations du tube neural : (3.3/1000 naissances vivantes, 3/1000 naissances vivantes, 1.5/1000 naissances vivantes)
Prévalence de surpoids chez les enfants < 5 ans : (14%, 9%, 7%)
Prévalence de la surcharge pondérale chez les adultes de plus de 20 ans : (44%, 40%, 30%)
Pratique de l’activité physique chez la population marocaine : (50%, 55%, 70%)
Pratique de l’activité physique chez les enfants en milieu scolaire : (50%, 55%, 80%)
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202011%20Strategie%20Nationale%20de%20Nutrition.pdf"
"11530","MOZ","Mozambique","","Plano de Acção Multissectorial de Redução da Desnutrição [Multisectoral plan for chronic malnutrition reduction 2011 – 2014 (2020)]","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2014","MAPUTO","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Urban planning|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) -","Other|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID),","","","","","","","","","","","GENERAL OBJECTIVE:
To accelerate the reduction of chronic undernutrition in children under 5 years of age from 44% in 2008 to 30% in 2015 and 20% in 2020, contributing to the reduction of infant morbidity-mortality and ensuring the development of a healthy and active society.
GOALS FOR EACH TARGET GROUP:
Adolescents
• Reduce anaemia rates in adolescents in and out of school from (estimated) 40% in 2010 to 20% in 2015 and 10% in 2020.
Pregnant and nursing women
• Reduce rates of anaemia during pregnancy from 53% in 2002 to 30% in 2015 and 15% in 2020.
• 30% increase in the number of women who gain 5kg during pregnancy in 2015 and 2020 (baseline to be assessed).
• Reduce iodine deficiency in pregnant women from 68% in 2004 to 35% in 2015 and 15% in 2020.
• Increase coverage rates of preventive postpartum administration of vitamin A from 60% in 2010 to 70% in 2015 and 90% in 2020.
Women of Reproductive Age
• Reduce rates of anaemia in women of reproductive age from 56% in 2010 to 30% in 2015 and 15% in 2020.
Children under 5 years of age, with emphasis on children under 2 years of age:
• Reduce Low Birth Weight from 15% in 2008 (MICS) to 10% in 2015 and 5% in 2020.
• Reduce the prevalence of chronic undernutrition in children under two years from 37.4% in 2008 (MICS) to 27% in 2015 and 17% in 2020.
• Increase the rates of exclusive breastfeeding in infants under six months from 37% in 2008 (MICS) to 60% in 2015 and 70% in 2020.
• Increase the rate of children aged 9-11 months who received at least three meals of complementary food during the day, from 37% in 2008 (MICS) to 52% in 2015 and 67% in 2010.
• Reduce the prevalence of anaemia in children from 74% in 2002 to 30% in 2015 and 15% in 2020.
Strategic Objectives:
1: To strengthen activities with impact on the nutritional status of adolescents.
2: To strengthen interventions with impact on the health and nutrition of women of reproductive age before and during pregnancy and lactation.
3: To strengthen nutrition activities for children in the first two years.
4: To strengthen household-oriented activities to improve access and utilization of foods with a high nutritional value.
5: To strengthen the Human Resources capacity in the area of nutrition.
6: To strengthen the national capacity for advocacy, coordination, management and progressive implementation of the Multisectoral Action Plan for the Reduction of Chronic Undernutrition.
7: To strengthen the food and nutrition surveillance system.
","Interventions/Activities included in the Activity Plan of the PDF
","M & E Indicators included in the Activity Plan of the PDF (Section 5.2)
","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.who.int/nutrition/landscape_analysis/MozambiqueNationalstrategyreductionstunting.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf"
"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"
"25713","HRV","Croatia","","Nacionalnu Strategija Razvoja Zdravstva 2012–2020 [National Strategy for Health Development 2012-2020]","Health sector policy, strategy or plan with nutrition components","","Croatian","","2012","","2020","Official Gazette of the Republic of Croatia","10","2012","Adopted","9","2012","Croatian Parliament","Cabinet/Presidency|Health|Food and agriculture|Education and research|Sport","","","","","","","","European Commission","","","","Research/academia","Croatian Institute for Public Health","Private sector","Food Industry","","","Prioritet 1: Razvoj informatizacije i eZdravstva
Prioritet 2: Jačanje i bolje korištenje ljudskih resursa u zdravstvu
Prioritet 3: Jačanje upravljačkih kapaciteta u zdravstvu
Prioritet 4: Reorganizacija ustroja i djelovanja zdravstvenih ustanova
Prioritet 5: Poticanje kvalitete u zdravstvenoj zaštiti
Prioritet 6: Jačanje preventivnih aktivnosti
Naglasak u prevenciji treba biti na najvećim zdravstvenim problemima tanovništva Hrvatske – kroničnim nezaraznim bolestima, zloćudnim bolestima, ozljedama, mentalnim poremećajima te rizičnim oblicima ponašanja, uključujući pušenje, zlouporabu alkohola i droga, tjelesnu neaktivnost i loše prehrambene navike. Intervencije trebaju biti usmjerene i ka prevenciji i liječenju kronične boli koja je tipičan i vrlo čest simptom kroničnih nezaraznih bolesti s vrlo negativnim utjecajem na kvalitetu života. U prevenciji pretilosti i alergijskih bolesti u predškolske djece ključno je poticati dojenje, među ostalim i donošenjem Zakona o zaštiti i promicanju dojenja čiju izradu je resorno ministarstvo, u suradnji s UNICEF-om, započelo još 1993. godine.
Prioritet 7: Očuvanje fi nancijske stabilnosti zdravstva
Prioritet 8: Suradnja s drugim resorima i društvom u cjelini
","Tablica 6. Mjere predviđene u okviru prioriteta 6. Jačanje preventivnih aktivnosti
6.1 Povećanje udjela izdvajanja za preventivne programe i aktivnosti
6.2 Poticanje preventivnih aktivnosti u svim područjima zdravstvene zaštite
6.3 Poboljšanje upravljanja preventivnim aktivnostima
6.4 Uspostava modela ugovaranja zdravstvene zaštite temeljenog na mjerljivoj uključenosti u preventivne aktivnosti
6.5 Razvoj analitičkih kapaciteta Hrvatskog zavoda za javno zdravstvo
6.6 Jačanje sustava praćenja, nadzora i prevencije zdravstvenih rizika koji su određeni čimbenicima okoliša
6.7 Razvoj zdravstvene komponente sustava za rano uzbunjivanje i djelovanje na prijetnje zdravlju
","","","","Overweight in children 0-5 yrs|Right to health|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Food safety","","https://zdravlje.gov.hr/dokumenti/10","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202012%20National%20Health%20Development%20Strategy.pdf"
"40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
- To reduce the level of malnutrition among infants, children and adults
- To reduce barriers to optimal infant and young child feeding practices and to improve support to women, their partners, caregivers of children, health workers and the community to comply with recommendations for IYCF.
- To reduce morbidity and mortality due to non-communicable disease in the country.
","Nutrition Policy Statements
- All women of reproductive age and their partners, spouses, and families shall have access to health education and counselling on importance of maintaining adequate overall nutritional status prior to pregnancy and its impact on reproductive ability /outcomes.
- All mothers shall receive appropriate prophylactic micronutrient supplements during antenatal care, delivery and during lactation.
- All women, their partners, spouses, and families shall receive counselling and support on breastfeeding and maternal nutrition during ANC, delivery and during post-partum period.
- All health facilities shall provide Baby-Mother Friendly Initiative services through the implementation of the Ten Steps to Successful Breastfeeding as per the national nutrition guidelines.
- All mothers will be supported to initiate breastfeeding within the first half hour of birth and continue with exclusive breastfeeding up to 6 months.
- Every health facility shall have a breast feeding support group to help support, promote and protect breastfeeding. Whether health facility-based or community-based, the support group shall meet in publicly accessible venues, and shall invite participation of family, partners, and spouses in learning and building home-based support for breastfeeding.
- Marketing of all breast milk substitutes shall not be allowed in Namibia. The MoHSS will not market, recommend, or endorse substitutes for breast milk in Namibia
- Mothers, fathers, partners, family members, and infant caregivers shall be counselled to introduce adequate and appropriate complementary feeding to their infants at the age of 6 months with continued breastfeeding for the first 2 years of life or beyond.
- All mothers known to be HIV infected shall be encouraged to breastfeed their infants exclusively for the first six months of life, introduce appropriate complementary foods thereafter as per IYCF, PMTCT and ART guidelines.
- Growth monitoring, promotion of optimal infant and young child feeding practices, and nutrition intervention for the prevention and management of micronutrient deficiencies and malnutrition shall be provided to all children under-five years of age both in the health facilities and at outreach points.
- Micronutrient deficiency shall be prevented, identified and treated through routine health facility assessment, supplementation and campaigns.
- All infants should receive micronutrient supplements such as Vitamin A as per national nutrition guidelines.
- All children over the age of one through school years or up to 15 years of age shall receive deworming treatment twice a year through MOHSS and through the school system as appropriate.
- All cereal staple flours and products thereof shall be fortified with micronutrient/s.
- All salt for human and animal consumption will be fortified with iodine.
","Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf"
"43355","RUS","Russian Federation","","Национальная стратегия действий в интересах детей на 2012 - 2017 годы / National Strategic Action Plan for Child Protection 2012-2017","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Russian","","2012","","2017","Ministry of Labor","6","2012","Adopted","6","2012","President of the Russian Federation","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sport|Information|Justice","","","","","","","","","","National NGOs","","","","","","","Institutions for child education, healthcare and child sanatoriums. Social child centers.","Сбережение здоровья каждого ребенка. В Российской Федерации должны приниматься меры, направленные на формирование у семьи и детей потребности в здоровом образе жизни, всеобщую раннюю профилактику заболеваемости, внедрение здоровьесберегающих технологий во все сферы жизни ребенка, предоставление квалифицированной медицинской помощи в любых ситуациях.
Особое внимание уязвимым категориям детей. В Российской Федерации во всех случаях особое и достаточное внимание должно быть уделено детям, относящимся к уязвимым категориям. Необходимо разрабатывать и внедрять формы работы с такими детьми, позволяющие преодолевать их социальную исключенность и способствующие реабилитации и полноценной интеграции в общество.
","Формирование потребности у детей и подростков в здоровом питании и совершенствование системы обеспечения качественным питанием детей в образовательных учреждениях, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
4. Меры по развитию политики формирования здорового образа жизни детей и подростков
- Обеспечение реализации комплекса мероприятий социальной рекламы, направленных на формирование здорового образа жизни, профилактику суицидального поведения среди несовершеннолетних, информирование о деятельности служб поддержки и экстренной психологической и социально-правовой помощи, в том числе через сеть ""Интернет"", телефоны службы анонимного консультирования.
- Привлечение институтов гражданского общества, развитие волонтерского движения в целях решения проблем, связанных с формированием у детей и подростков потребности в здоровом образе жизни и получением поддержки и помощи в ситуациях, связанных с риском причинения вреда здоровью.
- Распространение здоровьесберегающих технологий обучения, технологий ""школа здоровья"" на все образовательные учреждения, включая организации для детей-сирот и детей, оставшихся без попечения родителей.
- Обеспечение доступности занятий физической культурой, туризмом и спортом для всех категорий детей в соответствии с их потребностями и возможностями с ориентацией на формирование ценностей здорового образа жизни.
- Внедрение инновационных оздоровительных и физкультурно-спортивных технологий в работу образовательных учреждений и организаций.
- Активизация деятельности центров здоровья для детей в сфере проведения обследования детей, обучения их гигиеническим навыкам и мотивирования к отказу от вредных привычек.
6. Меры по формированию культуры здорового питания детей и подростков, обеспечению качества и режима питания как залога здоровья ребенка
Организация просветительской работы с использованием специальных обучающих программ, средств массовой коммуникации, включая интернет-технологии, социальную рекламу, по формированию культуры здорового питания.
- Осуществление мер по совершенствованию системы обеспечения качественным горячим питанием воспитанников дошкольных учреждений и обучающихся в общеобразовательных учреждениях и учреждениях начального профессионального образования.
- Обеспечение регулярных проверок качества питания в образовательных, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
- Организация особого контроля за обеспечением качественным питанием больных детей, страдающих социально значимыми заболеваниями.
- Реализация программ гигиенического воспитания в целях предоставления детям возможности осуществлять информированный выбор в вопросах здорового образа жизни.
Расширение профилактики вертикальной передачи ВИЧ-инфекции и СПИДа, включая обязательное дородовое обследование беременных женщин независимо от наличия у них регистрации по месту жительства и гражданства, бесплатное обеспечение кормящих ВИЧ-инфицированных матерей молочными смесями для кормления ребенка, с привлечением средств, предусмотренных для реализации приоритетного национального проекта ""Здоровье"".
","- Доступность физкультурно-спортивной, туристической инфраструктуры для всех категорий детей с учетом их индивидуальных потребностей.
- Увеличение доли детей и подростков, систематически занимающихся физической культурой и спортом.
- Обеспечение детей качественным и здоровым питанием как в семье, так и в образовательных, медицинских и оздоровительных учреждениях
- Искоренение вертикальной передачи ВИЧ-инфекции, появление поколений, родившихся без ВИЧ-инфекции.
","","","Maternity protection|Right to health|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Creation of healthy food environment|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|HIV/AIDS and nutrition|Household food security|Improved hygiene / handwashing|Conditional cash transfer programmes|Vulnerable groups","","https://mintrud.gov.ru/docs/16","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202012%20National%20Child%20Protection%20Strategy%202012-2017.pdf"
"11533","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Security Policy 2012 - 2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Ministry of Health and Sanitation","","2012","Adopted","","","SUN","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade","Ministry of Health and Sanitation, MAFFS, MEST, MOFED, MFMR and MOTI","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Helen Keller International (HKI)","NGOs and Faith Based Organisations, NFFA","","","","","","","Research/academia","schools, research and training institutions, SLARI and Njala University","Private sector","food production parties","Other","Nutrition Technical Committee; Small scale farmers, relevant organizations that could provide storage, facilities, resources; banks, microfinance institutions, mass media","Goal:
The overall goal of the National Food and Nutrition Policy is to contribute to the improved health, social and economic well-being of all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups.
General Objective:
To improve the current nutritional status of the population, especially infants and young children, pregnant and lactating women and other vulnerable groups in Sierra Leone
Specific Objectives (SO):
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on nutrition and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy the daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices by households.
IV. To strengthen preventive measures against nutrition related diseases
V. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
VI. To institute a nutritional surveillance system for monitoring the food and nutrition situation in the country.
VII. To promote operational research and periodic surveys into food and nutrition issues
VIII. To coordinate activities of relevant agencies involved in food and nutrition issues
","SO 1 Strategies:
- Communicate nutrition policy at national and district levels
- Develop mechanism to involve other sectors in formulation of food and nutrition activities at national and district levels
- Develop a continuous programme for dissemination of information to key decision makers at national and district levels
- Explore avenues within programmes of relevant sectors to integrate nutrition using the “Nutrition Lens” (NL) approach7
SO 2 Strategies:
- Ensure availability of adequate and appropriate technologies together with improved agricultural inputs at the appropriate time especially for the poorer groups
- Expand Operation Feed the Nation programme9 to cover all vulnerable districts
- Integrate nutrition activities into the Farmer Field School programme, which is designed for decentralized community-based market organizations10 or Agricultural Business Centres.
- Establish partnership with consumer protection organisations
- Strengthen and implement community based agriculture extension services
- Collaborate with private sector to improve food storage, processing with value addition, marketing and distribution systems for local markets
- Document, promote and improve indigenous food processing techniques and their use at the household level
- Train communities on different food processing, preservation and packaging techniques
- Promote food diversification in communities and at all levels
- Identify and implement income generating ventures which are sustainable for rural women
- Encourage and provide support for dry-season gardening for vulnerable households to ensure access to food supplies all year round.
- Strengthen and implement national food standards and laws including code and guidelines on food safety and hygiene for locally produced and imported foods
SO 3 Strategies:
- Develop, adopt and implement Code on Marketing of Breast Milk Substitutes
- Promote and strengthen the implementation of Baby Friendly Hospital Initiative (BFHI) and Baby Friendly Community Initiative (BFCI)
- Support the promotion of exclusive breast feeding for HIV - exposed infants aged 0 – 6 months and continuous breast feeding until 12 months while complementary food is added at 6 months and mother continues to take triple ARV or lifelong ART.
- Promote complete weaning from breast milk at 12 months for HIV- exposed infants while mothers who do not yet require ART for their own health should stop triple ARV one week after the cessation of all breast feeding.
- Promote appropriate complementary feeding for children from six months to two years, and optimum feeding practices for children 2-5 years
- Develop nutrition messages aimed at decision makers in households (fathers, grandmothers)
- Integrate feeding counseling for pregnant and lactating women into antenatal, post natal and outreach services.
- Support adequate dietary and nutritional intake as part of successful treatment programme for persons with TB and/or HIV through provision of nutritional counseling and linking individuals to services
SO 4 Strategies:
- Ensure mass distribution/routine of vitamin A capsule to children 6-59 months of age and postpartum women
- Ensure routine de-worming of children 12-59 months and pregnant women in the second trimester
- Intensify the delivery of the integrated ante-natal, post natal and family packages using available structures at community level.
- Promote the production and consumption of locally available micronutrient-rich foods.
- Fortify widely consumed foods such as wheat flour and locally produced complementary foods with iron, B vitamins, vitamin A and other appropriate minerals
- Collaborate with relevant programme managers to strengthen and implement packages (ante-natal, post natal and family)
- Ensure that all salt for human and animal consumption is fortified with adequate levels of iodine
- Strengthen other public health measures to protect the vulnerable groups, such as increased access to potable water and sanitation facilities
- Ensure that all health and other relevant personnel are trained on the appropriate application of guidelines for the nutritional management of people living with HIV/AIDS (PLHIV) and tuberculosis (TB) patients.
- Use Essential Nutrition Actions (ENA) to consolidate the technical content of the various nutrition messages to serve as the basis for education and information sharing
- Promote and implement community based Growth Monitoring and Promotion (GMP)
- Use all available channels of communication1 for public education on food and nutrition
SO 5 Strategies:
- Ensure effective therapeutic and supplementary feeding for sick and malnourished children based on local foods
- Establish functional nutrition units comprising nutrition and catering staff and headed by a nutritionist/dietician in all hospitals
- Revise national protocol on CMAM Conduct training and capacity building activities for health workers and health volunteers to equip them to implement the CMAM approach and protocols as well as supplementary feeding.
- Use all available channels of communication for sensitizing communities on availability of services for malnourished children
- Scale up the Community-Based Integrated Management of Child Illness (CBIMCI) initiative in all districts of the country
- Create awareness and mobilize communities to utilize available nutrition services within the PHUs
- Conduct training and capacity building activities for health workers and health volunteers on nutritional assessment, education and counseling with specific focus on PLWHA and TB clients including infant feeding.
- Scale up nutritional rehabilitation of malnourished PLWHA and TB clients (incl. support for affected households where necessary), as well as livelihood activities to enable continuum of care
SO 6 strategies:
- Develop early warning system incorporating food security and nutrition status indicators
- Adapt child growth chart using the new 2006 WHO standards
- Promote and implement Community based Growth Monitoring and Promotion (CBGMP)
SO 7 strategies:
- Collaborate closely with researchers to identify and carry out action oriented research on food and nutrition issues.
- Ensure that appropriate nutrition issues are incorporated into national surveys
- Collaborate closely with researchers in conducting nutrition surveys
SO 8 Strategies:
- Develop and implement appropriate structures to implement and coordinate nutrition activities
- Strengthen linkages among key stakeholders to enhance effective implementation of nutritional activities including food security
","","","","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|Minimum acceptable diet|Fruit and vegetable intake|Fruits|Vegetables|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|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|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Vitamin B12|Micronutrient supplementation|Nutrition education|Wheat flours|Rice|Staple foods|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","The Food and Nutrition Security Implementation Plan has been aligned with the WHA Global Nutrition Targets as follows: 1) Stunting (baseline: 34%, 2017 target: 28.5%); 2) Anaemia in women of reproductive age (baseline: 45%, 2017 target: 36%), anaemia in children (baseline: 76%, 2017 target: 51%); 3) Low birth weight; 4) Child overweight (baseline: 8%, 2017 target: 5.6%); 5) Exclusive breastfeeding (baseline: 32%, 2017 target: 60%); and, 6) Wasting (baseline: 6.9%, 2017 target: 4.8%).","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202012%20Sierra%20Leone%20Nutrition%20Policy%20pdf%20version.pdf"
"14829","ZWE","Zimbabwe","","Food and Nutrition Security for Zimbabwe in the context of Economic Growth and Development","Comprehensive national nutrition policy, strategy or plan","","","","2012","","","Food and Nutrition Council","","2012","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Sport|Trade|Transport|Women, children, families","Food and Nutrition Council Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Sport, Trade, Transport, Women, children, families: Labour and Social Services, Energy,","","","","","","","","","","","","","","","","","Policy Commitments
1. Policy Advice and Analysis:
The government of Zimbabwe is committed to ensuring that policy instruments that protect and enhance food and nutrition security particularly amongst the most vulnerable, are formulated and inform Government and non-Government decision-making and action.
2. Agriculture and Food Security:
The Government of Zimbabwe is committed to ensuring food security for all, including access to adequate, diverse and nutritious food by all people at all times
3. Social Assistance and Social Protection:
The government of Zimbabwe is committed to ensuring that where social protection including social assistance programmes are implemented , these must contribute and enhance food and nutrition security of the most vulnerable in the short and medium term.
4. Food Safety and Standards:
The government of Zimbabwe is committed to the provision of safe and wholesome food to all. Consequently, all food whether imported or locally produced shall meet national Public Health legislation and international standards for quality and safety.
5. Nutrition Security:
The government of Zimbabwe is committed to ensuring nutrition security for all through the implementation of evidence-based nutrition interventions that are integrated within a broad public health framework including health services, water and sanitation.
6. Food and Nutrition Security Information:
The Government of Zimbabwe is committed to ensuring a national integrated food and nutrition security information system that provides timely, reliable information on the food and nutrition security situation, effectiveness of programmes and informs decision-making.
7. Enhancing and strengthening national capacity for food and nutrition security:
The Government of Zimbabwe is committed to enhancing and strengthening national capacity in food and nutrition security primarily through supporting and reinforcing local community capacity and responsibility for food and nutrition security, applied context-specific research and learning and multi-sectoral professional training in food and nutrition security
","","Activity and Output (Quartely):
- Performance and capacity of integrated food and nutrition security team
- Resources for food and nutrition security mobilised
- Trainings for food and nutrition security held
- Food and nutrition security interventions in place
- Learning and scale-up achieved
Outcome (Annually):
- Socioeconomic policies in place that promote equity in food and nutrition security
- Food security
- Social assistance
- Food safety and Standards
- Nutrition security
- Information: Assessment, analysis and early warning
- National capacity for food and nutrition security
- Sector-specific policies and strategies in place
Impact (Every 3-4 years):
- Prevalence of stunting (<-2 Z scores height for age)
- Prevalence of underweight (<-2 Z scores weight for age)
- Prevalence of wasting (<-2 Z scores weight for height)
- Prevalence of thinness among women aged 15- 49 (BMI<18.5) l Prevalence of obesity among women aged 15- 49 (BMI >25)
- Prevalence of micronutrient deficiencies
- Percentage of households living below poverty line
- Percentage food insecure households
- Food diversity/ consumption score
- Child mortality, access to clean water, adequate sanitation
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Maternal, infant and young child nutrition|Breastfeeding in difficult circumstances|Nutrition in schools|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Food labelling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"23744","BLZ","Belize","","National Plan of Action for the Prevention and Control of non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2023","Ministry of Health","","2013","","","","","Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Trade","Ministry of Health","Other|World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","Private sector","","","","To reduce premature mortality from NCDs the chronic disease burden by 25% by 2023. This will be achieved by combining integrated action on NCD risk factors and their underlying determinants and strengthen health systems so as to reduce NCD morbidity & mortality.
","Risk factor reduction, health promotion and communications:
Objectives
- To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of healthy foods by the Belizean public.
- To develop and implement policies and strategies that promote physical activity.
Activities
- Review Food & Nutrition Security policy ensuring the inclusion of salt reduction, saturated fats, trans fats & sugar
- Continue the efforts with the Bureau of Standards in food labelling
- Develop/revise school physical education and nutrition policies
- Implement and monitor policies related to alcohol, tobacco, physical education, nutrition and healthy eating
- Devise and implement a comprehensive health communication strategy
- Vendor education, industry dialogue and support for the voluntary reduction of salt, fat and sugar in locally produced food
- Support population-based,community and work-based initiatives for physical activity and health living
- Maintain social mobilization activities such as Wellness Week, Caribbean Nutrition Day to engage more people in healthier living
- Engage media in the promotion of NCD agenda e.g.increasing public awareness on diet and physical activity; voluntary regulation of alcohol advertising and promotion, especially ads aimed at young people, particularly during primetime
- Operational Food & Nutrition Security policy by end 2015
- Operational policies to support healthy eating and physical education in schools by end 2015
- Policies to reduce the impact on children of marketing of foods &non-alcoholic beverages high in saturated fats, trans fatty acids, free sugars, or salt by end 2023
","- 10% relative reduction in the prevalence of insufficiently physically active adolescents, defined as less than 60 minutes of moderate to vigorous intensity activity daily b by end 2030 (baseline: tbd)
- Age-standardised prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit & vegetables per day(baseline total/males/females: <2/day)
- Age-standardised prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol Q5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration(baseline (%) total/males/females: 5.1/4.1/6.0)
- 10% reduction in sedentarism by end 2023 (baseline adults (%) total/males/females:
77.7/75.4/80.4)
- 0% increase in adult and/or overweight, obesity and Type II diabetes by end 2023 (baseline diabetes (%) total/males/females:13.1/8.3/17.6); baseline overweight/obesity (%): 66.3/59.2/80.4)
- 25% relative reduction in the prevalence of raised blood pressure by 2023 (baseline (%) total/males/females: 28.7/28.6/24.4)
- 0% increase in the prevalence of overweight and obesity in adolescents by end 2023
","","","Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Food labelling|Regulating marketing of unhealthy foods and beverages to children","","http://www.iccp-portal.org/sites/default/files/plans/Belize%20NCD%20Strategic%20Plan%20-2013-2023.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLZ_2013_NPAPCNCDs.pdf"
"39415","BOL","Bolivia (Plurinational State of)","","Atención Integrada al contínuo del curso de la vida","Health sector policy, strategy or plan with nutrition components","","Spanish","","2013","","","Ministerio de Salud y Deportes","","2013","Adopted","","2014","Ministerio de Salud","Sport","Ministerio de Salud","World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","","","","","Promover:
- El consumo de 5 comidas al día, 3 comidas principales y dos meriendas, no dejar de tomar el desayuno.
- Que coma una variedad de alimentos frescos cada día: Cereales (arroz, quinua, maíz, etc.); frutas de la estación, legumbres, verduras, carne con poca o sin grasa; leche y sus derivados (queso, yogurt).
- Que coma alimentos ricos en hierro: Carnes rojas, vísceras, hojas verdes, leguminosas (ej. Lentejas, habas, arvejas secas).
- Que coma lentamente, masticando bien los alimentos.
- El consumo de agua segura (potable): 2 litros al día.
- La preparación de alimentos con sal fluorada y yodada.
- Consumir alimentos fortificados (harina, leche, aceite, etc.).
- El lavado de manos, antes de comer, después de ir al baño y antes de preparar los alimentos.
- La práctica de ejercicios todos los días, al menos durante 30 minutos. Si se quiere perder.
","La capacitación del personal de salud, en estos procedimientos, es el punto de inicio de la operativización del enfoque del continuo de atención, reconociendo que será necesario, a corto plazo, desarrollar y/o fortalecer otras actividades que permitan una plena aplicación de este enfoque.
","El ‘continuo de atención’ y el contexto necesario:
- Sistemas de seguimiento, monitoreo , supervisión y evaluación establecidos y funcionales.
","","","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|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary food provision|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Food distribution/supplementation for prevention of acute malnutrition","","http://saludpublica.bvsp.org.bo/textocompleto/ncontinuo32458.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202013%20Atenci%C3%B3n%20Integrada%20al%20Continuo%20del%20Curso%20de%20la%20Vida.pdf"
"23538","GRD","Grenada","","Food and Nutrition Security Policy and Plan of Action","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2018","Government of Grenada","","2013","","","","Ministry of Agriculture","Nutrition council|Health|Food and agriculture|Education and research|Sport","Government of Grenada, Education and research, Social Development, Health, Nutrition Council, Sports","Food and Agriculture Organisation (FAO)","","","","","","","","National NGOs","Grenada Community Development Agency (GRENCODA)","","","Private sector","National Lottery Authority, private businesses","","","Food Access
Policy Goal 1 : Ensure adequate access to safe, nutritious, culturally acceptable, and affordable food for all, with special emphasis on the most vulnerable groups.
Objective 1: Increase the access to food among food insecure and vulnerable groups as identified in the GFNS Policy in order to achieve the right to food.
Objective 2: Improve the capacity of the vulnerable groups at the community level to address their food and nutrition security needs by focusing on initiatives that promote participation and empowerment
Food Utilization and Nutritional Adequacy
Policy Goal 1: To improve the nutritional status of all, with emphasis on those suffering from malnutrition
Objective 1 : Achieve widespread adherence to World Health Organization (WHO/PAHO) guidelines for infant and young child feeding
Objective2: Achieve widespread adherence to WHO/PAHO guidelines on feeding for young children and teens (3-18 years)
Objective 3: Reduce the prevalence of obesity and the associated health consequences
Objective 4: Improve the efficiency and effectiveness of nutrition interventions through better targeting
Objective 5 : Policy makers act based on knowledge and understanding of the detrimental effects of nutritional related diseases and the benefits for society and population of appropriate interventions
Objective 6: Change food consumption patterns and align them with national population dietary goals
","Specific strategies and activities are included in pages 41-54 of the document
","2. ACTIONS TO IMPROVE FOOD ACCESS
Policy Goal 1: Ensure adequate access to safe, nutritious, culturally acceptable, and affordable food for all, with special emphasis on the most vulnerable groups.
Policy Objective 1 Increase the access to food among food insecure and vulnerable groups as identified in the GFNS Policy, in order to achieve their right to food
Indicator (s):
% of the food insecure and vulnerable population who permanently access adequate amounts of food that is safe and culturally acceptable to meet all their nutritional requirements (percent broken down by different food insecure and vulnerable groups as identified in the GFNS Policy)
Target:
Overall 90% of the food insecure and vulnerable population
Policy Objective 2: Improve the capacity of food insecure and vulnerable groups at the community level to address their food and nutrition security needs by focusing on initiatives that promote participation and empowerment
Indicator (s):
% of members of identified food insecure and vulnerable groups involved in food and nutrition initiatives at community level
Target:
Overall 60% of members of identified food insecure and vulnerable groups involved in food and nutrition initiatives at community level; percent broken down by different groups
3: ACTIONS TO IMPROVE FOOD UTILIZATION AND NUTRITIONAL ADEQUACY
Policy Goal 1: Improve the nutritional status for all, with emphasis on those suffering from malnutrition
Objective 1: Achieve widespread adherence to World Health Organization (WHO/PAHO) guidelines for infant and young child feeding
Indicator
% of mothers breastfeed exclusively for the first three month
% of mothers breastfeed for at least six months
% of children less than 1 year old whose iron store are above 11mg
Target
20% of mothers exclusively breastfeed for the first three months
40% of mothers breastfeed for 6 months
Decrease in the prevalence of iron deficiency anaemia by at least 10% in children less than 1 year old below 11mg
Objective 2: Achieve widespread adherence to WHO/PAHO guidelines on feeding for young children and teens (3-18 years)
Indicator (s):
# of pre-primary, primary and secondary educational institutions with programmes implemented in accordance with feeding guidelines
Target:
At least 65% of pre-primary, of primary and of secondary educational institutions each have established programmes on feeding guidelines
Objective 3: Reduce the prevalence of obesity and the associated health consequences
Indicator:
% of persons whose BMI is above 30 kg/m² broken down by age group and gender
Target:
At least a 5% decrease each year in the prevalence of obesity in teenage women, adult men and women and among the elderly
Objective 4: Improve the efficiency and effectiveness of nutrition interventions through better targeting
Indicators:
Inclusion and exclusion errors of major nutrition interventions
Brief assessment reports with recommendations for targeting improvements
Targets:
Reduction of 10% each year in the inclusion and exclusion errors of major nutrition interventions
All nutrition inventions implemented
Assessment reports submitted each year for each major nutrition intervention
Objective 5: Policy makers act based on knowledge and understanding of the detrimental effects of nutrition-related diseases and of the benefits for society and the population of appropriate interventions
Indicators:
% of MOH and MOA budgets allocated to food and nutrition interventions
% of budget allocations actually expended
# of legislative bills enacted by Parliament in relation to food and nutrition
Targets:
At least a 2% increase annually in budget allocations (adjusted for inflation) to food and nutrition interventions in the MOH and MOA budgets
0% expenditure gaps (=difference between allocation and actual expenditure) in both budgets
Objective 6: Change food consumption patterns and align them with national population dietary goals
Indicator:
% of persons whose dietary intake falls within plus or minus 10% of the established dietary goals
Target:
Increase by 30% the number of persons whose dietary intake falls within plus or minus 10% of the dietary goals for CHO, Fat, Pro and iron
","","","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|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Sodium/salt intake|Total carbohydrate|Sugar intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|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|Taxation on unhealthy foods|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GRD%202013%20Food%20and%20nutrition%20security%20plan%20of%20action.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"
"23783","MEX","Mexico","","Estrategia Nacional para la Prevencion y el Control del Sobrepeso, la Obesidad y la Diabetes","NCD policy, strategy or plan with healthy diet components","","Spanish","","2013","","2018","Health ministry","","2013","Adopted","","2013","Secretaría de Salud","Health|Food and agriculture|Education and research|Development|Sport","","","","","Education ministry, sports and culture ministry, Ministry of Agriculture, Livestock, Rural Development, Fisheries and Food, Civil society, academia, health institutes","","","","","","","","","","","","","1. Promover la consolidación de una cultura que facilite la adopción de estilos de vida que mantengan la salud de las personas.
2. Detectar oportuna y masivamente el universo de casos de sobrepeso, obesidad y diabetes para garantizar su adecuado control y manejo.
3. Generar una plataforma que permita contar con recursos humanos capacitados e insumos suficientes para hacer efectivo el acceso a los servicios de salud.
4. Incrementar el número de pacientes en control metabólico con diabetes mellitus tipo 2.
","Promoción de la alimentación correcta a nivel individual y colectivo (familia, escuela, sitio de trabajo y comunidad)..
Promoción de la actividad física a nivel individual y colectivo (familia, escuela, sitios de trabajo y comunidad)
Establecimiento de las pautas generalizadas para las acciones de prevención de enfermedades no transmisibles en todo el sector salud
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Saturated fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|School fruit and vegetable scheme|School milk scheme|School gardens|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|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|Wheat flours|Maize flours|Food security and agriculture|Conditional cash transfer programmes","","http://plataformacelac.org/politica/259","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MEX_2015%20Estrategia%20con%20Portada.compressed.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"
"39352","BRA","Brazil","","Estratégia Intersetorial de Prevenção e Controle da Obesidade: “orientando sobre modos de vida e alimentação adequada e saudável para a população brasileira","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Portuguese","","2014","","","Health ministry","","2014","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Sport|Environment","","","","","","","","","","National NGOs","","","","","","","","Objetivo geral
Orientar e estimular, por meio de estratégias intersetoriais, ações para a prevenção e controle da obesidade na população brasileira, promovendo a alimentação
adequada e saudável e a prática habitual de atividade física.
Objetivos específicos
- Melhorar o padrão de consumo de alimentos da população brasileira de forma a reverter o aumento do sobrepeso e da obesidade.
- Revalorizar o consumo dos alimentos regionais, preparações tradicionais e promover o aumento da disponibilidade de alimentos adequados e saudáveis à população.
- Desenvolver estratégias que promovam a substituição do consumo de alimentos processados, energeticamente densos e com altos teores de açúcares, gorduras e sódio para alimentos básicos, com destaque para grãos integrais, leguminosas, oleaginosas, frutas, hortaliças e pescados.
- Promover a prática habitual de atividade física, especialmente em ambientes de trabalho, ambientes urbanos seguros e em escolas, atingindo todas as fases do curso da vida.
- Monitorar os fatores socioambientais associados ao consumo alimentar e à prática habitual de atividade física na população brasileira.
- Organizar a linha de cuidado para atenção integral à saúde do indivíduo com excesso de peso.
- Promover espaços de convivência (praças, parques e jardins) e uso de meios de transporte coletivos de qualidade que visem hábitos e modos de
vida sustentáveis.
","A Estratégia Intersetorial de Prevenção e Controle da Obesidade: promovendo modos de vida e alimentação adequada e saudável para a população brasileira
será implementada considerando as seguintes diretrizes:
- A promoção da intersetorialidade e a articulação entre os Ministérios e setores da sociedade para viabilizar a implementação, o monitoramento deste documento e a convergência de programas e políticas governamentais e não governamentais envolvidos.
- A adoção de evidências científi cas que apoiem a defi nição de medidas relacionadas à promoção da alimentação adequada e saudável e da atividade física, contribuindo para a superação da insegurança alimentar e nutricional.
- A construção de acordos e agendas comuns entre os órgãos governamentais, organizações não governamentais e o setor privado, respaldados em um código de conduta e ética que oriente o estabelecimento de parcerias.
- Construção de compromissos interfederativos no sentido da descentralização das ações e da articulação entre as esferas de governo, com a valorização de iniciativas locais e regionais que apoiem ações voltadas à promoção da alimentação adequada e saudável e atentem para os problemas de saúde decorrentes da alimentação inadequada e da inatividade física.
- O fortalecimento da ampla participação da sociedade civil na construção de iniciativas locais, regionais e nacionais.
- A articulação entre o orçamento e a gestão visando à garantia da sustentabilidade do presente documento.
- O estímulo ao desenvolvimento de pesquisas e à capacitação continuada de recursos humanos.
- O fortalecimento das ações de avaliação e monitoramento dos programas e ações relacionados.
- A realização de campanhas nacionais e locais de mobilização popular e sensibilização da população sobre o tema.
- Articulação com a sociedade civil e outras esferas de poder para regular a promoção, disponibilidade e acesso de produtos não saudáveis.
","- Realização de inquéritos e pesquisas nacionais que acompanhem os indicadores de monitoramento da Estratégia da Obesidade;
- Realização da Pesquisa Nacional de Orçamentos Familiares – POF, com o módulo de estado nutricional de crianças, adolescentes e adultos a cada cinco anos e módulo de consumo de alimentos a cada 10 anos;
- Realização da Pesquisa Nacional de Demografia em Saúde - PNDS, a cada 10 anos;
- Realização da Pesquisa Nacional de Saúde, com medidas antropométricas e avaliação de fatores de risco Doenças Crônicas Não Transmissíveis (DCNT) em 2013;
- Realização da Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico – Vigitel anualmente;
- Fortalecimento do Sistema de Vigilância Alimentar e Nutricional (Sisvan) no monitoramento do estado alimentar e nutricional no âmbito da Atenção Básica à Saúde, com capacitação e educação continuada sobre VAN para profissionais da Atenção básica e através de EAD;
- Organização da Vigilância Alimentar e Nutricional no serviço de saúde e nas outras redes institucionais;
- Revisão dos marcadores de consumo alimentar do Sisvan WEB em função das novas evidências de consumo (POF);
- Participação do processo de implementação do sistema de monitoramento de SAN, o qual apoiará o monitoramento e avaliação da Estratégia da Obesidade
- Realização da Pesquisa Nacional de Saúde do Escolar (PeNSE), a cada 03 anos;
- Fomento a pesquisa e o conhecimento sobre a multideterminação da obesidade, valorizando os diferentes entendimentos, valores, abordagens do problema,
bem como as consequências que vão além dos aspectos biológicos tanto para as pessoas como para a sociedade.
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Iodine deficiency disorders|Vitamin A deficiency|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|School-based health and nutrition programmes|School meal standard|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|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|Vitamin A|Micronutrient supplementation|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/BRA%202014%20Estrat%C3%A9gia%20Estrat%C3%A9gia%20Intersetorial%20de%20Preven%C3%A7%C3%A3o%20e%20Controle%20da%20Obesidade%20-%20orientando%20sobre%20modos%20de%20vida%20e%20alimenta%C3%A7%C3%A3o%20adequada%20e%20saud%C3%A1vel%20para%20a%20popula%C3%A7%C3%A3o%20Brasileira.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"
"36093","CZE","Czechia","","Food safety and nutrition strategy for 2014-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2014","","2020","Ministry of Agriculture","","2014","Adopted","1","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Environment|Industry|Other","State Office for Nuclear Safety","","","","","","","","European Food Safety Authority (EFSA)","National NGOs","","Research/academia","","","","Other","Czech Agriculture and Food Inspection Authority; State Veterinary Administration; Central Institute for Supervising and Testing in Agriculture","The fundamental objectives of the CR in the field of food safety is to facilitate the production and marketing of only safe food, to provide verified information on food safety and quality, and thus to improve consumer protection and rightful interests of consumers.
The main objective of the CR in the field of nutrition is to promote healthy diet of the population, in high-risk groups of population in particular, through evidence-based health education and dissemination of information among consumers, producers and distributors conducive to preventing diseases, active strengthening of health and improving the quality of life.
","4.1. Priorities in the field of food safety
4.1.1 Risk assessment
4.1.2 Risk management
4.1.3 Communication and education
4.1.4 Cooperation with the EFSA
4.2 Priorities in the field of nutrition
4.2.1 Health risk assessment
4.2.2 Risk management
4.2.3 Communication and education
","","","","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)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Reformulation of foods and beverages|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food safety|Food security and agriculture|Vulnerable groups","","http://www.bezpecnostpotravin.cz/UserFiles/Koubova/StrategieBP_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CZE%202014%20Food%20Safety%20and%20Nutrition%20Strategy.pdf"
"36076","DOM","Dominican Republic","","Plan Estratégico para el Control Integrado de las Enfermedades Crónicas No Transmisibles (ECNT)","NCD policy, strategy or plan with healthy diet components","","Spanish","","2014","","","Ministerio de la Salud Pública","","2017","Adopted","","","","Nutrition council|Health|Food and agriculture|Sport|Transport","","","","","","","","","","National NGOs","","","","","","","","Metas
- Reducir la mortalidad prematura por las principales ECNT en un 10%
- Reducir la morbilidad por diabetes en un 10%
- Detener el aumento de la prevalencia de obesidad
- Reducción relativa del 15% de la prevalencia de la hipertensión
- Reducción relativa del 10% de la mortalidad total por enfermedades cardiovasculares, cáncer, diabetes.
","Objetivo Estratégico
- Políticas Publicas e intersectorialidad: Promover la formulación de políticas públicas eficaces, integradas, sostenibles y basadas en evidencia sobre las enfermedades crónicas, sus factores de riesgo (FR) y factores determinantes
Productos:
…
Politicas de reducción del consumo de las grasas TRANS, azúcar y sal concertadas en la Comision Nacional de ECNT
Política nacional de alimentación y nutrición con grupo programático diseñada y consensuada
…
","Indicadores
…
3. Factores de riesgo
…
Prevalencia normalizada por edades de personas de 18 o más años con sobrepeso u obesidad (definidos por un índice de masa corporal superior a, respectivamente, 25 kg/m2 y 30 kg/m2).
Prevalencia normalizada por edades de adolescentes con sobrepeso u obesidad (definidos respectivamente, con arreglo al patrón de crecimiento de la OMS, como una desviación estándar y dos desviaciones estándar respecto del IMC para la edad y el sexo)
…
Respuesta de sistema nacional:
…
2. Adopción de políticas para reducir el impacto que tiene en los niños la promoción de alimentos y bebidas no alcohólicas ricos en grasas saturadas, ácidos grasos de tipo trans, azucares libres o sal.
","","","Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Trans fat intake","","http://www.incap.org.gt/index.php/es/publicaciones/publicaciones-conjuntas-con-otras-instituciones/cat_view/751-publicaciones/790-publicaciones-conjuntas-con-otras-instituciones/801-paises/802-republica-dominicana","WHO NCD Document Repository https://extranet.who.int/ncdccs/documents/db ","",""
"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"
"24475","KEN","Kenya","","United Nations Development Assistance Framework for Kenya","Non-national nutrition policy document","","English","","2014","","2018","UN Country Team of Kenya","","2014","","","","","Health|Finance, budget and planning|Sport|Transport|Environment|Other","Interior","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNIC, UNODC, IMO, UNEP, IOM, UNOPS, UN Habitat, UNV, UN Women, UNISDR","","","Other|Global Affairs Canada|Department of International Development (DFID)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","The Global Fund, Global Alliance Vaccination Initiative, African Development Bank","Other","IMF","","","","","Private sector","","","","Outcome 2.2–WASH Environmental preservation / food availability – nutrition / health: By 2018 morbidity and mortality in Kenya are sustainablyreduced, with improved maternal, neonatal and childsurvival, reduced malnutrition & incidence of major endemicdiseases (malaria, tuberculosis) and stabilized populationgrowth underpinned by a universally accessible, quality and responsive health system
Output 2.2.2 – WASH-Env preservation/food availability/nutrition: MoH, MEW&NR,MOE, pilot counties and partners haveadequate technical and financial capacity todesign, implement, monitor and evaluatemodels of (i) community-based safe WASH& Environmental preservation systems;(ii) hygiene sanitation behavior changeat household, health facility and schoolsettings; and (iii) county Government-ownedand community driven food availability &nutrition interventions; all of the abovedesigned to inform policies, strategies,standard setting and guide county leveldevelopment planning
Output 2.2.3 – RMNCAH: By 2018 MoH & selected county Governments & partners have adequate institutional & technical capacities, including through south-south cooperation & use of emerging technologies & tools to design, implement & evaluate county-based models of innovative, quality, equitable & integrated maternal, new-born, child & adolescent health services (including sexual & reproductive health)
Output 2.2.4 – Communicable and noncommunicable conditions: By 2018,MoH, selected county health managementteams & their partners have improvedleadership and technical capacity to develop& implement strategies to prevent, control,eliminate or eradicate communicable & NCD’sfocusing on malaria TB, selected neglectedtropical diseases, vaccine-preventablediseases, injuries & mental health
","For Health, WASH and Environmental Preservation, Food Availability and Nutrition, the UN will support innovative programming, influence national policies and strategies and leverage donor resources to ensure that by 2018, morbidity and mortality in Kenya are substantially reduced, with improved maternal, neonatal and child survival, reduced malnutrition and incidence of communicable and noncommunicable diseases and stabilized population growth, underpinned by a universally accessible, quality and responsive health system. Emphasis will be placed on supporting the country to address its rising burden of Noncommunicable Diseases (NCD) and conditions in line with the Political Declaration of high level meeting of UN General Assembly 2011 and Kenya’s own priority. The UN focus will primarily be on mitigating the NCD’s key risk factors.
In the area of WASH and Environmental Preservation the UN will foster strategic and multi-sectoral partnerships to support the design of countybased intervention models that ensure community ownership of strategies and promote the use of appropriate technologies for improved access to and utilization of sustainable water and sanitation services, safe hygiene practices and solid and liquid waste management. All interventions will be underpinned by effective and integrated management of water resources (surface and ground) and the introduction of green technologies, such as ECOSAN, to provide affordable sustainable energy and bio-fertilizers at the community level. For Food Availability and Nutrition, the focus will be on promoting strategic and cross cutting partnerships to support county-based interventions that ensure improved nutrition practices and the production and availability of quality food at the household level.
","Under five mortality rate.
Proportion of the central Government and (b) county health sector budget allocated to Nutrition and WASH.
№ of select counties that have sustainablecommunity based water supply and sanitation system.
% of populationconsuming an adequate diet.
% of households with improved (not shared) toilet/latrine facilities.
% of new outpatient patients with high blood pressure.
% of under 5’s treated for diarrhoea.
% Of ART clients reached with nutrition supplements.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Raised blood pressure|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.ke.undp.org/content/kenya/en/home/library/government-reports/united-nations-development-assistance-framework-2014-2018.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202014%20UNDAF.pdf"
"36183","MDV","Maldives","","Multi-sectoral Action Plan For The Prevention And Control of Noncommunicable Diseases in Maldives (2014-2020)","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Health Protection Agency","","2014","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Information","","","","","","","","","","National NGOs","","","","","","","","Targets For 2025
(i) A 25% relative reduction in overall mortality from cardiovascular diseases, cancers, diabetes, or chronic respiratory diseases ...
(v) A 30% relative reduction in mean population intake of salt/sodium
(vi) A 25% relative reduction in prevalence of raised blood pressure
(vii) Halt the rise in obesity and diabetes
...
","Strategic action area 2: Health promotion and risk reduction.
Actions under this area aim to promote the development of population-wide interventions to reduce exposure to key risk factors. Effective implementation of these actions will lead to reduction in tobacco use; increased intake of fruits and vegetables; reduced consumption of saturated fat, salt and sugar; reduction in harmful use of alcohol; increase in physical activity; and reduction in second hand exposure to tobacco smoke.
Key milestones:
…
- · Implement BCC and mass media national campaigns on healthy lifestyle promotion using national recommendations of physical activity and diet
- · Develop progressive policy measures to minimize consumption of saturated fatty acids and banning of hydrogenated vegetable oils
- · Implement healthy lifestyle promotion for school children of all age groups in school settings
…
","Table 4 : Indicators for promotion of healthy diet and means of verification (Mov)
Process:
Adoption of national dietary recommendation for all age groups and for different conditions and information integrated into national BCC & mass media campaign (Mov: Published mass media and BCC strategy)
Adoption of policies to reduce of food products high in saturated fatty acids and eliminate hydrogenated vegetables oils in food supply(Mov: Published policy documents)
Introduce policies to reduce food marketing to children for nonalcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt (Mov: Published policy documents of HPA)
Short term:
Increase airtime for healthy lifestyle events on mass media channels such as in social media,( facebook, tweeter), TV, radio and print media (Mov: Air time contract award document and activity reports of the media organizations)
Increase public educational programs on risk of transfat and hydrogenated vegetables oils in integrated BCC campaign (Mov: Activity reports, Contract award documents for mass media of HPA)
Increase monitoring of food contents of salt and saturated fatty acids and transfat levels( (Mov:Annual published market inspection reports of MFDA/HPA)
Decrease in advertisement of non-alcoholic beverages and food high in saturated fatty acids, transfat, high sugar or salt decreased (Mov: Annual media assessment reports by HPA/NGOs)
Medium term:
Increase awareness of dietary recommendations in population (Mov: STEPS and GSHS and midterm and end line evaluation reports)
Decrease market availability of food products with high content of transfat and hydrogenated oils (Mov: Annual published market inspection reports of HPA/MFDA)
Decreased accessibility and availability of non-alcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt in the market (Mov: Annual market assessment reports by HPA/NGOs)
Long term:
Age standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ year Population achieving recommended level of servings of fruits and vegetables
Reduction in consumption of food containing transfat and hydrogenated vegetable oil
Assumptions: Legal measures in place for banning food with high contents of hydrogenated vegetable oils and transfat and funds are available to advocate healthy diet
","","","Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Dietary guidelines|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition","","http://www.health.gov.mv/Uploads/Downloads//Informations/Informations(48).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDV%202014%20Multisectoral%20plan%20for%20NCDs_0.pdf"
"39460","MAR","Morocco","","Plan d’action multisectoriel de promotion du mode de vie sain 2014-2020","NCD policy, strategy or plan with healthy diet components","","French","","2014","","2020","Ministry of Health","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Other","Ministère des Habous et des Affaires Islamiques","","","","","","","","","","o Fondation LALLA SALMA de Prévention et de Traitement des Cancers,o Association Marocaine de la Prévention et de l’Education pour la Santé,o Association ANFAS,o Association de lutte contre le tabagisme et les drogues.","","","","","","","Objectif général
La promotion d’un mode de vie sain vise à améliorer la qualité de vie de la
population marocaine en réduisant les facteurs de risque qui contribuent aux
maladies chroniques et à diminuer à long terme la prévalence de ces maladies.
Objectifs spécifiques
- Réduire l’usage du tabac et protéger les non-fumeurs ;
- Améliorer les habitudes alimentaires ;
- Réduire la sédentarité ;
- Enrichir la capacité de promotion de la santé ;
- Ralentir la progression des maladies chroniques.
","Domaine d’intervention 1 : Prestation de prévention primaire
Action1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
Mesure 1 : Elaboration d’une stratégie de communication sur le mode de vie sain (méfaits du tabagisme, alimentation saine et équilibrée, activité physique
Mesure 2 : Sensibilisation de la population sur le mode de vie sain VS
Mesure 3 : Sensibilisation du milieu préscolaire, scolaire et universitaire et des jeunes non scolarisé sur le MVS
Mesure 4 : Sensibilisation dans les lieux de travail sur le MVS
Mesure 5 : Elargissement de l’initiative « milieu de travail sans Tabac » à d’autres secteurs
Mesure 6 : Célébration de la journée mondiale sans tabac, de l’alimentation saine, équilibrée et de l’activité physique.
Mesure 7 : Sensibilisation des laboratoires pharmaceutiques pour introduire les substituts nicotiniques dans la liste des médicaments remboursable
Mesure 8 : Organisation de manifestations événementielles pour la promotion du mode de vie sain
Mesure 9 : Elaborer un plan d’action de réduction du sel, gras trans et sucre
Mesure 10 : Sensibilisation des industriels de l’agroalimentaire, sur l’intérêt de promouvoir une alimentation saine et équilibrée
Mesure11 : Renforcement des espaces propices à l’activité physique
Domaine d’intervention 2 : Développement des compétences et des ressources humaines
Action 2 : Développement des compétences en matière de mode de vie sain
Mesure 12: Formation des professionnels de la santé, de l’éducation nationale et les cadres du ministère des affaires islamiques sur le MVS
Mesure 13 : Développement de la composante mode vie sain dans la formation de base scolaire universitaire et des instituts de formations des professionnels de santé et programme d’analphabétisme
Domaine d’intervention 3: Gouvernance générale et coordination
Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
Mesure 14 : Déclinaison du plan d’action multisectoriel pour la promotion du mode de vie sain au niveau des régions
Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
Mesure 15 : Officialisation du comité interministériel de promotion du mode de vie sain
Action 5: Développement du partenariat en matière du mode de vie sain
Mesure 16 : Développement des partenariats internationaux pour la promotion du MVS
Mesure 17 : Développement des Partenariat public-ONG pour la promotion du MVS
Action 6 : Mise en Place une réglementation relative à la promotion du mode de vie sain
Mesure 18 : Mettre en Place une réglementation anti-Tabac
Mesure 19 : Renforcer le cadre réglementaire et législatif concernant la production et la consommation d’aliments sains et équilibré
Mesure 20 : Renforcement de la disponibilité et de l’accessibilité aux aliments sûrs et sains
Domaine d’intervention 4 : Marketing et communication
Action 7 : Diffusion du plan d’action multisectoriel de promotion de mode vie sain
Mesure 21 : Organisation d’une journée de diffusion du PA multisectoriel
Domaine d’intervention 5 : Surveillance épidémiologique
Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
Mesure 22 : Réalisation des études sur les facteurs de risques des MNT
Domaine d’intervention 6 : Monitoring, évaluation
Action 9 : Assurer le suivi, évaluation des actions multisectorielles de promotion du mode de vie sain
Mesure 23 : Mettre en place un système de monitoring et d’évaluation du PA multisectoriel au niveau national et régional
","- Nombre de secteurs pour lesquels la stratégie a été diffusée.
- Nombre de plans d’actions élaborés
- Nombre de supports didactiques élaborés
- Nombre de messages produits et diffusés
- Nombre d’établissements préscolaire et scolaire sensibilisés
- Nombre de journalistes ayant adhéré au réseau de communication autour du mode de vie sain auprès des jeunes
- Nombre d’espaces omnisport crées
- Nombre d’espaces cyclables crées
- Nombre de piétonnes crées
- Nombre d’Espaces de jeux et aires de jeux aménagés et sécurisés
- Nombre d’heures consacrées au MVS dans les programmes scolaires, universitaires et instituts de formation des PS
- Nombre de conventions de partenariat élaborées dans le domaine de prévention des FR des MNT
","Outcome indicators|Process indicators","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/MAR_B11_MAR_B12_PAM MVS.pdf","More details on activities and indicators pages 15-39","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202014%20Plan%20d%E2%80%99action%20mode%20de%20vie%20sain.pdf"
"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"
"39777","ATG","Antigua and Barbuda","","National Policy and Multisectoral Action Plan for the Prevention and Control of Non-Communicable Diseases in Antigua and Barbuda","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","Ministry of of Health and the Environment","4","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","Strategy 3: Expected Results
NCD risk factors reduced and protective factors strengthened
…
· Policies/cost-effective interventions to reduce the impact on children of marketing of foods and nonalcohol beverages high in saturated fats, trans-fatty acid, sugars and salt implemented
· Baseline survey conducted for mean salt intake (sodium chloride) in grams per day in persons aged 18 +
· A 5% relative reduction of salt intake from baseline by 2019
…
Strategy 4: Expected Results
Health system response to NCDs and risk factors strengthened at all levels of health services and accessibility and quality improved
…
· A 15% relative reduction in age standardized prevalence of raised blood pressure
· A 15% relative reduction in age - standardized prevalence of raised blood glucose/diabetes
· A 5% relative reduction of age - standardized prevalence of overweight/obesity in persons aged 18+ by 2019
· A 5% relative reduction in age - standardized prevalence of overweight/obesity in school -aged children and adolescents by 2019
","Strategic Line of Action 1: Strengthening coordination and management of NCD prevention and control
…
1.3 Strengthen resource mobilization
1.3.1 Establish an earmarked tax for prevention and control of NCD programmes
- Approved Cabinet paper
1.3.2 Establish diversion of existing taxes (sales tax from tobacco, snacks high in salt, trans fat, sugar etc.)
- Approved Cabinet paper
Strategic Line of Action 3: NCD risk factors and protective factors
3.1 Strengthen legislative framework and support
…
3.1.5 Develop Legislation on increased tax on foods in high fat, salt and sugar and utilize tax revenue for strengthening school health promotion (healthy diets, PA)
- Legislation developed, enacted
3.2 Advocacy
…
3.2.2 Conduct national campaign for prevention and control of obesity (particularly focused on childhood obesity)
- # of educational campaigns conducted and assessed
3.2.3 Conduct national campaign, sensitization and education on healthy diets and physical activity
- # of educational campaigns conducted and assessed
3.3 Reduce risk factors and strengthen protective factors via cost-effective interventions
3.3.1 Analyze available data on breast feeding, identify the gaps and develop action plan for strengthening exclusive breast feeding
- Report prepared and at least 70% of mothers exclusive breast feeding
3.3.2 Incorporate recommendations for strengthening school feeding programs for prevention and control of diet-related diseases
- Monitoring and evaluation conducted on school feeding programs
3.3.3 Implement Child Friendly School Initiative to prevent and reduce obesity to protect children from marketing of foods and non-alcoholic beverages high in saturated fats, trans fatty acids, free sugars
- At least 70% of schools joined and implemented the initiative
3.3.4 Develop and implement cost-effective interventions on salt reduction at population level by using WHO Tool Kit for salt reduction
- # of public and school education and training conducted on understanding food labeling and
FBDG
- National salt targets for each food category identified
- Use of salt, saturated fat and sugars reduced
- # of School Cafeteria Meals reviewed and reformed for reduction of salt intake
- A 5 % relative reduction of salt consumption in population by 2019
…
ANNEX 1: Policy links for NCD prevention and control with various sectors
The table below connects the response to NCDs with the priorities of other sectors, making these links explicit and preparing for harmonization of policies across sectors.
Finance and Trade
• Approving dedicated staff and budget for NCD’s.
• Granting concessions on monitoring equipment to persons with NCD’s
• Endorsing Trade treaties supporting ban of trans fat
Social Policy
• Ensuring the equity of access to prevention and care for services related to NCDs
• Reducing the disparities in burden of NCDs among people of different social class (defined by age, sex, income, occupation, education, and geographic location
Education
• Enhancing the academic performance of school children through promotion of healthy behaviours
• Strengthening the work on health promoting schools and related activities to improve the health of students, teachers using the Food Based Dietary Guidelines
• Finalizing the Draft Health and Family Life Education Policy
Agriculture, Lands & the Environment
• Ensuring food availability and security as outlined in the Food and Nutrition Security Policy. (e.g. introduction of new fruits and vegetables for agriculture, promotion of local products)
• Promoting the messages of the Food Based Dietary Guidelines
Civil society
• Work with civil society and women’s groups to enhance the social norms to adopt behaviours that reduce the risk of NCDs
• Empower individuals and communities to manage and cope with existing burdens of NCDs through education, self-management to enjoy improved health and wellness.
Private sector
• Seeking opportunities for work place health promotion extending the concept of occupational health to cover the prevention of NCDs
• Seeking opportunities for consultation and cooperation where appropriate (e.g. physical activity promotion, salt reduction, food product reformulation)
• Seeking opportunities for resource mobilization (financing)
• Setting standards and enforcing these as and where appropriate
Health
• Developing the capacity for health policy makers and civil society to understand the policy concerns of other sectors and to engage in meaningful and lasting dialogue
• Health in All Policies takes into account health implications of decisions, seeks synergies, and avoids harmful health impacts, in order to improve population health and health equity. It ensures that the health implications of all policies are considered in the policymaking process, regardless of the sector in which the policies are being developed. It recognizes that public policies and decisions made in policy areas other than health have a significant impact on population health and health equity.
","","","","Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Sodium/salt intake|Sugar intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|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|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/ATG_B3_ncd%20policy%20pdf.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ATG%202015%20NCD%20policy.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"
"36190","BRB","Barbados","","National Plan of Action for Childhood Obesity Prevention and Control","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2018","","","2015","Adopted","","2014","MoH","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Sport|Urban planning|Trade|Information|Other","Ministries: Health, Education, Agriculture, Trade, National NCD Comission, National Nutrition Center (NNC), Inter Ministerial Committee, Cabinet, Government Information Services","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","WHO, PAHO, FAO, Unicef, UN Women, WTO, UNDP, UNFPA","","","Japan International Co-operation Agency (JICA)","","European Union","","National NGOs","SCOs, Faith based organizations (FBOs), Parent-Teacher Association","Research/academia","","Private sector","Food producers, distributors, restaurants, marketing agents, media, service operators, food vendors","Other","Inter-American Institute for Cooperation on Agriculture (IICA), Barbados National Standards Institute, Healthy Caribbean Coalition (HCC), education facilitators, health professionals working in primary care and tertiary health institutions","Goal:
The ultimate goal is to reverse the upward trends in obesity by 5% by 2019
Objectives:
- To improve increase exclusive breastfeeding at 6 months by 20% by 2019;
- To reduce prevalence of low physical activity in adolescents by 30%;
- To develop and implement policies and regulations to reduce the impact on children of marketing of foods and non- alcoholic beverages high in saturated fats, trans fatty acids, free sugars or salt; and
- To have at least 70 schools designated Health Promoting Schools by 2019 (Appendix 2).
","The broad strategies discussed and agreed in line with the PAHO Regional Plan of Action for the Prevention of Obesity in Children and Adolescents and the Barbados NCD Strategic Plan are as follows:
1. Strengthening Coordination and Management of Obesity Prevention
2. Strengthening Breastfeeding Practices
3. Promoting Physical Activity
4. Developing and Implementing Dietary Regulatory and Fiscal Policies
5. Implementing Health Promoting School Initiatives
","- To reverse the upward trends in obesity by 5% by 2019
- 20% increase in rate of exclusive breastfeeding for 6 months
Full list of indicators/targets found in Results Framework on p. 16
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://gisbarbados.gov.bb/download/national-plan-of-action-for-childhood-obesity/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202015%20National%20Plan%20of%20Action%20for%20Childhood%20Obesity.pdf"
"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"
"25715","HRV","Croatia","","Strateški plan za smanjenje prekomjernog unosa soli [Strategic Plan for Salt Intake Reduction]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","","2015","","2019","Ministry of Health","9","2014","Adopted","","2014","Ministry of Health","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Other","Ministry of Foreign Affairs and European Affairs; Central Bureau of Statistics","","","","","","","","","National NGOs","Croatian Society for Hypertension; Croatian Society for Atherosclerosis; Croatian Society for Public Health","Research/academia","Croatian Public Health Institute; Faculty of Medicine of the University of Zagreb","Private sector","Food Industry","Other","Croatian Initiative on Salt and Health (CRASH); Mass Media; Croatian Food Agency","- Podrška i opredjeljenje za promjene
- Utvrđivanje stanja (unos i glavni izvori kuhinjske soli u prehrani)
- Ciljani programi za smanjenje unosa kuhinjske soli
- Osmišljavanje kampanje i uključivanje partnera
- Podizanje svijesti potrošača
- Jasno i jednostavno deklariranje proizvoda
- Partnerstvo i dogovori s prehrambenom industrijom 8. Nadzor napretka i stalna evaluacija
VIZIJA: Stanovništvo Republike Hrvatske je umanjilo zdravstvene rizike povezane s prekomjernim unosom kuhinjske soli.
MISIJA: Sustavnim javnozdravstvenim intervencijama i međusektorskom suradnjom povećati razinu svijesti o optimalnom unosu kuhinjske soli uz posljedičnu promjenu navika cjelokupnog stanovništva i osiguranje preduvjeta u svim resorima društva za dostupnost i odabir hrane s manjim udjelom kuhinjske soli.
Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
Temeljem iskustva i procjenom rezultata postignutih u drugim državama uz navedeno smanjenje unosa kuhinjske soli za oko 2 g na populacijskoj razini očekuje se značajno sniženje prevalencije arterijske hipertenzije i ostalih kardiovaskularnih i cerebrovaskularnih bolesti.
S obzirom na vodeće uzroke prekomjernog unosa kuhinjske soli definirani su sljedeći prioriteti:
- Razvoj novih receptura za proizvodnju gotove i polugotove hrane
- Smanjenje udjela kuhinjske soli u kruhu i pekarskim proizvodima te ostaloj gotovoj i polugotovoj hrani
- Osiguranje dostupnosti hrane s poželjnim udjelom kuhinjske soli i omogućavanje informiranog te poželjnog odabira hrane od strane potrošača
- Kontinuirana edukacija i informiranje svih dionika (stanovništvo, zdravstveni sektor, cjelokupna prehrambena industrija te ostali dijelovi društva).
Budući da preko 70% dnevnog unosa kuhinjske soli konzumiramo putem gotove ili polugotove hrane, cilj se mora ostvariti u suradnji s ugostiteljstvom i prehrambenom industrijom, naročito pekarskom jer se kruhom i pekarskim proizvodima unosi 30 - 40% kuhinjske soli.
","4.1 Analiza i planiranje
Mjera 1. Izrada plana smanjenja udjela kuhinjske soli u ugostiteljstvu i prehrambenoj industriji po pojedinim grupama hrane
- Aktivnost 1. Izrada plana po vrstama hrane. Izradit će se Nacionalni plan za smanjenje konzumacije kuhinjske soli po vrstama hrane za razdoblje 2015. – 2019.
Mjera 2. Praćenje troškova kroz istraživanje vezano za bolesti povezane s prekomjernim unosom kuhinjske soli
- Aktivnost 1. Nacionalno istraživanje o troškovima. Provest će se Nacionalno istraživanje o ukupnim troškovima bolesti povezanih s prekomjernim unosom soli, ekonomske projekcije i ekonomski modeli za razdoblje 2015. – 2019.
Mjera 3. Istraživanje o konzumaciji soli u Republici Hrvatskoj
- Aktivnost 1. Nacionalno istraživanje o konzumaciji kuhinjske soli. Provest će se Nacionalno istraživanje o smanjivanju konzumacije kuhinjske soli kojim će se pratiti uspješnost provođenja Strategije u Republici Hrvatskoj o unosu i glavnim izvorima soli u prehrani kroz projekt EHIS - European Health Interview Survey.
4.2 Djelovanje prema proizvođačima i distributerima hrane
Mjera 1. Poticanje proizvodnje hrane s manjim udjelom kuhinjske soli u prehrambenoj industriji
- Aktivnost 1. Projekt poticanja proizvodnje hrane s manjim udjelom kuhinjske soli. Izradit će se projekt poticanja proizvodnje hrane s manjim udjelom kuhinjske soli i promicanja društvene odgovornosti i socijalnog marketinga u prehrambenoj industriji.
Mjera 2. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i institucionalnim kuhinjama
- Aktivnost 1. Analiza propisa i izrada i donošenje propisa. Zakonskom i podzakonskom regulativom, uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i u institucionalnim kuhinjama za 20% u razdoblju od 2015. do 2019. godine.
Mjera 3. Uvođenje zakonske i podzakonske regulative sustava jasnog, jednostavnog, obveznog i dodatnog navođenja udjela kuhinjske soli na svim prehrambenim proizvodima.
- Aktivnost 1. Izrada i donošenje propisa . Razviti poseban sustav i kriterije obveznog i dodatnog deklariranja proizvoda u pogledu sadržaja soli i potencijalnih rizika po zdravlje te sustava inspekcije i nadzora kao i kontrolirati provođenje istog i donijeti mjere kojima se propisuju dodatni obvezni podaci za određene vrste hrane ili kategorije hrane u cilju, između ostalog, zaštite javnog zdravlja i zaštite potrošača.
4.3 Djelovanje prema građanima – posredno i neposredno
Mjera 1. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja
- Aktivnost 1. Izrada i donošenje propisa. Zakonskom i podzakonskom regulativom, izradom vodiča te uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja za 20% u razdoblju od 2015. do 2019. godine.
Mjera 2. Promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli
- Aktivnost 1. Izrada i provedba plana promocije. Utvrđivanje kriterija i promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli uključivanjem svih javnozdravstvenih djelatnika, šire društvene zajednice, odgojno-obrazovnih ustanova, institucija u sustavu sigurnosti hrane, proizvođača hrane, medija, te akademske zajednice, roditelja i djece. Provođenje sustavnih trajnih informativnih kampanja koje moraju uključivati sve značajne institucije u području sigurnosti hrane i zaštite zdravlja potrošača
4.4 Monitoring i evaluacija
Mjera 1. Stalni nadzor i vrednovanje postignutih rezultata
- Aktivnost 1. Praćenje provedbe. Izrada i provedba plana vrednovanja Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015. – 2019.
","- Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
- Zakonskom i podzakonskom regulativom, uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i u institucionalnim kuhinjama za 20% u razdoblju od 2015. do 2019. godine.
","Outcome indicators|Process indicators","","Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Salt/sodium|Media campaigns on healthy diets and nutrition|Salt reduction","","https://zdravlje.gov.hr/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202014%20Strategic%20Plan%20on%20Salt%20Reduction.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"
"36218","GTM","Guatemala","","Plan Estratégico Nacional para la Prevención de Enfermedades no Transmisibles","NCD policy, strategy or plan with healthy diet components","","Spanish","","2015","","2020","Ministerio de Salud Pública y Asistencia Social; Programa Nacional para la Prevención de Enfermedades Crónicas no Transmisibles y Cáncer; Comisión Nacional para la Prevención de Enfermedades Crónicas no Transmisibles y Cáncer","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport","","World Health Organization (WHO)","","","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","","Research/academia","","","","","","Objetivos estratégicos y Metas
1.4- Elaborar otras propuestas de Políticas, Leyes y Reglamentos para regular los factores de riesgo de ENTs
Para el 2017 se emite iniciativa de ley de prohibición de grasas trans en comidas procesadas, restaurantes y similares
Para el 2018 se emite ley de incentivos para producción y comercialización de frutas y verduras
Para el 2018 se emite ley de regulación de la publicidad dirigida a los niños
2.3- Promover la alimentación sana a fin de propiciar la salud y el bienestar.
Para el año 2019 se cuenta con propuestas de políticas, leyes y reglamentos para el control de la manufactura, comercialización, promoción y publicidad de alimentos procesados, ricos en grasas saturadas y trans, azúcares simples o sal y bebidas no alcohólicas, en cumplimiento de la Ley marco de prevención y control de las ENT.
Para el 2019 se cuenta con propuestas de legislación para limitar las grasas saturadas y eliminar los aceites vegetales parcialmente hidrogenados en los alimentos, gravando con impuestos los alimentos y bebidas de alto contenido calórico y bajo valor nutricional. (Calorías vacías)
Para el 2019 Guatemala ha aprobado la ley que regula las tiendas escolares y la venta o expendio de alimentos y bebidas en los establecimientos educativos en todo el país.
Para el 2019 todas las escuelas de pre primaria y primaria tienen dentro del pensum la enseñanza de las guías alimentarias elaboradas por el Ministerio de Salud.
Para el 2019 Guatemala ha Implementado totalmente el Plan de Acción Nacional para la Prevención del Sobrepeso y Obesidad en la Niñez y la Adolescencia con enfoque multisectorial.
Para el 2019 Guatemala reduce el 5% del consumo de sal/sodio en relación a la línea base en las personas mayores de 18 años.
En el 2019 se cuenta con legislación para etiquetado, enfrente del envase, que tiene en cuenta el CODEX alimentario y permite la identificación rápida y sencilla de los alimentos saludables y no saludables
Para el 2019 Guatemala cuenta con políticas y estrategias para mejorar la disponibilidad, los precios bajos y acceso a alimentos saludables; proyectos de agricultura familiar, incentivos fiscales, créditos bancario blandos, etc.
Para el 2019 Guatemala ha fortalecido la Comisión Nacional de Promoción de la Lactancia Materna
Para el 2019 el 60% de las escuelas cuentan con agua potable para el consumo de los alumnos
3.4- Implementar intervenciones eficaces, basadas en la evidencia y costo-efectivas, para el tratamiento y el control de las enfermedades cardiovasculares, la hipertensión, la diabetes, los cánceres, las enfermedades respiratorias crónicas y la enfermedad renal crónica.
Para el 2019 Guatemala ha reducido en 5% la prevalencia del sobre peso y obesidad en adultos, niños y adolescentes.
","Objetivos estratégicos y Actividades
1.4- Elaborar otras propuestas de Políticas, Leyes y Reglamentos para regular los factores de riesgo de ENTs Elaborar y proponer a la Comisión de Salud del Congreso Decreto ley
Elaborar y proponer a la Comisión de Salud del Congreso el decreto ley
Elaborar y proponer a la Comisión de Salud del Congreso el decreto ley
2.3- Promover la alimentación sana a fin de propiciar la salud y el bienestar. Elaborar las propuestas políticas, leyes y reglamentos para regular la manufactura, comercialización, promoción y publicidad de alimentos procesados de acuerdo a las recomendaciones de OMS/OPS
Elaborar propuestas de legislación para limitar las grasas saturadas y trans; así como para gravar las bebidas y los productos de alto contenido calórico y bajo valor nutricional
Impulsar la aprobación por el Congreso del proyecto de ley que regula las tiendas escolares y expendio de alimentos y bebidas en los establecimientos educativos.
Realizar un convenio permanente con el MINEDUC para la incorporación de las guías dentro del pensum escolar a nivel nacional. Actualizar periódicamente las guías alimentarias
Realizar intervenciones de salud pública con participación social, priorizando las acciones estratégicas del Plan Nacional
Establecer un sistema de monitoreo para evaluar periódicamente el impacto de la promoción de disminución del consumo de sal
Elaborar iniciativa de ley para etiquetado, que tenga en cuenta el CODEX y permite la identificación rápida y sencilla de los alimentos saludables y no saludables.
Elaborar iniciativa e impulsar legislación y reglamentos para incrementar la disponibilidad y acceso a alimentos nutritivos, con énfasis en frutas y verduras.
Promover el fortalecimiento de CONAPLAM- y monitoreo de la ley de sucedáneos de la leche materna.
Gestionar con las municipalidades el abastecimiento seguro de agua potable a las escuelas
3.4- Implementar intervenciones eficaces, basadas en la evidencia y costo-efectivas, para el tratamiento y el control de las enfermedades cardiovasculares, la hipertensión, la diabetes, los cánceres, las enfermedades respiratorias crónicas y la enfermedad renal crónica.
Implementación del plan de acción contra el sobrepeso y la obesidad en adultos, niños y adolescentes.
","Objetivos estratégicos y Indicadores
1.4- Elaborar otras propuestas de Políticas, Leyes y Reglamentos para regular los factores de riesgo de ENTs Propuesta de ley entregada a la Comisión de Salud del Congreso
Propuesta de ley entregada a la Comisión de Salud del Congreso
Propuesta de ley entregada a la Comisión de Salud del Congreso
2.3- Promover la alimentación sana a fin de propiciar la salud y el bienestar. Porcentaje de políticas, leyes y reglamentos propuestos/vig entes para el control de la manufactura, comercializació n promoción y publicidad de alimentos procesados, y bebidas no alcohólicas,
Porcentaje de leyes vigentes / propuestas para limitar las grasas saturadas y trans, con impuestos a los alimentos y bebidas de alto contenido calórico y bajo nutricional.
Ley que regula las tiendas escolares y la venta o expendio de alimentos y bebidas en los establecimientos educativos vigente.
Porcentaje de escuelas de pre primaria y primaria que tienen dentro del pensum la enseñanza de las guías alimentarias elaboradas por el Ministerio de Salud.
Porcentaje de implementación del Plan de Acción Nacional para Prevención del Sobrepeso y Obesidad con enfoque multisectorial.
% de reducción del consumo de sal/sodio en relación a la línea base en mayores de 18 años, mediante estimaciones de encuestas.
Ley vigente para el etiquetado, que tiene en cuenta el CODEX alimentario, y permite la identificación rápida de los alimentos saludables y no saludables
% de leyes y reglamentos vigentes / propuestos para incrementar la disponibilidad y acceso a alimentos nutritivos, con énfasis en frutas y verduras.
CONAPLAM fortalecida y la ley de comercialización de sucedáneos de la leche materna.
Porcentaje de escuelas con agua potable para consumo de escolares
3.4- Implementar intervenciones eficaces, basadas en la evidencia y costo-efectivas, para el tratamiento y el control de las enfermedades cardiovasculares, la hipertensión, la diabetes, los cánceres, las enfermedades respiratorias crónicas y la enfermedad renal crónica.
% Tasa de prevalencia de sobre peso y obesidad en niños, adolescentes y mayores de 18 años.
","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Breastfeeding promotion/counselling|Monitoring of the Code|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Trans fat|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","https://hospitales.mspas.gob.gt/descargas/2016/publicaciones/PlanEstratEgico20162020Julio2016.pdf","","",""
"40715","HND","Honduras","","Plan estratégico Nacional para la Prevención del Sobrepeso y Obesidad en Honduras 2015-2025","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2015","","2025","Secretaría de Estado en el Despacho de Salud","","2025","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sport","","World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","","","","","Objetivo General
Controlar y prevenir el sobrepeso y la obesidad en la población hondureña para contribuir al control de las enfermedades crónicas no transmisibles relacionadas con la alimentación y actividad física
","Líneas Estratégicas
1. Toma las cosas a pecho y apoya la lactancia materna. Promoción de la lactancia materna exclusiva, continuada y la introducción de la alimentación complementaria adecuada.
Objetivo específico 1.1: 1.1 Reducir la publicidad de sucedáneos de la leche materna.
Indicador
1.1 Monitoreo de la aplicación del código de sucedáneos de la leche materna publicado en un informe al menos cada tres años.
Meta
1.1.1 Disminuir en un 6% el consumo de fórmulas infantiles en niños menores de seis meses de edad al 2025.
Acciones
1.1.1 Socialización del Código Internacional de Comercialización de Sucedáneos de la leche materna (CICSLM) y la Ley de Fomento y Protección de la Lactancia Materna (LFPLM) en los diferentes niveles gubernamentales, ONG, Academia, medios de comunicación, sociedad civil y otros.
1.1.2 Introducción del CICSLM, LFPLM y otros temas relacionados, a la currícula de las escuelas formadoras de los recursos humanos en los diferentes niveles y áreas.
1.1.3 Diseño de una estrategia de información, comunicación y educación a nivel nacional sobre la implementación del CICSLM, la LFPLM y la Iniciativa de Hospitales y unidades de salud amigos de la lactancia materna (IHALM).
1.1.4 Socialización, aprobación y publicación del reglamento de la LFPLM a los diferentes sectores involucrados en su aplicación.
1.1.5 Diseño de una estrategia de monitoreo y vigilancia del CICSLM, la LFPLM y su reglamento, la IHALM, la estrategia de información, comunicación y educación sobre el tema de lactancia materna, así como otros temas relacionados a la lactancia en los diferentes niveles de formación de recursos humanos.
Objetivo específico 1.2: 1.2 Fortalecer una red nacional de hospitales, unidades de salud y clínicas materno infantiles “amigos de la lactancia materna”.
Indicador
1.2 Red de hospitales, clínicas y unidades de salud en el área de influencia de hospitales, con al menos el 70% de unidades reconocidas como “amigos de la lactancia materna”.
Metas
1.2.1 70% de las unidades de salud y clínicas materno infantiles del área de influencia de los hospitales reconocidos como “amigos de la lactancia materna”.
1.2.2 El 80% de los hospitales con maternidad están reconocidos como “amigos de la lactancia materna”.
Acciones
1.2.1 Revisión técnica basada en los lineamientos de normalización de la Iniciativa de Hospitales (y unidades) amigos de la lactancia materna.
1.2.2 Reactivación de la IHALM con la conformación de un equipo técnico conductor a nivel nacional (gestión de recursos, capacitación, etc.).
1.2.3 Elaboración del plan del proceso de reconocimiento de hospitales, clínica materno infantiles y unidades de salud como “amigos de la lactancia materna”.
1.2.4 Implementación de la IHALM a nivel nacional.
1.2.5 Seguimiento para la actualización de aquellos hospitales ya reconocidos con anterioridad como “amigos de la lactancia materna”.
1.2.6 Conformación de una red de hospitales, clínicas y unidades de salud como “amigos de la lactancia materna”.
1.2.7 Reconocimiento de nuevos hospitales, clínicas y unidades de salud “amigos de la lactancia”.
1.2.8 Monitoreo de implementación de la IHALM.
1.2.9 Introducción del tema en la estrategia de información, comunicación y educación a nivel nacional.
Objetivo específico 1.3: 1.3 Monitorear el crecimiento y desarrollo de los niños menores de dos años de edad para su control y tratamiento oportuno.
Indicador
1.3 Proporción de regiones departamentales que han implementado la vigilancia nutricional de los niños y niñas menores de cinco años de edad.
Meta
1.3 100% de las regiones departamentales de salud implementan la vigilancia nutricional de las niñas y niños menores de cinco años de edad.
Acciones
1.3.1 Revisión técnica basada en los lineamientos de normalización de la Secretaría de Salud (Norma para la vigilancia nutricional de los niños menores de cinco años).
1.3.2 Introducción y fortalecimiento del monitoreo y promoción del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años en la currícula de escuelas formadoras de recursos humanos en el área de salud.
1.3.3 Implementación del monitoreo y promoción del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años a nivel nacional en la red de servicios de salud garantizando presupuesto, equipo, material y capacitación).
1.3.4 Análisis de la información existente sobre la identificación y atención oportuna de niños y niñas menores de dos años con problemas de crecimiento y desarrollo (por deficiencia y por exceso).
1.3.5 Fortalecimiento del sistema de vigilancia y monitoreo del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años (RENPI, sistema de información de la SESAL y otras iniciativas).
1.3.6 Fortalecimiento de capacidades de los voluntarios de la estrategia de Atención Integral a la niñez en la Comunidad (con base a estándares de la OMS).
Objetivo específico 1.4: 1.4 Establecer un programa nacional de educación en alimentación complementaria para los cuidadores de los niños/as de seis a doce meses de edad para prevenir la malnutrición.
Indicador
1.4 Proporción de cuidadores de los niños/as de seis a doce meses de edad que participan en el programa de alimentación complementaria.
Meta
1.4 100% de los cuidadores de los niños/as de seis a doce meses de edad son alcanzados con acciones educativas del programa de alimentación complementaria implementado.
Acciones
1.4.1 Definición técnica y normativa de la alimentación complementaria adecuada y oportuna para los niños/as de seis meses a doce meses de edad.
1.4.2 Conformación de equipo de apoyo y seguimiento para la gestión de recursos, capacitación y elaboración de plan de trabajo que promueva la alimentación complementaria adecuada y oportuna para los niños/as de seis meses a doce meses de edad.
1.4.3 Diseño de un programa educativo de alimentación complementaria adecuada y oportuna para los niños/as de seis a doce meses de edad.
1.4.4 Fomento de líneas de investigación de alimentos complementarios a partir de materia prima local y gestión para su implementación.
1.4.5 Revisión de estrategias, programas y proyectos de atención de niños/as con énfasis en menores de dos años de edad en situaciones de emergencia, para velar por su derecho a la alimentación óptima.
2. Aliméntate saludable y lleva una vida activa. Promoción de una alimentación saludable y vida activa en cualquier entorno (doméstico, educativo, laboral, recreativo).
Objetivo específico 2.1: 2.1 Mejorar nutricionalmente la oferta de la alimentación en los centros escolares.
Indicador
2.1 Proporción de escuelas que aplican el reglamento de venta de alimentos en los centros escolares.
Meta
2.1 Haber actualizado e implementado el reglamento de venta de alimentos en centros educativos al 2020 en el 80% a nivel nacional.
Acciones
2.1.1 Actualización y socialización del reglamento para los alimentos en los centros educativos (básicos, pre básicos, medio y superior) a nivel nacional.
2.1.2 Establecimiento de alianzas estratégicas, desarrollo de ferias de la salud nutricional.
2.1.3 Promoción del consumo de agua tratada y de filtros y otras fuentes de almacenamiento (juntas de agua) en los centros educativos a nivel nacional.
2.1.4 Establecimiento de requerimientos mínimos para la apertura de centros escolares que fomenten la actividad física y recreación (área verde, ventilación, espacio adecuado, etc.).
2.1.5 Reconocimiento de los centros educativos que cumplan con la aplicación del reglamento para la venta de alimentos en los centros educativos y la promoción de actividad física.
2.1.6 Capacitación en alimentación y nutrición en los diferentes niveles con alcance nacional y local en la atención nutricional con la inclusión de estudiantes de nutrición.
2.1.7 Fortalecimiento de alianzas estratégicas de las entidades de gobierno2 con las instancias deportivas gubernamentales: CONDEPAH, UNAH, UPNFM para fomentar la formación de personal y aprovechar los espacios.
Objetivo específico 2.2: 2.2 Revisar, actualizar y promover la currícula escolar sobre la importancia de una buena alimentación y vida activa, acompañada de una estrategia de comunicación que fomente la alimentación saludable y la vida activa.
Indicador
2.2.1 Proporción de escuelas que aplican la currícula con la importancia de una buena alimentación y de una vida activa.
2.2.2 Proporción de escuelas que realizan al menos 30 minutos de actividad física moderada a intensa.
Meta
2.2 Haber actualizado e implementado la currícula escolar incorporando temas sobre la importancia de una alimentación saludable y de una vida activa.
Acciones
2.2.1 Actualización y socialización de la curricula escolar con los temas relacionados a hábitos saludables, con énfasis en alimentación y actividad física.
2.2.2 Diseño de la estrategia de comunicación con los temas relacionados a hábitos saludables, con énfasis en alimentación y actividad física.
2.2.3 Establecimiento de alianzas estratégicas, desarrollo de ferias de la salud y nutrición, donde se brinde seguimiento a los escolares.
2.2.4 Fortalecimiento de las actividades lúdicas relacionadas a la enseñanza de llevar una alimentación saludable y una vida activa.
2.2.5 Fortalecimiento de los centros educativos con recursos humanos especializados con el fin de proveer una actividad física adecuada.
Objetivo específico 2.3: 2.3 Mejorar la oferta de alimentación saludable y de espacios para realizar actividad física en las instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares.
Indicador
2.3.1 Proporción de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares que ofrecen un menú de opciones de alimentación saludable.
2.3.2 Proporción de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares que facilitan la oportunidad y/o los espacios para realizar al menos 45 minutos diarios de actividad física moderada a intensa.
2.3.3 Proporción de instituciones académicas, puestos de trabajo y municipios que reciben un reconocimiento por el cumplimiento del desarrollo de actividad física en la población.
Meta
2.3.1 50% de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares ofrecen un menú de opciones de alimentación saludable y de espacios para contribuir a llevar una vida activa.
Acciones
2.3.1 Diseño e implementación de una campaña de concientización sobre la importancia para la salud de una alimentación saludable y de una vida activa.
2.3.2 Desarrollo de ferias de la salud y nutrición, donde se brinde seguimiento a los involucrados (alumnos, docentes, padres de familia, trabajadores, etc.)
2.3.3 Creación y difusión de criterios de reconocimiento a instituciones académicas, puestos de trabajo y municipios, por el desarrollo constante del fomento de actividad física en sus instalaciones.
2.3.4 Fortalecimiento de las actividades lúdicas relacionadas a mantener una alimentación saludable y una vida activa.
2.3.5 Promoción de ambientes con opciones saludables tanto de alimentación como de actividad física en los diferentes espacios escuelas, colegios, universidades, puestos de trabajo, municipios, etc.).
3. Por tu salud, elige mejor tus alimentos. Políticas fiscales (impuestos), reglamentación de la publicidad y promoción de los alimentos calóricos, y etiquetado nutricional frontal de los alimentos.
Indicador
3.1 Número de documentos normativos elaborados y/o actualizados cuyo cumplimiento contribuye a la reducción del consumo de bebidas azucaradas, comidas rápidas y de alto contenido calórico y bajo valor nutrimental en la población hondureña.
Meta
3.1.1 Incrementados los impuestos a los alimentos con alto contenido de sodio, grasa y azúcar, incluyendo bebidas azucaradas.
Acciones
3.1.1 Diagnóstico y priorización de los documentos normativos existentes relativos al tema para su actualización, incluyendo etiqueta frontal para la pronta identificación de productos saludables.
3.1.2 Vigilancia del cumplimiento de los documentos elaborados para regular la emisión de publicidad y promoción de alimentos con alto contenido calórico y bajo valor nutricional a nivel nacional.
3.1.3 Estudios sobre el impacto del consumo de bebidas azucaradas y alimentos ultra procesados en Honduras.
3.1.4 Creación de un portal electrónico de información al consumidor sobre los efectos dañinos de las bebidas azucaradas, alimentos ultra procesados y aplicación del reglamento para regular la publicidad y promoción de alimentos con alto contenido calórico y bajo valor nutricional a nivel nacional. 3.1.5 Políticas fiscales y programas que incentiven la producción de alimentos locales saludables, frutas y verduras (huertos escolares y familiares, alimentos biofortificados, etc.). 3.1.6 Promoción de consumo de alimentos locales saludables, frutas y verduras. 3.1.7 Promoción de un reconocimiento de alimentos saludables a través de un sello de calidad, promovido por la Escuela Agrícola Panamericana Zamorano EAPZ. Objetivo específico 3.2: 3.2 Fortalecer la vigilancia de la publicidad y promoción de bebidas, comidas rápidas y de alto contenido calórico y bajo valor nutricional a través del cumplimiento de la normativa existente.
Objetivo específico 3.3: 3.3 Promover las normas de etiquetado nutricional frontal con declaraciones saludables para su rápida identificación con el fin de facilitar la elección de los productos alimenticios que realizan los consumidores.
Indicador
3.3 Normas de etiquetado nutricional frontal implementadas.
Meta
3.3.1 Etiquetado frontal de alimentos implementado en el 100% de alimentos procesados.
Acciones
3.3.1 Diagnóstico y priorización de los documentos normativos existentes relativos al tema para su actualización, incluyendo la etiqueta frontal para la pronta identificación de productos saludables.
3.3.2 Estudios sobre el impacto del etiquetado frontal en los productos alimenticios.
3.3.3 Fortalecimiento en la formación al consumidor sobre el etiquetado nutricional y frontal, a través de diferentes medios.
4. Controla tu peso. Prevención, detección y control del sobrepeso y obesidad a nivel de atención primaria en salud.
4.1 Fortalecer la prevención, detección y control del sobrepeso y obesidad con la medición sistemática del peso y cintura en las personas que asistan a centros escolares, centros de salud y lugares de trabajo.
Indicador
4.1 Proporción de centros educativos, unidades de salud y centros de trabajo que facilitan la toma de medidas de peso y estatura en la población que acceden a estos centros, por sexo y edad.
Meta
4.1.1 50% de los centros educativos públicos cuentan con al menos una báscula, tallímetros, y disponen de un poster explicativo sobre el significado de los posibles resultados.
4.1.2 50% de los centros educativos púbicos se suman a las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.3 90% de los escolares que asisten a centros educativos con báscula, se realizan control de peso de manera periodica.
4.1.4 100% de los centros de salud facilitan la toma de medidas de peso, estatura y cintura, y brindan explicación a las personas sobre los resultados encontrados.
4.1.5 100% de los centros de salud realizan jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.6 90% de las personas que asisten por algún motivo a los centros de salud se realizan control de peso.
4.1.7 50% de los lugares de trabajo públicos cuentan con al menos una báscula, 20 cintas métricas (por cada 503 empleados) para medir el perímetro de abdomen, y disponen de un poster explicativo sobre el significado de los posibles resultados.
4.1.8 50% de los lugares de trabajo públicos se suman a las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
Acciones
4.1.1 Elaboración y difusión de posters auto explicativos sobre los posibles resultados encontrados al efectuar la medición (peso, estatura, cintura) de las personas.
4.1.2 Elaboración y difusión de protocolo de medición (peso, estatura, cintura) de las personas y de las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.3 Capacitación del personal de los centros escolares, centros de salud y lugares de trabajo sobre el protocolo de medición (peso, estatura, cintura) de las personas, su referencia o atención de acuerdo a los resultados y del desarrollo de las jornadas periódicas de concientización sobre los factores de riesgo de las ENT. 4.1.4 Distribución de balanzas, tallímetros y cintas métricas en los centros escolares, centros de salud y lugares de trabajo públicos, con la explicación respectiva de su cuidado y mantenimiento.
4.1.5 Elaboración y envío semestral de bases de datos sobre el peso, estatura y cintura a la Dirección de Vigilancia de la Salud de la SESAL.
4.1.6 Elaboración de informes semestrales sobre la situación de sobrepeso y obesidad y retroalimentación anual con grupos interesados (padres de familia, grupos de empleados, etc.).
4.1.7 Elaboración e implementación de un carnet de control periódico que incluya IMC, presión arterial, talla, cintura, glicemia y otros. 4.1.8 Control periódico de medidas (cada 6 meses).
Objetivo específico 4.2: 4.2 Fortalecer la prevención y control del sobrepeso y obesidad con la medición sistemática del peso en las embarazadas y mujeres en post parto que asistan a consulta.
Indicador
4.2 Proporción de mujeres embarazadas en control de peso durante su embarazo, antes del mismo y después del parto.
Meta
4.2.1 100% de las embarazadas se realizan control de peso durante sus visitas al centro de salud.
4.2.2 80% de las embarazadas continúan por un año más su control de peso después del parto.
Acciones
4.2.1 Elaboración y difusión de protocolo de medición (peso, estatura) de las embarazadas.
4.2.2 Capacitación del personal de las unidades de salud para brindar consejería a las embarazadas y mujeres en post parto sobre su estado nutricional y su relación con los factores de riesgo de las ENT.
4.2.3 Consejería y control del estado nutricional de las embarazadas y mujeres post parto.
","Seguimiento y Evaluación
Es necesario relevar la importancia de un eje transversal en cada una de las líneas estratégicas, monitoreo y evaluación, con el fin de disponer de información que permita realizar el monitoreo respectivo, y la evaluación en su momento. Es un eje transversal donde al igual que en las líneas estratégicas, es necesario el concurso de los diferentes sectores de gobierno principalmente, incluyendo la academia con su aporte en la investigación y acompañamiento en las diferentes líneas estratégicas, así como la empresa privada y ONG.
Objetivo específico A.1:
A.1 Fortalecer el sistema de información para identificar tendencias y los determinantes de la obesidad, estratificados por al menos dos aspectos de equidad.
Indicador
A.1 Proporción de personas (embarazadas, escolares, adolescentes, adultos, mujeres post parto, etc.) con sobrepeso y obesidad (sexo y edad).
Meta
A.1 Informes presentados sobre los patrones de consumo de alimentos, sobrepeso y obesidad (embarazadas, niños y adolescentes), cada cinco años.
Acciones
- Conformación de una comisión multisectorial nacional, liderado por la SESAL para la recolección y análisis de datos de las diferentes instituciones sobre la obesidad, enfermedades relacionadas, patrones de consumo y temas afines.
- Recolección y análisis periódico de la información sobre la obesidad y sobrepeso, enfermedades relacionadas, patrones de consumo y temas afines.
- Monitoreo del peso y talla en todos los centros de educación (escuelas, colegios universidades) y centros de trabajo públicos al inicio de cada año, y notificando obligatoriamente a la Secretaría de Salud.
- Notificación de los casos identificados de obesidad y sobrepeso a la unidad de salud correspondiente para su seguimiento.
- Aprovechamiento de las jornadas de vacunación para realizar talla y peso de la madre o adulto encargado.
- Coordinación con el Seguro Social, clínicas privadas para el reporte de los datos de obesidad y sobrepeso de los pacientes que acudan a estos centros.
- Desarrollo de estudios cuya información no sería recolectada periódicamente por las diferentes instituciones.
- Socialización amplia de resultados por diferentes medios: redes sociales, impresos, foros, etc.
- Elaboración de informes cada cinco años, sobre avances en la prevención de la obesidad.
Objetivo específico
A.2 Vigilar el cumplimiento de las políticas y programas de atención a la persona afectada con obesidad y sobrepeso
Indicador
A.2Proporción de personas (sexo y edad) en atención con obesidad, anualmente.
Meta
A.2 Disminuida la proporción de atención de personas con obesidad, según sexo y edad.
Acciones
A.2.1 Elaboración de protocolos de atención de las personas afectadas con obesidad y verificación de su cumplimiento.
A.2.2 Conformación de equipos en los diferentes niveles de atención, para el cumplimiento de estos protocolos, con personal multidisciplinario.
","Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Physical activity and healthy lifestyle|Nutrition education|Vaccination|Water and sanitation","","http://www.fao.org/3/a-i7792s.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HND%202015%20Plan%20Estrat%C3%A9gico%20Nacional%20para%20la%20Prevenci%C3%B3n%20del%20Sobrepeso%20y%20Obesidad%20en%20Honduras-%20final.pdf"
"23606","MLT","Malta","","Food and Nutrition Policy and Action Plan for Malta 2015-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2015","","2020","Health Promotion and Disease Prevention Directorate, Parliamentary Secretariat for Health","9","2014","Adopted","9","2014","Health Promotion and Disease Prevention Directorate, Parliamentary Secretariat for Health","Nutrition council|Health|Social welfare|Finance, budget and planning|Development|Sport|Environment|Other","Health Promotion and Disease Prevention Directorate","","","","","","","","","","","Research/academia","","","","","","4.3. Goals
- To assist the Maltese population towards adopting a healthy dietary pattern across the lifecourse;
- To encourage all government entities to place health in the consideration of all policies related to the production, marketing, sale, provision and choice of food;
- To be responsive to the links with the social determinants of health and health inequalities and focus on the most vulnerable groups;
- To implement dietary intake and nutritional status surveillance and monitoring of the population with a special focus on children;
- To accelerate action in the field of obesity prevention and control by means of the implementation of the actions proposed in the Healthy Weight for Life Strategy, with a focus on children, comprehensive preventive and treatment approaches and intersectoral action under the leadership of the Ministry for Energy and Health.
4.4. Objectives
- To promote healthy nutrition as the basis for healthy behaviours for the population of Malta;
- To increase the vegetable and fruit intake in the population;
- To reduce salt intake;
- To reduce the consumption of foods high in saturated fats, trans-fats and sugars;
- To address inequalities in food accessibility;
- To halt and reverse the obesity trend in children, adults and older persons.
These identified five priority action areas were:
- To increase the information about the food and nutrition action plan to all stakeholders;
- To improve the availability and accessibility of drinking water in schools;
- To increase the number of mothers that exclusively breastfeed up to six months;
- To reduce the availability and intake of foods high in fat, sugar, and salt in schools;
- To develop a comprehensive surveillance and monitoring system on food consumption.
","5.1. Priority Action Areas On the basis of a situation analysis carried out, the following areas for action have been identified:
- To develop a communication strategy for the Food and Nutrition Action Plan engaging all sectors and stake holders.
- To develop a comprehensive system for surveillance and monitoring of food consumption in order to inform on the evaluation of this action plan. The system will incorporate: COSI, HBSC, HIS, EHES, and a new nutrition surveillance programme for all ages that will include information on dietary behaviour. Laboratory studies are also necessary to provide food composition knowledge of local food products.
- To develop the capacity for research in the area of food and nutrition. A capacitybuilding programme for nutrition research is required and must deliver adequate training to upgrade local knowledge in the field of nutrition research.
- To review the Maltese Food–based Dietary Guidelines across the life course, and to base these on a systematic review of evidence on a healthy diet especially the Mediterranean diet adapted to reflect local Maltese culture. The guidelines need to provide detailed guidance to both professionals engaged in nutrition-related activities and the general population on optimal dietary habits. They are to be formulated by a multi-sectoral, multi-disciplinary group and will be based on the findings of the National Food Consumption Survey (2014-2016).
- To carry out feasibility studies on fiscal/price policies in order to create a framework of incentives to ensure affordability and accessibility of healthy food for all the Maltese population.
- To engage with agriculture and fisheries on the promotion of, accessibility and affordability of preferably fresh fish, fruit and vegetables.
- To introduce agreed mechanisms to reduce salt and sugar, limit saturated fat and eliminate trans fatty acids existing both in local and imported food products. Changes within processed and pre-packed food to reduce salt, sugar and fat intake of the population with minimal change in taste, resulting in health benefits in terms of reducing risk factors responsible for noncommunicable diseases.
- To evaluate and monitor the salt intake of the Maltese population and salt content of all local food products. To continue raising awareness on salt reduction among the general public and to work in partnerships with relevant public and private stakeholders to offer salt-free or salt-reduced local food products.
- To support a healthy start to life by continuing to promote, support, and protect breastfeeding through the adoption and statutorisation of the WHO International Code of Breastmilk Substitutes and related products and enforcement of this legislation. To create incentives within workplaces and public places to support and protect breastfeeding mothers in the community and at the workplace with the aim of achieving the desired target for exclusive breastfeeding up to six months of age.
- To further consolidate current school initiatives in intended to promote and protect healthy diets, drinking of plain safe water and physical activity through the development of a concerted evidence-based School Nutrition Programme.
- To create awareness of the negative impact intake of sugary drinks has on oral health and to monitor and evaluate the consumption of sugary and energy drinks. As described in the Noncommunicable Disease Strategy for Malta (2010), the dentition of schoolchildren can be highly improved through reduced sugar intake from food and beverages. Surveys have described the very high daily intake of sugary carbonated drinks, leading to weight gain and dental caries. To identify and address any issues of potential malnutrition including macro and micro nutrients within vulnerable groups such as older age groups in all settings (hospital, homes, community) by ensuring the affordability and accessibility of food for older people thus guaranteeing a wellbalanced nutritious diet.
- To enhance workplace health promotion with regards to food availability and consumption. The workplace allows access to gainfully employed individuals who are usually in good health. It is a unique opportunity to increase awareness and provide life skills (particularly among males) to avoid the main risk factors for noncommunicable diseases such as unhealthy diets, lack of physical activity, excess weight, binge drinking and smoking.
- To evaluate, reduce and monitor the impact of marketing pressures on children from the media (including social media). Further action is needed to ensure that legislation is in place and enforced.
- To improve the capacity of the health systems to adequately address the health needs of the population in the area of nutrition: Improved training of health care professionals; Referral of patients to the appropriate services; Ensuring adequate numbers of registered nutrition and dietetics professionals in both primary and secondary care.
- To ensure that this action plan is monitored and evaluated in order to ensure that actions within the different settings are achieved according to the timeframe set and within the allocated budget. Coherence with the Noncommunicable Disease Strategy (2010), the National Cancer Plan (2011), the Healthy Weight for Life Strategy (2012) and the National Breast Feeding Policy (2014) must be ensured.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Right to water|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|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|Home grown school feeding|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)|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|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|Vulnerable groups","","https://deputyprimeminister.gov.mt/en/Documents/National-Health-Strategies/FNAP_EN.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202015%20Food%20and%20Nutrition%20Action%20Plan.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"
"40734","NZL","New Zealand","","The New Zealand Childhood Obesity Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","","","2015","Adopted","","2015","Ministry of Health; NZ Government","Health|Education and research|Sport","Ministries of Health and Education, District Health Boards; Sport NZ","","","","","","","","","","","","","Private sector","Food industry","","","","The package launched in October 2015, has three focus areas made up of 22 initiatives, which are either new or an expansion of existing initiatives:
- Targeted interventions for those who are obese
- Increased support for those at risk of becoming obese
- Broad approaches to make healthier choices easier for all New Zealanders.
The focus is on food, the environment and being active at each life stage, starting during pregnancy and early childhood.
The package brings together initiatives across government agencies, the private sector, communities, schools, families and whānau.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Front of pack 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|Nutrition education","","https://extranet.who.int/ncdccs/Data/NZL_B11_New%20Zealand%20Childhood%20Obesity%20Plan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202015%20New%20Zealand%20Childhood%20Obesity%20Plan.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"
"25771","TJK","Tajikistan","","Стратегия Питания И Физической Активности [Strategy for Nutrition and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2015","","2024","","","2015","Adopted","12","2014","Government of Tajikistan","Nutrition council|Health|Education and research|Social welfare|Sport|Justice|Other","Inter-Sectoral Committee (ISC); Republican Center for Nutrition","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","Other","Tajikstandart; Medical Institutions","5. ЦЕЛЬ СТРАТЕГИИ
50. Целью Стратегии является охрана здоровья населения республики посредством улучшения их питания и физической активности.
","8. ПРИОРИТЕТНЫЕ МЕРЫ ВМЕЩАТЕЛЬСТВА СТРАТЕГИИ
60. Усиление нормативно-законодательной и методической базы. На межсекторальном уровне (с ведущими специалистами министерств и ведомств) осуществляется работа по внесению изменений и дополнений к действующим законам Республики Таджикистан, относящимся к вопросам питания, повышения уровня физической активности и профилактики НИЗ. Разрабатываются и утверждаются руководства и рекомендации, касающиеся вопросов питания, физической активности и профилактики НИЗ.
61. Развитие науки и кадрового потенциала. На межсекторальном уровне разрабатываются проекты НИР по вопросам питания, физической активности и профилактике НИЗ, осуществляется их реализация. Совместно с ведущими специалистами соответствующих государственных секторов осуществляется подготовка кадров по вопросам питания.
62. Стратегия в конечном итоге - повысить уровень предоставления услуг по профилактике, диагностике и лечению алиментарно-зависимых заболеваний (в первую очередь на уровне ПМСП).
63. Наряду с мерами по укреплению потенциала ответственных лиц, достаточное внимание уделяется на до- и последипломное обучение и повышение квалификации специалистов здравоохранения по вопросам прав человека и гендерным вопросам. Включаются программы обучения по вопросам питания, физической активности и профилактики НИЗ в учебных заведений.
64. Улучшение кормления младенцев и детей раннего возраста. Стратегия направлена на дальнейшее поощрение грудного вскармливания и правильной практики ведения дополнительного питания, которые не только создадут необходимые условия для физического и умственного развития, но и будут способствовать профилактике НИЗ. Для обеспечения участие мужчин в организации правильного питания и профилактики болезней, связанных с нарушением питания у беременных женщин и детей грудного возраста, а также ухода за ними в случае заболеваний планируется консультировать оба родителя по вопросам питания и физической активности.
65. Организация здорового питания детей до- и школьного возрастов. Организация здорового питания школьников на национальном уровне является одним из основных задач различных правительственных секторов. Международные организации также участвуют в улучшении питания, физической активности и профилактики НИЗ, определяющих генофонд нации (важный элемент для укрепления здоровья, развития человеческого капитала и благополучия). Программа школьного питания будет способствовать развитию до- и школьного питания.
66. Включение в школьную программу аспектов питания, повышение уровня активности и профилактики НИЗ является необходимым образовательным компонентом.
67. На межсекторальном уровне разрабатываются национальные руководства, рекомендации по питанию, физической активности и профилактике НИЗ. Также особое внимание уделяется ""Нормам здорового питания, физической активности и правила личной гигиены для детей"".
68. Планируется включение Республики Таджикистан в исследования ВОЗ по мониторингу за статусом питания детей.
69. В рамках подхода ВОЗ по использованию вмешательств с оптимальным соотношением затрат и эффективности осуществляется контроль маркетинга пищевых продуктов, предназначенных для детей, с особым акцентом на борьбу с неэтичной рекламой заменителей грудного молока, ликвидацией транс-жиров и уменьшением потребления соли.
70. Разработка комплекса инициатив по питанию и физической активности. В рамках межсекторальной деятельности разрабатываются информационные материалы на основе доказательной медицины для повышения уровня знаний населения по вопросам питания и физической активности.
71. Указанными структурами осуществляются реализации мероприятий по обеспечению населения качественно йодированной солью, оцениваются уровни потребления соли и транс-жиров.
72. В связи с важностью фактора повышения уровня активности населения в профилактике НИЗ на межсекторальном уровне предусматривается реализация ряда мероприятий, направленных на усиление нормативно правовой базы, подготовки кадров, разработки программ относительно развития физической культуры и спорта и их внедрение в учебные программы до- и школьных, вузов и др. структур.
73. Создается план информационного воздействия и связи в целях реализации Стратегии, которая позволит координировать деятельность различных средств информации и создается синергизм между ними в интересах пропаганды надлежащего питания и физической активности. Осуществляется анализ тезисов для информационного воздействия и санитарно-просветительских материалов на предмет отражения в них гендерных различий, особенно для основных групп риска (таких как беременные и кормящие женщины и девочки-подростки).
74. Укрепление межсекторального сотрудничества. Усиливаются механизмы межсекторального сотрудничества и коммуникации для своевременного реагирования и принятия эффективных мер по организации правильного питания, физической активности и профилактики НИЗ.
75. Контроль над реализацией Стратегии возлагается на ""Межведомственный комитет"" (далее ""МВК""), который создается приказом Министерства здравоохранения и социальной защиты населения Республики Таджикистан из числа высококвалифицированных специалистов соответствующих министерств и ведомств (по согласованию). Представители международных организаций также могут входить в состав МВК.
76. Подготавливается база для разработки национальной политики для организации здорового питания населения Таджикистана.
77. Мониторинг и оценка. Мониторинг будет осуществляться на основе регулярного отслеживания отобранных индикаторов, основываться на международных стандартах и требованиях и предоставлять качественные, надежные и стандартизированные данные. Система надзора должна генерировать и отслеживать информации о питании, физической активности и о наиболее актуальных НИЗ у различных групп населения (в первую очередь детей и женщин, людей пожилого возраста, включая вопросы гендерных различий), определяя их бремя (включая экономия средств).
80. Будут определены индикаторы воздействия и отслеживания;
а) индикаторы воздействия (Стратегии) будут использоваться для определения специфических изменений, тенденций и проблем в области питания, физической активности и профилактики НИЗ. Например: распространенность острой и хронической форм недоедания среди детей в возрасте 6,59 месяцев, ЖДА, ЙДЗ, ожирений среди детей и женщин или среднесуточное потребление овощей и фруктов, сахара, соли, жирных кислот к рекомендованным ВОЗ уровням их потребления;
б) индикаторы отслеживания (программные или мероприятия) будут привязаны к конкретным срокам и действиям реализации мероприятий.
","6. ИНДИКАТОРЫ СТРАТЕГИИ
51. Содействие грудному вскармливанию и своевременному введению надлежащего прикорма:
а) увеличение исключительно грудного вскармливания детей до 6 месяцев на 20%.
52. Существенное сокращение распространенности недостаточности питания, дефицита микроэлементов и ожирения, особенно у женщин и детей, и других алиментарно-зависимых неинфекционных заболеваний к 2024 году:
а) снижение уровня ЖДА среди женщин репродуктивного возраста до 30%;
б) снижение острого недоедания (низкого веса) на 30%;
в) уменьшение избыточной массы тела у детей и женщин;
г) снижение низкорослости среди детей на 20%.
53. Использование наиболее выгодного с экономической точки зрения вмешательства (на межсекторальном уровне) по продвижению здорового питания с помощью финансовых и маркетинговых механизмов:
а) постепенное искоренение из рациона питания населения транс-жиров;
б) снижение количества потребления соли до 5 гр. в сутки;
в) адаптирование правил регулирования реклам и сбыта детских пищевых продуктов.
54. Суточное потребление энергии за счет насыщенных жирных кислот и свободных сахаров менее 10%.
55. Потребление более 400 гр. фруктов и овощей в день населением.
56. Ускорение деятельности (на межсекторальном уровне) в области профилактики и контроля ожирения (особенно у детей) посредством реализации мер, предложенных в Европейской хартии по борьбе с ожирением:
а) организация и реализация системы наблюдения за пищевым статусом населения.
57. Укрепление системы мониторинга фактического питания и пищевого статуса, а также эпиднадзора за НИЗ с акцентом на наиболее уязвимые группы населения:
а) проведение периодических исследований на национальном уровне.
58. Реализация Стратегии в области питания гарантирует всеобщий доступ к пище, социальную справедливость и гендерное равенство в отношении питания населения Таджикистан.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Overweight in children 0-5 yrs|Saturated fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Fruit and vegetable intake|Right to food|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food safety|Vulnerable groups","","","http://webcache.googleusercontent.com/search?q=cache:dyZclwkfwsUJ:filial-nic-mkur.tj/doc/1/2/2/15%2520%25D0%25A1%25D1%2582%25D1%2580%25D0%25B0%25D1%2582%25D0%25B5%25D0%25B3%25D0%25B8%25D1%258F%2520%25D0%25BF%25D0%25B8%25D1%2582%25D0%25B0%25D0%25BD%25D0%25 https://extranet.who.int/ncdccs/Data/TJK_B13_NPA%20strategy%20FINAL_ENG_24%2001%202015.pdf","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf"
"39395","ARG","Argentina","","Estrategia Nacional para la Prevención y Control de Enfermedades no Transmisibles y el Plan Nacional Argentina Saludable","NCD policy, strategy or plan with healthy diet components","","Spanish","","2016","","","Health ministry","","2016","","","","","Health|Food and agriculture|Education and research|Sport","Health ministry, scientific societies, universities, academia, industrial technology institute, economy ministry, social development ministry, sports ministry, ministry of agriculture, livestock, fisheries and food","","WHO","","","","","","","National NGOs","","","","","","","","La estrategia tiene tres objetivos principales:
1. Monitorear y analizar los determinantes de las enfermedades crónicas no transmisibles con el objetivo de guiar el diseño de políticas Plan Nacional Argentina Saludable 7 de control.
2. Reducir el nivel de exposición de los individuos y la población a factores de riesgo comunes de las enfermedades crónicas no transmisibles.
3. Fortalecer el cuidado de la salud para personas con enfermedades crónicas no transmisibles, por medio de normas y guías costo-efectivas.
","Estrategias para promover la salud y prevenir las enfermedades crónicas no transmisibles (ECNT) en municipiosLa promoción de la salud se desarrolla sobre 3 ejes:
- Promoción de estilos de vida individuales
- Promoción de entornos saludables
- Promoción de la regulación de productos y servicios
En este sentido, las estrategias recomendadas apuntan a mejorar los estilos de vida individuales, fomentando espacios libres de humo, la realización de actividad física, el consumo de frutas y verduras, la reducción del consumo de sal, entre otras medidas. Asimismo se pone el acento en desarrollar entornos saludables (laborales, estudiantiles, municipales y hogareños, entre otros), dado que existe una relación entre los ámbitos en los cuales transcurrimos la vida cotidiana y las decisiones que tomamos, siendo más probable elegir opciones más saludables si el entorno que nos rodea nos ofrece fácilmente dichas alternativas. A su vez, cabe destacar la importancia de la regulación en la promoción de la salud, a través de ordenanzas municipales.
","Sistema de Vigilancia de las ECNT y factores de riesgo: el rol de este eje es aportar información válida y confiable para el diseño, evaluación y monitoreo de las acciones realizadas para prevenir y controlar las ECNT. A su vez, el área promueve el desarrollo de la vigilancia de ECNT a nivel provincial.
","","","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|Fat intake|Total fat intake|Sodium/salt intake|Salt/sodium|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle","","https://www.mindbank.info/item/5055","","",""
"40363","BDI","Burundi","","Stratégie nationale de la santé des adolescents au Burundi","Health sector policy, strategy or plan with nutrition components","","French","","2016","11","2020","Ministère de la santé publique et de la lutte contre le sida","11","2015","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information|Justice","Ministère de la Jeunesse, Sport et CultureMinistère de la Communication et des relations avec le ParlementMinistère de la Solidarité Nationale, des Affaires Sociales et du GenreMinistère de l’Intérieur et de la Formation PatriotiqueMinistère de la Défense et des Anciens Combattants et le Ministère de la sécurité publique","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","coopération AllemandeRoyaume des Pays Bas","","","","","","","","","Other","Organisations de la société civile Organisations confessionnellesOrganisations de jeunesse","","","Pourcentage d'adolescents et de jeunes ayant des connaissances sur au moins trois composantes de santé des adolescent(e)s et des jeunes(nutrition, activité physique, santé sexuelle et reproductive, usage d'alcool, tabac et autres substances nuisibles à la santé (psychoactives), accident de la voie publique).
","Process indicators","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202015%20Strategie%20Sante%20des%20Adolescents_0.pdf"
"25717","HRV","Croatia","","Nacionalna Strategija za Provedbu Sheme Školskog Voca i Povrca [National Strategy for the Implementation of School Fruit and Vegetable Scheme]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","8","2016","7","2017","Ministry of Agriculture","4","2016","Adopted","4","2016","Government of Croatia","Health|Food and agriculture|Education and research|Sport","","","","","","","","Other","European Agricultural Guarantee Fund (EAGF)","","","Research/academia","Croatian Institute for Public Health","Private sector","Local Agriculture Industry","Other","Elementary and Secondary Schools; Fruit and Vegetable Suppliers","POLAZNA OSNOVA, CILJEVI I SVRHA
U cilju poboljšanja prehrambenih navika djece i podizanja svijesti u široj javnosti o značaju zdrave prehrane u njihovom razvoju u osnovnim i srednjim školama u Republici Hrvatskoj provodi se Shema školskog voća i povrća.
CILJNA SKUPINA
Procjenjujemo da će u školskoj godini 2016./2017. u Shemi školskog voća i povrća sudjelovati blizu 450.000 učenika, oko 290.000 učenika osnovne škole i oko 160.000 učenika srednje škole, u oko 1.200 škola u Republici Hrvatskoj.
PRIHVATLJIVI PROIZVODI
Preporučena dnevna količina voća i povrća koja će se raspodijeliti djeci iznosi od 100 do 150 g po djetetu.
Listu prihvatljivog voća i povrća potvrdilo je Ministarstvo zdravlja i preporučilo dnevnu količinu voća i povrća po djetetu.
Glavni kriteriji pri odabiru voća i povrća su:
- svježina voća i povrća kako bi se iskoristile nutritivne vrijednosti
- potrošnja voća i povrća s obližnjih poljoprivrednih gospodarstava, kako bi se smanjio broj tretiranja sredstvima za zaštitu bilja i uslijed toga negativni učinak na zdravlje, skratio lanac opskrbe i uslijed toga smanjili troškovi transporta i distribucije te negativni učinak na okoliš
- raspoloživost pojedinih vrsta voća i povrća tijekom školske godine.
","PRATEĆE MJERE
Kako bi se osigurala učinkovitost Sheme školskog voća i povrća među djecom u osnovnoj i srednjoj školi provodit će se neke od sljedećih pratećih mjera:
- posjet poljoprivrednom gospodarstvu koje se bavi proizvodnjom voća i povrća, proizvođačkim organizacijama, kapacitetima za skladištenje, sortiranje i pakiranje te seljačkim tržnicama
- održavanje nastave u vrtu
- kušaonice, satovi degustacije
- edukacija djece o poljoprivredi, zdravim prehrambenim navikama i zaštiti okoliša
- aktivnosti u kombinaciji s drugim pratećim mjerama i/ili popraćene kušanjem voća i povrća.
Sustavnom edukacijom djece kroz prateće mjere pridonijet će se:
- podizanju razine svijesti o važnosti potrošnje voća i povrća kao nutritivno izuzetno vrijednih namirnica
- sprječavanju rasipanja hrane
- promjeni prehrambenih navika s aspekta očuvanja zdravlja i kontrole unosa šećera, soli i masti.
MODALITETI DISTRIBUCIJE I POSTUPAK SELEKCIJE
Isporuka prihvatljivog voća i povrća će se obavljati najmanje jednom tjedno tijekom 35 tjedana nastavne godine. Dobavljači će isporučivati prihvatljivo voće i povrće u dane održavanja nastave u skladu sa školskim kalendarom.
Voće i povrće isporučeno u okviru Sheme školskog voća i povrća, škole će raspodijeliti učenicima osnovnih i srednjih škola najmanje jednom tjedno, kao zaseban obrok neovisan od obroka školske prehrane.
Dobavljači voća i povrća u okviru Sheme školskog voća i povrća odabiru se putem javnog poziva na temelju propisanih uvjeta.
Škole koje je potvrdilo Ministarstvo znanosti, obrazovanja i sporta za koje je poznat broj učenika po školi mogu sudjelovati u Shemi školskog voća i povrća i odabiru dobavljača s popisa dobavljača koji su udovoljili uvjetima javnog poziva.
","Rezultati učestalosti potrošnje voća i povrća tijekom radnog tjedna pokazuju da veći postotak učenika svakodnevno konzumira svježe voće 49% nego svježe povrće 35%.
U odnosu na prošlu školsku godinu došlo je do povećanja konzumiranja voća i povrća u školi od 2% što se može pripisati provedbi Sheme školskog voća i povrća u školama.
","Outcome indicators","","Nutrition in the school curriculum|School fruit and vegetable scheme|School gardens","","http://www.mps.hr/default.aspx","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202016%20Fruit%20and%20Vegetable%20Sheme.pdf"
"23801","KAZ","Kazakhstan","","Государственная программа развития здравоохранения Республики Казахстан «Денсаулық» на 2016-2019 годы и План мероприятий по реализации/ National Programme for Development of the Health Sector of Kazakhstan 'Densaulik' 2016-2019 and Activities Plan","Health sector policy, strategy or plan with nutrition components","","Russian","3","2016","","2019","Ministry of Health","","2016","Adopted","3","2016","Government of Kazakhstan","Health|Education and research|Sport","","","","","","","","","","","","","","","","","","В соответствии с лучшим международным опытом, основой дальнейшего развития системы здравоохранения станет создание системы общественного здравоохранения (СОЗ), на основе интеграции эпидемиологической службы и службы формирования здорового образа жизни и рационализации питания.
Одной из ключевых целей деятельности региональных подразделений СОЗ станет повышение ответственности населения за свое здоровье на основе рационализации питания и стимулирования здорового образа жизни, развития санитарной, репродуктивной и физической культуры, пропаганды правильного питания.
При этом, борьба с НИЗ будет проводиться на основе международных апробированных технологий в соответствии с Глобальным планом действий по профилактике НИЗ и борьбе с ними на 2013-2020 годы, Рамочной Конвенцией Всемирной организации здравоохранения (ВОЗ) и Европейской стратегии по борьбе против табака, Планом действий ВОЗ в области пищевых продуктов и питания на 2015–2020 годы.
Министерство национальной экономики Республики Казахстан продолжает реализацию мероприятий по обеспечению питьевой водой и канализованию; Министерство образования и науки Республики Казахстан (далее – МОН) – обеспечение питания школьников, привитие навыков ведения здорового образа жизни;
","Основными функциями СОЗ станут:
- повышение информированности населения и его вовлечение в мероприятия по профилактике и снижению вредного воздействия различных факторов окружающей среды, нездорового питания и поведенческих рисков;
- разработка научно-обоснованных принципов рационального питания, направленных на предупреждение и контроль заболеваний и микронутриентной недостаточности, разработка санитарных норм производства и реализации пищевых продуктов;
- научные исследования по решению общественного здравоохранения, в том числе мероприятий по формированию здорового образа жизни;
План мероприятий по реализации Государственной программы 2016-2019
9. Внести предложения по разработке концепции здорового питания школьников19. Активизировать работу по вовлечению населения (детей, подростков, взрослых, трудоспособного населения) в занятия физической культурой и спортом
20. Формировать навыки здорового питания путем активной информационно-образовательной работы по вопросам здорового и рационального питания среди детей
21. Продолжить проведение мониторинга и контроля качества и безопасности продукции, в том числе пищевой, включая фальсифицированные и генетически модифицированные продукты
22. Подготовить предложения по фортификации муки
23. Разработать единые стандарты по рациону питания в учебных заведениях и обеспечить мониторинг за их внедрением
","№ Показатели результатов ед. изм. Источники информации Ответственные за исполнение 2014
(факт) 2015
(оценка) 2016 2017 2018 2019
- 1 Доля населения, имеющих постоянный доступ к питьевой воде: % Ведомственная статистическая отчетность МНЭ, Акиматы областей, городов Астана и Алматы
город 86 87 88 90 93 97
село 50,3 51,5 52,3 55 58 62
- 3 Доля отечественного производства во внутреннем потреблении овощей и фруктов в течение года % Ведомственная статистическая отчетность МСХ МСХ, Акиматы областей, городов Астана и Алматы 68 72 76 80 84 88
- 13 Заболеваемость пищевыми токсикоинфекциями на 100 000 нас. Ведомственная статистическая отчетность МЗСР МЗСР, МНЭ, Акиматы областей, городов Алматы и Астаны 7,6 7,4 7,2 7,0 6,8 6,6
- 14 Охват граждан, занимающихся физической культурой и спортом % Ведомственная статистическая отчетность МКС, МЗСР, Акиматы областей, городов Алматы и Астаны 25,1 26,0 27,0 28,0 29,0 30,0
- 15 Охват детей и подростков, занимающихся физической культурой и спортом на базе детско-юношеских спортивных школ % Ведомственная статистическая отчетность МКС, МОН, МЗСР, Акиматы областей, городов Алматы и Астаны 13,0 13,5 14,0 14,5 15,0 15,1
- 16 Распространенность ожирения на 100 000 нас. Ведомственная статистическая отчетность МЗСР МЗСР, МНЭ, Акиматы областей, городов Алматы и Астаны 278,3 270,0 256,5 243,6 231,4 220,0
","Outcome indicators|Process indicators","","Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|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)|Promotion of fruit and vegetable intake|Healthy food environment in hospitals|Physical activity and healthy lifestyle|Food fortification|Wheat flours|Food safety|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","http://www.mzsr.gov.kz/content/%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%B0%D1%8F-%D0%BF%D1%80%D0%BE%D0%B3%D1%80%D0%B0%D0%BC%D0%BC%D0%B0-%D1%80%D0%B0%D0%B7%D0%B2%D0%B8%D1%82%D0%B8%D1%8F-%D0%B7%D0%B4%D1%80%D0%B0%D0%B","Activity Plan 2016-2019: https://extranet.who.int/ncdccs/Data/KAZ_B3_%D0%B4%D0%B5%D0%BD%D1%81%D0%B0%D1%83%D0%BB%D1%8B%D0%BA.pdf","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202016%20National%20Health%20Policy%20Densaulyk%202016-2019_1.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202016%20National%20Health%20Policy%20Densaulyk%202016-2019_1.pdf"
"40054","LSO","Lesotho","","Lesotho Food and Nutrition Policy (LFNP) 2016-2025","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Food and Nutrition Coordinating Office","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Other","Food and Nutrition Coordinating Office (under the Prime Minister’s Office), Ministry of Local Government, Ministry of Water, Ministry of Gender, Youth, Sports and Recreation, Disaster Management Authority, Food Management Unit, National AIDS Commission","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","NGOs (unspec.), community volunteers","","","","","National NGOs","","","","","private education institutions","","","2.3. Goal
To attain optimal nutritional requirements for the improvement of health status among the population of Lesotho, enabling them to contribute effectively to national socio-economic growth and development.
3.1. Policy Objectives
Objective I. Nutrition-Specific Programming
1. To ensure that women of child-bearing age and during the neonatal period consume a diet that provides adequate nutrients appropriate for their physiological needs
2. To ensure that all infants and young children 0-59 months of age in Lesotho are appropriately fed
3. To ensure optimal nutrition for school-age children and adolescents
4. To ensure prevention, treatment and management of acute malnutrition according to IMAM guidelines
5. To ensure prevention and control of diet-related non-communicable diseases and ensure a healthy lifestyle.
6. To ensure that all people in Lesotho have adequate micronutrient status
7. To ensure that nutrition aspects are strengthened in all TB and HIV and AIDS prevention, treatment and care programmes.
Objective II. Nutrition-Sensitive Programming
1. To achieve reliable production, supply and utilisation of a variety of safe, adequate, affordable and nutritious foods at all times, the Government shall aim to promote climate-smart technologies
2. To ensure that multiple micronutrients are added to staple and other regularly consumed foods
3. To enact and implement appropriate legislation and other regulatory frameworks to ensure that safe and high quality food is available at all times
4. To expand the coverage of social protection programmes, target nutritionally vulnerable groups and strengthen the quality of service provision
5. To ensure that all children in Early Childhood Care and Development (ECCD) centres and primary schools get adequate nutrition and that nutrition education is covered in curricula from ECCD to institutions of higher learning
6. To ensure that all households and other institutions in Lesotho can live in conditions of good environmental health.
Objective III. Enabling Environment
1. Nutrition capacity building
2. Nutrition research, to ensure coordinated, regulated and appropriately prioritised nutrition research that contributes to and supports policy objectives, poverty reduction and strategy reviews.
3. Institutional framework, to facilitate coordination and harmonisation of all nutrition-related policies and programmes in order to avoid duplication, ensure optimal use of scarce resources and ensure standardisation of operations by all public and private entities
4. Budget - Efficient allocation and use of resources for implementation of LFNP
5. Common Results Framework - Monitoring and evaluation of nutrition programmes.
3.2. National Nutrition Targets to be achieved by 2025
Based on WHA global targets, the following national targets have been formulated for the LFNP to be achieved by 2025:
1. Stunting among children 6-59 months of age will be reduced to a prevalence of 23 per cent or lower
2. Anaemia prevalence among women of reproductive age (15-49 years) will be reduced to 13 per cent or lower
3. Childhood overweight will not have increased and at most will affect 7 per cent of children under five years of age
4. The exclusive breastfeeding rate during the first six months will be maintained at a level of at least 50 per cent
5. Childhood wasting will be maintained at a level below 5 per cent.
6. Low birth-weight will be maintained at a level below 5 per cent.
","
4.1. Improving Maternal Nutrition
Strategic objectives:
1. Integrate nutrition services into antenatal and postnatal care and family health packages.
2. Ensure routine iron folate supplementation and deworming.
3. Institutionalise universal maternity care.
4. Prevent malnutrition and mother-to-child transmission of HIV; ensure adherence to treatment through provision of nutrition services to women and infants.
5. Promote nutritional support for malnourished women of child-bearing age.
4.2 Promotion of Appropriate Infant and Young Child Feeding Practices
Strategic objectives:
1. Promote, protect and support exclusive breastfeeding and create an enabling environment that includes enforcement of the law on marketing breast-milk substitutes.
2. Promote efficient nutrition assessment and counselling.
3. Promote and create access to appropriate, diverse, nutritionally adequate complementary foods for children aged 6-to-24 months.
4. Support the monitoring of IYCF trends.
5. Provide essential nutrition services.
6. Advocate for the incorporation of IYCF into the curricula at all levels of formal and non-formal education systems.
4.3. Prevention, Treatment and Management of Malnutrition
Strategic objectives:
1. Promote efficient early identification, management and follow-up of acute malnutrition patients at community and health facility level.
2. Ensure availability of specialised nutrition products to treat acute malnutrition.
3. Enhance monitoring, evaluation and management of acute malnutrition programmes.
4.4. Nutrition in the General Population
Strategic objectives:
1. Facilitate the prevention and control of nutritional deficiencies through micronutrient supplementation, food fortification, food-based approaches and disease-control measures.
2. Promote behavioural practices supportive of optimal nutrition and healthy lifestyles.
4.5. Preventing and Managing Diet-Related Non-Communicable Diseases
Strategic objectives:
1. Promote consumption of healthy foods and diets, physical activity and healthy lifestyles
2. Promote programmes on prevention and management of diet-related NCDs
3. Promote screening for NCDs
4.5. Preventing Micronutrient Deficiencies
Strategic objectives:
1. Provide access to essential nutrition services, with a focus on vitamin A and iron supplementation and salt iodisation
2. Enforce micronutrient legislation
3. Support the implementation of appropriate micronutrient supplementation programmes for identified groups at risk (pregnant and lactating mothers, infant and young children, school-aged children and people living with HIV/AIDS and TB)
4. Promote the production, processing, preservation, packaging and consumption of foods rich in micronutrients
5. Develop new (and/or update existing) regulations and legislation on micronutrient fortification of both locally-produced and imported foods
6. Develop and implement a communication strategy on the importance of foods rich in micronutrients, to encourage behavioural change
7. Strengthen collaboration and linkages between communities, the GoL, NGOs and the private and informal sectors
8. Support the enforcement of food-fortification regulations and legislation
9. Advocate for the integration of routine de-worming for all populations at risk.
4.6. Nutritional Needs of Special Groups
4.6.1. Nutrition, HIV and AIDS and TB
Strategic objectives:
1. Integrate nutrition into TB, HIV and AIDS prevention, treatment and care programmes
2. Advocate for increased commitment at public, private, NGO and community levels to support nutrition, TB, HIV and AIDS programmes
3. Establish linkages between nutrition assessment care and support (NACS) in communities and livelihood programmes.
4.6.2. School-Aged Children and Adolescents
Strategic objectives:
1. Promote nutrition for optimal growth and development for school-age children and adolescents
2. Promote optimal nutrition composition of all school meals
3. Support school-based meals that contribute to improved daily attendance and reduction of dropout rates
4. Strengthen nutrition education.
5. POLICY OBJECTIVE 2: NUTRITION-SENSITIVE PRIORITY ACTIVITY AREAS
5.1. Food and Nutrition Security at National, Community and Household Level
Strategic objectives:
1. Promote utilisation of diverse, safe and nutritious foods
2. Contribute to the diversification of sustainable food production and supply-base, considering climate-smart technologies
3. Promote community nutrition programmes that support income-generating, sustainable and resilient livelihoods
4. Promote climate-smart and labour-saving technologies.
5.2. Food Fortification
Strategic objectives:
1. Promote the consumption of nutrient-enhanced foods.
2. Advocate for the provision of multiple micronutrient sachets for addition to a child’s meal before consumptions and addition to milling machines used in the community each time a pre-measured portion of grain is added.
5.3. Food Safety and Standards
Strategic objectives:
1. Improve/ensure food standards, quality and safety.
2. Develop food standards guidelines.
5.4. Caring for the Socio-Economically Deprived & Nutritionally Vulnerable
Strategic objectives:
1. Promote social protection interventions for improved nutrition
2. Promote participation by men in the provision of nutritional care and support for their families
3. Support the creation of community-based livelihood and growth-promotion programmes
4. Build capacity for the provision of nutritional care to socio-economically deprived and nutritionally vulnerable household members
5. Advocate for food and nutrition programmes directed to vulnerable groups
6. Ensure that all food packages aimed at nutritionally vulnerable groups meet nutritional standards.
5.5. Early Childhood Care and Development
Strategic objectives:
1. Improve the nutritional status of children in ECCD
2. Improve the nutritional status of children in primary schools
3. Reduce malnutrition in schools
4. Improve food and nutrition security
5. Increase knowledge on nutrition, food production and livelihood opportunities at all schools.
5.6. Water, Sanitation and Hygiene (WASH)
Strategic objectives:
1. Promote safety of drinking water, including commercially bottled water
2. Promote essential WASH practices (hand-washing with water and soap at critical times, treatment and safe storage of drinking water, and sanitary disposal of human faeces)
3. Promote water protection interventions
4. Advocate for water, sanitation and hygiene distribution services to households and other institutions.
5.7. Nutrition in Emergency Situations
Strategic objectives:
1. Strengthen nutrition early warning systems by including a food security and nutritional assessment
2. Strengthen the capacity of Government, UN agencies and NGOs to respond to nutrition and nutrition-related early warning information related to potential shocks
3. Ensure availability of specialised nutrition products, supplementary food, therapeutic food, safe drinking water and water purification commodities
4. Support integration and linkage of emergency programmes to livelihood interventions and social safety nets/transfers
5. Support infant and young child nutrition emergency principles, including breastfeeding support, essential WASH actions and access to other critical services.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202016%20Food%20and%20Nutrition%20Policy.pdf"
"39483","MYS","Malaysia","","Policy Options to Combat Obesity in Malaysia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2016","","","Ministry of Health Malaysia","","2016","","","","","Health|Education and research|Sport|Trade","Ministry of Health Malaysia has formed a Task Force to Combat Obesity in Malaysia chaired by Deputy Director General of Health (Public Health) with members are from several ministries, professional bodies and NGOs (Appendix I)1 Datuk Dr. Lokman Hakim Sulaiman Deputy Director General Of Health Malaysia (Public Health)2 Mrs Rokiah Don Director, Nutrition Division, Ministry of Health3 Dr. Chong Chee Kheong Director, Disease Control Division, Ministry of Health4 Mr Abdul Jabar Ahmad Director, Health Education Division, Ministry of Health5 Dr Fatanah bt Ismail Senior Principal Assistant Director, Family Health Development Division, Ministry of Health6 Mr Cyril Christopher Singham Principal Assistant Director, School Management Division, Ministry of Education7 Dr Abdul Halim Mohd Hussin Director, Psychology Division, Public Service Department8 Mrs Siti Farida Azhar Deputy Director General, Sports Development Division, Ministry of Youth and Sports9 Ms Masni Mustapa Kamarul Basah Principal Assistant Secretary, Family and Community Development Division, Ministry of Women, Family andCommunity Development10 Prof. Emeritus Dr. Mohd Ismail Noor President, Malaysian Association for the Study of Obesity (MASO)11 Dr Tee E. Siong President, Nutrition Society of Malaysia12 Mr Jong Koi Chong Chairman, Malaysia Council for Obesity Prevention (MCOM)13 Mr Ikmal Azam Thanaraj Abdullah Vice President, Malaysian Trade Union Congress (MTUC)14 Dr Mohd Zaidi Saleh EXCO, Malaysia Association of Sports Medicine15 Mrs Munirah Muhtar Secretary, Federation of Malaysia Manufacturers (FMM)16 Ms Rusidah Selamat Deputy Director, Nutrition Division, Ministry of Health17 Mrs Zaiton Daud Deputy Director, Nutrition Division, Ministry of Health18 Mrs Zalma Abdul Razak Senior Principal Assistant Director, Nutrition Division, Ministry of Health19 Mr Nazli Suhardi Ibrahim Senior Principal Assistant Director, Nutrition Division, Ministry of Health20 Dr Feisul Idzwan Mustapha Senior Principal Assistant Director, Disease Control Division, Ministry of Health21 Mr Mohamed Farouk Abdullah Senior Principal Assistant Director, Health Education Division, Ministry of Health22 Dr Saidatul Norbaya Buang Chief Senior Assistant Director, Family Health Development Division, Ministry of Health23 Mrs Norliza Zainal Abidin Principal Assistant Director, Food Safety and Quality Division, Ministry of Health24 Mrs Mahani Wahab Assistant Director, Division of Educational Planning and Research, Ministry of Education25 Prof Dr Norimah A. Karim Chairman, Technical Working Group (Research) Nutrition Division, Ministry of Health","","","","","","","","","","","Research/academia","10 Prof. Emeritus Dr. Mohd Ismail Noor President, Malaysian Association for the Study of Obesity (MASO)","","","","","General Objective
To prioritise policy options on food, physical activity and environment to combat obesity in Malaysia.
Specific Objectives
To prioritise hard policy options to combat obesity in Malaysia.
To prioritise soft policy programmes/ interventions to combat obesity in Malaysia
","Ban sales of food and beverages that are not encouraged to be sold in school canteen.
Ban marketing of unhealthy food/ beverages to children in print and fixed outdoor advertising within 50 metres of schools (media, bus stops, billboards)
Mandatory to provide free, clean and safe (water fountain/ dispenser) in schools, higher learning institutions and workplaces.
Improve provision of quality physical activity in educational settings (from preschool to tertiary level) including opportunities for physical activity before, during and after the formal school day.
Voucher for sport/physical activity equipment.
Mandatory employment of nutritionists in schools for each PPD employed by MOE.
Recognition shall be given to schools for organising physical activity
Institution of Higher Learning and Workplace Setting
Mandatory to sell/ provide fruits in food outlets in government agencies.
Encourage to sell/ provide fruits in food outlets in private sectors.
Mandatory for healthy food choices made available in workplace canteens and higher learning institutions.
Mandatory establishment of sports and welfare club at department and ministries in government agencies.
Encourage physical activity after working hours to government servants in government agencies.
Mandatory for every government servant to involve in physical activity.
Mandatory for government agencies to implement physical activity in every meeting/ seminar/ course that will set example to others.
Specific allocation for procurement of physical activity/ sport related materials, equipment and organising related events in every agency.
Healthy BMI as part of performance appraisal in the workplace.
Qualified physical activity instructor is placed in every agency to implement physical activity.
Promote work-life balance (work efficiently within working hours) in order to encourage employees to carry out physical activity.
General Population Setting
Increase consumption and access to affordable and fresh vegetables (including ulam) and fruits by increasing the number of Pasar Tani outlet.
Mandatory for cafeteria operators and caterers to be trained and certified on healthy food provisions and preparations (as a core module).
Banning television advertising of foods/ beverages high in fat and/ or high in sugar that is appealing to children.
Mandatory for vending machines to sell healthier food and beverages options in public places.
Mandatory to display nutrition information for all vending machines.
Mandatory to display prominently nutrition information on menus at food outlet (e.g.: fast food restaurants, franchise restaurants).
Excise and/ or GST on unhealthy foods (foods high in fats, salt and sugars) e.g.: sweetened creamer, condensed milk, sugar sweetened beverages (SSBs) carbonated drinks, juices, processed foods.
Impose extra charges for excess/ unfinished food taken in hotels/ restaurants (buffet).
Reduce import duty on fruits and vegetables.
Initiatives to reduce sitting time during working hours.
Increase availability of facilities in the community to promote physical activity and exercise in safe environment (e.g.: public parks, public sport complexes, jogging and cycling paths and public gymnasium).
Mandatory for local authority to provide cyclists and pedestrians safe and accessible sidewalks, walking path and cycling paths.
Implement public awareness activities to promote the benefits of physically active lifestyle.
To manage weight and health through skill building in parenting, meal planning and behavioural management through training courses.
Establish a weight management program for overweight and obese individuals in workplace settings.
Develop National Physical Activity Guidelines.
Every local authority has to organise Car Free Campaign once a month to create supportive environment for physical activity.
Provide parking space for bicycle in every station of public transportations.
Increase the limit of income tax deduction/ relief from RM300 to RM600 for procurement of on exercise equipment.
Tax deduction to employers (private sectors) on the expenses made for sports and physical activity equipment as defined in Sport Development Act to the employees.
Mandatory for local media to allocate more airtime/ advertisement space during appropriate time for promotion of physical activity.
Establish public-private partnership to promote healthy eating and physical activity
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Mandatory restriction of operating hours up to 12 midnight for all food outlets.
Mandatory to relocate street stalls to hawker centres for the purpose of ensuring opening time, food safety and healthier choices.
Reduce cooking oil subsidies.
Restrict the number of new food outlets including 24 hours food outlets within 400 metres radius of new resident areas.
Provide incentive (e.g.: provision of raw agricultural inputs, tax discounts for producers) for local production, processing and distribution or importation, and marketing of healthier food options.
Mandatory employment of nutritionists/ dietitians in major food outlets.
Every local authority to provide billboards, advertising space at Ministry of Youth and strategic sites for promotion of physical activity.
","","Outcome indicators","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Added sugars|Fruit and vegetable intake|Right to water|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Menu labelling|Fats|Taxation on unhealthy foods|Removal of taxes on healthy foods|Removal of subsidies on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Food safety|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS_2016_Policy%20Options%20to%20Combat%20Obesity%20in%20Malaysia.pdf"
"40359","MDV","Maldives","","Multi-sectoral Action Plan For The Prevention And Control of Noncommunicable Diseases in Maldives (2016-2020)","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","8","2015","","","","","Health|Sport|Other","Stakeholders participated in developing the action plan Advocating Rights for ChildrenDepartment of CustomsDhamanaveshi (Urban Health Center, Male’) Diabetic Association of MaldivesFaculty of Health Science Male’ City Council Indira Gandhi Memorial HospitalLocal Government AuthorityMaldives Police OfficeMinistry of Economic Development Ministry of EducationMinistry of Health and Gender Ministry of Housing and Infrastructure Ministry of Youth and SportsNational Drug Agency Villingili Health Center","","","","","","","","","","","","","","","","","GOAL
To reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in the Republic of Maldives.
(i) A 25% relative reduction in overall mortality from cardiovascular diseases, cancers, diabetes, or chronic respiratory diseases
(ii) A 10% relative reduction in the harmful use of alcohol
(iii) A 30% relative reduction in prevalence of current tobacco use in persons aged over 15 years
(iv) A 10% relative reduction in prevalence of insufficient physical activity
(v) A 30% relative reduction in mean population intake of salt/sodium
(vi) A 25% relative reduction in prevalence of raised blood pressure
(vii) Halt the rise in obesity and diabetes
(viii) A 50% relative reduction in prevalence of exposure to second hand smoke in homes, work places and public places in closed settings (restaurants, hotels, bars)
(ix) A 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and stroke
(x) An 80% availability of affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities
","Strategic action area 2: Health promotion and risk reduction.
- Implement BCC and mass media national campaigns on healthy lifestyle promotion using national recommendations of physical activity and diet
- Develop progressive policy measures to minimize consumption of saturated fatty acids and banning of hydrogenated vegetable oils
- Implement healthy lifestyle promotion for school children of all age groups in school settings
- Adapt a public health approach to address alcohol use among young people
- Adopt urban structural alignment to promote walkability and physical activity in Male’
- Create two open air mass physical activity grounds providing free physical activity sessions by a professional instructor
- Advocate for swimming as a physical activity and construct washrooms near beaches to promote swimming
- Pilot work place health promotion initiatives in six organizations: MOH, Civil Service Commission , Bank of Maldives, STO, Dhiraagu and Ooreedoo
","Short term
- Increase airtime for healthy lifestyle events on mass media channels such as in social media,( facebook, tweeter), TV, radio and print media (Mov: Air time contract award document and activity reports of the media organizations)
- Increase public educational programs on risk of transfat and hydrogenated vegetables oils in campaign reports, documents for mass media of HPA) integrated BCC (Mov: Activity Contract award
- Increase monitoring of food contents of salt and saturated fatty acids and transfat levels( (Mov:Annual published market inspection reports of MFDA/HPA)
- Decrease in advertisement of non-alcoholic beverages and food high in saturated fatty acids, transfat, high sugar or salt decreased (Mov: Annual media assessment reports by HPA/NGOs)
Medium term
- Increase awareness of dietary recommendations in population (Mov: STEPS and GSHS and midterm and end line evaluation reports)
- Decrease market availability of food products with high content of transfat and hydrogenated oils (Mov: Annual published market inspection reports of HPA/MFDA)
- Decreased accessibility and availability of non-alcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt in the market (Mov: Annual market assessment reports by HPA/NGOs)
Long term
- Age standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ year Population achieving recommended level of servings of fruits and vegetables
- Reduction in consumption of food containing trans fat and hydrogenated vegetable oil
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vaccination","","","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDV_2015_Multi-sectoral%20Action%20Plan%20For%20The%20Prevention%20And%20Control%20of%20Noncommunicable%20Diseases%20in%20Maldives%20%282016-2020%29_1.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"
"36175","LKA","Sri Lanka","","Multisector Action plan for the prevention and control of Non communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","Ministry of Health","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","Ministry of Health Ministry of Health, Ministry of Education, Ministry of Trade, Ministry of Sports, Ministry of Finance, Ministry of Mass communication, Ministry of Local Government","","WHO","","NCD alliance,","","WB","","","National NGOs","","","","","","","","Sri Lanka aims to achieve the following targets by 2025
1. A 25% relative reduction in premature mortality from cardiovascular disease, cancer, diabetes, or chronic respiratory diseases
...
4. A 30% relative reduction in mean population intake of salt/sodium
...
6. A 25% relative reduction in prevalence of raised blood pressure and or contain the prevalence of raised blood pressure
7. Halt the rise in obesity and diabetes
8. A 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes
...
","2.3 Promote healthy diet high in fruit and vegetables and low in saturated fat/trans fat, free sugar and salt
2.3. 1.a Accelerate the implementation of the diet component of the Global Strategy on Diet, Physical Activity and Health
• create a mechanism for monitoring of food and beverages advertisements and complains
• develop national policies on marketing of food and non alcoholic beverages to children
• develop policies to promote availability of healthy food
• develop policies to increase the affordability of healthy food
• set up a committee to review food advertisement before airing
• conduct programme to increase the acceptability of healthy food
• establish policies on taxes and subsidies to promote consumption of fruits and vegetables
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost strengthen the laboratory facilities at MRI and to check salt, fat content in the diet and urinary sodium concentration
• develop the lab at MRI and in a selected hospital
• strengthen of MLT schools at MRI
2.3. 2.e.Increase the availability of healthy foods low in salt, sugar and fats
• advocacy meeting with food producers, processors, retailers to lobby to change the composition of food
• lobby food industry to manufacture healthy food options
• motivate food industry to reformulate processed food
• conduct award programme for companies who prepare healthy food
• establish a mechanism to ensure voluntary reduction of salt, sugar and fat
• establish a mechanism to ensure mandatory reduction of salt, sugar and fat
• evaluate the effects of major interventions for reducing salt
2.3. 2f Take measures to reduce trans fat in processed foods
• conduct a survey to identify sources of trans fat and base line levels
• develop a national strategy to address trans fat
• develop a policy to limit use of trans fat and use of PHVO (partially hydrogenated vegetable oil) in all processed food and restaurants
2.3. 2.g Introduce food labeling to indicate unhealthy foods
• introduce traffic light system for salt, sugar and saturated fat, trans fat, energy content
• indicate the nutrition composition of the food in the labels
• strengthen laboratory network in the country to certify the contents in the food labels (one per
2.3. 2.h Increase tax for unhealthy food
• establish policies on taxes to discourage consumption of unhealthy food high in fat, sugar and salt
• impose taxes on un healthy food and beverages
2.3. 2.i Establish a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
2.3. 3.a Improve awareness of the public on cardio metabolic risk of consuming unhealthy foods through a mass media campaign
• develop IEC materials on salt, sugar, fat
• telecast commercials on sugar , salt, fat reduction
• develop IEC materials on BMI, obesity, overweight prevention
• telecast commercials on fruits and vegetables consumption
• publish newspaper advertisement on healthy foods and unhealthy food habits
• conduct healthy dish competitions
2.3. 3.b Promote maternal and child nutrition
• promote exclusive breast feeding
• implement breast feeding code
• promote complementary feeding
• ensure good maternal nutrition
• improve nutrition in malnourished girl children
2.3. 3.c Improve availability of healthy foods
• implement healthy canteen policy in schools
• establish healthy canteens in work places according to the guidelines
2.3. 3.d Increase availability of food based dietary guidelines
• revise the Sri Lankan food based dietary guidelines
• disseminate the food based dietary guidelines
2.3. 3.e Conduct awareness programmes on healthy foods and food based dietary guidelines
• conduct programmes for pre school teachers, school children, teachers, parents, youth, university students, community groups on food based dietary guidelines
2.3. 3.f capacity building of health workers on food based dietary guidelines
• training programmes on healthy diet for healthcare workers based on food based dietary guidelines
2.3. 3.g Improve obesity management
• develop a teaching module on obesity management guidelines
• establish obesity management clinics
","Availability of policies and mechanisms to increase intake of healthy foods
Prevalence of persons (aged +18 years ) consuming less than five total servings (400 g) of fruit and vegetables per day
Availability of fruits and Vegetables
Availability of fruits and Vegetables Availability of fruits and Vegetables
Availability of food low in food low in salt, sugar and fats
Availability of processed foods with no trans fats
Availability of food labeling with nutrition composition and traffic light system
No. of food items certified by / given the certification on the contents of the food label
Availability of policies on taxing unhealthy diet
Availability of a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
Knowledge of the public on daily requirement of salt, sugar, fats and cardio metabolic risk of consuming unhealthy foods
% of infants receive complementary feeding after 6 months
% of mothers who exclusively breast feed for 6 months and appropriate complementary feeding
No. of schools practicing healthy canteen policy
No. of workplaces practicing healthy canteen policy
Availability of locally relevant food based dietary guidelines
Knowledge of the public on healthy foods
No. of staff trained on food based dietary guidelines
Availability of obesity management guidelines and obesity management clinics
","","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Removal of subsidies on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","http://www.searo.who.int/srilanka/documents/national_ncd_action_plan_sri_lanka.pdf?ua=1","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"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"
"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"
"25898","ALB","Albania","","National Program on Prevention and Control of NCDs in Albania 2016-2020 (Programi Kombëtar për Parandalimin dhe Kontrollin e Sëmundjeve Joinfektive në Shqipëri)","NCD policy, strategy or plan with healthy diet components","","English","","2017","","","","","2017","","","","","Health|Food and agriculture|Education and research|Sport|Transport|Environment","Program has been developed with the input of line ministries: Ministry of Health, Ministry of Agriculture, Rural Development and Water Administration, Ministry of Education and Sports, Ministry of Environment, Ministry of Transport and Infrastructure, the respective local and national institutions and nongovernment organization.","","","","","","","","","National NGOs","","","","","","","","Overall Targets
(based on targets and indicators in line with the WHO Global Monitoring Framework )
1. Halt the rise of premature mortality from NCD
• Unconditional probability of dying between the ages of 30 and 70 from CVDs, cancer, diabetes or chronic respiratory disease.
2. Alcohol
• Halt the rise among women
• Reduce consumption among men
• Halt the rise of binge drinking among adolescents
3. Tobacco
• Reduce prevalence of tobacco use among adolescents
• Halt the rise among women
• Reduce prevalence among the adult population
4. Physical activity
• Reduce physical inactivity among schoolaged
children by 10%
5. Hypertension
• Relative reduction of the prevalence of HBP by 10%
6. Diabetes and obesity
• Halt the rise of obesity
7. Health system response
• At least 50% of eligible at-risk population undergoes the appropriate therapy
• Improve access to essential medicines required to treat major NCDs (by 25%)
Other targets and indicators will be developed in response to specific activities in the Action Plan.
","Priority action areas
Prevention: Scaling up equity-sensitive population interventions to address risk factors and their underlying social determinants …
3. Promote sports and physical activity, starting from schools. Revise and update the school curricula on physical education and nutrition.
4. Promote and sustain the ‘open school’ initiative to facilitate physical activity at the community level.
5. Create healthy choice environment by providing the fruit schemes and enforce regulations on street vendors. …
9. Prepare and identify key stakeholders to reduce salt content in bread.
Population-based actions
1. Raise awareness on the healthy eating habits and nutrition and outdoor activities through the social media, campaigns and professional education.
2. Promote breastfeeding;
Non- Communicable Disease Prevention and Control Implementation Plan 2016–2020 in Albania
Domain 2 : Prevention Specific Objective
2:Scaling up equity-sensitive population interventions to address risk factors and its underlying social determinants
Nutrition and physical activity
2.10 Develop national guidelines on physical activities
2.12 Enable the implementation of the training protocols related to physical activity and diet for school health personnel and use of the nutrition modules with special emphasis on rural and remote areas
2.12.1 Train the school health personnel on physical activity and diet modules (with special emphasis on rural and remote areas)
2.14 Build on the existing salt iodization monitoring system to estimate the consumption of salt at the population level
2.14.1 Conduct the survey on consumption of salt at the population level
2.14.2 Prepare and build the capacity for the population -based survey on salt consumption
2.15 Work with the industry to reduce the salt content in bread maintaining the use of iodized salt based on the standard set by USI law
2.15 Conduct a feasibility study on reducing the salt content in bread maintaining the use of iodized salt based on the standard set by the law on “Prevention of the disorder caused by the iodine deficiency in human body “
2.16 Increase awareness of healthy nutrition and physical activity among the population
2.16.1 Organize a campaign on healthy eating habits and physical activity
2.16.2 Implement the “check- up “
2.16.3 see 2.12 in addition 2.16.
2.17 Review and update the national nutrition guidelines
2.17.1 Review the existing guidelines and protocols on nutrition with specific focus on adults and adolescents
2.17.2 Update the existing guideline and protocols on nutrition with specific focus on adults and adolescents
2.18 Promote breastfeeding
2.18.1 Strengthen of the implementation of the law on “Promotion and protection of breastfeeding “
2.18.2 Evaluation of hospitals bearing the ”Baby-Friendly Hospital” certificate
2.18.3 Expand the initiative of the ”Baby Friendly Hospital”
2.18.4 Establish a model on creating a “mothers with baby “group for promoting the breastfeeding
2.19 Build on the existing primary care training programs related to the physical activity and nutrition; ensure continuous training of all relevant staff
2.19.1 Train the health staff at primary health care services on physical activity and nutrition
2.19.1 Number of training activities for the health staff at primary health care services on physical activity and nutrition
2.20 Review the existing regulation-initiatives related to reducing the marketing pressure of food and nonalcoholic beverage to children and propose specific recommendations
2.20.1 Desk review of the existing regulation-initiatives related to reducing marketing pressure of food and nonalcoholic beverage to children and propose specific recommendations
2.20.2 Organize round tables to present the review findings and articulate recommendations for the decision makers
2.21 Assess the current amount of trans-fats in the food chain and estimate the cost-benefit of potential measures to reduce trans-fats
2.21.1 Assess the current amount of trans-fats in the food chain.
2.21.2 Estimate the cost-benefit of potential measures to reduce trans-fat
2.21.3 Establish the laboratory capacity on the trans-fat content assessment in the chain food at IPH
Domain: Surveillance-Research (HIA)
Specific Objective 4:Establish a comprehensive and coordinated national surveillance system
4.6 Scale up the under-5 child nutrition surveillance nation wide
4.6.1 Develop a data collection manual
4.6.2 Train the health staff on data collection and reporting
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Trans fat intake|Sodium/salt intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School fruit and vegetable scheme|Dietary guidelines|Salt/sodium|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/alb_B3_NCD%20strategy%20albania_english.pdfhttps://extranet.who.int/ncdccs/Data/ALB_B3_Strategjia%20e%20NCD.%20final%20MoH.doc","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB%202017%20NCD%20strategy%20albania_english.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB%202017%20NCD%20strategy%20albania_english.pdf"
"25915","EGY","Egypt","","Egypt National Multisectoral Action Plan for Prevention and Control of Noncommunicable Diseases (EgyptMAP-NCD)","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health and Population","","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Industry|Justice","Ministry of Health and Population, Ministry of Education, Ministry of Youth and sports, Ministry of Supply and internal trade, Ministry of Trade and industry, Ministry of Finance, Ministry of Justice","","","","","","","","","","","","","","","","","Table 2: Egypt national NCD targets by 2021
Framework Element - Baseline - Target 2021 - Target 2025
Salt/sodium intake - 12.8 g/day - 20% relative reduction (10.0 g/ day) - 10% relative reduction (9.0 g/ day)
Raised blood Pressure - 39% - 15%relative reduction (33%) - 10 % relative reduction (30%)
Diabetes and obesity - 17.2% diabetes & 31.3% Obesity - Halt the rise in diabetes & obesity - Halt the rise in
diabetes & obesity
","Annex 1: Implementation Plan of EgyptMAP-NCD 2017-21
Strategic Objective 2 to reduce risk factors and promote health
Objective 2: to promote Healthy Diet
1 To establish a sub committee composed of all relevant stakeholders
1.1 Issue Ministerial Decree to establish a multi-sectoral executive sub-committee composed of all relevant stakeholders
2 To Reduce salt intake from meals
2.1 Issue and implement ministerial decree to reduce 30% of salt content of subsidized Baladi Bread
2.3 develop and implement ministerial decree to reduce sodium content in industrial foods, cheese, chips, tomato paste
2.4 improve monitoring system to monitor progress in implementing interventions on unhealthy diet by Setting a monitoring system to monitor and follow salt reduction in bread and different foods
3 To establish Campaign targeting schools on balanced diet and physical activities
3.1 Provide technical guidance on healthy diet by Development of healthy school canteen guidelines in collaboration with ministry of education
3.2 develop policy for school meals specifications by revising and updating healthy school meals’ specifications in collaboration with the Ministry of Education
3.3 Integrating principles of healthy nutrition and balanced diet within house management classes’ curricula in collaboration with ministry of education
3.4 provide health counselling on healthy diet
3.5 improve monitoring system to monitor progress in implementation of the baby friendly hospitals standards in different hospitals
4 To reduce sugar consumption through taxation on sugar sweetened beverages
4.1 develop, issue and implement legislations to restrict marketing of unhealthy foods and non-alcoholic beverages to children
4.2 Review governments subsidies program to remove unhealthy items
4.3 develop, issue and implement legislations to raise taxes on soft drinks and sugar sweetened beverages
5 To promote and support exclusive breastfeeding for the first 6 months of life, including promotion of breast feeding
5.1 Provide technical guidance on healthy diet by establishing breastfeeding guidelines to be used in increasing capacity of PHC workers.
5.2 develop and implement regulations to improve breast feeding by Adoption of code for complimentary feeding nutrition and fully endorsement by MOHP into effective national measures
5.3 Issue a new legislation to expand maternity leave to six months To improve capacity of health workers on promoting healthy diet
5.4 Provide training programmes/ workshops for health workers on best practice of complimentary feeding and exclusive breast feeding
5.5 Provide training programmes for health workers on guidelines for complementary feeding
6 To replace trans fats and saturated fats with unsaturated fats through reformulation, labelling and fiscal and agricultural policies
6.1 adopt and implement legislation to reduce Trans Fatty Acids content to less than 1 % of the total calorie contents
6.2 adopt and implement of reg to reduce Saturated Fatty Acids content to less than 10% of the total calories content
7 To label nutrition in order to improve macronutrient intake, and reduce total energy intake (kcal)
7.1 develop and implement ministerial decree to improve health diet
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Food labelling|Fats|Salt/sodium|Taxation on unhealthy foods|Removal of subsidies on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/EGY_B3_NCDMAPEgypt21March2017%20FINAL%20%20RS.docxhttps://extranet.who.int/ncdccs/Data/EGY_B3_Annex%201_Detailed%20Implementation%20Plan_Strateic%20Object._21-03-17.docxhttps://extranet.who.int/ncdccs/Data/EGY_B3_Annex%202_Roles%20and%20responsibilities%20of%20relevant%20sectors%20in%20implementing%20EgyptMAP%2021%20March%2017.docx","https://extranet.who.int/nutrition/gina/sites/default/filesstore/EGY%202017%20NCDMAPEgypt21March2017%20FINAL%20%20RS_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/EGY%202017%20NCDMAPEgypt21March2017%20FINAL%20%20RS_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/EGY%202017%20NCDMAPEgypt21March2017%20FINAL%20%20RS_0.pdf"
"40056","LBR","Liberia","","National Non-Communicable Disease Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health","","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Industry|Information|Justice|Other","Ministry of Internal Affairs, Ministry of Gender and Development","","","","","","","","","National NGOs","Faith, Community Based, Non-Governmental Organizations and Other Collaborating Health Partners","","","","","Other","Civil societies","","Ministry of Education: Promote a healthy diet in the School Feeding Program
Ministry of Agriculture:
Encourage communities to grow and consume fruits and vegetables.
Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
Promote healthy eating and balance diet
Ministry of Commerce and Industry:
Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
Enforce food labeling on all foods being sold to the public.
","","","","Overweight in children 0-5 yrs|Fruits|Vegetables|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202017%20NCD%20Policy.pdf"
"40320","MDG","Madagascar","","Plan stratégique national de lutte intégrée contre les maladies non transmissibles et la prévention du handicap","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2021","Ministère de la santé publique","2","2017","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Transport|Trade|Information|Justice","Ministère de l’énergie et des minesMinistère de la population","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","","A1.5 Renforcer la législation (lois sur la santé mentale, commercialisation des aliments, allaitement maternel, personnes handicapées, utilisation du sel, protection des consommateurs
S 2 Réduction de l’exposition aux FdR modifiables et environnementaux (écologiques) des MNT et des Handicaps en créant des environnements favorables à la santé
- 2.2.1 Développer les activités de communication pour un impact comportemental en vue de la prévention des FdR modifiables et l'adoption de mode de vie sain dans la communauté, les écoles et le milieu de travail
","- Prévalence de la consommation quotidienne d’au moins 5 portions de fruits et légumes
","Outcome indicators","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MDG_B3_B DOC PSNLIMNT- PH ce 02072018_.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202017%20Plan%20strat%C3%A9gique%20MNT.pdf"
"36185","MMR","Myanmar","","National Strategic Plan for Prevention and Control of NCDs","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health and Sports","7","2017","","","","","Health|Sport","","","","","","","","","","National NGOs","","","","","","","","Indicators with targets
…
5. Mean population intake of salt/sodium (mgs/day)
Baseline Levels (2010 WHO estimate): Not available
Targets for Relative reduction from baseline
2021:10%
2025: 20%
6._ Prevalence of raised blood pressure (%)
Baseline Levels (2010 WHO estimate): 28.9
Targets for Relative reduction from baseline
2021:10%
2025: 20%
7. Prevalence overweight and diabetes (%)
Baseline Levels (2010 WHO estimate):
Overweight ~ 25.4
Diabetes ~ 10.5
Targets for Relative reduction from baseline
2021 and 2025: Halt the rise
…
","Identify food products to be identified as “unhealthy” in the national context
Levy additional tax/cess on the above identified unhealthy food products
Enact a legislation to regulate marketing of sugar sweetened beverages and foods high in salt sugar and fat to children
Develop guidelines for nutrition labeling for all pre-packed and cooked food
Enact a legislation to reduce levels of salt, saturated fat, free and added sugar and to replace trans-fats in packaged foods
Invest in improving fruits and vegetable production and storage
Harmonize the need of iodized salt program with salt reduction initiatives
Promote breast feeding and supplementary nutrition programs aimed at pregnant women and children.
Ensure guidelines and mechanisms are in place to ensure food safety
Initiate dialogue with Nutrition Unit and other sectors for a harmonized nutrition policy
Strengthen laboratory capacity for testing of food products for nutrients
","Age standardised prevalence of overweight and obesity among adults aged 18+ (defined as body mass index greater than 30 kg/m2)
Prevalence of overweight and obesity in adolescents (defined as two standard deviations BMI for age and sex overweight according to the WHO Growth Reference)
Age standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value 126 mg/dl or on medication for raised blood glucose
Age standardised prevalence of raised blood pressure among adults aged 18+ years and mean systolic blood pressure
Age standardised mean population intake of salt/sodium per day in gms in persons aged 18+ years
Age standardised prevalence adults (aged 18+ years) consuming less than 5 total servings (400 gms) of fruit and vegetables per day
Age standardised prevalence of raised total cholesterol among persons aged 18+ years (>5 mmol/l) and mean total cholesterol
Policies to reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans fatty acids, fee sugar or salt
","","","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|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Iodine|Food grade salt|Food safety","","http://www.searo.who.int/entity/ncd_tobacco_surveillance/monitoring_fw/mmr_ncd_action_plan_2017_2021.pdf?ua=1","","",""
"39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","3.6 Targets
Namibia aims to achieve the following targets by 2022 and 2025 in line with the global NCD targets.
…
4. A 15% relative reduction in mean population intake of salt/sodium by 2022; and a 30% relative reduction by 2025
…
6. A 15% relative reduction in prevalence of raised blood pressure and/or contain the prevalence of raised blood pressure by 2022; and a 25% relative reduction by 2025
7. Halt the rise in obesity and Diabetes Mellitus by 2022
","6.3 Strategic Objective 3: To reduce modifiable risk factors for Non-Communicable Diseases and underlying social determinants through the creation of health promoting environments
3.1 Promote Healthy Diet high in fruits and vegetables and low in saturated fat/trans-fat, free sugar and salt
3.1.1 Increased intake of healthy foods including adequate levels of fruits and vegetables
INDICATORS
- Availability/number of policies, standards and plans on food security and healthy diet reviewed and implemented
- Number of periodic implementation reports on food security programs
- Availability of updated national Food Based Dietary Guidelines (FBDGs)
- Number of health workers trained on FBDG and nutrition counseling skills
- Number of healthy diet programs implemented at all levels
ACTIVITIES
3.1.1.1- Promote availability and affordability (food security) of healthy foods to all segments of the population
3.1.1.2- Establish policies on taxes and subsidies to ensure availability and consumption of healthy diet, particularly fruits and vegetables
3.1.1.3- Increase availability of fruits and vegetables through home gardening promotion programme
3.1.3.4- Update and disseminate national Food Based Dietary Guidelines (FBDGs) and nutrient profiling of common foods
3.1.3.5- capacity building of health workers on FBDGs and counseling skills
3.1.1.6- Implement mass media campaign on healthy diets, social marketing of foods and promote the intake of fruits and vegetables
3.1.2 Reduced intake of salt in the diet
INDICATORS
- Availability of national salt reduction targets and action plan
- Number of front packing labels enforced
- Number of engagement sessions held with stakeholders on salt reduction measures
- Number of mass media campaigns and meetings on salt reduction
ACTIVITIES
3.1.2.1- Develop and implement a national salt reduction action plan focusing on foods that contribute most to population salt intake
3.1.2.2- Set target levels for the amount of salt in foods and meals and enforce reformulation of food products and meals to contain less salt/sodium
3.1.2.3- Enforce front-of-pack labelling
3.1.2.4- Establish policies for food procurement that encourage the purchase of products with lower salt /sodium content
3.1.2.5- Conduct behavior change communication and mass media campaigns on salt reduction
3.1.2.6- Engage food producers, processors, retailers, restaurants and catering services to progressively reduce salt in their products
3.1.2.7- Assess the population’s baseline salt intake and at regular intervals
3.1.3 Reduced consumption of saturated fats/trans fats and sugars
INDICATORS
- Acts and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods available
- Policy on taxation of sugar-sweetened beverages and foods
- Number of WHO recommendations on the marketing of foods and nonalcoholic beverages to children enacted
- Reports of monitoring of implementation of diet related policies and regulations
ACTIVITIES
3.1.3.1- Develop legislation and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods and the packaging, labeling and marketing of food products and beverages
3.1.3.2- Replace trans-fats and saturated fats with unsaturated fats through reformulation, labelling and appropriate fiscal policies
3.1.3.3- Reduce sugar consumption through effective taxation on sugar-sweetened beverages
3.1.3.4- Implement the WHO recommendations on the marketing of foods and non-alcoholic beverages to children
3.1.4 Reduced risk of overweight, obesity and metabolic syndrome
INDICATORS
- WHO recommended infant and young child feeding practices endorsed and implemented
- Number of schools with nutrition in the curriculum
- Proportion of schools implementing the nutrition component of the school health policy
- Nutrition and physical activity programs incorporated into the school health policy
ACTIVITIES
3.1.4.1- Promote and support recommended infant and young child feeding practices
3.1.4.2- Implement nutrition labelling to reduce total energy intake (kcal), sugars, sodium and fats
3.1.4.3 -Limit portion and package size to reduce energy intake and the risk of overweight and obesity
3.1.4.4- Implement nutrition education and counselling in different settings including preschools, schools, workplaces and hospitals
3.1.4.5- Ensure the inclusion of nutrition and physical activity in the school health policy/strategy and curriculum
3.1.4.6- Introduce obesity management guidelines and services
","Comprehensive National Monitoring Framework for the prevention and control of NCDs
Framework element; Indicator Name; Baseline (year); 2025 Target
• Diabetes and obesity; Age-standardized prevalence of obesity and overweight among adults aged 18+ years; 32% women (35-64yrs) 12% men (35-64yrs); 0% increase
• Additional indicator - unhealthy diet; Age-standardized prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day.; No data; 30% relative increase
• Diabetes and obesity; Age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).; 7% men (35-64yrs) 6% women (35-64yrs); 0% increase
• Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.; 44% women (35-64yrs) 45% men (35-64yrs); 25% relative reduction
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Household food security|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/NAM_B3_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202017_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs_1.pdf"
"24706","RUS","Russian Federation","","Приоритетный проект ""Формирование здорового образа жизни"" [Priority Project ''Development of Healthy Lifestyle'']","Health sector policy, strategy or plan with nutrition components","","Russian","7","2017","12","2025","Government of Russian Federation","","2017","Adopted","7","2017","Government of Russian Federation","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Information|Labour|Sub-national","","","","","","","","","","National NGOs","","","","","","Other","Food Producers; Mass Media","2. Содержание приоритетного проекта
Цель проекта
- Увеличение доли граждан, приверженных здоровому образу жизни, до 50% к 2020 году и до 60 % к 2025 году путем формирования у граждан ответственного отношения к своему здоровью
Результаты проекта
2. Разработана и реализована программа предоставления грантов за счет средств федерального бюджета и внебюджетных источников некоммерческим и другим общественным организациям, реализующим проекты в сфере пропаганды здорового образа жизни, правильного питания и сбережения здоровья.
3. Разработана и реализована кампания с участием производителей продуктов питания по информированию граждан о здоровом питании через добровольное размещение дополнительных знаков отличия и информации на упаковках продуктовых товаров.
4. Разработана и проведена масштабная информационно-коммуникационная кампания по формированию здоровьесберегающего поведения, включая сохранение репродуктивного здоровья и повышение приверженности вакцинации. Кампания проведена в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга.
5. Определены и внедрены наиболее эффективные механизмы, направленные на повышение ответственности работодателей за здоровье работников организации, а также ответственности граждан за свое здоровье.
","Проведение коммуникационной кампании по здоровому питанию с участием компаний-производителей
15. Разработана концепция коммуникационной кампании по размещению на продукции отличительных знаков и информационных сообщений, связанных с правилами здорового питания. Утверждены категории продукции и правила участия.
16. Отобрано не менее 30 компаний-производителей продуктов питания, на продукции которых будут размещены информационные сообщения кампании по здоровому питанию
17. Разработаны и утверждены нормативные правовые акты по йодированию пищевой поваренной соли
18. Разработаны и утверждены визуальные и коммуникационные элементы кампании по здоровому питанию. Проведено согласование форматов и правил размещения с производителями-участниками
19. Начата коммуникационная кампания по здоровому питанию с участием производителей
20. Разработана методика оценки формирования культуры здорового образа жизни у населения с учетом особенностей целевых групп граждан. Определены правила осуществления регулярного мониторинга ситуации
21. На основе разработанной методики проведено обследование. Актуализирован основной показатель ""доля граждан, приверженных здоровому образу жизни""
22. Разработана концепция информационно-коммуникационной кампании по формированию здоровьесберегающего поведения, включая сохранение репродуктивного здоровья. Концепцией предусмотрено проведение кампании в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга
23. Запущена информационно-коммуникационная кампания в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга
24. Разработаны и проведены открытые уроки по мотивированию школьников, родителей и учителей к ведению здорового образа жизни
","Показатели проекта и их значения по годам
- Доля граждан, приверженных здоровому образу жизни (%) основной - 60% (2025)
- Доля граждан, систематически занимающихся физической культурой и спортом основной 45% (2025)
- Доля граждан с артериальной гипертензией, контролирующих свое артериальное давление второго уровня 55% (2025)
","Outcome indicators","","School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle","","http://static.government.ru/media/files/Soj3PKR09Ta9BAuW30bsAQpD2qTAI8vG.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202017%20Priority%20Project%20-%20Development%20of%20Healthy%20Lifestyle.pdf"
"40332","SEN","Senegal","","Plan stratégique lutte contre les maladies non transmissibles 2017-2020","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2020","Ministère de la Santé et de l’Action sociale","7","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Transport|Trade|Environment|Other","Douanes","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Objectifs strategiques 3
Améliorer les compétences individuelles en matière de santé et de lutte contre les MNT
Objectifs Spécifiques
3.1. Amener au moins à 80% le nombre de personnes qui connaissent les 4 principaux facteurs de risque associés aux MNT (alimentation trop grasse, trop huilée, trop sucrée, trop salée, insuffisance de la consommation de légumes et fruits, obésité et manque d’activités physiques, tabagisme et alcoolisme);
3.2. Amener au moins à 80% le nombre de personnes qui sont au courant de l’existence de lois protégeant contre certains facteurs de risque des MNT (tabac, alcool, composition des aliments, produits de dépigmentation, environnement…);
3.3. Amener au moins à 50% le nombre de personnes qui affirment avoir réduit leur consommation de sel;
","- Interventions prioritaires
Ainsi, en plus des programmes de sensibilisation et d’éducation des populations sur les facteurs de risques, la mise en place de législations et de politiques fiscales (telles que l’application des sanctions (verbalisation), la taxation sur le tabac, l’alcool, les boissons sucrées, la lutte contre la publicité du tabac et des produits de dépigmentation) de même que la subvention pour soutenir l’accès à des aliments sains (fruit, légumes…) seront encouragés.
D’autres actions seront aussi encouragées notamment en organisant des lieux de vie propices à la santé (pistes cyclables, installations sportives et de loisirs attrayants, préservation des espaces naturels et de détente, préparation de repas sains dans les cantines au travail, à l’école ou dans les niches socio-économiques défavorisées (gares routières), etc.…).
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food safety","","https://extranet.who.int/ncdccs/Data/SEN_B3_Plan Stratégique MNT VF Juillet 2017.pdf","","WHO NCD Document Repository",""
"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"
"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"
"40310","LUX","Luxembourg","","Plan cadre national 2018-2025","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","Le Gouvernement du Grand Duché de Luxembourg","","2018","","","","","Health|Education and research|Women, children, families|Sport","Ministére de la famille, de l'intégration et à la Grande RégionMinistère de l'éducation nationale, de l'enfance et de la jeunesse","","","","","","","","","","","","","","","","","L’objectif général du PCN GIMB 2018-2025 est de promouvoir ensemble l’alimentation équilibrée et l’activité physique régulière et adaptée et de lutter contre la problématique de l’obésité et de la sédentarité pour l’ensemble de la population.
","Axe 2 : Promouvoir l’alimentation équilibrée et l’activité physique régulière et adaptée dans toutes les politiques ;
- Mesure 2 : promouvoir une offre équilibrée, saine et attractive dans la restauration collective
- Mesure 4 : instaurer un cadre favorable à une alimentation équilibrée et à une activité
- Mesure 5 : promouvoir un marketing transparent et responsable des produits alimentaires
- Mesure 6 : restreindre la publicité et le marketing pour certains produits alimentaires
- Mesure 7 : inciter les citoyens à consommer moins de boissons et aliments sucrés et encourager l’industrie à réduire le taux de sucre dans les boissons et aliments sucrés physique régulière et adaptée pour l’ensemble de la population
- Mesure 8 : mettre en place des mesures permettant de réduire la quantité de sel dans les aliments
- Mesure 9 : mettre en place des mesures permettant de réduire la quantité de graisses et d’améliorer la qualité des graisses dans les aliments
","- Consommation quotidienne de fruits et de légumes chez les adultes (selon l’âge, le sexe, la situation professionnelle, le revenu et le niveau d’éducation)
- Consommation de boissons sucrées quotidienne chez les adultes (selon l’âge, le sexe, la situation professionnelle, le revenu et le niveau d’éducation)
- Prévalence de surpoids et d’obésité chez les adultes (selon l’âge, le sexe, la situation professionnelle, le revenu et le niveau d’éducation)
- Consommation quotidienne de fruits et de légumes chez les enfants de 11 à 18 ans (selon le sexe et le statut socioéconomique)
- Consommation de boissons sucrées journalière chez les enfants de 11 à 18 ans (selon le sexe et le statut socioéconomique)
- Prévalence de surpoids et d’obésité chez les enfants (selon le sexe et le niveau d’éducation)
- Taux d’allaitement exclusif et non exclusif à 6 mois
- Nombre d’activités labélisées GIMB organisées par les partenaires extérieures selon les différentes populations cibles et les différents domaines (alimentation équilibrée, mobilité douce, activités sportives …) et nombre de participants à ces activités
- Nombre d’institutions ayant comme objectif la promotion de l’alimentation équilibrée et/ou de l’activité physique et le type d’activité organisée
- Nombre d’outils développés pour la mise en place d’activités GIMB selon les secteurs
- Activités mises en place pour la restriction de la publicité et du marketing de certains produits alimentaires
- Création de groupes de travail pour le développement d’un projet sucre, d’un projet sel et d’un projet graisses
- Nombre de formations recensées sur l’alimentation équilibrée et l’activité physique selon les populations cibles
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|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 cholesterol|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|Fruit and vegetable intake|Fruits|Vegetables|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Reformulation of foods and beverages|Fats|Trans fat|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|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/LUX_B3_plan-cadre-national-gimb-2018-2025.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202018%20plan%20cadre%20national%20gimb.pdf"
"40327","MRT","Mauritania","","Plan Stratégique National intégré et multisectoriel de prévention et de lutte contre les Maladies Non Transmissibles 2018-2022","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Ministère de la Santé","","2018","Adopted","","2018","Ministre de la santé","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Urban planning|Trade|Environment|Industry|Justice|Other","Ministère de l'énergie","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
- Sensibiliser la population sur les avantages de l’allaitement maternel exclusif au sein jusqu’à 6 mois
- Faire du plaidoyer pour la révision de la durée du congé de maternité pour permettre l’allaitement exclusif pendant 6 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
- Mettre en place un mécanisme intersectoriel pour mettre en œuvre les recommandations pour une alimentation saine en milieux éducatifs.
- Elaborer un Guide pour promotion d’une alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
- Elaborer un programme de communication sur la relation «Alimentation et Santé» en ciblant les professionnels travaillant avec les enfants et les parents d’élèves
- Elaborer les outils d'information et de formation destinés aux enfants, adolescents et les parents ainsi qu’à tous les professionnels travaillant avec les enfants et adolescents.
- Inclure des messages de santé dans les publicités sur les aliments.
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","- Réduction relative de 10 % de la consommation moyenne en sel dans la population, pour arriver à 32% d’ici à 2025
- Nombre de personnes sensibilisées
- Nombre de séance de plaidoyer organisé
- Nombre de Mécanisme intersectoriel mis en place
- Nombre de Guide élaborés
- Nombre d’Outils pédagogiques
- Nombre de service ayant bénéficié de renforcement de compétence
- Nombre de Programme de communication sur la relation Alimentation et Santé
- Nombre d’outils d’information et de formation destiné aux enfants adolescents et les parents
- Nombre de Messages de santé inclus dans les publicités sur les aliments
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Maternity protection|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|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|School-based health and nutrition programmes|Nutrition in the school curriculum|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|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MRT_B3_PLAN_MNT_VF Mauritanie.rtf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MRT%202018%20Plan%20MNT.pdf"
"36058","NLD","Netherlands","","Nationaal Preventieakkoord [National Prevention Agreement]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Dutch","11","2018","12","","Ministry of Health","11","2018","Adopted","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Sport|Trade|Industry|Information","Sanitary Authority (GGD)","","","","","","","European Union|Research/Academia","National Institute for Public Health (RIVM)","National NGOs","Koninklijke Horeca Nederland (KHN); Dutch cuisine; Voedingscentrum; Vereniging Nederlandse Cateringorganisaties (Veneca) and other related unions","Research/academia","Trimbos Institute","Private sector","Supermarkets; Catering; Public food providers; Food producers; Hospitals; education Institutions","","","In het Nationaal Preventieakkoord staan maatregelen tegen overgewicht en obesitas. Enkele maatregelen die in het preventieakkoord staan:
- Vanaf 2020 bieden minimaal 2.500 sportclubs hun leden en bezoekers gezondere voeding aan in de kantine.
- Vanaf 2020 bieden minimaal 950 scholen hun leerlingen en personeel gezonde voeding aan in de kantine.
- Vanaf 2025 biedt de helft van de ziekenhuizen gezondere voeding aan patiënten, personeel en bezoekers.
- Fabrikanten gaan suikerhoudende frisdranken, snoep en melkproducten gezonder maken. Bijvoorbeeld door er minder suiker in te doen.
- Vanaf 2019 gaan de Rijksoverheid, supermarkten en horeca-bedrijven de Schijf van Vijf bekender maken in Nederland. Zodat mensen zelf nog beter voor gezonde voeding kunnen kiezen.
- De Rijksoverheid wil een nieuw voedselkeuzelogo invoeren. Zodat mensen zelf nog beter voor gezonde voeding kunnen kiezen.
- Mensen en gezinnen met overgewichtsproblemen krijgen zorg en ondersteuning op maat. Vanaf 1 januari 2019 komt de vergoeding voor deze Gecombineerde Leefstijlinterventie in de basisverzekering.
- Sportclubs en sportscholen willen hun aanbod nog beter toegankelijk maken voor mensen die niet genoeg sporten of bewegen.
","Schijf van Vijf en de gezonde keuze Het eten van producten uit de Schijf van Vijf is de basis van een gezond voedingspatroon. Het eten van groenten, fruit, volkoren producten en het drinken van water maakt hier in belangrijke mate onderdeel van uit.
- Supermarkten, horeca en catering streven naar een jaarlijkse consumptiegroei van producten uit de Schijf van Vijf. De horeca wordt door Koninklijke Horeca Nederland (KHN) gestimuleerd om meer groenten en minder vlees aan te bieden. Dit gebeurt in samenwerking met Dutch Cuisine.
- Supermarkten verleiden consumenten meer producten te kopen die in de Schijf van Vijf horen onder andere door te communiceren welke producten in de Schijf van Vijf passen.Samen met het ministerie van VWS wordt gekeken naar de uitbreiding van de huidige mogelijkheden hiervoor.
- Met een specifieke trainingsmodule zullen jaarlijks 750 medewerkers van de versafdelingen in de supermarkten worden geschoold op gezonde voeding: Gezonde samenstelling, Gezonde producten, Gezond gewicht en Duurzaamheid. Dit is ruim tweemaal zoveel als voorheen. Er wordt een vernieuwde module opgezet in samenwerking met het Voedingscentrum. Versmedewerkers kunnen hiermee consumenten helpen bij vragen over onder andere etiket lezen, Schijf van Vijf, vet/ zout/suiker/vezels in producten, voedselverspilling, dierenwelzijn en de invloed van voedsel op het milieu.
- Om kinderen en volwassenen te informeren over de vele mogelijkheden om gezonder en lekker te eten en drinken, wordt vanaf 2019 de Schijf van Vijf extra onder de aandacht gebracht door de rijksoverheid, via het Voedingscentrum. Met de integrale aanpak ‘Goed eten met de Schijf van Vijf’ worden consumenten via een crossmediale aanpak geïnformeerd over en gestimuleerd om stappen te zetten naar goed eten volgens de Schijf van Vijf. Door het grootschalig en langdurig aanbieden van kennis en voedselvaardigheden (kiezen, kopen, koken en bewaren) worden consumenten geholpen om stappen te zetten. De doelgroep kinderen wordt nadrukkelijk meegenomen in deze integrale aanpak. Deze aanpak richt zich stapsgewijs op de diverse doelgroepen (variërend in leefstijl, geslacht en sociaaleconomische positie).
- Het ministerie van VWS en CBL zullen in 2019 onderzoeken op welke wijze er een verschuiving kan plaatsvinden naar meer marketing en informatie op de winkelvloer voor en over producten uit de Schijf van Vijf, aansluitend bij de behoefte van kinderen en volwassenen.
- Binnen het Nationaal Actieplan Groente en Fruit worden versnellingen afgesproken tussen CBL, Veneca en GFH om samen met de overheid te komen tot een structurele jaarlijkse toename van de consumptie van groente en fruit via de diverse afzetkanalen. Dit samenwerkingsverband staat open voor andere partijen van het Nationaal Preventiekakkoord.
- Er komt een onderzoek hoe excessieve consumptie voorkomen kan worden onder specifieke doelgroepen, die door andere maatregelen slecht bereikt worden. Het onderzoek vormt bij voldoende perspectief de basis voor een initiatief om deze doelgroepen effectiever te bereiken.
- Ook het aanbod van producten in de catering kan gezonder worden. De Vereniging Nederlandse Cateringorganisaties (Veneca) zal er daarom naar streven dat uiterlijk in 2022 op al haar locaties op een makkelijke en aantrekkelijke wijze volgens de Schijf van Vijf gegeten kan worden. Dit uit zich in de uitvoering van een aantal strategieën die bijdragen aan het makkelijker maken van een gezonde keuze, zoals nudging, prijsbeleid of het kosteloos beschikbaar stellen van water30.
- Daarnaast zal gestimuleerd gaan worden dat in de omgeving van mensen drinkwater makkelijker beschikbaar komt, via onder meer watertappunten op publieke plekken en in scholen. KHN moedigt haar leden aan om het drinken van water en suikervrije dranken te stimuleren ten opzichte van reguliere frisdranken.
- Zoals door de sector eerder is toegezegd, wordt het gebruik van licensed media characters gericht op kinderen onder de 13 jaar op productverpakkingen en point-of-sale materiaal ingeperkt op basis van voedingskundige criteria. Dit wordt in 2019 opgenomen in de Reclamecode voor Voedingsmiddelen. De afspraken uit de Reclamecode voor Voedingsmiddelen op het gebied van kindermarketing worden jaarlijks gemonitord door de rijksoverheid.
- Supermarkten zullen daarnaast het gebruik van branded characters op verpakkingen van kinderproducten van hun huismerken inperken op basis van de criteria van de WHO.
- De rijksoverheid evalueert in 2019 met betrokken partijen het Convenant Sponsoring op Scholen. Hier maken afspraken om een gezonde leefstijl in het onderwijs te faciliteren onderdeel van uit. Op basis van de evaluatie worden zo nodig en in goed onderling overleg de convenantafspraken aangescherpt.
- In het Akkoord Verbetering Productsamenstelling zullen voor productgroepen die een relatief grote bijdrage leveren aan de energie-inname – te weten de suikerhoudende frisdranken, koek en snoep en suikerhoudende zuivelproducten - tot 2020 aanvullende afspraken worden gemaakt om de calorie-inhoud van deze producten te verlagen
- (...)
- (...)
- In 2020 zullen er 2500 sportverenigingen aan de slag zijn met een gezonder aanbod in sportkantines. Veertig procent daarvan zal minimaal op niveau Brons zijn volgens de criteria van het Voedingscentrum. Daar waar mogelijk worden de thema’s roken en alcoholgebruik meegenomen bij de sportverenigingen. Er wordt tevens een landelijke richtlijn ontwikkeld voor de gezonde modelvereniging, waarin beleid op gezonde voeding, roken en problematisch alcoholgebruik tot uiting komt evenals beleid voor het inzetten van de mogelijkheden van de vereniging om gezond gedrag bij leden en buurtbewoners te stimuleren. De inzet op een gezonder voedingsaanbod wordt ook verbreed naar het voedingsaanbod in zwembaden en fitnesscentra.
- Er komt extra aandacht voor een gezonde sportomgeving. Onderdeel daarvan is een gezonder aanbod van eten en drinken en een gezondere sportsponsoring. In de integrale aanpak voor gezonde sportkantines wordt het stimuleren van gezonde voeding meegenomen naast de thema’s roken en problematisch alcoholgebruik. De Federatie Nederlandse Levensmiddelen Industrie (FNLI) en NOC*NSF zullen zich landelijk inzetten voor gezondere sportsponsoring door middel van communicatie over de Reclamecode voor Voedingsmiddelen en het enthousiasmeren van beide achterbannen om in lijn met deze code te handelen.
- Er wordt een convenant gezonde sportevenementen gesloten, geïnitieerd door de gemeenten Amsterdam, Rotterdam, Utrecht, Den Haag, Eindhoven, sportmarketingbureaus en Jongeren Op Gezond Gewicht (JOGG) in samenwerking met NOC*NSF, met als doel een beweging in gang te zetten om de sport te associëren met een gezonde leefstijl. Het convenant zal hieraan een bijdrage gaan leveren door in te zetten op de beschikbaarheid van gezonde voedingskeuzes bij sportevenementen en geen reclame die gericht is op kinderen onder de 13 jaar voor producten die niet in de Schijf van Vijf vallen.
- In 2020 zijn er 950 gezonde schoolkantines. Daarmee is 50% van alle schoolkantines gezond. Aanvullend is er voor kinderen in het onderwijs en de kinderopvang extra aandacht voor gezonde voeding via respectievelijk de Gezonde School- en de Gezonde Kinderopvang aanpak. Binnen de Gezonde School wordt het onderwijs laagdrempelig de kans geboden om in te zetten op bijvoorbeeld kooklessen, moestuinen of het bezoeken van lokale boerderijen. In het verlengde hiervan zal op korte termijn worden bezien hoe dergelijke lokale initiatieven of pilots, in het bijzonder gericht op arme wijken, expliciet een plek kunnen krijgen. Dit moet bijdragen aan een gezonder eetpatroon (en meer sporten en bewegen) bij kinderen in het onderwijs. De Nederlandse frisdrankproducenten stoppen met de verkoop van de traditionele, suikerhoudende frisdranken aan middelbare scholen en adviseren cateraars van middelbare scholen om vanaf 1 januari 2019 alleen nog water en laagcalorische en calorievrije frisdranken te verkopen.
- Uiterlijk in 2021 zijn de bedrijfsrestaurants bij de rijksoverheid gezond (minimaal niveau zilver volgens de criteria van het Voedingscentrum). Bij de aanbesteding worden de criteria van het Voedingscentrum als uitgangspunt genomen. De eventuele criteria van een mogelijk nieuw, breed gedragen voedselkeuzelogo zullen uiteraard ook meegenomen worden bij het gezonder maken van het aanbod in de bedrijfsrestaurants. De VNG stimuleert gemeenten om het voedingsaanbod in gemeentehuizen gezond(er) te krijgen.
- KHN stimuleert het gebruik van kleinere porties bij haar leden om mensen gezonder te laten eten.
- De Nederlandse Attractieparken zullen inzetten op een gezonder en bewuster voedingsaanbod in 2020 en verder. Om hieraan bij te dragen wordt door de attractieparken via JOGG en de Club van Elf in samenwerking met het Voedingscentrum onderzocht hoe dit stapsgewijs gerealiseerd kan worden.
- Om gezonder eten ook onderweg makkelijker te maken, wordt samen met relevante partijen gewerkt aan een gezonder voedingsaanbod in en rond snelwegen en openbaar vervoer.
- In 2025 is voor patiënten, personeel en bezoekers in 50% van de ziekenhuizen het voedingsaanbod gezond, uiterlijk in 2030 is het voedingsaanbod in alle ziekenhuizen gezond. Daarnaast wordt ingezet op een gezonder voedingsaanbod in andere typen zorginstellingen.
- Projecten gericht op ontwikkeling van gezonde voedingsproducten (minder zout, suiker, vet, meer vezels) en onderzoek naar interventies gericht op het maken van gezonde keuzes (persoonlijke voedingsadviezen, aantrekkelijk aanbod van gezonde producten, incl. groenten en fruit) en een gezonde groene leefomgeving krijgen prioriteit. De topsectoren Agri&Food en Tuinbouw & Uitgangsmaterialen zetten in 2019 minimaal €10 miljoen aan publieke middelen in, vanuit de beschikbaar gestelde middelen (ministeries van LNV, VWS en EZK). Bedrijven uit de land- en tuinbouw, levensmiddelenindustrie, retail, catering, horeca, ICT- en technologie investeren een zelfde bedrag.
","We spreken gezamenlijk de volgende ambities uit:
- Een daling van het percentage jeugdigen met overgewicht van 13,5% naar 9,1% of lager en een daling van het percentage jeugdigen met obesitas van 2,8% naar 2,3% of lager in 2040.
- Een daling van het percentage volwassenen met overgewicht van 48,7% naar 38% of lager en een daling van het percentage volwassenen met obesitas 14,5% naar 7,1% of lager in 2040.
- Een evenredige daling van 40% t.o.v. 2017 van het aantal Nederlanders dat lijdt aan obesitas gerelateerde ziekten (zoals diabetes mellitus type II, hart-, vaat-, en leverziekten) in 2040.
Om bovenstaande ambities te bereiken dragen we allen bij aan het behalen van de volgende doelen in 2040:
- Alle inwoners van Nederland eten en drinken op een wijze die bijdraagt aan een gezond gewicht en een gezond voedingspatroon, door: • de Schijf van Vijf als leidraad te nemen en • een consumptie van de hoeveelheid kilocalorieën naar een niveau passend bij lengte, leeftijd, geslacht en gezonde leefstijl.
- 75% van de inwoners van Nederland beweegt (inclusief intensief bewegen) volgens de Nederlandse Beweegrichtlijn (t.o.v. 47% in 2017).
- Inwoners van Nederland hebben een gezonde sociale, economische en fysieke omgeving, die gezond leven stimuleert. Dit uit zich expliciet in (groene) buurten, zorg- en welzijnsinstellingen, sportaccommodaties, onderwijs, bedrijven, horeca en catering, overheidsgebouwen, supermarkten en op centrale plekken rond het (openbaar) vervoer.
- Voor mensen met overgewicht of obesitas is een passend sport- en beweegaanbod en passende ondersteuning, begeleiding en zorg toegankelijk.
","Outcome indicators|Process indicators","","Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Fibre|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School fruit and vegetable scheme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Vulnerable groups","","https://www.rijksoverheid.nl/onderwerpen/gezondheid-en-preventie/nationaal-preventieakkoord","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202018%20National%20Prevention%20Agreement.pdf"
"39424","TUN","Tunisia","","Stratégie Nationale Multisectorielle de Prévention et Contrôle des Maladies Non Transmissibles (MNT)","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Environment|Industry|Information","","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","National NGOs","ONGs, associations, société civile","","","","","","","2.1.2. Principes directeurs et résultats attendus (impact) de la stratégie MNT
- Intégrer réellement la lutte contre les MNT dans le projet de développement de la Tunisie soit « la santé dans toutes les politiques », déjà inclus dans le plan de développement et économique social du pays 2016-2020.
- Adopter une approche intra-sectorielle pour de meilleures efficacité, efficience et coordination entre les différents départements du secteur santé et un mécanisme de gouvernance intersectorielle afin d’inciter les différentes institutions gouvernementales (publiques et semi-publiques), les organisations non gouvernementales et la société civile à concevoir et mettre en oeuvre des programmes de prévention et de contrôle des maladies non transmissibles à l’échelle centrale, régionale et locale
- Renforcer les capacités de la population pour la prévention des facteurs de risque dans leur quotidien et contre les facteurs de risque dans certains groupes dans le domaine des MNT.
- Renforcer le système de soins de base (public et privé) pour l’habiliter à la prévention et la prise en charge des principales maladies non transmissibles tout en garantissant l’équité et l’accessibilité aux soins.
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
- Baisse de 25% du risque de décès prématuré lié aux MNT
- Baisse relative d’au moins 10 % de l’usage nocif de l’alcoolisme chronique
- Baisse de 10% de l’activité physique insuffisante
- Réduction de 30% de l’apport moyen en sel
- Stabilisation de la prévalence de l’HTA
- Stabilisation de la prévalence du -Diabète-Obésité
- Prise en Charge des sujets à risque de MNT (IDM/AVC et autres) dans les CSB et chez les MG
","2.2. Axes Stratégiques de la Prévention et Contrôle des MNT
AXE 1 : LA GOUVERNANCE NATIONALE DE LA PREVENTION ET CONTROLE DES MNT, BASEE SUR LA MISE EN PLACE DE MECANISMES DE COORDINATION INTRA ET INTER SECTORIELS EST ASSUREE
- Créer (ou identifier) une structure au sein du ministère de la santé (comité, unité,…), qui sera chargée de la coordination, ainsi que du suivi et évaluation des activités du plan.
- Mettre en place au sein du gouvernement, un comité multisectoriel de pilotage, qui aura la mission de coordonner l’élaboration des plans d’action des différents secteurs, de faciliter l’octroi des ressources nécessaires, d’assurer le suivi et évaluation de la mise en oeuvre du plan. Ce comité qui devrait s’intégrer dans le cadre de l’Objectif 3 des ODD, devra avoir un rôle décisionnel, et le ministère de la santé assurera le rôle de leadership de ce comité.
- Mettre en place des comités multisectoriels régionaux pour faciliter la mise en oeuvre de la mise en oeuvre des activités dans chaque région et en assurer le suivi
- Proposer au sein de ce comité les aspects concernant les financements innovants (taxation sur les produits néfastes à la santé) qui pourraient servir à financer en partie les investissements dans la prévention des MNT
- Développer au sein de ce comité la revue des aspects législatifs concernant le renforcement des mesures de prévention et de contrôle des MNT en Tunisie
AXE 2 : LES FACTEURS DE RISQUE (FR) MODIFIABLES DES MNT SONT REDUITS EN TENANT COMPTE DES CIBLES NATIONALES PAR RAPPORT AUX CIBLES VOLONTAIRES DE L’OMS
- Axe 2.1. Promotion d’une alimentation saine
- Axe 2.2. : promotion de l’activité physique
- Axe 2.4. : réduction des autres facteurs de risque
Axe 2.4.1 : réduction de la consommation de l’alcool
AXE 4: UN PLAN DE COMMUNICATION POUR LA PREVENTION ET LE CONTÔLE DES MNT EST ELABORE ET MIS EN ŒUVRE
AXE 5 : UN SYSTEME DE SUIVI ET EVALUATION (S&E) DES MNT ET DE LEURS FACTEURS DE RISQUE EST MIS EN PLACE ET EST FONCTIONNEL ET EFFICACE
","Dans le domaine de la Gouvernance
1) Stratégie nationale multisectorielle MNT élaborée
2) Mécanisme de coordination intra et intersectoriel mis en place
Dans le domaine de la Prévention et de la réduction des Facteurs de Risque
2) Campagnes de sensibilisation sur les facteurs de risque des MNT réalisées
3) La réduction du sel dans le pain est adoptée par d’autres boulangeries dans les autres gouvernorats
4) Au moins un nouveau produit agroalimentaire favorable à la santé est fabriqué et mis sur le marché
5) Plaidoyer sur l’étiquetage des produits agroalimentaires réalisé
Dans le domaine de la surveillance et du Suivi & Evaluation
1) Enquête STEPS réalisée et résultats publiés
2) Des réunions de coordination entre les registres du cancer du nord, centre et sud sont organisées
3) Des réunions avec les responsables du système national d’information sanitaire (SNIS) sont organisées sur les MNT et leurs facteurs de risque
","Process indicators","","Overweight in adolescents|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/TUN_B11_Stratégie Nationale MNT 18-25_Finale (dernière version juin 2018).pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202018%20Strat%C3%A9gie%20Nationale%20MNT.pdf"
"39773","UKR","Ukraine","","Національний План Заходів щодо неінфекційних захворювань для досягнення глобальних цілей сталого розвитку [National Action Plan for Non-communicable Diseases for the Attainment of the Global Sustainable Development Goals]","NCD policy, strategy or plan with healthy diet components","","Ukrainian","","2018","","","","","2018","Adopted","7","2018","Кабінету Міністрів України","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","","…
2. Формування інформаційної політики та забезпечення громадської підтримки у напрямі профілактики неінфекційних захворювань
…
2) забезпечення підвищення рівня обізнаності різних груп населення щодо важливості здорового харчування для підтримання належної маси тіла та профілактики неінфекційних захворювань
3) забезпечення надання необхідної інформації про харчування для певних категорій населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями), а також переконливої і аргументованої інформації про значення грудного вигодовування дітей протягом щонайменше шести місяців від народження як основи профілактики виникнення неінфекційних захворювань у дорослому віці; попередження про загрозу для здоров’я дефіциту макро- і мікронутрієнтів
…
3. Формування освітніх матеріалів з питань пропагування здорового способу життя та профілактики неінфекційних захворювань в навчальних програмах
1) упровадження сучасних навчальних та освітніх матеріалів в навчальний процес для дітей дошкільного та шкільного віку, студентів і слухачів післядипломної освіти з включенням до навчальних програм тем щодо формування здорового способу життя, попередження розвитку неінфекційних захворювань
2) розроблення та поширення навчальних матеріалів для різних груп населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями) щодо шкідливого впливу тютюну, надмірного вживання алкоголю, нездорового харчування та низької фізичної активності
3) розроблення та поширення рекомендації щодо здорового та профілактичного харчування для різних груп населення з метою запобігання виникненню аліментарних та аліментарно зумовлених захворювань
4) забезпечення розроблення, затвердження та впровадження в навчальному процесі у вищих закладах педагогічної освіти у системі підготовки фахівців педагогічного профілю та соціальних працівників освітніх матеріалів з питань, що стосуються основних засад здорового способу життя, наслідків нездорового способу життя, необхідності відмови від куріння, надмірного вживання алкоголю, а також здорового харчування та достатнього рівня фізичної активності
…
4. Вдосконалення законодавства з питань охорони здоров’я
…
2) вдосконалення законодавства з використанням найкращих міжнародних практик щодо повної заборони реклами та інших видів стимулювання продажу тютюнових виробів, алкогольних напоїв, слабоалкогольних та енергетичних напоїв, продуктів харчування, що містять надмірну кількість солі, жирів, цукру та трансжирів
…
7. Підтримка та пропагування здорового харчування
1) розроблення нормативно-правових актів щодо регламентації вмісту трансізомерних жирів у харчових продуктах, їх вилучення з харчових продуктів і заміни на ненасичені жири
2) вдосконалення законодавства щодо інформування споживачів про точну кількість солі, цукру, насичених жирів із зазначенням їх співвідношення з рекомендованими нормами споживання під час маркування харчових продуктів
3) вдосконалення законодавчих актів щодо обмеження реклами харчових продуктів з надмірним вмістом солі, цукру та насичених жирів
4) розроблення і подання в установленому порядку на розгляд Кабінету Міністрів України законопроекту щодо оподаткування харчової продукції з надмірним вмістом солі, цукру, насичених жирів
5) розроблення та затвердження основних вимог до харчових продуктів і напоїв, які можуть розповсюджуватися в закладах освіти; унеможливлення доступності і продажу висококалорійних харчових продуктів та напоїв з підвищеним вмістом насичених жирів, солі та цукру тощо в закладах освіти, на прилеглих до них територіях
6) надання підтримки програмам, спрямованим на забезпечення здорового харчування в закладах освіти
7) проведення спільних заходів з виробниками харчових продуктів з метою усвідомлення ними відповідальності, пов’язаної з виробництвом та обігом харчових продуктів з надмірним вмістом солі, цукру, насичених і трансізомерних жирів; надання рекомендацій стосовно зміни технології, рецептур з метою зменшення вмісту солі, цукру, насичених жирів, вилучення трансізомерних жирів і їх заміни на ненасичені жири
8) здійснення ефективних заходів, спрямованих на вивчення питання поширення та зменшення дефіциту певних нутрієнтів (кальцію, йоду, заліза тощо), вітамінів (фолієвої кислоти, вітаміну D тощо) серед різних груп населення
…
19. Проведення моніторингу стану харчування населення
1) проведення репрезентативних досліджень стану фактичного харчування населення залежно від віку і статі, а також оцінки залежності якості харчування від рівня освіти, доходів, місця проживання та професії; забезпечення проведення досліджень щодо поширеності дитячого ожиріння
2) проведення досліджень щодо поширеності метаболічних факторів ризику неінфекційних захворювань (підвищеного рівня холестерину, глюкози тощо)
3) проведення досліджень щодо виконання рекомендацій ВООЗ стосовно грудного вигодовування немовлят
4) забезпечення участі в Європейській мережі дій щодо споживання солі
…
","","","","Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School meal standard|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education","","https://extranet.who.int/ncdccs/Data/UKR_B3_NATIONAL ACTION PLAN.docx","https://www.kmu.gov.ua/npas/pro-zatverdzhennya-nacionalnogo-planu-zahodiv-shchodo-neinfekcijnih-zahvoryuvan-dlya-dosyagnennya-globalnih-cilej-stalogo-rozvitku","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf"
"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",""
"96701","MOZ","Mozambique","","Estratégia de Alimentação Saudável, Actividade Física e Saúde 2019-2023","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2019","","2023","Ministério da Saúde","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Industry","Nutriçaõ e Saúde, Agricultura, Educação, Juventude e Desportos, Indústria e Comércio, Finanças,Acção Social, Sociedade Civil, Associação dos Consumidores, Sector Privado, Obras Públicas e Habitação","","","","","","","","","National NGOs","","","","","","","","","","","","","International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruits|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Media campaigns on healthy diets and nutrition|Iodine|Food fortification|Food grade salt|Conditional cash transfer programmes","","https://extranet.who.int/ncdccs/Data/MOZ_B16_s21_Estratégia Alimentação Saudável e Actividade Fisica 2019-2023 MISAU.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MOZ%202018%20Estrat%C3%A9gia%20Alimenta%C3%A7%C3%A3o%20Saud%C3%A1vel%20e%20Actividade%20Fisica%202019-2023%20MISAU.pdf"
"40328","NER","Niger",""," Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles 2019-2021","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Labour","Assemblée nationaleMinistère en charge de la Renaissance Culturelle","World Health Organization (WHO)","","","","","","","","National NGOs","Société Civile (ONG, Associations et Fondations)","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
- 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"
"41577","CRI","Costa Rica","","Plan Nacional de Salud","Health sector policy, strategy or plan with nutrition components","","Spanish","","2016","","2020","Ministerio de Salud","12","2016","Not adopted","","","","Nutrition council|Health|Sport","","World Health Organization (WHO)","","","","","","","","","","Research/academia","","","","","","Objetivos
- Desarrollar la infraestructura requerida para cumplir con las necesidades en materia de salud, nutrición, deporte y recreación.
- Disminuir la mortalidad prematura por causa de eventos crónicos con el fortalecimiento de la calidad de atención y control de las personas portadoras de ECNT, por medio de la coordinación y articulación entre los distintos actores e instituciones.
- Implementar el Sistema Monitoreo y evaluación del Plan de Acción de la Estrategia Nacional de Abordaje de las ENT y Obesidad.
- Disminuir las muertes prematuras (30 y 69 años de edad) por enfermedades crónicas no trasmisibles.
- Mejorar la alimentación de los recién nacidos, mediante el desarrollo bancos y centros de recolección de leche humana.
- Aumentar el número de hospitales certificados como como Iniciativa Hospital Amigo del Niño, la Niña y La Madre(IHANNM).
- Oficializar un decreto ejecutivo para la implementación de salas de lactancia materna en centros laborales.
- Disponer de un espacio de atención clínica especializada en el manejo de la lactancia materna exitosa y la estimulación temprana para uso de las familias.
- Incorporar contenidos de lactancia materna en la currícula de enfermería, nutrición y medicina de universidades públicas y privadas.
- Disminuir la mortalidad prematura por eventos crónicos, mediante el fortalecimiento de la calidad de atención y control de las personas portadoras de ECNT, y la coordinación y articulación entre los distintos actores institucionales.
- Promocionar estilos saludables de vida y contribuir a la prevención de sobrepeso y obesidad infantil, mediante la implementación de una estrategia integral de comunicación, educación e información que promuevan cambios en los conocimientos, actitudes y prácticas en las familias.
- Desarrollar un plan de mercadeo social para la reducción del consumo de sal y sodio en grupos meta, a nivel nacional.
- Facilitar a la población alimentos procesados con menor contenido de sodio mediante el establecimiento de metas nacionales.
- Fomentar en la población el desarrollo de estilos de vidasaludables, mediante la práctica de la actividad física y el incremento en el consumo de frutas y vegetales.
- Desarrollar el proyecto ""Fortalecimiento de la Calidad de Atención de las Enfermedades Crónicas no Transmisibles"" a fin de promover la actividad física moderada y alta en la población mayor de 20 años.
","Estrategias
- Fortalecer el programa de enfermedades crónicas no transmisibles y obesidad, basado en un sistema de vigilancia de las enfermedades no transmisibles con énfasis en cardiovasculares y cáncer.
- Fortalecer la iniciativa “Hospital Amigo del Niño, la Niña y la Madre” (IHANNM) a nivel nacional, para apoyar a las madres en la práctica de la lactancia materna.
- Fomentar la creación de salas de lactancia en instituciones públicas, privadas, así como en centros educativos de enseñanza secundaria con énfasis en las regiones Brunca y Huetar Caribe.
- Desarrollar procesos de información y comunicación de los beneficios y derechos de las mujeres, los niños y las niñas con respecto a la lactancia materna.
- Vigilar la inocuidad y calidad nutricional de los alimentos preparados o no, que se expenden en sitios comerciales.
- Fortalecer el tema de alimentación y nutrición con enfoque de prevención de la malnutrición y promoción de la salud.
- Monitorear en forma permanente el cumplimiento de la normativa relacionada con lactancia materna.
- Fortalecer el tema de alimentación y nutrición con enfoque de prevención de la malnutrición y promoción de la salud
- Educación y comunicación integral en alimentación y nutrición para la población en general.
- Implementación de acciones estratégicas y reglamentarias con la Industria Alimentaria para la regulación de sal, azúcar y grasas adicionadas a los alimentos procesados.
- Estimular el desarrollo de huertas escolares en centros educativos públicos y privados y los CEN-CINAI
- Regular la calidad nutricional del menú que se ofrece en los servicios de alimentación institucional, infantil, escolar, empresarial y otros centros de trabajo.
- Promover la alimentación saludable, la actividad física y el no fumado en los niños y adolescentes.
- Promoción de la actividad física, la práctica del deporte y la recreación en todos los grupos etarios, con participación intersectorial.
","Indicadores
- Porcentaje de Áreas de Salud con desempeño mejorado
- Incremento del 6% de la cobertura de pacientes crónicos de HTA, DM y Dislipidemia en el primer nivel de atención.
- Informe de Monitoreo del Plan de Acción de la Estrategia Nacional de ENT y Obesidad, basado en los datos generados por la utilización de la herramienta informática
- Número de defunciones prematuras por ECNT en personas entre 30 y 69 años de edad
- Número de bancos de leche humana.
- Número de centros de recolección de leche
- Número de hospitales certificados y recertificados
- Curso de Manejo Práctico de la Lactancia Materna y Cuidados del Recién Nacido estudiantes de carreras afines.
- Número de Clínicas de Lactancia Materna y Desarrollo (CLMD) funcionando
- Curso de Manejo Práctico de la Lactancia Materna y Cuidados del Recién Nacido estudiantes de carreras afines.
- Número de estrategias de comunicación.
- Número de CLMD con participación de nutricionistas.
- Un Módulo de lactancia materna en la encuesta de hogares y propósitos múltiples.
- Consumo de fruts y vegetales - Porcentaje de población.
- Número de grupos meta con plan de reducción de consumo de sodio.
- Porcentaje de escuelas y CEN CINAI
- Número de centros CEN CINAI con Huertas Pedagógicas
- Porcentaje de sodas que cumplen con el reglamento.
- Porcentaje de estudiantes de con estilos de vida saludable
- Porcentaje de estudiantes de con estilos de vida saludable
- de CEN-CINAI que promueven actividad física y la prevención del tabaquismo.
- Número de proyectos comunitarios de deporte y recreación desarrollados
- Porcentaje de incremento en
- la práctica de la actividad física moderada y alta.
","","","Breastfeeding|Sodium/salt intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Monitoring of the Code|Capacity building for the Code|Maternity protection|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food safety|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://www.ministeriodesalud.go.cr/index.php/biblioteca-de-archivos/sobre-el-ministerio/politcas-y-planes-en-salud/planes-en-salud/964-plan-nacional-de-salud-2016-2020/file","","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/CRI%202016%20Plan%20Nacional%20de%20Salud%202016-2020.pdf"
"40698","DOM","Dominican Republic","","Plan intersectorial para la prevención y control del sobrepeso y la obesidad en la niñez y adolescencia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2021","","","2017","Not adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sport|Environment","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","OBJETIVO GENERAL
Detener el aumento de la epidemia de la obesidad en la niñez y la adolescencia, en el país, a través de un enfoque multisectorial que abarque la totalidad del ciclo de vida, y con ello reducir sustancialmente la morbilidad y mortalidad atribuible a las enfermedades crónicas.
OBJETIVOS ESPECIFICOS
1. Promover las guias alimentarias nacionales basadas en los alimentos, asi como otras actividades relacionadas con la prevención del sobrepeso y la obesidad. 2. Fortalecer los esfuerzos para aplicar la Estrategia mundial de la alimentación del lactante y del niño pequeño. 3. Promover y fortalecer las políticas y los programas escolares y de educación temprana que aumenten la actividad física y promuevan el consumo de alimentos saludables y de agua, y restrinjan la disponibilidad de bebidas azucaradas y productos de alto contenido calórico y bajo valor nutricional. 4. Elaborar y establecer normas para el etiquetado frontal del envase que promuevan las elecciones saludables al permitir identificar los alimentos de alto contenido calórico y bajo valor nutricional de manera rápida y sencilla. 5. Mejorar el acceso a los espacios recreativos urbanos como los programas de ciclovías recreativas. 6. Sensibilizar a los profesionales del Sistema Nacional de Salud para impulsar la detección sistemática de la obesidad y el sobrepeso en la población. 7. Fortalecer el sistema de información del país para que los datos sobre las tendencias y los determinantes de la obesidad, estén disponibles para la adopción de decisiones de políticas.
"," LÍNEAS DE ACCIÓN
1: Atención primaria de salud y promoción de lactancia materna y la alimentación saludable.
2: Mejoramiento del entorno escolar con respecto a la nutrición y la actividad física.
3: Políticas fiscales y reglamentación de la publicidad y etiquetado de alimentos.
4: Disponibilidad, acceso y consumo de alimentos frescos, nutritivos e inocuos.
5: Promoción de la actividad física.
6: Vigilancia epidemiológica, monitoreo y evaluación de programas.
","Monitoreo y evaluación
El Plan de prevención de obesidad 2017-2021, establece como soporte en la toma de decisiones un sistema de indicadores que permitirá conocer la repercusión que su implementación tendría sobre la población, así como en los resultados en coberturas de servicios, aplicación de medidas de protección y promoción de la salud, de los resultados en términos de salud y en las aportaciones que los órganos de decisión y participación intersectorial puedan realizar. Dichos indicadores han de facilitar una evaluación periódica de la efectividad del plan por provincias y en los centros de salud en particular que implementen acciones. Cada línea de acción dentro de cada área de impacto cuenta con actividades a desarrollar se detallan las características de los indicadores y las metas específicas a cada unidad o donde la segregación de la información lo permita, han de ser analizados al menos por cada línea de acción, para identificar condiciones de salud o de riesgo para la salud específicas que puedan apoyar la toma de decisiones diferenciada
Indicadores
- Al 2021, 10 hospitales certificados como hospitales amigos del Bebe.
- Al 2021, 80% de Unidades de Atención Primaria monitorean el crecimiento y el desarrollo del niño menor de 24 meses y dan consejería.
- Al 2021, 80% de las UNAP monitorean el IMC y la ganancia de peso durante el embarazo y dan consejería alimentaria nutricional a las embarazadas.
- Al 2021, el país cuenta con un PAE acorde con las guías alimentarias basadas en los alimentos y que satisface las necesidades nutricionales de niños y adolescentes.
- Al 2021, el 30% de los centros educativos incluyen alimentos saludables en el PAE de acuerdo a las guías alimentarias y al perfil de nutrientes de la OPS.
- Al 2021, el 30% de las cafeterías escolares excluyen alimentos no saludables.
- Al 2021, el 30% de los Centros Educativos no cuentan con cafeterias escolares y no tienen vendedores ambulantes.
- Al 2020, 80% de los centros educativos de jornada escolar extendida incluyen contenidos de alimentación y nutrición dentro de los currículos académicos.
- Al 2021, en el 100 % de los centros educativos las comunidades educativas realizan al menos 30 minutos de actividad física moderada al día.
- Al 2021, en 100% de las estancias infantiles los niños y el personal de gestión realizan 30 minutos de actividad física moderada al día.
- Al 2010, el 100% de las estancias infantiles cumple con el menú estandarizado desde el nivel central basado en los requerimientos por grupos de edad.
- Al 2021 50% de las UNAP monitorean y vigilan el estado nutricional de su poblacion de influencia.
- Al 2021, legislación publicada y estrategia de monitoreo desarrollada . Al 2021, reducido en 50% la exposición de niños y adolescentes a publicidad (radio, TV, otros medios) de alimentos y bebidas altos en azúcar, grasa y sal.
- Al 2021, por lo menos 10% de incremento en los precios al consumidor
- 50% de los alimentos altos en azúcar, grasa y sal según el perfil de alimentos ha reducido el tamaño de la ración.
- Al 2021, el 80% de las bebidas azucaradas productos en venta en las principales cadenas de supermercad os están ubicados en un lugar menos visibles para los niños.
- Al 2021, el 80% de los consumidores interpreta correctamente el etiquetado frontal.
- Incrementado en 80% la proporción de recién nacidos que son amamantados dentro de la primera hora de vida.
- Incrementada la proporción de niños en edad preescolar y escolar que puedan identificar alimentos saludables. • Aumentado la cantidad de estudiantes con acceso a alimentos con calidad e inocuidad en un ambiente de higiene en los centros educativos y las estancias infantiles.
- Al 2021, incrementado en 15% de la poblacion que realizan al menos 60 minutos de actividad física moderada diaria.
- Al 2021, incrementado en 50% la disponibilidad de alimentos frescos, nutritivos e inocuos.
- Impacto de la línea de acción (Indicadores de propósito): Incrementado en 80% la proporción de recién nacidos que son amamantados dentro de la primera hora de vida.
- Incrementada la proporción de niños en edad preescolar y escolar que puedan identificar alimentos saludables. Aumentado la cantidad de estudiantes con acceso a alimentos con calidad e inocuidad en un ambiente de higiene en los centros educativos y las estancias infantiles.
- Al 2021, reducido en 25% el consumo (compra) de alimentos y bebidas altos en azúcar, grasa y sal.
","Process indicators","","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Total fat intake|Sodium/salt intake|Sugar 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|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Maternity protection|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|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Front of pack labelling|Reformulation of foods and beverages|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Physical activity and healthy lifestyle|Nutrition education|Food security and agriculture|Water and sanitation","","https://repositorio.msp.gob.do/handle/123456789/2027","","",""
"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"
"40337","BLZ","Belize","","Early Childhood Development National Strategic Plan 2017-2021","Other, please specify","Child or adolescent plan with nutrition components","English","","2017","","2021","Ministry of Health; Ministry of Education, Youth and Sports and Culture; Ministry of Human Development, Social Transformation and Poverty Alleviation","5","2017","Not adopted","","","","Health|Education and research|Development|Sport","Ministry of Health; Ministry of Education, Youth and Sports and Culture; Ministry of Human Development, Social Transformation and Poverty Alleviation","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","...
OUTCOME 1.0: CHILDREN ARE BORN AND REMAIN HEALTHY DURING THEIR EARLY YEARS
...
Output 1.2: Pregnant Women Receive Early Prenatal Care
Evidence shows that many women are unaware of their pregnancy until they have missed 1-2 menstruations. Interventions that contribute to having a healthy baby at the end of pregnancy begins before pregnancy e.g. intake of iron and folic acid, vitamin B12. When a pregnant woman receives her first prenatal care before 12 weeks of pregnancy, her vital signs and laboratory test are close to those of her non-pregnant status, facilitating early identification of risk factors. Community Health Workers (CHW) will be provided with inservice training on the importance of early prenatal care; they will be asked to have a yearly census of women in reproductive age with updating of their pregnancy status. CHW will be provided with pregnancy rapid test kits, and asked to conduct active search for pregnant women, including the application of pregnancy rapid test during home visit. Health educators will collect monthly reports from CHW and monitor early detection of pregnancies and make referrals for prenatal care.
Output 1.3: Children who are Malnourished Receive Fortified Food
Stunting is defined as a child having low length/height for age and sex as compared to reference growth charts. Low weight for age describes acute under nutrition and stunting as chronic under nutrition. Unsatisfactory growth is defined as a growth chart which reflects a horizontal or downward trend of the plotted line and not necessarily until it reaches less than 2 standard deviations (SD) or 3 SD. At this point the child is expected to be enrolled into the fortified food program where parents will receive greater counselling services, the child will be monitored more often and if little or no progress is observed, a closer follow up at home will be provided. Once the parents or caregivers are properly counselled and the family dedicates more time for adequately feeding the infant and young child, children recovery ought to be speedy. Once the child reaches the expected weight or height for age and sex, he/she is discharged from the program after six months without negative changes.
Output 1.4: Coverage of Community-Based Nutrition Interventions Increased
Two social and nutrition advocate posts called ‘Social Worker’ were created in southern Belize in response to the high rates of stunting. Their main responsibility is to manage/coordinate the nutrition program in Stann Creek and Toledo district. Their functions include counselling families of children at risk or undernourished, food preparation and demonstration at household level, and bringing together women who have children at risk or undernourished. For severe cases or cases where no improvement is observed, case-by-case management will be carried out. By 2021 it is expected to have one social and nutrition advocate per district providing the same services.
Output 1.5: Private hospitals in Belize District Certified as Mother-Baby Friendly Hospital
The Ministry of Health has certified all hospitals within public sector as Mother Baby Friendly Hospital. This initiative has a complete set of training curricula, breastfeeding policy and manual, self-assessment tool, certification and recertification assessment tool and methodology. Two hospitals from private sector, the 2 largest in Belize City, will be certified; the central health region team is responsible for this task. The management teams need to be contacted and sensitized, meetings with management team and head of departments, are to then conduct training of 100% of staff [clinical and support].
","","Table 12: Core ECD Performance- and Process-Level Indicators
...
1.0 Children are born and remain healthy during their early years:
Core indicator
...
B) Stunting prevalence: (a) Moderate and Severe (b) Severe
C) Exclusive breastfeeding rate under 6 months of age:
...
F) Underweight prevalence: (a) moderate and Severe (b) Severe
G) Number of districts staffed with nutritionist/nutrition advocate
H) Programme coverage: community based nutrition interventions
I) Number of private sector hospitals certified as Mother-Baby
...
K) Low birth weight
Baseline (value/year)...
B) (a) 15.0/2015 (b) 2.6/2015
C) 33.2/2015
...
F) (a) 4.6 (b) 0.4
G) 2/2017
H) TBD/2017
I) 0/2017
...
K) 12.1/2015
Source
...
B) MICS
C) MICS
...
F) MICS
G) Admin_MOH
H) Admin_MOH
I) Admin_MOH
...
K) MICS
Target (value/year)
...
B) (a) TBD/2021 (b) TBD/2021
C) TBD/2021
...
F) (a) TBD/2021 (b) TBD 2021
G) 6/2019
H) TBD/2021
I) 2/2018
...
K) TBD/2021
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Exclusive 6 months|Baby-friendly Hospital Initiative (BFHI)|Nutrition counselling on healthy diets|Vitamin B12|Iron and folic acid|Nutrition education|Conditional cash transfer programmes","","http://humandevelopment.gov.bz/index.php/publications/","","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/BLZ%20Early%20Childhood%20Development%20Strategy%202017-2021_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLZ%20Early%20Childhood%20Development%20Strategy%202017-2021_0.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"
"39426","MAR","Morocco","","Stratégie Nationale Multisectorielle de Prévention et de Contrôle des Maladies Non Transmissibles 2019 - 2029","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2029","Ministry of Health","","2019","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Environment|Industry","","World Health Organization (WHO)","","","","","","","","National NGOs","ONG – sociétés savantes","","","Private sector","représentants de l’industrie agro-alimentaire","","","4.4. Objectif général
Réduire la morbidité, les incapacités et la mortalité prématurée, liées aux MNT et leurs facteurs de risques selon une approche intégrée et multisectorielle.
4.5. Objectifs spécifiques
• Objectif spécifique 1 : Renforcer la promotion des modes de vie sains et la prévention des MNT.
• Objectifs spécifique 2 : Assurer une prise en charge de qualité des MNT.
• Objectif spécifique 3 : Améliorer la gouvernance à tous les niveaux de compétence et de responsabilité.
• Objectif spécifique 4 : Développer un système de suivi-évaluation des MNT et de leurs facteurs de risque.
Cibles fixées par le Maroc pour les MNT d’ici 2029
- Réduction de lʼactivité physique insuffisante (sédentarité) dʼenviron 10% à lʼhorizon de 2029
- Réduction de la consommation de sel chez la population dʼenviron 10% à lʼhorizon de 2029
- Réduction de lʼhypertension artérielle chez la population âgée de 20 ans et plus de 10% à lʼhorizon de 2029
- Réduire de 15% lʼaugmentation de la prévalence du diabète à lʼhorizon de 2029 (actuellement elle est de 30% sur 10 ans)
- Accessibilité de 80% des patients suivis pour diabète et HTA aux médicaments essentiels au niveau des établissements de soins de santé primaires
- 50% des personnes remplissant les conditions bénéficiant dʼun traitement dans le but de prévenir les infarctus du myocarde et les accidents vasculaires cérébraux
- Réduction de 10% lʼusage nocif dʼalcool à lʼhorizon de 2029
- Réduction de 25% la mortalité prématurée liée au MNT à lʼhorizon de 2029
","Domaine Stratégique 1 : Promotion des modes de vie sains et prévention des MNT
Action 1.1 : Renforcer la sensibilisation et la communication en matière des MNT et leurs FR
Mesure 1 : Organiser des campagnes annuelles de sensibilisation sur les MNT et leurs FR ;
Mesure 2 : Organiser des campagnes annuelles pour la promotion des modes de vie sains ;
Mesure 3 : Développer une stratégie de plaidoyer, de communication et de mobilisation sociale en matière de prévention des MNT et leurs FR ;
Mesure 4 : Elaborer un plan de formation auprès des professionnels de santé sur la promotion des modes de vie sains et la lutte contre les FR des MNT ;
Action 1.2 : Consolider les services sanitaires de prévention
Mesure 7 : Encourager et soutenir l’abandon des habitudes alcooliques ;
Action 1.3 : Créer des environnements favorables pour la promotion des modes de vie sains
Mesure 10 : Créer des environnements favorables pour la promotion d’une alimentation saine ;
Mesure 11 : Elaborer et implanter un plan d’action de réduction du sel sucre gras ;
Mesure 12 : Créer des environnements favorables pour la promotion de l’activité physique ;
Domaine Stratégique 2 : Renforcement de la prise en charge des MNT et développement de nouveaux programmes
Action 2.1 : Améliorer de la prise en charge des Maladies Non Transmissible
Mesure 16 : Institutionnaliser les filières de soins spécifiques pour les MNT et les intégrer dans les schémas régionaux de l’offre de soins ;
Mesure 17 : Créer des centres de référence pour les MNT ;
Mesure 18 : Créer des pôles d’excellence pour la PEC des MNT ;
Mesure 19 : Créer une « maison des jeunes diabétiques » par région ;
Mesure 21 : Implanter l’approche d’évaluation du risque cardio-vasculaire au niveau des ESSP ;
Mesure 29 : Elaborer un plan de formation au profit des professionnels de santé pour les programmes des MNT ;
Action 2.2 : Développer de nouveaux programmes de prévention et de contrôle des MNT
Mesure 38 : Développer un programme de prévention et de contrôle des maladies cardio- vasculaires ;
Domaine stratégique 3 : Amélioration de la gouvernance des MNT et de leurs FR
Action 3.1 : Renforcer la coordination des actions de promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT
Mesure 40 : Créer une structure pour la gestion et la coordination des actions relatives à la promotion des modes de vie sains et la prévention des MNT ;
Mesure 41 : Mettre en place d’un comité national multisectoriel de pilotage pour la coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT et le décliner à l’échelle régionale et provinciale ;
Mesure 42 : Mettre en place un comité technique multisectoriel des actions relatives à la promotion de modes de vie sains et de lutte contre les facteurs de risque des MNT ;
Mesure 43 : Institutionnaliser les comités de coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT ;
Mesure 44 : Redynamiser et institutionnaliser les comités spécifiques des programmes MNT ;
Mesure 45 : Elaborer des plans stratégiques de prévention et de contrôle du cancer, du diabète et de l’HTA pour la période 2020-2029 ;
Mesure 46 : Elaborer des plans stratégiques des nouveaux programmes pour la période 2020-2029 ;
Action 3.2 : Renforcer le financement en matière des MNT
Mesure 48 : Plaidoyer pour le renforcement de la couverture médicale de base ;
Mesure 49 : Rationaliser le budget alloué aux MNT ;
Mesure 50 : Renforcer la mobilisation de fonds additionnels.
Action 3.3 : Développer le partenariat pour les MNT et leur FR
Mesure 51 : Développer le partenariat public-privé dans le domaine de la promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT et de prise en charge des MNT ;
Mesure 52 : Renforcer la collaboration avec la société civile, les sociétés savantes et les organisations nationales et internationales en matière de prévention et de contrôle des MNT ;
Mesure 53 : Améliorer le partenariat avec les autres départements publics en matière de prévention et de contrôle des MNT.
Action 3.4 : Renforcer l’arsenal juridique pour les MNT et leurs FR
Mesure 54 : Renforcer la législation relative à la normalisation des FR des MNT ;
Mesure 57 : Plaidoyer pour l’augmentation des taxes sur les prix du tabac, de l’alcool, des boissons sucrées et sur tous les produits nocifs à la santé ;
Domaine stratégique 4 : Renforcement de la surveillance, du suivi évaluation et développement de la recherche en matière des MNT et leurs FR
Action 4.1: Renforcer le système de surveillance des MNT et leurs FR
Mesure 63 : Actualiser les données épidémiologiques relatives aux MNT et à leurs FR par des enquêtes épidémiologiques régulières (STEPS …) ;
Mesure 64 : Mettre en place des registres pour les MNT (cancers, maladies rares…) ;
Action 4.2 : Mettre en place un mécanisme de suivi-évaluation des MNT et leurs FR
Mesure 67 : Mettre en place un tableau de bord pour les programmes des MNT et leurs FR à tous les niveaux ;
Mesure 68 : Révision des systèmes d’information des MNT ;
Mesure 69 : Informatiser le système d’information des MNT à tous les niveaux de soins.
Action 4.3 : Développer la recherche en matière de MNT
Mesure 70 : Réaliser des études d’impact socio-économique des MNT et leurs FR sur la santé ;
Mesure 71 : Réaliser des études sur les connaissances, attitudes, pratiques des MNT et leurs FR ;
Mesure 72 : Renforcer la recherche en matière des MNT et leurs complications ;
Mesure 73 : Réaliser des études d’évaluation des actions menées pour prévenir et contrôler les MNT ;
","- Manque d’activité physique: Prévalence standardisée selon l’âge des personnes âgées de 18 ans et plus.
- Apport journalier moyen en sel (chlorure de sodium) en grammes dans la population, standardisé selon l’âge chez les personnes âgées de 18 ans et plus
- Prévalence standardisée selon l’âge de l’hypertension artérielle chez les personnes âgées de 18 ans et plus
- Prévalence standardisée selon l’âge, l’hyperglycémie/ du diabète chez les personnes âgées de 18 ans et plus
- Disponibilité des médicaments antihypertenseurs et Antidiabétiques oraux pour couvrir 80% des patients suivis et nécessitant un traitement médicamenteux
","Outcome indicators","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Total fat intake|Sodium/salt intake|Sugar intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Taxation on unhealthy foods|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/MAR_B11_Plan Stratégique MNT fin Multisectoral National Strategy for the Prevention and Control of Non-Communicable Diseases 2019 - 2029.pdf","","WHO 2019 NCD Country Capacity Survey",""
"127906","MMR","Myanmar","","Myanmar National Comprehensive School Health Strategic Plan (2017-2022)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2017","","2022","Ministry of Health and Sports","","2017","Not adopted","","","","Health|Sport","","World Health Organization (WHO)","","","","","","","","","","","","","","","","Vision: To promote physical, mental and social health of entire students
Mission: Developing Health Promoting Schools for learning and working environment for all education families
This Comprehensive School Health Framework 2017-2022 is crafted to improve quality of education and health of students through holistic health promoting school approach, along with factors influencing health of students especially from families and communities. National Consultation to consider the strategies was conducted in December 2016 participated by approximately 70 participants from MOHS and MOE.
Tentative targets are:
- More than 90% of schools implement basic health promotion activities by 2022
- More than 80% of schools implement basic health promotion with additional health services or activities by 2022
- More than 65% of schools implement intermediate health promotion activities by 2022
- More than 55% of schools implement advance level health promotion activities by 2022
","Major Comprehensive School Health (CSH) strategies are:
Strategic 1: Strengthen and develop health promoting school structure and system,
Strategic 2: Improve health and well-being through health literacy and services,
....
- Call for healthier schools
o Make it school policy to control sale and distribution of carbonated sugary drinks in school
o Remove sugar added drinks in canteen or school dispensers in all occasion (especially in school events)
o Health education to students and parents on effects of carbonated sugary drinks
o Conduct health literacy on healthy and nutritious food and beverages
2.2.1 Basic health education and literacy on healthy behaviour (physical activity, diet, personal hygiene, awareness of tobacco products and alcohol consumption, etc.)
2.2.2 Promote physical activity and active life-style to reduce NCD risk factors, and sustainable development
2.2.3 Prevention of infectious disease through improve hygiene include oral health and menstrual hygiene
2.2.4 Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
2.3.1 Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
Strategic 3: Harmonize health and education through health promoting schools
3.3 Support education enrolment by improving school infrastructures and facilities
3.3.4 Gardening in School including the plant cultivation
Strategic 4: Strengthen community partnership in Health Promoting Schools
","","","","Added sugars|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School gardens|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|Home, school or community gardens|Improved hygiene / handwashing|Water and sanitation","","https://www.mohs.gov.mm/ckfinder/connector?command=Proxy&lang=en&type=Main¤tFolder=/Publications/DPH/School+Health/&hash=a6a1c319429b7abc0a8e21dc137ab33930842cf5&fileName=Myanmar+National+Comprehensive+School+Health+Strategic+Plan+(2017-2022).pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202017%20Myanmar%20National%20Comprehensive%20School%20Health%20Strategic%20Plan.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"
"40404","ARM","Armenia","","ԵՐԵԽԱՆԵՐԻ ՍՆՈՒՑՄԱՆ ԲԱՐԵԼԱՎՄԱՆ ՀԱՅԵՑԱԿԱՐԳԻՆ ԵՎ ՀԱՅԵՑԱԿԱՐԳԻ ԻՐԱԿԱՆԱՑՄԱՆ 2015-2020 ԹՎԱԿԱՆՆԵՐԻ ԳՈՐԾՈՂՈՒԹՅՈՒՆՆԵՐԻ ԾՐԱԳՐԻՆ ՀԱՎԱՆՈՒԹՅՈՒՆ ՏԱԼՈՒ Մ Ա Ս Ի Ն [Child Nutrition Improvement Concept and Action Plan 2015-2020]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Armenian","","","","","Minister of Health of the Republic of Armenia","9","2014","Not adopted","","","","Health|Food and agriculture|Education and research|Sport","","","","","","","","","","National NGOs","","","","","","","","V. Երեխաների սնուցման բարելավմանն ուղղված ազգային ռազմավարության նպատակները և իրականացման հիմնական ուղղությունները
71.Սույն ռազմավարության հիմնարար նպատակը երեխաների սնուցման կազմակերպման պատշաճ գործելակերպի ներդրումն է, ուղղված նրանց առողջ աճի և զարգացման ապահովմանը, հիվանդացության և մահացության կրճատմանը, այդ թվում` վաղ հասակի երեխաների սնուցման գործելակերպի բարելավման, կրծքով կերակրման աջակցության և խրախուսման ճանապարհով:
72. Ռազմավարության հիմնարար նպատակի հասանելիությունը հնարավոր է ապահովել ստորև ներկայացված կոնկրետ թիրախային խմբերին ուղղված նպատակների հաղթահարման պարագայում(2020թ. սահմանային ժամկետում): Այն է.
","","1) Վաղ տարիքի երեխաների համար.
ա. մինչև 6 ամսական երեխաների շրջանում բացառապես կրծքով սնուցման ցուցանիշի աճ 1/4-ով: 2020թ. կապահովվի ցուցանիշի 45 % և ավելի մակարդակ` 2010թ.-ի 35%-ի փոխարեն:
բ. Կրծքով կերակրման վաղ նախաձեռնման ցուցանիշի բարելավում 30%-ով: : 2020թ այս ցուցանիշը կկազմի 47 % ` 2010թ.-ի 36%-ի փոխարեն:
գ. Բացառապես կրծքով կերակրման «մեդիան» ցուցանիշի բարելավում 1/2-ով: 2020թ. այն կկազմի նվազագույնը 3 ամիս` 2010թ.-ի մեկ ամսվա փոխարեն:
դ. Մինչև մեկ տարեկան երեխաների ընդհանուր թվի մեջ ժամանակին և համարժեք հավելյալ սնուցում ստացած երեխաների թվի բարելավվում նվազագույնը 20 %-ով: 2020թ այս ցուցանիշը կկազմի 40% և ավելի` 2010թ.-ի 34%-ի փոխարեն:
ե. Մինչև 6 ամսական երեխաների մոտ շշերի և ծծակների գործածության կրճատում 1/3-ով: 2020թ. այս ցուցանիշը չի գերազանցի 36 %` 2010թ.-ի 51%-ի փոխարեն:
զ. Վաղ հասակի երեխաների թերաճի/քրոնիկական թերսնուցման տարածվածության նվազեցում 1/4-ով, խորքային պատճառների ուսումնասիրում: 2020թ. մինչև 5 տարեկան երեխաների շրջանում տարիք-հասակային հարաբերակցության գործակցի ստանդարտ շեղումը` թերաճի ցուցանիշը, չի գերազանցի 15%-ը` 2010թ.-ի 19%-ի փոխարեն:
է. «Մանկանը բարեկամ» նախաձեռնության ծավալների և այդ կոչումն ունեցող բուժհաստատությունների թվի ավելացում 25-%-ով:
ը. Մինչև 5 տ. երեխաների շրջանում սակավարյունության տարածվածության կրճատում նվազագույնը 1/4-ով: 2020թ. այն չպետք է գերազանցի 25%-ը:` 2005թ.-ի 37 % համեմատ:
թ. Ցածր քաշով նորածինների ցուցանիշի կրճատում նվազագույնը 1/3-ով: 2020թ. այն չպետք է գերազանցի 6%-ը` 2010թ.-ի 7.6%-ի համեմատ:
ժ. Հիվանդ երեխաների սնուցման վերաբերյալ մայրերի գիտելիքները բարելավում 15%-ով: 2020թ. ճիշտ գործելակերպ ցուցաբերած մայրերի ցուցանիշը կկազմի` 90%` 2010թ.-ի 77 %-ի փոխարեն:
ժա. 0-5տ. երեխաներ ունեցող տնային տնտեսություններում համարժեք յոդացված աղի օգտագործման 95% և ավելի ցուցանիշի շարունակական ապահովում:
2) Դպրոցահասակ երեխաների համար
ա. Դպրոցներում առողջ սնուցմանը և ապրելակերպին նպաստող պայմանների բարելավում` «Առողջ դպրոցներ» ծրագրի ներդրման ճանապարհով: Արդյունքում առողջ սնուցման կազմակերպման սկզբունքների ներառմամբ առողջության դպրոցական քաղաքականություն ունեցող դպրոցների թիվը 2020թ. կլինի ոչ պակաս 30-ից:
բ. Երեխաների և դեռահասների համար առողջ սնուցման 12 քայլերի և ֆիզիկական ակտիվության առավելությունների վերաբերյալ գիտելիքների հասանելիության ապահովում, որի արդյունքում դպրոցահասակ երեխաների մոտ կարձանագրվի սննդային վարքագիծը և ֆիզիկական ակտիվությունը բնորոշող` բացասական միտում ունեցող առանձին ցուցանիշների աճի կանգ, իսկ որպես առավելագույն ակնկալվող արդյունք` դպրոցահասակ երեխաների շրջանում սննդային անառողջ սովորությունների տարածվածության կրճատում 5 տոկոսով և ֆիզիկական ակտիվության ավելացում նվազագույնը 10 տոկոսով:
գ. Երեխաներին ծառայություններ մատուցող մասնագետների սնուցման ճիշտ կազմակերպման և առողջ սննդակարգի վերաբերյալ գիտելիքների բարելավում, այդ թվում բուժաշխատողների 20-%-ը և ուսուցիչների 10-%-ը կունենան համապատասխան գիտելիքներ և հմտություններ:
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Breastfeeding - Exclusive 6 months|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|School meal standard|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Iodine|Food grade salt|Household food security","","https://www.e-gov.am/protocols/item/398/","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.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"
"130362","LBY","Libya","","Strategy to combat noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","12","2016","","2021","Ministry of Health Republic of Liberia","","2017","Adopted","","2017","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","4.0 Non-Communicable Diseases Strategic Plan
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
...
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
","","","","International Code of Marketing of Breast-milk Substitutes|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/LBR_B3_S23_LBR%202017%20NCD%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR_2017%20NCD%20Policy.pdf"
"130363","LBR","Liberia","","National Non-Communicable Diseases Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health Republic of Liberia","12","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
...
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
..
Annex 1 NCD Results Framework
...
Indicator
Target (% change vs Baseline)
...
9 Age-standardized prevalence of raised blood pressure among persons aged 18+ years
10% reduction
...
10 Prevalence of overweight and obesity in adolescents
10% reduction
","","","","Overweight in adolescents|Raised blood pressure|International Code of Marketing of Breast-milk Substitutes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/LBR_B3_S23_LBR%202017%20NCD%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR_2017%20NCD%20Policy_0.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"