"policy_id","iso3code","countryname","province","policy_title","policy_type","policy_type_other","language","start_month","start_year","end_month","end_year","published_by","published_month","published_year","adopted","adopted_month","adopted_year","adopted_by","partner_gov","partner_government_details","partner_un","partner_un_details","partner_ngo","partner_ngo_details","partner_donors","partner_donors_details","partner_intergov","partner_intgov_details","partner_national_ngo","partner_nat_ngo_details","partner_research","partner_research_details","partner_private","partner_private_details","partner_other","partner_other_details","goals","strategies","me_indicators","me_indicator_types","legislation_details","topics","link_action","url","further_notes","references","attached_file" "8178","JPN","Japan","","The 21st Century Sukoyaka families","Health sector policy, strategy or plan with nutrition components","","English","","2000","","2012","","","2012","Adopted","","2001","Ministry of Health. Labour and Welfare","Health","Ministry of Health. Labour and Welfare","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Low birth weight|Underweight in women","","https://www.mhlw.go.jp/english/wp/other/councils/sukoyaka21/1.html https://www.mhlw.go.jp/english/wp/other/councils/sukoyaka21/index.html","","WHO Global Nutrition Policy Review 2009-2010","" "40781","ZMB","Zambia","","Zambia National Health Strategic Plan 2017 – 2021 ","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2021","Ministry of Health","","2017","","","","","Health","Special thanks also go to other Cooperating Partners, international non-governmental organizations Churches Health Association of Zambia","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Other, please specify under further details","Clinton Health Access Initiative","Other|European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","the Government of Sweden for supporting us with the consultative process.","European Commission","","","","Research/academia","the University of Zambia, Department of Economics","","","","","
Overall goal
Goal: To have empowered communities taking responsibility for improving their own health status through community health interventions in line with the principles of PHC by 2021
objectives
Goal:To have empowered communities taking responsibility for improving their own health status through community health interventions in line with the principles of PHC by 2021
Goal: To reduce MMR from 398/100,000 live births in 2014 to 162/100,000 live births by 2021
Goal: To reduce the under-five mortality rate from 75 (ZDHS, 2013-14) to 56 deaths per 1,000 live births by 2021
Goal: To reduce under and over nutrition and improve clinical nutrition by 2021
Objectives
Goal: To reduce the morbidity and mortality due to non-communicable diseases by 2021
Objectives
7. Key Performance Indicators
7.1 Reproductive, Maternal, Neo-natal, Child Health, Nutrition, and Adolescent Health
Objective 1: To create demand for sexual and reproductive health services (adolescents and youths, women of reproductive age, men, elderly people and the marginalized populations).
Objective 2: To scale up high-impact child survival interventions
Objective 3: To increase access to and utilization of high impact nutrition-specific interventions.
Indicator Baseline Target 2016 2017 2018 2019 2020 2021 Data Source Outcome
Exclusive breastfeeding rates up to six months of age 73% 76% 80% ZDHS
% of children aged under five years with stunting 40% 20% 14% ZDHS
% of women of reproductive age with anaemia 47% 35% 22% 20% 18% 16% MIS/ ZDHS
% of newborns with weight below 2.5kg (low birth weight) 9% 9% 8% 7% 6% 5% ZDHS
% of children aged under five years who are underweight 15% 10% 2% ZDHS
% of children aged under five years who are overweight 9% 7% 4% ZDHS
% of children aged under five years with wasting 6% 5% 4% 3% 2% 1% HMIS/ ZDHS
Objectives of Maternal and children health care (by 2015 within defined terms)
The above mentioned key issues could be solved through elaborated strategies and continuous implementation of target programs, and given the objectives, development of new programs and accomplishment of the objectives within the framework of the program. It could be accomplished through close inter-department and international cooperation, with extensive involvement of communities and mobilization of all the possible resources.
Government of the Republic of Armenia: -recognize through annual budget allocations the prevailing importance of the programs for maternal and children healthcare, and approve normative documents related to the core issues of motherhood, childhood and reproductive health (“ Preventive immunization”, “ Ratification of international code on marketing of milk supplements”, and take a decision on the approval of Laws of RA “ Mandatory iodination of salt used for food for population”...)
Main indicators for the assessment of the level of socio-economic development, population health and effective maternal and children health care are as follows:
• Mortality rate in infants (0-28 days), children (0-1 year) and children under age of 5 /per 1000 live-births/
• Mortality cases with diarrhea and diseases of respiratory ways (‰) in infants under age of 1
• Prenatal mortality rate/ per 1000 births/
• Maternal mortality /100.000
• Exclusive breast feeding indicator (%)
• Number of low weight and prematurely born infants (per 100 births)
• Level of malnutrition in infants under age of 0-5 (weight-age index deficiency in %)
• Spread ness of anemia in children and pregnant women (%)
• Early registration of pregnant women ( under 12 weeks, per 100 pregnants)
The analysis of the date is carried out by the Ministry of Health of Armenia who conducts reassessment of needs and shifts emphasis in the strategic planning.
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Food fortification|Nutrition & infectious disease|Food safety|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/ARM","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202003-2015%20STRATEGY%20ON%20%20MATERNAL%20%20AND%20CHILD%20%20HEALTH%20CARE.pdf" "23545","BLR","Belarus","","Strategic action plan to fight HIV/AIDS epidemic in the Republic of Belarus for 2004-2008","Health sector policy, strategy or plan with nutrition components","strategic plan for HIV/AIDS with nutrition goals","English","","2004","","2008","Government of Belarus","","2004","Adopted","","2004","","","","","","","","","","","","","","","","","","","","","Priority activity lines: 5. Provision of medical, psychosocial and other kinds of support to people living with HIV/AIDS
Activity 4 4. Providing free substitution feeding for babies born by HIV-infected mothers, during their first year of life for the period of implementation: 2004-2008
","","","","Counselling on infant feeding in the context HIV|HIV/AIDS and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202004-2008%20hiv_plan_belarus_0.pdf" "23746","JAM","Jamaica","","National Policy for the Promotion of Healthy Lifestyles","Health sector policy, strategy or plan with nutrition components","","English","","2004","","","Health Promotion & Protection, Ministry of Health","","2004","Adopted","","2004","Cabinet and Parliament","Health","Health Promotion & Protection, Ministry of Health, All Government Ministries","World Health Organization (WHO)","PAHO","","","","","","","","","","","","","Other","Civil society groups, consumer and community groups","To decrease the incidence of chronic diseases, high risk sexual behaviour and violence and injury through the promotion of appropriate behaviours and by building self-esteem, resiliency and life skills in the population, particularly among young children, adolescents and young adults :
Appropriate Eating Behaviour:
Food & Beverage Industry:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in adolescents|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|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://www.mindbank.info/item/4901","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202004%20Health%20Lifestyle%20Promotion.pdf" "41594","PRT","Portugal","","Plano Nacional de Saúde 2004-2010: mais saúde para todos","Health sector policy, strategy or plan with nutrition components","","Portuguese","","2004","","2010","Ministério da Saúde","","2004","","","","","Health","","","","","","","","","","","","","","","","","","
Todo o trabalho contemplado neste documento visa três grandes objectivos estratégicos:
Orientações estratégicas e intervenções necessárias
Promover a saúde infantil
Insegurança alimentar
Indicadores
National Health Policy Goal 2005-2009
Develop the health sector to improve the health of the people of Afghanistan, especially women and children, through implementing the basic package of health services (BPHS).
Components of the basic package of health services (BPHS):
- Maternal and newborn health
- Antenatal, delivery and postpartum care; family planning; care of the newborn
- Child health and Immunisation
- EPI (routine, outreach and mobile); integrated management of childhood illness; promotion of exclusive breast feeding for the first 6 months
- Public nutrition
- Micronutrient supplementation; treatment of clinical malnutrition
- Supply of Essential Drugs
National health policy objectives 2005-2009
Reduce the high levels of mortality and morbidity by:
- Improving access to quality emergency and routine reproductive health service
- Increasing the coverage and quality of services to prevent and treat communicable diseases and malnutrition among children and adults
National health strategy objective 2005-2006
To implement the national health policy priorities through strategic decision making and planning and effective and efficient day-to-day work and, in doing so, to achieve the planned outputs and contribute to achieving the national health policy objective and outcomes
6. IMPLEMENTING HEALTH SERVICES
Policy Statement on Health Services
The Ministry is exploring payment exemption strategies for the poor. Meanwhile, the following public health interventions and clinical care will be provided free of charge to any citizen of Afghanistan: immunisation, maternal delivery, antenatal care, family planning, treatment of TB, and nutrition interventions. In the future, antiretrovirals for HIV/AIDS will also be provided when needed without charge.
SN3.1. Information, Education, Communication and Behaviour Change Communication Policy statement
The Ministry of Public Health will initially focus on IEC/BCC issues related to the basic package of health services and to the priority promotion and prevention programmes. All IEC/BCC health messages should follow the national guidelines and convey messages that do not conflict with one another.
7. REDUCING MORBIDITY AND MORTALITY
SN8. Child and Adolescent Health
Policy statement
The Ministry of Public Health is committed to significantly reducing child mortality, morbidity and disabilities and improving child growth and development by promoting exclusive breast feeding, introducing integrated management of childhood illnesses (IMCI) and enhancing the control of vaccine preventable diseases. Issues in adolescent health will particularly address potential public health problems posed by smoking and by communicable diseases, such as sexually transmitted infections (STIs) and HIV/AIDS. In addition, puberty-related issues will be raised. All these adolescent issues will mainly be addressed through school health programmes, which initially will focus on raising awareness among teachers.
SN10. Nutrition
Policy statement
The Ministry of Public Health is committed to reducing malnutrition of all types, including reduction of micronutrient deficiency diseases, through integrated and coordinated programming. In collaboration with development partners, the Ministry will take the lead in preventing, identifying, and reducing malnutrition. In addition, the Ministry will promote food and nutrition security for all by adopting a public nutrition approach involving multisectoral interventions that address the underlying causes of malnutrition, including food insecurity, poor social environment, and inadequate access to health services. This work will be undertaken, for the most part, through the basic package of health services and a close link with food security analysis.
","
Strategies
Reducing Morbidity and Mortality
8. Improve the quality of child health interventions through promoting exclusive breast feeding, introducing integrated management of childhood illnesses (IMCI) and enhancing the control of vaccine preventable diseases.
Strategic action:
-Finalise & implement fundraising strategy
-Confirm baseline of implementation of basic package as of January 05
-Develop guidelines & other management tools for outreach
9. Strengthen the management of cost effective integrated communicable disease control programmes through capacity building and effective guidance/supervision.
Strategic action:
10. Ensure effective delivery of nutritional interventions through the basic package of health services and social marketing.
Strategic action:
- Briefly review current nutritional status and other nutrition-related information from data available in the nutritional surveillance system and health information system; agree upon baselines.
","- 100% coverage in those districts/provinces covered by MoPH-SM and contracting out by December 05 & an
increase from 10% in the overall coverage of the country by end of 2006
- IMCI guidelines available in 100% of MoPH-SM and contracting-out districts/provinces by end 05
- Rational use of antibiotics evident
- Proper case management of ARI,CDD, & malnutrition
- Health personnel at health center and community levels know about key nutrition facts such as breastfeeding, need for iodized salt, & health risks associated with malnutrition
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Underweight in women|Nutrition counselling on healthy diets|Micronutrient supplementation|Food safety|Food security and agriculture|Family planning (including birth spacing)|Vaccination","","http://moph.gov.af/Content/Media/Documents/Policy_2005_200961201114194884.pd","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202005%20National%20Health%20Policy%20and%20National%20Health%20Strategy%20.pdf" "8003","ETH","Ethiopia","","National Strategy for Child Survival in Ethiopia","Health sector policy, strategy or plan with nutrition components","","","","2005","","","Family Health Department, Federal Ministry of Health","","2005","Adopted","","2005","MOH","Health","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Global Affairs Canada|The World Bank|US Agency for International Development (USAID)","","","","","","","","Private sector","ESHE/JSI Essential Services for Health in Ethiopia/ John Snow Inc.","","","The overall objective of the Strategy is to reduce under-five mortality to 67/1000 by 2015 - this being a reduction by two-third from the 1990 rate of 200/1000 live births and 52% from the 2004 rate of approximately 140/1000.
Its specific objectives are:
To proportionally reduce the neonatal, infant and child mortality rates while achieving the overall objective
To ensure the greatest possible reduction of mortality among the children of the poorest and most marginalized sections of the population.
To contribute to the reduction of maternal mortality to achieve the Millennium Development Goal by 2015
To ensure the availability of quality essential health care for women and children in the community and health facilities
","""""Targets and Interventions
The strategy addresses the five conditions (pneumonia, neonatal conditions, malaria, diarrhoea, and measles) that account for 90% of child mortality plus malnutrition and HIV/AIDS, the two most important underlying conditions. The focus of action will be on selected high impact key interventions. A list of these key interventions and their impact in mortality reduction is presented in Table 7 (page 32). The list includes preventive, promotive and curative services."""" (pg.2)
","Supervision and Monitoring
Effective, responsive supervision at all levels will be crucial to the success of the Strategy. It needs to be taken as a function in its own right and provided with adequate resources of manpower, money and time. The Strategy will be monitored and evaluated at each level using indicators which will be drawn, to the extent possible from the routine HMIS. The Strategy proposes a basic set of indicators for each level and for different periods.""""(pg.5)
Table 13: Selected Indicators for Monitoring and Evaluation of Child Survival Strategy (pg.67-70) includes:
3.9.1. Goals of HSDP
The ultimate goal of HSDP-III is to improve the health status of the Ethiopian peoples through provision of adequate and optimum quality of promotive, preventive, basic curative and rehabilitative health services to all segments of the population.
The following are the general goals of HSDP-III that contribute to the achievement of the ultimate goal:
1. to improve maternal health;
2. to reduce child mortality;
3. to combat HIV/AIDS, malaria, TB and other diseases.
Promotion of preventive and promotive health services through the Health Service Extension Programme.
Adapt and implement the pastoralist, urban and school HSEP; and mainstream HSEP into the existing structure.
Facilitation of the proper implementation of the National Reproductive Health and the National Strategy for Child Survival.
Promotion of the implementation of the Essential Health Service Package and the Referral System.
Facilitation of the proper implementation of the MPS (through development of national strategy, implementation plan and GL), IMCI programmes and micro planning using the Reach Every District (RED).
Introduce new vaccines against Hepatitis B and Haemophilus Influenzae.
Building the capacity for effective programme implementation, monitoring and evaluation.
Enhance partnership with NGOs/CBOs/Private sectors and international organizations to scale up interventions.
Support efforts towards empowerment of women and promote maternal mental health.
Table 3-4 Strategic Action Plan (pg.89-90)
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","","" "14856","HND","Honduras","","Política Nacional de Salud Materno Infantil","Health sector policy, strategy or plan with nutrition components","","Spanish","","2005","","2005","Gobierno de Honduras, Gabinete Social, Secretaría de Salud","","2005","Adopted","","2005","Secretaría de Salud","","","","","","","","","","","","","","","","","","","1. Alcanzara niveles de bienestar físico, mental y social en la problación materna e infantil.
2. Reducir la morbilidad y mortalidad en la población materna e infantil.
","
Lineamiento de Política
A continuación se transcriben los que se consideran de mayor importancia para nutrición:
1. Mejorar las prácticas familiares y comunitarias del autocuidado y atención a la niñez especialmente del recien nacido, promoviendo la adopción de prácticas saludables incluyendo la praticipación masculina en el cuidado de los niños y niñas y la generación de condiciones sociales, económicas y culturales para estimular lactancia materna exclusiva en los primeros seis meses de vidad.
2. Promover activamente los esfuerzos inter e intra sectoriales para mejorar la calidad de vida y el entorno de los individuos, familias y comunidades, aplicando los principios de participación social y el enfóque de género.
5. Aumentar la prevención y tratamiento de las enfermedades de la niñez a través de las estrategias de Atención Integral al Niño en la Comunidad (AIN-C) y Atención Integral a las Enfermedades Prevalentes en la Infancia (AIEPI), partiendo de los derechos humanos de la población, su diversidad económica, étnica, religiosa y cultural.
6. Implementar una efectiva vigilancia epidemiológica; proactiva, participativa y anticipatoria, para reducir la inciedenccia de enfermedades prevenibles y la mortalidad, enfatizando en la vigilancica de las muertes de mujeres en edad reproductiva y de la mortalidad infantil.
7. Desarrollar un sistema de información, monitoreo y evaluación que sirva de soporte a la vigilancia de la morbilidad y mortalidad y garantice la integralidad de las acciones y la medición de impactos, con enfoque de género.
Líneas Estratégicas
La política define cinco (5) líneas estratégicas que se transcriben a continuación, desglosando las que se consideran más importantes para nutrición:
1. Empoderamiento de las personas, de los contenidos y acciones de prevención, cuidado y autocuidado con enfoque de género.
a) Desarrollar el Plan de Salud Integral.
b) Implementar la Estrategia de Trabajo con Individuos, Familias y Comunidades (Estrategia de intgervención integral propuesta por la OMS-2000).
c) Promover cambios curriculares en las profesiones de Ciencias de la Salud.
d) Realizar actividades de Información, Educación y Comunicacicón (IEC) tendientes a cambiar comportamientos que afectan la salud.
e) Desarrollar y fortalecer las organizaciones sociales con una alta participación de las instancias educativas locales.
2. Fortalecimiento de la intra e intersectorialidad.
3. Vigilancia de la salud y de la mortalidad materna e infantil con enfoque de género.
4. Accesibilidad a los servicios de salud con equidad de género.
a) Fortalecer las clínicas materno infantiles y hogares maternos existentes y ubicar nuevos.
b) Entregar prestaciones de servicios básicos de salud con la participación de proveedores no gubernamentalees, a la población que no logra acceder a las Unidades de Salud.
c) Extender la Estrategia de AIN-C.
d) Poner en funcionamiento salas de terapia de rehidratación oral en el 100% de los establecimientos de salud.
e) Promover y facilitar la suplementación y fortificación de la mujer y el niño.
f) Brindar servicios para el espaciamiento de embarazos.
g) Efectuar financiamientos focalizados para trasalado, atención del parto, estadía pre y post parto y atención del niño enfermo.
h) Implementar un plan de incentivos para que las parteras se trasladen con las mujeres parturientas a las clínicas materno infantiles u hospitales para la atención calificada del parto, de acuerdo conl su nuevo rol.
5. Atención institucional con calidad.
","
El documento no los incluye.
","","","Breastfeeding - Exclusive 6 months|Maternity protection|Micronutrient supplementation|Food fortification|HIV/AIDS and nutrition|Diarrhoea or ORS|Family planning (including birth spacing)","","http://www.bvs.hn/E/pdf/PoliticaSMI.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HON%20Politica%20Nac%20SMI.pdf" "24675","HND","Honduras","","Plan Nacional de Salud","Health sector policy, strategy or plan with nutrition components","","Spanish","","2005","","2021","Secretaria de Estado, Despacho de Salud","","2005","","","","","Health|Education and research|Social welfare","","","UNICEF, WHO, UN","","","","","","","National NGOs","","","","","","","","Estrategia para la Reducción de la Pobreza (ERP): En el pilar 4 “Invirtiendo en capital humano” la sub-área dos establece mayor y mejor acceso a servicios de salud con el objetivo de “Garantizar el acceso con calidad y equidad a servicios de salud, preferentemente en atención primaria y vigilancia nutricional a favor de la población pobre” con tres medidas de políticas: - Fortalecer la atención en salud primaria y preventiva. - Proporcionar mayor atención a las condiciones de salud de la mujer. - Lograr una mayor eficiencia y calidad en la prestación de servicios de salud.
Plan de Gobierno para el sector salud 2002-2006: Este documento es congruente con las metas de la ERP referentes a la reducción de las tasas de mortalidad materna, mortalidad infantil y en menores de cinco años y la tasa de desnutrición en menores de cinco años.
Política nacional de nutrición: Es una política de estado que trasciende a la Secretaría de Salud e involucra a otros sectores que tienen participación en el mejoramiento de la nutrición de los individuos.
","
Estrategia A1
Ordenamiento del marco jurídico – normativo y de gestión
A1.5 Definir normas generales, específicas y de regulación para instituciones, establecimientos, servicios y programas de salud; modalidades de financiamiento; fabricación – importación – distribución – venta – utilización racional y calidad de alimentos, medicamentos, biológicos, anticonceptivos y otros insumos básicos.
Estrategia A2
Fortalecimiento de la Rectoría del Ministerio de Salud.
Líneas de
A2.4 Propiciar políticas públicas saludables e incorporar acciones de impacto en salud en planes intersectoriales de Desarrollo Social; de Seguridad Alimentaria y Nutrición; de Igualdad de Oportunidades entre hombres y mujeres; de Protección social y Lucha contra la Pobreza y otros (con Ministerios de Educación y Cultura, de Agricultura y Ganadería, Secretaría Técnica de Planificación, Secretaría de la Mujer, de la Niñez y Adolescencia, Vice Ministerio de la Juventud, INDI,Instituto Nacional de Desarrollo Rural y Tierras INDERT, la Secretaría de Acción Social, SAS, CONEB y otros organismos)
Estrategia A5.
Desarrollo de las Funciones Esenciales de la Salud Pública
d) Programa nacional de Salud Sexual y Reproductiva con enfoque de derechos incluyendo maternidad segura, atención perinatal, planificación familiar, educación y prevención ITS-VIH/ SIDA; con la comunidad educativa, las Fuerzas Armadas, la Policía Nacional y en otros ámbitos.
e) Programa Nacional de Seguridad Alimentaria y Nutrición, y de control de las parasitosis y las anemias,
Estrategia B.3
Participación comunitaria y control social en salud
B3.5 Promover y apoyar el desarrollo de micro-proyectos comunitarios de promoción de la salud: “ferias de la salud”, “clubes de vida sana”, con promoción del ejercicio físico y los deportes; autocuidado de la salud por personas con diabetes, hipertensión arterial, obesidad, envejecimiento saludable y participación para la vida saludable de las personas adultas mayores, alcohólicos anónimos, ecoclubes, clubes de madres y lactantes, clubes de usuarios/as de los servicios, y otros.
Estrategia B4
Desarrollo de los Municipios Saludables
B4.4 Conformar Grupos Locales de Promoción de la Salud que impulsen un abordaje integral e integrado de estrategias de promoción de la salud con sinergia de programas y proyectos de salud en ámbitos específicos:
a) Escuelas saludables y promotoras de la salud; como puente colaborativo entre organismos de salud, la comunidad educativa y la población;
b) Mercados saludables; como punto de encuentro de productores, distribuidores y consumidores en defensa de la salud, la higiene y la nutrición.
Estrategia D2
Agua segura
Líneas de acción:
D2.1 Promover alianzas para la creación, extensión y funcionamiento eficiente de sistemas locales de abastecimiento de agua potable (y de alcantarillado sanitario).
Estrategia D3
Saneamiento Básico
Líneas de acción:
D3.1 Desarrollar programas de educación, de apoyo técnico y logístico para la construcción de letrinas y la disposición adecuada de desechos domiciliarios.
D3.2 Dar apoyo técnico a los servicios de salubridad de los Municipios en los procesos de recolección y disposición final de desechos sólidos, construcción de alcantarillado sanitario y disposición final de desechos líquidos.
D3.3 Promover la higiene y la limpieza en los ambientes públicos.
","","","","Breastfeeding|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iron|Deworming|Food safety|Food security and agriculture|Family planning (including birth spacing)|Water and sanitation","","http://new.paho.org/hq/dmdocuments/2010/Politicas_Nacionales_Salud-Paraguay_2005-2008.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRY%202005%20-%20Politica_Nacional_Salud-Paraguay.pdf" "23161","RWA","Rwanda","","Health Sector Policy","Health sector policy, strategy or plan with nutrition components","","English","","2005","","","Government of Rwanda","2","2005","","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","Policy objectives. In order to carry out its mission, the Ministry of Health has laid down the following major policy objectives for the health sector: (i) to improve the availability of human resources, (ii) to improve the availability of quality drugs, vaccines and consumables, (iii) to expand geographical accessibility to health services, (iv) to improve the financial accessibility to health services, (v) to improve the quality of and demand for services in the control of disease, (vi) to strengthen national referral hospitals and research and treatment institutions, and (vii) to reinforce institutional capacity.
","
4.6.5
To improve child health, the Government will build on two components: the Integrated Management of Childhood Illnesses (IMCI) strategy, the Expanded Programme on Immunization (EPI) strategy. Through the IMCI strategy, the quality of care given to children under five in health facilities and in the community will be improved to reduce morbidity and mortality caused by malaria, acute respiratory infections, diarrhoea, malnutrition and measles in children less than five years of age. Through the EPI strategy, the high vaccination coverage against childhood illnesses will be maintained. Major priorities under the EPI strategy include the eradication of poliomyelitis by the year 2005, the elimination of neonatal tetanus and the control of measles by 2005.
4.6.6
To reduce mortality and morbidity linked to malnutrition, the nutrition strategy will build on a multisectoral approach. Nutritional monitoring and the promotion of good eating practices to improve nutrition will be intensified. Growth monitoring of children at the community level will be expanded gradually across the whole country as to improve the overall coverage of growth monitoring activities. Health professionals will be trained in severe malnutrition case management, control of Vitamine A and Iron deficiencies, and reduction of anaemia. Breast-feeding among mothers and household consumption of iodised salt will be encouraged. Food security will be ensured through inter-sectoral collaboration with other sectors involved.
","","","","Maternity protection|Growth monitoring and promotion|Breastfeeding promotion/counselling|Vitamin A|Iodine|Iron|Management of severe acute malnutrition|Food security and agriculture","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA%202005%20-Health%20sector%20policy%20of%20Rwanda%20.pdf" "23239","BRA","Brazil","","Política Nacional de Promoção da Saúde","Health sector policy, strategy or plan with nutrition components","","Portuguese","","2006","","2007","Health ministry","","2006","","","","","Cabinet/Presidency|Health|Education and research","","World Health Organization (WHO)","","","","","","","","","","","","","","","Civil society","Objetivo geral
Promover a qualidade de vida e reduzir vulnerabilidade e riscos à saúde relacionados aos seus determinantes e condicionantes – modos de viver, condições de trabalho, habitação, ambiente, educação, lazer, cultura, acesso a bens e serviços essenciais.
Objetivos específicos
De acordo com as responsabilidades de cada esfera de gestão do SUS – Ministério da Saúde, estados e municípios, destacamos as estratégias preconizadas para implementação da Política Nacional de Promoção da Saúde.
O monitoramento e avaliação do PSE serão realizados por comissão interministerial constituída em ato conjunto dos Ministros de Estado da Saúde e da Educação.
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|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/BRA%202006%20Pol%C3%ADtica%20Nacional%20de%20Promo%C3%A7%C3%A3o%20da%20Sa%C3%BAde_0.pdf" "8104","KHM","Cambodia","","Cambodia Child Survival Strategy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","2015","Ministry of Health","12","2006","Adopted","","2006","Ministry of Health","Health","Ministry of Health","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","Goal: To reduce by 2015, under-five and infant mortality rate from 124 and 95 per 1000 live births to 65 and 50 per 1000 live births, respectively
Objectives:
1) To achieve universal coverage of the essential package of high-impact child survival interventions included in the Cambodian scorecard
2) To secure adequate financing for child survival
3) To reduce inequities in coverage of scorecard interventions
","","
Under five mortality rate
Infant mortality rate
Children under five stunted
Children under five underweight
","Outcome indicators","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Complementary feeding|Vitamin A","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202006%20Cambodia%20Child%20Survival%20Strategy.pdf" "23782","CUB","Cuba","","Proyecciones de la Salud Publica en Cuba para el 2015","Health sector policy, strategy or plan with nutrition components","","Spanish","","2006","","2015","Ministerio de Salud Publica","","2006","","","","Health ministry","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Labour","","","","","","","","","","","","","","","","","","1. Lograr con una adecuada intersectorialidad, acciones que influyan favorablemente en el ambiente y con ello a una protección superior en la salud de la población.
2. Desarrollar con efectividad un trabajo dirigido a la disminución y control de los factores de riesgo más importantes que afectan la salud de la población.
3. Disminuir la mortalidad y la morbilidad de las enfermedades no trasmisibles y otros daños a la salud que constituyen las principales causas de enfermedad y muerte en la población cubana.
4. Mantener y mejorar la situación de salud alcanzada en relación con las enfermedades infecciosas y parasitarias, y enfatizar en aquellas que no se han podido resolver mediante la aplicación de inmunobiológicos y en las exóticas susceptibles de introducirse en el país.
5. Consolidar y mejorar los niveles alcanzados en la salud de la madre y el niño.
6. Desarrollar las acciones que permitan enfrentar con éxito la atención que demanda el envejecimiento de la población cubana
","","Внесены изменения и дополнения в Закон Кыргызской Республики ""О государственных пособиях в Кыргызской Республике"", в котором закреплен порядок предоставления и определен размер ежемесячного социального пособия для детей, живущих с ВИЧ/СПИДом или рожденных ВИЧ-инфицированными матерями
1.2. Подключение служб охраны здоровья матери и ребенка (далее ОЗМиР) и служб репродуктивного здоровья к реализации программ профилактики ВИЧ-инфекции у детей грудного возраста.
3.3. Обеспечение искусственным питанием детей, родившихся от ВИЧинфицированных женщин
3.4. Подготовка медицинских кадров, обученных вопросам профилактики вертикальной трансмиссии ВИЧ/СПИДа
- по вожможности, отказ от грудного вскармлевания существенно снижает риск инфецирования ребенка
","","","","Maternity protection|Minimum acceptable diet|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20HIVAIDS%20prevention%20programme.pdf" "23557","KGZ","Kyrgyzstan","","Kyrgyz Republic National Health Care Reform Program «Manas Taalimi» for 2006-2010","Health sector policy, strategy or plan with nutrition components","","English","","2006","","2010","Ministry of Health of the Kyrgyz Republic","","2006","Adopted","2","2006","Approved by the Decree of the Government of the Kyrgyz Republic №100","Health|Sub-national","National Center of Cardiology and Therapy","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","The World Bank","","","","National NGOs","","","","","","Other","Media","Active involvement of population, communities, local governments and non-governmental organizations. Significant role will be assigned to local Health Committees, Clubs of arterial hypertension, Coronary-lipid clubs established with a view of training of patients and family members on measures of prevention of CVDs based designed training programs aimed at reduction of risk factors (overweight, imbalanced nutrition, physical hypodynamia, stress susceptibility, arterial hypertension and hyperlipidemia). With the same purpose, it is necessary to use mass media on a broader basis as well as disseminate published for population booklets and popular brochures on measures of control and prevention of cardio-vascular diseases, strengthening resistance of people to external negative impact and strengthening of protective factors.
It is important to develop legislative acts on CVD risk factors control – ban on tobacco smoking, limitation of alcohol consumption – and public policy on healthy and safe nutrition as well as implement unified education program on healthy life style into the system of secondary and higher education.
To ensure coordinated implementation of activities and determination of priorities and operative directions for health organizations involved in motherhood and childhood protection problem it is essential to develop series of strategies (Protection of reproductive health of population, Protection of child and adolescents health) and programs (Improvement of child perinatal care, Nutrition of children and reproductive age women), promote laws and issue a number of statutory and legal documents that will help to ensure continuity of services and compliance to internationally accepted norms, definitions and regulations. To ensure coordinated implementation of activities and determination of priorities and operative directions for health organizations involved in motherhood and childhood protection problem it is essential to develop series of strategies (Protection of reproductive health of population, Protection of child and adolescents health) and programs (Improvement of child perinatal care, Nutrition of children and reproductive age women), promote laws and issue a number of statutory and legal documents that will help to ensure continuity of services and compliance to internationally accepted norms, definitions and regulations.
Special attention will be paid to prevention of cardio-vascular diseases, reduction of micronutrient insufficiency, stabilization of infectious diseases incidence rate including TB, malaria, helminthiasis, brucellosis, restriction of dissemination of HIV/AIDS and immunization-sensitive infections. Work related to management of ecological and economic risks and safety control of food, drinking water, working conditions, living conditions and environment will be continued.
","Introduction of efficient medical interventions for children under 5: expansion of types of immune-prophylaxis, supplementation of pregnant women and children with micronutrients such as iron, vitamin A, folic acid (for women under 12 weeks of pregnancy) as well as countryside extension of such programs as IMCI, Breast Feeding, Child Care and programs on child nutrition pre-tested in pilot regions;
Optimize complex of (ii) postnatal nursing (attendance, encouragement of breast feeding, rational feeding up, thermal hygienic conditions, resuscitation of newborns, antibiotics for infections, anti-tetanus serum for home deliveries, early diagnostic of diseases and proper child care, timely and high-quality immune-prophylaxis in the context of National immunization schedule and supplementation of newborns and puerperant women with vitamin A during the first 8 weeks after delivery); Increase population awareness about the issues of family planning, reproductive choice and safe motherhood.
Training of health workers at primary health care level.... Health workers at PHC level require professional development on the issues of management and care of healthy and ill child, family planning, pregnancy management, timely recognition of complications and re-referral (programs like IMCI, breastfeeding, nutrition, child care, safe motherhood, new live-birth criteria, prevention of HIV transmission from mother to child, etc.).
Enhancement of awareness of health workers and population on the issues of child care and care over pregnant woman (breastfeeding, nutrition, dangerous symptoms, care over and breeding of younger children both healthy and ill);
Inter-sectoral collaboration includes activities on fortification of food products with iodine, iron and vitamins, advancement of programs on healthy life style, implementation of demonstration projects on “healthy schools” and “healthy cities”, control of brucellosis and malaria, improvement of water supply and expansion of hygienic skills of population.
Increased population awareness about the work of public health service, safety of food products, consumer goods and drinking water and actions on prevention of various diseases will contribute to adequate and timely response of public health service to population needs and change in situation.
Include mandatory ultra-sound examination for pregnant women for detection of congenital malformations of fetus organs and system, regular measuring of arterial blood pressure, height and weight, screening of urine for bacteriuria, protein and iodine and screening for anemia into the scope of antenatal health services provided to women in the context of State-Guaranteed Benefit Package; supplement women with pregnancy under 12 weeks with folic acid;
","Target 5: Reduce under 5 child mortality rate by two third by 2015
Target 6: Reduce maternal mortality rate by three forth by 2015
A. Main indicators of human development and Millennium Development Goals
Priority emphasis on provision of good quality care to mother and child especially through Safe Motherhood, Integrated Management of Childhood Illnesses (IMCI) and nutrition. The dominant provider and curative orientation of the health services needs to give way to a more clientcentred and community outreach (PHC) orientation through a priority emphasis on prevention and control of communicable and non-communicable diseases and injuries focusing on the vulnerable and the poor. This would also include a major system-wide emphasis on the provision of good quality care and nutrition for mothers and children.
Goal of the Strategic Master Plan: To improve the health status of all the people of Mongolia, especially mothers and children, through implementing sector wide approach and providing responsive and equitable pro-poor, client-centred and quality services.
Main Issues in the next 10 years: Malnutrition among women (micronutrient) and children (general and micronutrient)
","2010:
2015:
","","","Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition","","https://www.mindbank.info/item/574","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MNG%202006%20Health%20sector%20strategic%20Master%20plan%202006-2015.pdf" "8141","NPL","Nepal","","National HIV/Aids Strategy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","2011","National Cetre for AIDS and STD Control (NCASC)","","2006","Adopted","","2006","MoHP","Health","NCASC","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Nutrition & infectious disease","","http://www.ncasc.gov.np/uploaded/publication/pub/HIVAIDS_Stratregy_2006_2011.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "23543","MDA","Republic of Moldova","","National Programme on prevention and control of HIV/AIDS and STI’s 2006-2010","Health sector policy, strategy or plan with nutrition components","HIV prevention policy with nutrition actions","English","","2006","","2010","Ministry of Health and social protection","","2006","","","","","","","","","","","","","","","","","","","","","","","","
Strategy VII: Capacity building of prevention of HIV/AIDS and STI transmission from mother to child
Activity 7 & 8
7. Ensure access of pregnant HIV positive women too counseling services regarding the nutrition of the child
8. Provision of quality artificial nutrition for children born from HIV positive mothers
","","","","Counselling on infant feeding in the context HIV|HIV/AIDS and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202006-2010-%20hiv_plan_moldova.pdf" "8165","TUN","Tunisia","","Politique nationale de la santé de l’enfant de moins de 5 ans dans les soins de santé de base [National Child Health Policy: children under-five at Primary Health Care]","Health sector policy, strategy or plan with nutrition components","","French","","2006","","","Primary Health Care Directorate","","2005","Adopted","","2006","Ministry of Health","Health|Social welfare|Development|Justice","Primary Health Care Directorate Ministry of Health: Primary Health Care Directorate","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","WHO","","","","","","","National NGOs","Les ONG (scouts tunisiens, association tunisienne des droits de l’enfant…)","Research/academia","L’université","","","","","D- Principaux programmes nationaux de santé de l’enfant :
2. Surveillance de la croissance :
L’objectif du programme de surveillance de la croissance est de surveiller de façon continue la croissance des enfants de moins de cinq ans et de détecter de manière précoce les troubles de la croissance.
4. Stratégie PCIME :
Les objectifs de cette stratégie sont les suivants:
1. Améliorer la qualité de la prise en charge des pathologies courantes de l’enfantn(diarrhée, infections respiratoires aiguës, fièvre et anémie).
2. Favoriser un meilleur développement psychologique, moteur, sensoriel et staturo pondéral de l’enfant à travers:
* Le dépistage précoce de certains troubles sensoriels.
* La surveillance systématique du développement psychomoteur.
* La surveillance systématique de la croissance dans le but de prendre en charge les cas de malnutrition.
* Le dépistage systématique de l’anémie.
* La promotion de l’allaitement maternel et des bonnes pratiques d’introduction des aliments de complément.
","
En matière de promotion de l’allaitement maternel (…)
Trois axes stratégiques sont envisagés :
1- Une stratégie de formation : elle concerne le personnel médical et paramédical dans les structures de santé publique (PMI, maternité , etc . ) et dans les cliniques privées ainsi que les médecins de libre pratique .
2- Une stratégie d'accompagnement dans les structures de santé immédiatement avant et après l'accouchement ainsi que tout au long de la période d'allaitement à domicile , par l'entourage familial , par d'autres moyens comme les numéros verts d'appel gratuits ou les groupes de soutien entre mères allaitantes et l'encouragement des créations de crèches dans les lieux de travail.
3- Une stratégie de communication visant la sensibilisation des futures mères, de leur entourage immédiat, du personnel de santé et du grand public . Cette stratégie doit intégrer deux idées principales :
• renforcer une pratique sociale déjà répandue tout en positivant l'image de l'allaitement au sein .
• rectifier les connaissances, attitudes et pratiques qui risquent de faire reculer la fréquence de l'allaitement maternel .
b- Composantes de la stratégie PCIME
Cette stratégie a trois composantes :
* L’amélioration des capacités des personnels de santé par l’élaboration de directives en matière de PCIME et leur assimilation lors de cours de formation.
* L’amélioration du système de santé pour assurer dans les meilleures conditions cette prise en charge intégrée par la planification des activités, une meilleure organisation du travail au niveau des structures de santé, une amélioration du système de recueil des données, la supervision et l’usage rationnel des médicaments.
* L’implication à un degré élevé de la communauté et l’amélioration des pratiques familiales et communautaires en vue de l’habilitation des familles pour une prise en charge correcte de l’enfant à domicile.
","","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Overweight in children 0-5 yrs|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Management of moderate acute malnutrition|Management of severe acute malnutrition|Vaccination","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202006%20Politique%20nationale%20de%20la%20sant%C3%A9%20de%20l%E2%80%99enfant%20de%20moins%20de%205%20ans.pdf" "8110","ZMB","Zambia","","National Health Strategic Plan","Health sector policy, strategy or plan with nutrition components","","English","","2006","","2011","MoH","","2006","Adopted","","2006","MoH & Partners","Health","MoH, NFNC","","UN Agencies","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|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|Complementary feeding|Vitamin A|Iron and folic acid|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease","","","","WHO Global Nutrition Policy Review 2009-2010","" "7997","BGD","Bangladesh","","Strategic Plan for Surveillance and Prevention of Non-Communicable Diseases in Bangladesh","NCD policy, strategy or plan with healthy diet components","","","","2007","","2010","Directorate General of Health Services, Ministry of Health and Family Welfare","","2007","","","","","Education and research|Health|Information|Sub-national","Directorate General of Health Services, Ministry of Health and Family Welfare Education and research, Health, Health, Information, Sub-national: Ministry of Education, Directorate General of Health Services, Ministry of Health and Family Welfare, Ministry","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","United Nations Children's Fund (UNICEF), United Nations Population Fund (UNFPA), World Health Organization (WHO),","","","","","","","","","Research/academia","","","","","","Goal
To reduce the burden of NCDs including injury, mental disorders and blindness in Bangladesh.
Objectives
1. To establish an integrated mechanism of sustainable collection, analysis and dissemination of essential data on NCDs and their major risk factors, and provide evidence base for public health decision making for containing NCDs.
2. To strengthen capacity of the health system for prevention and control of NCDs.
3. To strengthen health promotion measures including risk reduction and behavioral change through healthy lifestyle and well-being campaigns to combat public health threats caused by unhealthy-lifestyle, occupation and environment related diseases, mental illness and injuries.
4. To assist communities in terms of knowledge and creating favorable environment to empower people to become responsible for their health.
5. To develop a common platform by promoting network formation among the relevant stakeholders for surveillance, prevention and management of NCDs.
Strategies on NCD Surveillance:
1. To functionally integrate the facility-based NCD surveillance with that of the existing communicable disease surveillance system.
2. To facilitate the collaborating networks among surveillance institutions and various sectors involved in NCD prevention.
3. To create mechanism for incorporating NCD surveillance into national health information system.
4. To develop a standardized registration system on certain NCDs at health facilities as well as in communities.
5. To promote effective and timely utilization of NCD surveillance data.
6. To strengthen capacity of the institutes/organizations on various aspects of NCD surveillance.
Strategies on health promotion and prevention of NCDs:
1. To support and facilitate the development of a healthy public policy which supports NCD prevention through promotion of healthy lifestyle and safety measures.
2. To support and facilitate the functioning of collaborating networks among stakeholders involved in promotional activities and potential partners for NCD prevention.
3. To enhance active involvement of health care workers in health promotion for NCDs by promoting healthy lifestyle.
4. To improve capacity of professionals in health promotion at central as well as district/municipality level for NCD prevention through promotion of healthy lifestyle and safety measures.
5. To improve knowledge and skills of the community in maintaining their own health and safety in NCD prevention.
6. To develop and implement pilot interventions to identify the effective health-promotion technology for NCD prevention.
7. To advocate for developing and implementing legislations and regulations.
Strategies on health care services for NCDs:
1. To develop competency-based trainings for health care providers in dealing with NCD care.
2. To develop collaboration among educational institutions related to NCD care to incorporate relevant materials in their curricula.
3. To develop standards and guidelines for NCD services at all levels of healthcare by involving professional organizations, program managers and health care providers.
4. To develop screening facilities for early detection of NCDs at all levels of health care system.
5. To improve promotion and prevention activities on NCDs at health institutions.
6. To advocate for making basic medicines and diagnostic facilities for NCDs available at primary care level.
1. Surveillance - Development and maintenance of a surveillance system incorporating program monitoring and evaluation components.
Process indicators:
- Development of methodology and tools for a common population-based NCD surveillance system.
- Building technical capacity at various levels.
- Development of methodologies for research on further improvement of the surveillance.
Output indicators:
- Reports and Publications produced.
- Results/materials disseminated to policymakers, public, media, and professional groups.
Outcome indicators:
- Decisions made using surveillance and information generated.
- Number of medial college, district and upazila hospitals regularly contributing to the national facility-based surveillance.
- Number of population sites from which surveillance data are available.2. Health Promotion and Prevention of NCDs - Development of evidence-guided behavior change communication strategy for NCDs, and its implementation at national and community levels.
Process indicators:
- Baseline assessment of knowledge level, practices and perceptions.
- Constitution of multidisciplinary teams consisting of members from the media, public health specialists national program managers, NGOs, community activists, local opinion leaders, etc.
- Development mass media and community intervention details.
- Development of a highly visible behavioral change communication plan incorporating strong social marketing approaches.
- Assessment of community needs. Output indicators:
- Implementation of a highly visible behavior change communication plan incorporating strong social marketing approaches.
- Integration of all chronic NCD domains in the mutually reinforcing plan.
- Number of coalitions built.
- Tools of intervention development.
- Number of surveys done.
Outcome indicators:
- Change in awareness level on NCDs.
- Proportion of motor bikers using helmet.
- Proportion of individuals aware of major NCD risks.
- Proportion of inactive persons.
- Proportion of individuals eating less than 5 servings a day of fruits and vegetables.
- Mean BMI, waist circumference, blood pressure and glucose level.
- Proportion of individuals with obesity, diabetes, and hypertension.
- Proportion of individuals screened for high blood pressure.
- Proportion of people using tobacco.
- Proportion of people with hypertension and diabetes with adequate control.3. Orientation of Health Services - Development and implementation of a sustainable, scientifically valid and resource-sensitive CME program for professional education and involvement of all categories of healthcare providers in the prevention of NCDs and its integration in health services. Process indicators:
- Workshops and consultative deliberations to include the prevention of NCDs in a comprehensive CME program for all categories of healthcare providers.
- Development of sustainable, scientifically valid and resource-sensitive CME programs for training all categories of healthcare providers.
- Development of educational tools that incorporate resource-sensitive risk management and assessment algorithms.
- Inclusion of health promotion and disease prevention theory and practice in medical and paramedical curricula.
Output indicators:
- Number of health professionals with access to course/curricula with modules for health promotion and disease prevention.
- Existence of scientifically valid and resource-sensitive training tools.
- Number of trained professionals.
- Adoption of prevention practices by healthcare providers at community, district, and national health promotion activities.
- Availability of drugs essential for the prevention of NCDs at all levels of healthcare.
- Number of ECG machine and calorimeter with reagents available in upazila health complexes. Outcome indicators:
- Proportion of healthcare providers who screen at-risk individuals for hypertension and diabetes.
- Proportion of healthcare providers who screen for breast cancer.
- Proportion of healthcare providers prescribing drugs which are critical in primary and secondary prevention of NCDs.
- Number of upazila in which community-based mental health services started.
- Number of upazila in which model primary eye care services started.
- Change in awareness and practices of healthcare providers.
- Proportion of upazila health complex having dedicated health promotional activities.4. Legislative and/or regulatory measures - Enactment, amendment and enforcement of laws and regulations in tobacco, mental health, food standards, vehicles (locally manufactured) and road safety.
Process indicators:
- Activities to garner public support for legislation/regulation essential for prevention and control of NCDs.
- Media accounts highlighting the need for legislative and regulatory measures
- Multi-stakeholder dialogue between relevant ministries, economists, multilateral donors and bilateral lending agencies.
- Proposals to legislators for enacting/amending law(s).
- Establishment of task forces and working groups to support parliamentary committees.
- Legislative and/of regulatory measures relating to training of drivers/licensing.
Output indicators:
- Development of national standards and guidelines for care and treatment of mentally ill patients.
- Number of community-based mental health services established.
- Mental Health Ordinance enacted.
- Food standard legislation enacted.
- Vehicle safety law enacted.
- Amendment of tobacco control law.
Outcome indicators:
- New relevant legislation/regulations appeared mental health, food standards, vehicles (locally manufactured) and road safety.
- Amendment of existing laws such as tobacco control law.
- Legislation/regulations enforced
- Public consumer support for legislation/regulations
- Decline in per capita consumption of tobacco.5. Research - Policy and operational research of local relevance in order to examine tobacco tax policies, marketing and advertising strategies. Operational research in controlling road traffic injury. Periodic research on burden of NCDs and their risk factor levels.
Process indicators:
- Development of tools and course to enhance research skills.
- Training courses on epidemiology and prevention of NCDs to enhance skills.
Output indicators:
- Publications prepared through acquisition of data.
- Information provided to media.
- Presentations and seminars for public, health professionals and policy makers.
Outcome indicators:
- publications in the form of reports, articles and infobases on NCDs available.
- Research information used for decision-making.
- Feedback of information to health authorities.
- The MOH would also initiate a process to improve its core public health functions (epidemiological surveillance and emergency preparedness) and selected public health programs (school health, oral health, mental health, essential drugs, childhood nutrition, road safety, maternal and child).
- develop targeted programs to reduce maternal and child mortality
- reinforce the school health program as part of the development objective 5- strengthen the MOH preventive programs
- reinforce the non communicable disease program as part of the development objective 5- strengthen the MOH preventive programs
","- reactivate the baby friendly hospitals and breast feeding program
- develop national control strategy and plan of action for non communicable diseases including diabetes, cardiovascular, cancer and obesity.
- implement awareness activities and conduct targeted prevention programs.
","- # of breast-fed newborns within first 12 hours in BF hospitals
","","","Baby-friendly Hospital Initiative (BFHI)|Maternal, infant and young child nutrition|Nutrition in schools|School-based health and nutrition programmes","","http://www.moph.gov.lb/Media/Documents/TheMOHStrategyPlanmodified.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%202007%20The%20MOH%20Strategy%20Plan%20.pdf" "8869","MDA","Republic of Moldova","","Национальная Политика Вобласти Здоровья [National Health Policy 2007-2021]","Health sector policy, strategy or plan with nutrition components","","Russian","8","2007","","","Monitorul Oficial Nr. 127-130 (Government)","8","2007","Adopted","8","2007","Government of Moldova","Health|Education and research|Sub-national","","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Other","International NGOs: SDC, AIHA","European Commission (EC)|The World Bank","","","","National NGOs","SOROS Moldova","Research/academia","National Academy of Science Moldova and other educational institutions","Private sector","Privet health centers","Other","Medical and Sanitary Facilities, Media, National Medical Insurance Company, National union for Health System Accreditation","The purpose of the National Health Policy is to create optimal conditions for maximizing the potential of each person's health throughout their lives and to achieve adequate standards of quality of life.
The main objectives of the National Health Policy are:
The specific objectives of the National Health Policy are:
","
2013 Additions
The government monitors the implementation of the commitments of all partners involved in the implementation of strategies developed and approved by the national health policy, as well as coordination of international cooperation in this field.
- Improve child health
- Reduce child morbidity and morality
-Improve Maternal Health
- Reduce maternal and neonatal mortality and morbidity
- To promote healthy life styles reduce the burden of noncommunicable diseases
- To reduce morbidity and mortality related to major noncommunicable diseases
","Goal 3 - Improve child health
Strategies:
- Conscious efforts to integrate nutrition activities in the areas where services under IMCI strategy have been established. This particularly includes interventions related to breastfeeding, vitamin A supplementation to children between the age of 6-59 months and to women in the postpartum period, training of IMCI trained health workers in nutrition, infant & young child feeding, and reinforcement of growth promotion activities.
- Community-based nutrition interventions to combat low birth weight and promote child growth including micronutrient supplementation with vitamin A, iron, folic acid, iodized salts and promotion of exclusive breastfeeding up to six months.
- Hospital care should include Neonatal and pediatric emergency care including management of severe malnutrition.
","- Reduce under-five mortality rate to 50 per 1,000 live births by 2011 (compared to the estimated average of 72 in 2006)
- At least 90% of children > 5 years nationwide receive an integrated package of interventions (measles vaccination, LLITN, deworming, Vitamin A) provided through the EPI infrastructure as part of the Accelerated Child Survival Initiative.
- Attain 90% coverage of children under 5 years of age with Vitamin A supplementation.
- No and % of primary HC facilities providing quality IMCI, Nutrition, and EPI services
- Prevalence of under-weight, stunting and wasting under five years of age
- % of children under 5 who received at least two doses of Vit. A annually.
-To increase early detection of targeted non-communicable diseases (CVD, hypertension, diabetes mellitus, cancer, accidents and injuries) by 30%.
- To raise community awareness towards healthy life styles by 30%, and promotes behaviour & practice change by 30%.
- Support policies addressing the health needs of special groups (adolescence , elderly ), special settings(school health, health promotion workplace) and mental health
- Prevalence of non communicable diseases
- Prevalence of Tobacco, snuffing and alcohol use
- Number of schools enrolled in school health programme
- Number of rules and legislations endorsed
","Outcome indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Growth monitoring and promotion|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food grade salt|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Vaccination|Water and sanitation|Vulnerable groups","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Sudan/healthsectorstrategy2007-2011.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN-%202007-%205-year%20Health%20Sector%20Strategy.pdf" "23571","TJK","Tajikistan","","Programme on the response to the epidemic of HIV in the Republic of Tajikistan for the period 2007-2010 ","Health sector policy, strategy or plan with nutrition components","HIV-policy with nutrition target","English","","2007","","2010","Government of the Republic of Tajikistan","3","2007","Adopted","3","2007","the Resolution of the Government of the Republic of Tajikistan","Health|Labour|Other|Sub-national|Women, children, families","Ministry of Health, National Coordination Committee on HIV/AIDS, tuberculosis and malaria, Labour and Social Protection, Committee on Homeland Security, Committee on Homeland Security, Ministry of Internal Affairs, Country Rayons and Regional executive bodies, Committee on women and children affairs","","","","","","","","","","","Research/academia","Republican AIDS centre","","","","","Objective 4 To ensure access for people to the comprehensive services reducing MTC transmission
Before 2008: to mobilise donor resources and establish targeted stock of supplementary feeding for newborns from HIV-positive mothers by commercially available baby food. Emergency stock of such foods must be available in all AIDS centres. To design mechanism for free delivery of supplementary feeding as needs for that will emerge.
","","Annual number of HIV-infected children from HIV-infected mothers is under 8%;
","","","Maternity protection|Complementary feeding promotion/counselling|Complementary food provision|HIV/AIDS and nutrition|Nutrition & infectious disease|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/TJK","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202007%20Programme%20on%20the%20response%20to%20the%20epidemic%20of%20HIV%20in%20the%20Republic%20of%20Tajikistan%20for%20the%20period%202007%20-%202010.pdf" "8071","KHM","Cambodia","","Health Strategic Plan II","Health sector policy, strategy or plan with nutrition components","","English","","2008","","2015","Ministry of Health","","2008","Adopted","","2008","Ministry of Health","Health","Ministry of Health","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Complementary feeding|Raised blood glucose/diabetes|Raised blood pressure|Vitamin A|Iron and folic acid|Food safety|Diarrhoea or ORS|Vaccination|Conditional cash transfer programmes","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202008%20Health%20Strategic%20Plan%20II.pdf" "23809","SWZ","Eswatini","","National Health Sector Strategic Plan","Health sector policy, strategy or plan with nutrition components","","English","","2008","","2013","Ministry of health","3","2009","","","","","","","","","","","","","","","","","","","","","","","- To reduce morbidity, disability and mortality that is due to diseases and social conditions
- To enhance health system capacity and performance
- To promote effective allocation and management of health and social welfare sector resources
- To reduce the risk and vulnerability of the country’s population to social welfare problems as well as the impact thereof
","
- Integrated approach in the delivery of services
- Health systems strengthening
- Universal coverage
- Promotion of high impact interventions
- Strengthening partnerships and coordination
- Evidence based planning and result based management
- Pro-poor interventions
- Inclusive and equitable delivery strategies that target the fragile and vulnerable and promote gender fairness
","Reduction of stunting in the under five from 29% to 15%;
• Reduction of underweight under-5s from 5% to less than 1%
• Increase of exclusive breastfeeding at 6 months from 32% to 60%
• Increase of the proportion of children 6-23 months feeding according to minimum standards with respect to food diversity from 70% to >90%
• Increase of Vitamin A supplementation coverage for children 6-59 months at > 90%
• A third of children 6-23 months consuming recommended Vitamin A rich foods
• Increase the proportion of households consuming iodated salt from 80% to 100%
• Eradicate
o Vitamin A deficiency
o Iodine deficiency disorders (IDD) through salt iodination and iodine supplementation
o Iron deficiency
• Reduce by half from the current levels of anemia among children 6-59 months from 42% to 20%
• Reduction of the current levels of anemia among women from 30% to 15%
• Increase of the proportion of women taking Vitamin A capsules from 44% to >80%
• Increase of the proportion of women taking iron tablets or syrup during pregnancy from 70% to >90%
• Reduction of perinatal mortality attributable to iron deficiency anemia from 20 % to 10%
• Reduction of maternal mortality attributable to iron deficiency anemia from 10% to 5%
• Increase of the proportion of women taking de-worming medication during their last pregnancy from 10% to 50%
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School gardens|Vitamin A|Iodine|Iron|Micronutrient supplementation","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Swaziland/swaziland_strategic_plan_2008-2013pdf.pdf","","","" "23652","JOR","Jordan","","Strategic Plan 2008-2012","Health sector policy, strategy or plan with nutrition components","","Arabic","","2008","","2012","Ministry of Health","","2011","","","","","","","","","","","","","","","","","","","","","","","The Ministry will focus its efforts on the following issues, after the results of the situation analysis:
Promotion of Healthy lifestyle
Communicable and non communicable diseases
Reproductive Health Services
Nutritional situation of children and pregnant women
","
Promote early detection programs for non communicable diseases( diabetes, hypertenstion)
Community nutrition programs( salt iodization, flour fortification with iron and vitamins)
Reproductive health programs
Different types of media campaigns to the awarness and to promote for the adoption of healthy lifestyles
Prepare a national campaign to raise the level of health awareness
Produce brochures and educational materialsto raise awareness about the componenet of healthy schools
Breastfeeding protection and promotion program
","Prevelance of diabetes in the population of adults older than 18 years old
Prevelence of Hypertension in the population of adults older than 18 years old
Prevelnce of anaemia in women of reproductive age
Prevelenance of anaemia in children less than 5 years old
Precentage of health services coverage in governmental schools
Perentage of individuals who engage in moderate physical activity
Perenctage of individual who enagage in vigorous physical activity
Pevelance of exclusive breastfeeding for infant under 6 months
","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Anaemia|Anaemia in women 15-49 yrs|Raised blood glucose/diabetes|Raised blood pressure|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Food fortification|Wheat flours|Food grade salt|Food safety|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JOR%202012%20%20Strategic%20Plan_0.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
","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Anaemia in pregnant women|Iodine deficiency disorders|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Folic acid|Iodine|Iron|Micronutrient supplementation","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Albania/strategic_document_on_reproductive_health_2009-2015.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2009_SDRH.pdf" "8186","AIA","Anguilla","","A Strategic Plan for Health","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2014","","","2009","","","","","Health","Ministry of Health, Anguilla Health Authority","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Iron and folic acid|Nutrition & infectious disease","","https://www.healthycaribbean.org/cop/documents/Anguila-National-Strategic-Plan-for-Health-2009-2014-final.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "8272","BGD","Bangladesh","","National Neonatal Health Strategy and Guidelines for Bangladesh","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2015","Ministry of Health and Family Welfare","10","2009","","","","","Health|Women, children, families","Director General of Health Services, Director General of Family Planning, Ministry of Health and Family Welfare","United Nations Children's Fund (UNICEF)","","Save the Children","Bangladesh Neonatal Forum","","","","","National NGOs","International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Bangladesh Pediatric Society, Saving Newborn Lives","","","","","","","
The goal of the National Neonatal Health Strategy 2009 is to contribute to the country's development and progress by reducing neonatal morbidity and significant reduction in neonatal mortality (22 per thousand live births by 2015) through improved policies, services and use of services by mothers before, during, and after pregnancy and at childbirth with special attention to care of neonates. This strategy has been developed for the period 2009-2015 with provision of review after three years.
The objectives are to provide guidance and recommendations to:
Strengthen service delivery at all levels to improve newborn health, using evidence-based interventions
Build capacity of health service providers at all levels to deliver quality services to address the major contributors to neonatal death, including birth asphyxia, neonatal sepsis and low birth weight
Increase awareness among mothers and their families of newborn health issues, to bring about behavior changes that reduce risks to the newborn through coordinated BCC efforts
Sustain an enabling political and policy environment that integrates maternal, neonatal, and child health interventions across different health programs to ensure consistency and optimal coverage
Improve overall management of human, physical, financial and information resources appropriately to ensure efficient delivery of neonatal interventions
Involve communities and civil society to own, oversee and ensure delivery of interventions for improving neonatal health
1. Prioritize and improve home and community practices
Introducing and sustaining best practices for neonatal care by family members (e.g. tetanus immunization, immediate breastfeeding, good hygiene practices, essential newborn care, awareness on neonatal and maternal danger signs, appropriate care-seeking)Implementing communication strategies to raise awareness among women, family members and community leaders on danger signs and risk factors for neonates, promoting healthy practices, early careseeking and self referral
Ensuring availability and capacity of community-based workers to increase contact with mothers in the pre- and postnatal periods, including educating mothers and providing essential newborn care
Strengthen community clinic based maternal & neonatal health services for quality & coverage.
Scaling up CSBA training under both government and non government sectors to increase coverage for skilled birth attendance, and to improve services to women and neonates during pregnancy, childbirth and the postnatal period
Introducing community case management for sick neonates including sepsis (e.g. injectable antibiotics for sepsis, mouth to mouth resuscitation).Establishing a birth and death registration system2. Strengthen Facility-Based Health Care
Strengthening capacity of managers, service providers and support staff and improving human resource availability at all facilities for provision of care to both pregnant women and neonates; use 'skills and values' based training approach
Expanding capacity for provision of twenty-four hour MNH services (including manpower and supplies)Strengthening referral systems from communities to facilities and between facilities to improve neonatal care; improve facility reception of referred patient
Increasing coverage of skilled care for every birth including utilization of nurse midwives; initiating preservice midwifery education, ensuring appropriate attention to neonates, including emergency neonatalcare
Strengthening supervision, monitoring and evaluation of quality of maternal and neonatal care offered by all levels of health workers using a standardized guidelines and evidence based care-practices
Strengthening capacity of academic institutions to meet specialization and sub-specialization needs in fetomaternal and neonatal care3. Improve Resources, Logistics, and Supplies
Developing detailed procurement lists and equipment specifications for supplies needed for ensuring critical maternal and neonatal services
Assessing resource needs and improving mobilization of adequate resources for maternal and neonatal health activities
Improving efficiency of resource utilization for both public and non public sectors to improve coverage and quality of neonatal services
Strengthening overall logistics supply systems for community and facility service delivery to ensure continuous availability of critical supplies4. Integrate Services for Neonates
Establishing functional linkages for overall maternal and neonatal services between different programs, including family planning, maternal and child health (including IMCI) and nutrition
Integrating services under DGHS, DGFP and NNP for essential maternal and neonatal care at home and community levels and in facilities
Strengthening partnerships, collaboration and integration with NGOs and private sectors to improve coverage and ensure consistent standards of care among skilled and unskilled health workers providing services to mothers and neonates
Establishing strong links between community and facility for all new community-based interventions (e.g. management of neonatal sepsis)Coordinating policies and technical standards between different related programs, including Maternal Health, EmOC, HIV/AIDS, PPTCT, IYCF, IMCI, CSBA, and other programs that involve services to mothers and neonates5. Innovative Approaches for Neonatal Care
Establishing mechanisms for exploring improvement of health systems and adjustments in job responsibilities of different categories of providers to improve coverage and quality of neonatal services
Including community-based operations research or feasibility studies to improve management of neonatal infections, compliance of KMC at home, low birth weight management, birth asphysxia management at community level etc.
Allowing for operational testing of interventions as efficacy evidence becomes available (e.g. chlorhexadine for reducing infection; calcium for preventing pre-eclampsia; misoprostol for reducing postpartum hemorrhage)
Budget and Finance.
1. Costed national plan for ensuring universal access to newborn interventions available.
.
Policies and Standards.
1. IMCI updated to include management of sick newborn.
2. Standards for newborn care including newborn resuscitation and ENC that have been reviewed and updated in the previous 2 years.
3. Essential newborn drugs list available.
4. Community-based management of sick newborns.
5. Financial protection of newborns and mothers.
.
Capacity Building.
1. Number & proportion of medical, nursing or other health worker training schools giving pre-service training in ENC.
2. Number & proportion of planned ENC & IMCI trainings for facility-based health workers conducted in the previous year .
3. Number and proportion of planned ENC trainings for community-based health workers conducted in the previous year.
4. Number & proportion of planned staffs trained on ENC & IMCI training.
5. Number & proportion of planned staffs trained on BEmONC/CEmONC.
.
Facility Preparedness and Functioning.
1. Proportion of first level facilities/OPDs equipped with essential supplies/medicine for management of sick newborn .
2. Proportion of first level facilities/OPDs with trained staffs for sick newborn management.
3. Proportion of facilities with in-patient services equipped with essential equipments & supplies/medicine for management of sick newborn .
4. Proportion of facilities with in-patient services have functioning BEmONC/CEmONC.
.
Pregnancy.
1. % of recently delivered women who received antenatal care (ANC) at least one from a qualified provider.
2. % of recently delivered women who received antenatal care (ANC) at least four from a qualified provider.
3. % of recently delivered women who know at least three newborn danger signs.
.
Delivery.
1. % of recently delivered women who were assisted by a skilled birth attendant .
2. % of recently delivered women who delivered in a facility.
.
Postpartum.
1. % of live born newborns weighted within 24 hours and within 3 days of birth.
2. % of live born newborns wiped, wrapped immediately (within 5 minutes) after birth.
3. % of live born newborns whose bath were delayed by 3 days.
4. % of live born newborns received dry cord care.
5. % of live born newborns who were fed colustrum.
6. % of live born newborns who were initiated on breastfeeding within 1 hour of birth.
7. % of live born newborns who received postnatal home visits from a qualified provider within 1 day and 3 days of birth.
8. % of sick newborns managed by a qualified provider.
9. % of sick newborns received appropriate antibiotic.
.
Impact Indicators.
1. Neonatal mortality rate.
2. Neonatal mortality as a proportion of infant and under-5 mortality.
3. Proportional cause of neonatal mortality.
4. Low birth weight rate
General objective of the strategic field – by 2020, the health-adjusted life expectancy has extended to 60 years in average for men and 65 years in average for women, and the average life expectancy has extended to 75 years for men and to 84 years for women
SO 4-1 Measures of 2009–2012 are shown as activities in application plan 2013-2016.
Ensure supportive environment and infrastructure facilitating physical activity (including health-promoting networks, school sport, counselling service on sports and medical services).
Regularly monitor and assess the sports habits of the population, factors influencing those habits and interventions aimed at those; update the database of sports statistics.
SO 4-2 Measures of 2009–2012 are shown as activities in application plan 2013-2016.
* The share of infants aged 6 months partly or fully on breast feeding.
IV Healthy lifestyle
The sub-objectives (SO) and measures (M) of the field are based on the foregoing:
SO 4. Physical activity of the population has increased, nutrition is more balanced and the level of risk behaviour has decreased.
inidcators
Percentage of overweight persons in the age group 16–64.(Source: NIHD, Health Behaviour Study)
Percentage of obese persons in the age group 16–-64.(Source: NIHD, Health Behaviour Study)
Percentage of overweight school students.
* Number of people under 65 having died of cardiovascular diseases per 100,000 citizens (Source: Statistical Office)
* Share of persons aged 16–64 regularly going in for sports (Source: National Institute for Health, survey of health behaviour)
The goals of the Child Health Policy are to reduce child mortality and to improve the general quality of health and development of the children of Papua New Guinea.
The objectives of the Child Health Policies are:
- Ensure all children receive at least 2 doses of vitamin A, at 6 and 12 months
- Promotion of breast feeding
- Increase human resource capacity for child nutrition
- Community promotion of breast feeding and adequate complementary feeding
- Improve vitamin A coverage
- Improve health facility and community services for management of malnutrition
- Achieve high coverage of deworming
","
- Number of hospitals accredited as Baby Friendly
- Number of provinces in which IYCF training conducted
- Increase the availability of zinc sulphate as treatment for children with diarrhoea and with malnutrition
- Encourage the fortification of staple foods, such as rice and flour with multiple micronutrients including iron, zinc, thiamin, riboflavin and folate
- Provide nutritional support to children with HIV, including Ready-to- Use Therapeutic Feeds
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Complementary feeding|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Diarrhoea or ORS","","http://www.rch.org.au/uploadedFiles/Main/Content/cich/PNG_Child_Health_Policy_and_Plan_2009-2020.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_2009_CHPP.pdf" "36124","SRB","Serbia","","National program on health care of women, children, and youth","Health sector policy, strategy or plan with nutrition components","","English","","2009","","","Official gazette of RS","","2009","Adopted","","2009","Government of the Republic of Serbia, ""Official gazette RS"",no. 28/2009","","Official gazette of RS","","","","","","","","","National NGOs","","","","","","","","","","","","","Baby-friendly Hospital Initiative (BFHI)|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|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Sodium/salt intake|Total carbohydrate|Sugar intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in schools|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets","","http://www.podaci.net/_zakon/propis/Uredba_o_Nacionalnom/U-npzzzd03v0928.html","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "8184","TGO","Togo","","Le Plan National de Développement Sanitaire","Health sector policy, strategy or plan with nutrition components","","French","","2009","","2013","","","2009","Adopted","","2009","","Health","Ministère de la santé","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","Breastfeeding|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|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Vitamin A|Iron and folic acid|Zinc|Nutrition & infectious disease","","","","WHO Global Nutrition Policy Review 2009-2010","" "23848","TUV","Tuvalu","","Strategic Health Plan","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2018","Tuvalu Ministry of Health","","2009","","","","","","","","","","","","","","","","","","","","","","","1. Ensure legislative and budgetary support for efficient and effective health services for the people of Tuvalu
2. Provide high quality and cost effective management of health services
3. Improve the quality and cost effectiveness of curative medical services
4. Improve the health of the people of Tuvalu
","- Implement National NCD strategy
- Strong preventive reproductive Health services at PMH and OI clinics
- Strong capacity of health system to deliver effective and efficient health promotion programs
","- Changes in diet, physical activity
- Breastfeeding rate
- staff with health promotion skills
- Percentage of clinical encounters which incorporate health promotion activity
","","","Breastfeeding|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://www.mindbank.info/item/1740","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUV_2009_SHP.pdf" "8824","TZA","United Republic of Tanzania","","Health Sector Strategic Plan III - “Partnership for Delivering the MDGs”","Health sector policy, strategy or plan with nutrition components","","English","7","2009","6","2015","The United Republic of Tanzania. Ministry of Health and Social Welfare","","2008","Adopted","10","2008","The plan was approved at the Joint Annual Health Sector Review, of October 2008.","Health","Ministry of Health and Social Welfare","","","","","","","","","","","","","","","","","Strategy 6: Public Private Partnerships
Strategic objective
3. Enhance PPP in the provision of health and nutrition services
Strategy 7: Maternal, Newborn and Child Health
Strategic objectives:
1. Increase access to Maternal, Newborn and Child Health (MNCH) services
2. Strengthening the health systems to provide quality MNCH and nutrition services
Strategy 8: Disease Prevention and Control
HIV/AIDS
Strategic objective
1. Maximize the health sector contribution to HIV prevention
Non Communicable Diseases
Strategic objectives:
1. To reduce the burden of Non Communicable Diseases, mental disorders and substance abuse
2. Develop NCD MH&SA advocacy and sensitisation programmes
","The MOHSW has identified eleven strategies, which the health sector should achieve during the period of implementation:
· Strategy 1: District Health Services
· Strategy 2: Referral Hospital Services
· Strategy 3: Central Support
· Strategy 4: Human Resources for Health
· Strategy 5: Health Care Financing
· Strategy 6: Public Private Partnerships
Strategies
3. Enhance PPP in the provision of health and nutrition services
· Strategy 7: Maternal, Newborn and Child Health
Strategies
1. Increase access to Maternal, Newborn and Child Health (MNCH) services
2. Strengthening the health systems to provide quality MNCH and nutrition services
· Strategy 8: Disease Prevention and Control
Strategies:
Non communicable disease
Malaria
HIV/AIDS
1. Maximize the health sector contribution to HIV prevention
Strategy 8: Disease Prevention and Control
Strategies:
HIV/AIDS
Strategies
1. Maximize the health sector contribution to HIV prevention
Non Communicable Diseases
Strategies
1. To reduce the burden of Non Communicable Diseases, mental disorders and substance abuse
2. Develop NCD MH&SA advocacy and sensitisation programmes
· Strategy 9: Emergency Preparedness and Response
· Strategy 10: Social Welfare and Social Protection
· Strategy 11: Monitoring & Evaluation and Research
Strategy 6: Public Private Partnerships
Strategic objective 3. Enhance PPP in the provision of health and nutrition services
Expected result: 3. Private sector motivated and supported to increase the availability of fortified foods
Indicator: Percentage of wheat, sugar and vegetable oil fortified with micronutrients
Strategy 7: Maternal, Newborn and Child Health
Strategies
1. Increase access to Maternal, Newborn and Child Health (MNCH) services
Expected results
Indicators:
2. Strengthening the health systems to provide quality MNCH and nutrition services
Expected results:
Indicators:
Strategy 8: Disease Prevention and Control
Strategies:
HIV/AIDS
Strategies
1. Maximize the health sector contribution to HIV prevention
Expected results:
Indicators:
Non Communicable Diseases
Strategies
1. To reduce the burden of Non Communicable Diseases, mental disorders and substance abuse
Expected results:
Indicators:
2. Develop NCD MH&SA advocacy and sensitisation programmes
Expected results:
Indicators:
I. GOAL
To maintain and expand the coverage of essential interventions for child survival in order to decrease disparities, improve child health, and reduce child mortalities in all population groups and regions of Viet Nam, towards the achievement of Millennium Development Goal 4 - :reducing child mortality” by the year 2015.
III. Essential CS interventions
The Regional Child Survival Strategy recommended an Essential package as below:
Skilled attendance during pregnancy, intrapartum and postpartum period
Care of newborns
Breastfeeding and complementary feeding
Micro-nutrient supplementation
Immunization of children and mothers
Integrated Management of Sick Children
Use of insecticide-treated bed nets (in malaria prevalent areas)
Objective 1. To obtain universal coverage of essential child survival interventions and improve their availability and accessibility for children particularly in disadvantaged socio-economic, remote and mountainous areas
Activities:
Maintaining and strengthening essential interventions for CS through national MCH care programs and relevant projects that are currently available.
Identifying disadvantaged localities for prioritized investments and resources and localities where MMR and NMR are high.
Enhancing the breastfeeding and reasonable complementary feeding promotion activities through implementation of 2006-2010 National Plan of Action on Child Feeding.
Improving capacity and strengthening operational activities of the Steering Committee for Child Feeding and Breastfeeding in order to enhance advocacy for resource mobilization in implementing child nutritional activities.
Reviewing implementation of 2006-2010 National Plan of Action on Child Feeding and developing 2011-2015 work plan.
Providing training and re-training on breastfeeding to Ob-Ped doctors, midwives, nurses.
Providing training to VHWs on counseling, advocacy for pregnant women to attend facility-based delivery, and implement essential interventions for CS.
Providing training to village midwives or VHWs in mountainous and ethnic
minority areas to have knowledge on pregnancy management, normal delivery, newborn care.
Designing appropriate models to deliver services to all mothers and children such as mobile service team for MCH, nutrition, vaccination at village/hamlet, breast-milk support group at the community, etc.
Targets by the year 2015:
Objective 1. To obtain universal coverage of essential child survival interventions and improve their availability and accessibility for children particularly in disadvantaged socio-economic, remote and mountainous areas
Targets by the year 2015:
Objective 4: To increase community participation and awareness on child survival and best key family practices for child survival and neonatal care at family and community levels
Targets by the year 2015:
3. 95% of children between 0-59 months of age who had diarrhoea to be treated with ORT and 80% of them to be treated by zinc.
Goal 6:
Objective: Improve the sustainability of nutrition related programmes.
Strategies:
• Assess the nature, magnitude and extent of nutrition problems as well as their causes, and recommend or take appropriate action.
• Strengthen on-going nutrition programmes by having them planned and managed by communities.
• Revive and capacitate the multi-sectoral Food and Nutrition Committees at all levels.
Objetivos:
Lineas de Accion:
STRATEGIC OBJECTIVE 1: TO DEVELOP/REVIEW POLICIES AND REGULATIONS RELATED TO PUBLIC HEALTH
Nutrition and Food Control Division
STRATEGIC OBJECTIVE 2: TO IMPROVE THE ACCESS AND UTILISATION OF QUALITY PREVENTIVE, PROMOTIVE AND REHABILITATIVE SERVICES
Nutrition and Food Control Division
To increase early and exclusive breastfeeding rates
To increase coverage of timely and appropriate complementary feeding for children aged 6-9 months
To reduce malnutrition among children under five
To prevent and control micronutrients deficiencies
6.1.5 Maladies non transmissibles
6.2.2 Survie de l’enfant
Actions à entreprendre
Indicateurs
Objetivo General
Todas las madres y sus recién nacidos recibirán la atención de calidad apropiada, eficaz con pertinencia cultural y de género, len el continuo de la atención madre-recien nacido-niñez, para disminuir su morbilidad y mortalidad, y de esta manera, conseguir una vida saludable y productiva.
","Áreas estratégicas
El plan de acción abarca cuatro áreas estratégicas interdependientes: 1) Fortalecer la institucionalidad del Ministerio de Salud Pública y Asistencia Social, 2) Extensión de cobertura y mejoramiento de la Red de Servicios con pertinencia intercultural y de género en los tres niveles de atención de salud 3) Fortalecer el desarrollo de recursos humanos en salud a nivel técnico y especializado y la administración de la fuerza laboral y 4) Crear y fortalecer los sistemas de vigilancia, monitoreo yevaluacicón. Cada área cuenta con una o más líneas de acción, y cada línea de acción, a suvez, tiene uno o más actividades e indicadores que representa un resultado a ser alcanzado.
Dentro del área estratégica 2, se incluye la línea de acción 2.2: Reducir el riesgo de inseguridad alimentaria y nutricional y desnutrición crónica desde el momento del nacimiento y de manera integral y sostenible. Esta línea de acción incluye las siguientes actividades:
","
Para la línea de acción 2.2: Reducir el riesgo de inseguridadd alimentaria y nutriciconal y desnutrición crónica desde el momento del nacimiento y de manera integral y sostenible, se incluyen los siguientes indicadores:
3.3 Policy Goal
Health and social well-being are fundamental human rights. Consequently, the ultimate goal of the Government of Namibia and the Ministry of Health and Social Services is the attainment of a level of health and social well-being by all Namibians, which will enable them to lead economically and socially productive lives. This will be achieved through using a cost-effective developmental social welfare and Primary Health Care approach, which includes promotive, preventive, curative and rehabilitative services in collaboration with other sectors, communities, individuals and partners.
4.3. Maternal, Neonatal And Child Health
Strategic response directions:
a. a minimum package of maternal, neonatal, child health and family planning will be introduced and implemented
f. awareness campaigns about maternal, newborn and child care will be strengthened;
Strategic response directions:
a. growth monitoring and appropriate intervention in PHC settings;4.8 Lifestyle Related Health Problems – Non Communicable Diseases (NCD)
Strategic response directions:
a. organizing and strengthening action against important lifestyle and NCDs;
b. institution of surveillance of NCD risk factors among the population;
c. development of legal instruments, e.g. prohibition of smoking in public places, non-sale of alcohol to minors, and alcohol taxation among others;
d. developing and implementing with other sectors and stakeholders the awareness creation instruments and strengthening health promotion through behavioural change
e. communication, including community dialogue and cancer prevention measures; advocate for healthy lifestyle at an early age;
f. institutionalization of NCD screening and promotion of good quality health services for lifestyle related ailments and other NCDs through PHC and specialised levels;
Conducir las acciones dirigidas a aumentar el acceso de los grupos vulnerables a todas las intervenciones en salud pública para mejorar las condiciones de salud integral a nivel nacional
","Implementación del modelo comunitario de atención y educación de salud nutricional focalizado en la población menor de 5 años, embarazadas y tercera edad, especialmente en las áreas rurales con población indígena y no indígena y en las áreas urbano-marginales a nivel nacional.
","","","","Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Right to food|Right to health|Family planning (including birth spacing)|Vaccination|Water and sanitation","","http://www.minsa.gob.pa/sites/default/files/transparencia/politicas2010-2015.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAN_2010%20Politica%20Nacional%20de%20Salud.compressed.pdf" "14791","UGA","Uganda","","Health Sector Strategic & Investment Plan","Health sector policy, strategy or plan with nutrition components","","English","","2010","","2015","Ministry of Health","","2010","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Sub-national","Ministry of Public Service, Ministry of Gender, Labour and Social Development","","","","","","","","","","","","","","","","","","5.2.1.2 Contribute to the attainment of a significant reduction of morbidity and mortality due to environmental health and unhygienic practices and other environmental health related conditions.
o Disseminate the food hygiene and safety, safe water chain and hand washing guidelines.
o Support local governments to enforce food hygiene and safety, safe water chain and hand washing standards.
o Establish early warning systems on environmental health related risk factors e.g water quality, food safety and sanitation and hygiene related disease out breaks.
5.2.1.4 Improve the health status of the school children, their families and teachers and to inculcate appropriate health seeking behaviour among this population.
• Expand the coverage of the school health and nutrition programme to include more schools
• Strengthen the policy and legal environment for provision of school health services.
o Develop the missing health standards (e.g. nutrition and screening) and operationalise all standards
• Expand the provision of clean water and improved sanitation to schools, with special emphasis on primary schools
5.2.1.7 Scale up delivery of nutrition services:
Strategy 1: To reduce the incidence and prevalence macro- and micro-nutrient deficiencies and associated mortality among vulnerable groups.
• Strengthen maternal nutrition interventions to ensure optimal pregnancy outcomes and healthy infancy:
o Provide micronutrient supplements (iron, folic acid, vitamin A and other relevant) to target groups.
o Encourage and support antenatal care services through health and nutrition education.
o Promote the consumption of high nutrient density local foods
• Integrate infant and young child nutrition interventions into maternal, infant and young child services to ensure growth and development:
o Provide infant and young child feeding counselling services during ante-natal and post-natal care.
o Strengthen growth monitoring and promotion services at facility and community levels.
o Support infant and young child feeding in the context of HIV.
o Provide bi-annual Vitamin A supplementation and deworming to targeted groups.
• Scale up micronutrient initiatives:
o Develop a comprehensive policy framework for micronutrient deficiency control.
o Provide support for implementation of a consolidated policy on micronutrient deficiency control.
o Promote food fortification by working with relevant public and private stakeholders.
o Promote food supplementation
• Promote good quality diets through diet diversification:
o Conduct nutrition education and counselling at facility, family and community levels.
o Promote consumption of locally produced fortified foods.
o Encourage the production and preparation of a variety of locally available nutritious foods.
• Integrate the management of malnutrition into the health delivery system:
o Integrate identification, screening, referral and management of acute malnurished children into routine service delivery at facility level and community levels using national IMAM protocols.
o Support and promote national procurement of therapeutic feeds and supplies.
o Promote local production of therapeutic feeds.
• Integrate nutrition into the treatment and management of HIV/AIDS, TB and malaria:
o Incorporate nutrition support into the management and treatment of HIV/AIDS, TB and malaria interventions.
o Establish coordination mechanisms among partners involved in food and nutrition and HIV, TB and malaria interventions.
o Support community involvement in provision of nutrition support to HIV/AIDS and TB patients.
Strategy 2: To improve access and quality of nutrition services at facility and community levels.
• Support institutional feeding:
o Procure equipment for nutrition management like weighing scales, MUAC tapes, height meters, demonstration meters and food preparation equipment.
o Conduct pre- and in-service training for service providers to promote nutrition interventions.
o Develop curricula and training manuals for nutrition training.
o Determine the human resource needs for nutrition services.
o Train trainers and equip the VHTs, community resource persons and other community based organizations with nutrition knowledge and skills.
o Provide technical support supervision and mentoring of health workers.
o Support nutrition response in emergency
Strategy 3: To review, formulate, enforce and coordinate nutrition related policies, regulations, standards and programmes in consultation with other relevant sector stakeholders.
• Develop and disseminate nutrition policy and implementation guidelines:
o Initiate the review and up-date of the 2002 Uganda National Food and Nutrition Policy.
o Develop implementation guidelines for the reviewed Uganda National Food and Nutrition Policy and other related nutrition policies.
o Orient stakeholders on the revised Uganda National Food and Nutrition Policy.
• Strengthen nutrition related standards and regulations:
o Review the regulations on salt iodization.
o Review regulations on maternity protection.
o Support the development of the Codex on complementary foods and food supplements.
o Develop a regulatory framework for food fortification.
• Strengthening inter-sectoral collaboration and public-private partnership in the designing and implementation of nutrition programs:
o Operationalise the National Food and Nutrition Council and its secretariat.
o Conduct national, regional and district coordination and planning meetings.
Strategy 4: To strengthen advocacy and social mobilization for behavioural change.
• Strengthen advocacy, social mobilization and communication at all levels:
o Develop a comprehensive nutrition communication strategy.
o Develop and disseminate nutrition IEC materials using mass media including audio, visual and print media.
o Promote nutrition campaign initiatives.
Strategy 5: Strengthen nutrition information management systems for monitoring and evaluating nutrition interventions programs.
• Strengthen the regular collection of nutrition indicators in HMIS and other systems:
o Operationalise the Uganda Nutrition Information System.
o Establish nutrition sentinel sites to assess nutrition trends.
o Conduct basic and operational nutrition research.
o Collaborating with UBOS in collection of nutrition indicators during annual food consumption surveys.
o Conduct periodic nutrition surveys.
","5.2.1.2:
Percentage of households with access to safe water.
5.2.1.4:
The % of schools in Uganda that provide basic health and nutrition services increased to 25 % by 2015.
The % of primary and secondary schools with safe water source within 0.5 km radius of the school increased from 61% and 75% resp. to 80% by 2015.
5.2.1.7:
The proportion of underweight in under five year children reduced from 16% to 10%.
Vitamin A deficiency among children 6-59 months reduced from 20% to 10% and women of reproductive age from 19% to 9%.
The proportion of stunted children below 5 years reduced from 38% to 32%.
Vitamin A supplementation coverage increased for children aged 6-59 months from 60% to 80%.
Deworming coverage for children 1-14 years increased from 60% to 80%.
Iodine deficiency eliminated.
The proportion of the households consuming iodised salt increased from 95% to 100%.
The prevalence of anaemia among children decreased from 73% to 60%, women from 49% to 30% and men from 28% to 15%.
The proportion of underweight women of reproductive age decreased from 12% to 6%
Exclusive breastfeeding at 6 months increased from 60% to 80%.
Timely complementary feeding increased from 73% to 80%
Accessibility to appropriate and gender sensitive nutrition information and knowledge increased to 100%
Nutrition services to health units and the community scaled up to 100%.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/HSSIP_Final.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202010%20Health%20Sector%20Strategic%20%26%20Investment%20Plan.pdf" "14952","UZB","Uzbekistan","","National Program ‘Year of Harmoniously Developed Generation’ / Государственная программа «Год гармонично развитого поколения»","Health sector policy, strategy or plan with nutrition components","","Russian","","2010","","","Ministry of Health","1","2010","Adopted","1","2010","President of Uzbekistan","Health|Education and research|Social welfare|Finance, budget and planning","","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","Association of Salt Producers, Fund for Support of Social Initiative, Soglom Avpodychun Fund, Mahalla Fund, Fund for Development of Sports for Chi","Research/academia","","","","Other","Mass Media","В целях осуществления широкого комплекса целенаправленных мер по созданию в стране необходимых возможностей и условий для воспитания здорового, гармонично развитого поколения, реализации молодежью своего творческого и интеллектуального потенциала, формированию юношей и девушек нашей страны всесторонне развитыми личностями, в полной мере отвечающими требованиям XXI века
","Проект постановления Кабинета Министров Республики Узбекистан «О мерах по обеспечению условий для здорового питания учащихся в образовательных учреждениях».
Проекты постановлений Кабинета Министров Республики Узбекистан: «О дальнейшем совершенствовании деятельности внешкольных спортивных учреждений»; «О дальнейшем совершенствовании системы материального стимулирования труда тренеров — преподавателей внешкольных спортивных учреждений».
Введение бесплатного обеспечения (по назначению врача СВП) беременных женщин, проживающих в сельских районах, специальными комплексами общеукрепляющих поливитаминов, содержащих в том числе, фолиевую кислоту.
Дальнейшая реализация программы по улучшению качества питания населения, направленной на:
Усиление работы в сфере физического воспитания подрастающего поколения и детского спорта, широкое вовлечение в регулярные занятия спортом молодежи, строительство и оснащение новых спортивных комплексов, укрепление их высококвалифицированными тренерскими кадрами и наставниками
","
Контроль за исполнением настоящего постановления возложить на Премьер-министра Республики Узбекистан Ш.М. Мирзиёева.
","","","Maternity protection|Vitamin A deficiency|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vulnerable groups","","http://www.minzdrav.uz/documentation/detail.php?ID=15245&sphrase_id=1085513","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "38200","ZWE","Zimbabwe","","National Child Survival Strategy for Zimbabwe 2010-2015","Health sector policy, strategy or plan with nutrition components","","English","","2010","","2015","Ministry of Health and Child Welfare","","2010","","","","","","Ministry of Health and Child Welfare Ministry of Health and Child Welfare","","WHO, UNICEF","","","","","","","National NGOs","","","","","","","","","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","https://extranet.who.int/mindbank/item/2815","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "17838","AFG","Afghanistan","","Strategic Plan for The Ministry of Health","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry Of Public Health","","2011","","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","Strategic direction: Improve the nutritional status of the Afghan population
Strategic Objective 1 (SO-1): To advocate for and increase awareness about healthy eating among the general population
Strategic Objective 2 (SO-2): To reduce the prevalence of major micronutrient deficiency disorders; in particular iron, folic acid, iodine, vitamin A and zinc throughout the country and prevent possible outbreaks of vitamin C deficiency illnesses such as scurvy
Strategic Objective-3 (SO-3): To strengthen case management and increase access to quality therapeutic feeding and care at health facility and community levels.
Strategic Objective-4 (SO-4): To ensure that all commercial and home-produced foods are safe for consumption
Strategic Objective-5 (SO-5): To monitor the nutritional situation in Afghanistan and strengthen the monitoring and evaluation of nutrition strategies and programs, in order to inform development planning and emergency responses
Strategic Objective-6 (SO-6): To ensure that responses to treat and prevent moderate acute, severe acute and chronic malnutrition are timely and appropriate, and that increases in Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM) are effectively managed
Strategic Objective-7 (SO-7): To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices (Refer to MoPH National Infant and Young Child Feeding Policy and Strategy 2009-2013 for details on infant and young child feeding practices)
Strategic Objective-8 (SO-8): To strengthen in-country capacity to assess the nutrition situation, and design, implement, monitor and evaluate public nutrition interventions
","Strategic Objective 1 (SO-1): To advocate for and increase awareness about healthy eating among the general population
Priority Interventions:
- Advocate for the establishment of a high level national nutrition committee that includes representatives from other sectors such as education and agriculture.
- Develop core nutrition messages and disseminate these strategically and consistently to the general public at all levels (e.g. national, provincial, district, facility) through a number of channels (e.g. the media, schools, health facilities).
- Advocate for the integration of nutrition messages into school curricula.
- Provide nutrition counseling and practical support at the community level through Community-Based Growth Monitoring and Promotion (C-GMP) and other community level structures.
- Strengthen links to food security (e.g. with the FAO and the Ministry of Agriculture) and other nutrition related projects such as community and school gardens.
Strategic Objective 2 (SO-2): To reduce the prevalence of major micronutrient deficiency disorders; in particular iron, folic acid, iodine, vitamin A and zinc throughout the country and prevent possible outbreaks of vitamin C deficiency illnesses such as scurvy
Priority Interventions:
- Food Fortification: Work with industry and relevant government departments to fortify salt (with iodine), flour, oil and ghee (with vitamin A and D) and facilitate their availability and access in rural, as well as urban areas at an affordable price
- Supplementation: Provide increased access to iron and folic acid supplements to women in the prenatal and postpartum phases and vitamin A and C supplements to women in postpartum as well as to children
- Public Education: Develop and disseminate health messages (under SO-1) that include the importance of micronutrients to women of childbearing age and young children in particular and how they may be obtained (e.g. through foods including diversifying diet and supplementation)
Strategic Objective-3 (SO-3): To strengthen case management and increase access to quality therapeutic feeding and care at health facility and community levels.
Priority Interventions:
- Promote Community Mobilization around identifying, referring and providing therapeutic feeding to those children who need it
- Improve case detection of Acute Malnutrition at Health Facility and Community Levels
- Strengthen the referral system between Therapeutic Feeding Units and other BPHS/community for complicated cases
- Strengthen and expand Community-Based Management of Severe Acute malnutrition using Ready to Use Therapeutic Foods (RUTFs)
Strategic Objective-4 (SO-4): To ensure that all commercial and home-produced foods are safe for consumption
Priority Interventions:
- Develop and implement a public awareness campaign on food hygiene and food safety in the home
- Work with related ministries such as Ministry of Agriculture, Irrigation and Livestock (MAIL) to support the education of commercial food producers, processors and farmers
- Collaborate with relevant ministries to develop and conduct education sessions with food retailers and traders
- Establish a food safety and quality control system in collaboration with such government and private sector institutions as Afghan National Standards Authority (ANSA), MAIL, Ministry of Commerce (MoC) and universities (ANSA to take the lead)
- Enhance the infrastructure of the current MoPH Food and Drugs Quality Control Laboratory
- Strengthen the capacity of the MoPH to effectively inspect food producers and retailers
Strategic Objective-5 (SO-5): To monitor the nutritional situation in Afghanistan and strengthen the monitoring and evaluation of nutrition strategies and programs, in order to inform development planning and emergency responses
Priority Interventions:
Surveillance:
- Strengthen nutrition surveillance as part of HMIS at the health facility level and the Disease Early Warning System (DEWS) (e.g. consult with DEWS as to whether it can collect data on nutritional status including the establishment of a NEWS [Nutrition Early Warning System])
- Advocate for an emergency response team to conduct rapid nutrition assessments in emergency situations
- Integrate nutrition indicators into the HMIS, Balanced Score Card (BSC), other regularly conducted surveys and the food security surveillance system
Monitoring & Evaluation:
- Ensure nutrition programs are evidence-based and that lessons learned from nutrition programs and services are regularly documented and integrated into future planning
- Establish an effective monitoring system for key nutrition interventions including: supplementation, Infant and Young Child Feeding (IYCF) and Severe Acute Malnutrition (SAM) treatment
Strategic Objective-6 (SO-6): To ensure that responses to treat and prevent moderate acute, severe acute and chronic malnutrition are timely and appropriate, and that increases in Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM) are effectively managed
Priority Interventions:
- Improve the quality of emergency assessments and response capacity (design and implementation of timely and relevant interventions) during food crises (Refer to Public Nutrition Policy and Strategy, 2009-2013 for more details)
- Ensure the appropriate use of food assistance (i.e. that food rations are culturally acceptable, safe, meet the needs of and are effectively targeted to the most vulnerable groups)
- Enhance the management and prevention of Severe Acute Malnutrition (SAM), Moderate Acute Malnutrition (MAM) and chronic malnutrition
- Strengthen coordination within the nutrition cluster and with other clusters
Strategic Objective-7 (SO-7): To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices (Refer to MoPH National Infant and Young Child Feeding Policy and Strategy 2009-2013 for details on infant and young child feeding practices)
Priority Interventions:
- Develop and disseminate appropriate regulations and guidelines to support implementation of the National Infant and Young Child Feeding Strategy 2009-2013
- Promote and support awareness raising and behaviour change strategies at the community level so families adopt improved breastfeeding and complementary feeding practices
- Integrate Infant and Young Child Feeding (IYCF) promotion and counselling in the BPHS and EPHS
- Expand the “Baby-Friendly Hospital Initiative” to more health facilities
- Promote and support the integration of IYCF practices and IYCF counselling skills into the curricula of all medical and paramedical educational institutions including community midwifery schools and postgraduate programs in obstetrics, gynecology and pediatrics
- Promote and support in-service trainings in IYCF practices and IYCF counselling skills for doctors, nurses, midwives and CHWs (e.g. integrate into Integrated Management of Childhood Illnesses [IMCI] trainings)
Strategic Objective-8 (SO-8): To strengthen in-country capacity to assess the nutrition situation, and design, implement, monitor and evaluate public nutrition interventions
Priority Interventions:
- Integrate nutrition trainings in pre- and in-service training of health staff including public and private implementers and other nutrition-related staff (agriculture, education, social affairs, economy)
- Strengthen technical and logistics capacity of Public Nutrition Department (PND), in particular at the provincial level, through increased support to PND
","
Cibles de couverture du niveau communautaire
Principales Interventions à haut impact, Couverture de base de qualité, Phase I 2011-2013, Phase II 2014-2015
1.5 Allaitement maternel exclusif (0-6 mois), 21%, 52%, 65%
1.6 Prise en charge thérapeutique de la malnutrition (< de 5 ans), 32%, 52%, 65%
2.6 Prévention et traitement de l'anémie ferriprive pendant la grossesse, 61%, 65%, 80%
2.8 Supplémentation en multi micronutriments pendant la grossesse, 0%, 65%, 80%
2.9 PTME (test, conseil, AZT et conseil sur l'alimentation du jeune enfant), 20%, 65%, 80%
2.19 Supplémentation en Vitamine A, 58%, 80%, 90%
3.2.4 Prise en charge de la diarrhée par le zinc, 1%, 65%, 70%
","Santé de la mère
Santé de l’enfant
Prévention primaire de la malnutrition et des maladies non transmissibles
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Stunting in children 0-5 yrs|Anaemia|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHN%202011%20National%20Health%20Plan%202011-2015.pdf" "14866","KAZ","Kazakhstan","","National Program for Development in Health of the Republic of Kazakhstan ""Kazakhstan Salamatty 2011 - 2015"" / Государственная программа развития здравоохранения Республики Казахстан «Саламатты Қазақстан» на 2011 – 2015 годы","Health sector policy, strategy or plan with nutrition components","","Russian","","2011","","2015","Government of Kazakhstan and Kazakh Academy of Nutrition","11","2010","Adopted","11","2010","President of Kazakhstan","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Other|Social welfare|Sub-national","Ministry of Education and Science, Ministry of Economic Development and Trade, Ministry of Agriculture, Ministry of Environment Protection, MOH, Kazakh Academy of Nutrition, Ministry of Industry and New Technologies, Ministry of Communication and Information, Ministry of Tourism and Sport, Ministry of Culture, Ministry of Justice, Ministry of Internal Affairs, Ministry of Labor and Social Protection of Population, Ministry of Defense, Ministry of Emergency Situations, Local governance authoreties","","","","","","","","","National NGOs","Undefined relevant NGOs","","","Private sector","Undefined privet organization that wish to be partners","","","
Цели:
Задачи
Основные направления: усиление профилактических мероприятий, скрининговых исследований, совершенствование диагностики, лечения и реабилитации основных социально значимых заболеваний; совершенствование санитарно-эпидемиологической службы;
","в разработку и внедрение межсекторальных подпрограмм входит:
Пути достижения и соответствующие меры
Информирование населения о здоровом питании
Мониторинг, оценка и исследования питания населения
Целевые индикаторы
Цель. 5.1.2. Обеспечение здорового питания населения и профилактика заболеваний, зависимых от питания
","
Показатели результатов:
Цель: обеспечение здорового питания населения и профилактика заболеваний, зависимых от питания.
Задачи:
улучшение питания детей, женщин репродуктивного возраста, беременных и кормящих женщин;
обеспечение устойчивого снабжения населения безопасными и здоровыми пищевыми продуктами;
информирование населения о здоровом питании;
мониторинг, оценка и исследование питания населения.
Пути достижения и соответствующие меры
Информирование населения о здоровом питании
Разработать рекомендации по потреблению пищевых продуктов для населения в целом и для уязвимых групп.
Проведение многоуровневых общественных и коммуникационных кампаний, направленных на повышение уровня образования и информированности различных групп населения в области здорового питания, безопасности пищевых продуктов и прав потребителей, с привлечением всех доступных СМИ.
Поощрять точную маркировку пищевых продуктов для лучшего понимания характеристик продукта потребителями, поддержки выбора качественных продуктов питания и содействия безопасному хранению и приготовлению пищевых продуктов.
Мониторинг, оценка и исследования питания населения: создание государственной системы мониторинга состояния питания, доступности пищевых продуктов и их потребления, а также программ профилактики дефицита микронутриентов в различных возрастных и социально-экономических группах, в том числе мониторинга грудного вскармливания и прикорма детей раннего возраста; совершенствование систем надзора за пищевыми токсикоинфекциями и систем мониторинга микробиологических и химических рисков в разных звеньях продовольственной цепочки. Проведение на постоянной основе исследований полного рациона питания для оценки его загрязненности чужеродными соединениями химической и биологической природы; корректировка региональных норм физиологических потребностей в основных пищевых веществах и энергии для отдельных групп населения, с учетом состояния их здоровья, климато-географических, экологических и этнических особенностей региона; разработка, реализация, мониторинг и оценка комплексных программ и стратегий, направленных на профилактику социально значимых алиментарно-зависимых заболеваний, снижение бремени болезней, обусловленных питанием и пищевыми продуктами.
","Показатели результатов:
снижение заболеваемости железодефицитной анемией до 2221 к 2013 году, до 1870,0 к 2015 году на 100 тыс. населения (2009 г. - 2314,0);
снижение распространенности избыточной массы тела до 33 % к 2013 году, до 30 % к 2015 году (2009 г. - 35,3 %).
The aim of a public health policy is to prolong the healthy life years of the Latvian population and to prevent untimely deaths, while maintaining, improving and restoring health.
To be achieved by 2017:
To reach the main aim of the public health policy, the following objectives have been set considering Nutrition:
To decrease the rates of morbidity and mortality from non-infectious diseases, and to decrease the negative impact of risk factors upon the health.
To achieve the objective:
Tasks
To improve the health of mother and child, and decrease infant mortality.
To achieve the objective: Continue implementing the united policy to promote maternal and child health, improving pregnancy and newborn care, increasing the knowledge among pregnant women about the negative impact of addiction-inducing substances upon the health of the pregnant woman and fetus and promoting breast feeding and appropriate complementary food.
Tasks
To eliminate inequality in the field of healthcare services, by implementing measures to ensure equal opportunities for all Latvian inhabitants to access healthcare services.
To achieve the objective:
Tasks
Para la transformación del Sistema Nacional de Salud que responda a la restitución del derecho a la salud y que se base en la solidaridad humana, el Plan Plurianual de Salud 2011-2015, congruente con el Plan Nacional de Desarrollo Humano 2008-2012, define tres objetivos estratégicos que son:
I. Desarrollar una cultura nacional de promoción y protección de la salud en la vida de las y los nicaragüenses.
II: Garantizar el acceso universal y gratuito a los servicios de salud de calidad.
III. Profundizar las reformas sectoriales en salud para contribuir a la consolidación del modelo del Poder Ciudadano.
La congruencia de estos objetivos radica en que, por el alcance en las transformaciones institucionales y culturales de la vida nacional, ellos abarcan períodos mayores de cuatro años para su plena realización. Se constituyen en los fines a alcanzar y sostener en varias generaciones.
","Objetivo Estratégico I: Dearrollar una cultura nacional de promoción y protección de la salud en la vida de los y las nicaragüenses.
Lineamiento Estratégico1.1.: Desarrollar la promoción integral de la salud.
Actividades y Acciones Estratégicas.
1.1.1. Impulsar campañas educativas para influir en los cambios de comportamiento en relación con la salud.
1.1.1.2. Fomento de la salud de la niñez.
El núcleo de esta acción estratégica lo constituye el desarrollo del Programa AMOR PARA LOS MAS CHIQUITOS que impulsa un enfoque de promoción de la salud de l@s niñ@s desde el cuidado prenatal, al nacimiento y durante su etapa lactante, preescolar y escolar, a fin de garantizar su desarrollo sano y desde el inicio de la vida fomentar hábitos saludables. Esta acción debe ser ejecutada en casa, en cada CDI/CICD y en cada escuela, en coordinación estrecha con la promotoría social solidaria y el personal de los Ministerios de la Familia y de la Educación, con la participación activa de los Institutos de Deportes y Cultura. Esta acción contempla además campañas masivas para la promoción de lactancia materna exclusiva, la protección contra enfermedades inmunoprevenibles, así como la conservación y desarrollo de ambientes saludables (parques y escuelas saludables).
1.1.2. Fortalecer la gestión en salud de las comunidades
1.1.2.1. Acceso a atención de parto humanizado y seguro para las mujeres rurales a través de las casas maternas.
Se contempla continuar fortaleciendo las estrategias para la atención integral de la mujer embarazada a fin de garantizar su derecho a un parto humanizado y seguro en instituciones de salud; en este sentido es fundamental reforzar la gestión comunitaria de casas maternas con involucramiento directo de los gabinetes del Poder Ciudadano y de otras oraganizaciones legítimas de la población, que cuenten con el apoyo interinstitucional e intersectorial (Alcaldías, MIFAN, MAGFOR, MINSA, ONG´s, Agencias de Cooperación y otros) para el sostenimiento y adecuado funcionamiento de las casas maternas. Así mismo, continuar desarrollando la organización funcional de la estrategia, siendo una tarea clave seguir ampliando el trabajo de coordinación con líderes comunitarios de áreas rurales a fin de asegurar las actividades de capacitación, elaboración, desarrollo y gestión del censo de embarazadas y del plan parto.
Se contempla apoyar los servicios que suministran las casas maternas relacionadas con las consejerías sobre salud sexual reproductiva, que incluye asesoramiento sobre los cuidados del Recién Nacido y del niño pequeño, cuidados de la mujer en el periodo post-parto, planificación familiar y nutrición infantil, así como otras actividades educativas que contribuyan a que las mujeres se apoderen del auto cuidado de su salud y elevar su autoestima.
1.1.3.1. Ejecución de la Jornada del Poder Ciudadano de Vacunación.
Se impulsarán intervenciones para crear conciencia en los padres y población en general de la necesidad de preservar la salud desde el inicio de la vida, siendo una de las conductas más tangibles, la vacunación para prevenir enfermedades, así como la desparasitación y la sumplementación con vitaminas y micronutrientes.
Objetivo Estratégico II: Garantizar el acceso universal y gratuito a los servicios de salud de calidad.
Lineamiento Estratégico 2.1.: Atención Integral en el primer nivel de atención
Actividades y Acciones Estratégicas:
2.1.2.1. Atención integral a toda la población. Se debe dar atención ambulatoria de primer nivel a toda la población que lo rquiera y que lo socite, tanto las referidas desde los sectores o de otras unidades, como a las que acuden por demanda espontánea, teniendo especial consideración a las personas del área rural y particularmente de las zonas ás alejadas de las unidades de salud, las pertenecientes a pueblos origaniarios y afrodescendientes, las mujeres, la niñez, los adultos mayhores, las personas con discapacidades. La atencicón ambulatoria de las personas debe contemplar el entorno familiar y la historia personal, para lo que se debe tener en cuenta tanto el expediente clínico como la Historia de Salud Familiar.
","
El Plan Plurianual 2011-2015 incluye matrices con indicadores de impacto (página 68) y de resultado (página 69 a la 75). A continuación se transcriben los que se consideran más relacionados con nutrición:
A. Indicadores de Impacto
3. Porcentaje de desnutrición crónica en menores de 60 meses.
8. Tasa de mortalidad por diabetes en personas de 30 a 49 años.
9. Tasa de mortalidad por problemas cardiovasculares en personas de 30 a 49 años.
B. Indicadores de Resultado
Objetivo Estratégico I: Desarrollar una cultura nacional de promoción y protección de la salud en la vida de las y los nicaragüenses.
Lineamiento Estratégico: Promoción para la salud y prevención de las enfermedades.
Indicadores:
20. Porcentaje de CDI/CICO en que se organizan actividades de salud y nutrición con las madres de los niños menores de 6 años.
26. Porcentaje de madres captadas en atención prenatal capacitadas en cuidados del recién nacido(a) y estimulación temprana del Programa Amor para los más Chiquitos.
Objetivo Estratégico II: Garantizar el acceso universal y gratuito a los servicios de salud de calidad.
Lineamiento Estratético: Atención integral en el primer nivel de atención.
Indicadores:
33. Coberetura de Lactancia Materna en menores de 6 años.
40. Porcentaje de niños(as) que acuden a su VPCD (vigilancia y promoción de crecimiento y desarrollo) y son atendidos de acuerdo con cuadros de procedimiento AIEPI incluyendo la medición de peso y talla.
42. Cobertura VPCD en niñas y niños menores de 1 año.
43. Cobertura VPCD en niñas y niños de 1 a 4 años.
","Outcome indicators|Process indicators","","Breastfeeding|Stunting in children 0-5 yrs|Diet-related NCDs|Nutrition counselling on healthy diets|Micronutrient supplementation|Deworming|Vaccination|Water and sanitation|Vulnerable groups","11637","http://www.minsa.gob.ni/index.php?option=com_remository&Itemid=52&func=startdown&id=7174","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIC%20Plan%20Plurianual%20Salud%202011-15.pdf" "23846","PNG","Papua New Guinea","","National Health Plan","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2020","Government of Papua New Guinea","6","2010","","","","","","","","","","","","","","","","","","","","","","","
Strengthened primary health care for all, and improved service delivery for the rural majority and urban disadvantaged
","
• Improve Service Delivery
• Strengthen Partnership and Coordination with Stakeholders
• Strengthen Health Systems
• Improve Child Survival
• Improve Maternal Health
• Reduce the Burden of Communicable Diseases
• Promote Healthy Lifestyles
• Improve our Preparedness for Disease Outbreaks and Emerging Population Health Issues.
","
Reduce malnutrion (moderate to high) in) children under the age of five years:
- Advocate and promote exclusive breastfeeding.
- Ensure all babies and children under five have access to supplementary feeding when and where they require it.
- Increase access for mothers and children to micronutrient supplementation.
","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Micronutrient supplementation|Management of moderate acute malnutrition|Management of severe acute malnutrition","","http://www.wpro.who.int/papuanewguinea/areas/papua_new_guinea_nationalhealthplan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_2010_NHP.pdf" "23808","SLB","Solomon Islands","","National Health Strategic Plan 2011-2015","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Health & Medical Services","3","2011","","","","","","","","","","","","","","","","","","","","","","","
Do Better job of promoting breastfeeding
Do More & Do Better NCD Program operations
Do Better on infant & mothers dietary supplementation
Promoting breastfeeding
NCD program operations
Infant & mothers dietary supplementation
Nutrition:
Every woman during ANC & PNC should receive micronutrients supplementation (importantly, Folic acid, iodized slats) at each level of healthcare provision. Every woman should receive de-worming tablets during 2nd trimester of pregnancy; while early breast feeding and exclusive breastfeeding for 6 months should be initiated in each of the health facilities as well as at community level.
","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Folic acid|Iodine|Food grade salt|Deworming|Family planning (including birth spacing)","","http://moph.gov.af/Content/Media/Documents/RHPolicyEnglish15120131426710553325325.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202012%20National%20Reproductive%20Health%20Policy.pdf" "23489","AGO","Angola","","Plano Nacional De Desenvolvimento Sanitário","Health sector policy, strategy or plan with nutrition components","","Portuguese","","2012","","2025","Ministério da Saúde","","2012","Adopted","","","","Cabinet/Presidency|Education and research|Environment|Food and agriculture|Health|Industry|Other","See document for complete list of other ministries involved.","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","The World Bank","","","","","","","","","","","","Metas:
1. Até 2013, estabelecer uma política de fortificação dos alimentos básicos em ferro;
2. A partir de 2015 promover o processo de fortificação dos alimentos básicos em ferro;
3. Até 2015, integrar a vigilância nutricional no sistema de informação sanitária (SIS);
4. Até 2017, dotar as 18 províncias e todos os municípios com técnicos capacitados em nutrição;
5. Até 2021, reduzir para menos de 5% a taxa de Malnutrição Aguda em Crianças menores de 5 anos;
6. Até 2021, reduzir para menos de 5% a taxa de Malnutrição Crónica (Nanismo) em Crianças menores de 5 anos;
7. Até 2021, aumentar para 85% a práctica de Aleitamento Materno logo após ao nascimento e exclusivo até aos 6 meses;
8. Até 2021, aumentar para 95% a cobertura de Vitamina A, em Crianças dos 6 aos 59 meses;
9. Até 2021, aumentar para 95% a cobertura de administração de Ferro e Ácido Fólico em mulheres grávidas;
10. Até 2021, reduzir para menos de 10% a taxa de prevalência de Baixo Peso nas crianças menores de cinco anos;
11. Até 2021, consagrar 50% das unidades sanitárias de atendimento à Mãe e à Criança, como “Unidade de Saúde Amiga da Criança”;
12. Até 2021, aumentar para 90% a cobertura do consumo de sal adequadamente iodizado (mais de 15 PPM) no agregado familiar;
13. Até 2021, reduzir os distúrbios devidos à carência de iodo no seio da população mais vulnerável;
14. Até 2025, expandir para a todos os municípios a gestão e o manuseamento integrado do programa da Malnutrição Severa ao nível da Comunidade e das unidades sanitárias.
","Estratégias operacionais:
1. Integração dos serviços de Nutrição, nos Cuidados Primários de Saúde como prioridade absoluta;
2. Reforço da distribuição de micronutrientes e desparasitação como o albendazol, em crianças menores de 5 anos;
3. Estabelecimento de um sistema de vigilância de doenças devidas a carências alimentares e de micronutrientes de base institucional e comunitário;
4. Reforço de vigilância epidemiológica da malnutrição;
5. Promoção do aleitamento materno logo após o nascimento, exclusivo até aos 6 meses e de prácticas adequadas de alimentação após os 6 meses de idade;
6. Promoção de hábitos alimentares e estilos de vida saudáveis;
7. Fortificação em ferro dos alimentos básicos para a população em geral;
8. Intensificação dos Esforços para Criação de Capacidade e Oportunidades de Formação, na área de Nutrição;
9. Reforço da participação comunitária e da capacitação das famílias, através das competências familiares chaves;
10. Mobilização de parcerias estratégicas para uma resposta multissectorial.
Actividades e intervenções:
1. Realizar o estudo nutricional de dois em dois anos;
2. Dotar as unidades sanitárias de meios e recursos para o diagnóstico e tratamento da malnutrição;
3. Manter a distribuição de sais ferrosos, ácido fólico e vitamina A para grupos populacionais específicos, particularmente mulheres grávidas e crianças;
4. Reforçar a implementação da administração sistemática de suplementos de micronutrientes e desparasitantes nas unidades sanitárias a todas as crianças menores de cinco anos;
5. Integrar outras campanhas nacionais para reforçar a administração de micronutrientes;
6. Rever e divulgar protocolos de diagnóstico e tratamento da malnutrição;
7. Elaborar e divulgar material de IEC;
8. Realizar campanhas nacionais de promoção de prácticas alimentares e estilos de vida saudáveis de forma a contribuirmos para o controlo e prevenção da HTA, da Diabetes Mellitus, da Obesidade, da Cárie Dentária, entre outras doenças crónicas não transmissíveis;
9. Realizar campanhas nacionais de promoção do aleitamento materno logo após o nascimento e exclusivo até aos 6 meses;
10. Reforçar as capacidades de inspecção, fiscalização e controlo da qualidade do sal iodizado;
11. Incluir a vigilância nutricional no SIS;
12. Continuar a implementação da iniciativa “Unidade de Saúde Amiga da Criança”;
13. Divulgar activamente o Código de Comercialização dos Substitutos do Leite Materno;
14. Iniciar o processo de fortificação dos alimentos básicos em ferro.
","Indicadores de avaliação:
1. Resultados de estudos antropométricos;
2. Taxas de prevalência de sintomas/doença por défice de macro e micronutrientes;
3. Percentagem de população específica suplementada com comprimidos de ferro, ácido fólico, e vitamina A;
4. Volume de população específica que receberam albendazol
5. Número de famílias que utilizam sal iodizado;
6. Número de grávidas com suplementação de ferro e ácido fólico;
7. Número de mulheres que praticam o aleitamento materno exclusivo até aos 6 meses;
8. Número de campanhas de promoção de prácticas alimentares e estilos de vida saudáveis realizadas.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|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|Complementary feeding|Overweight and obesity in adults|Diet-related NCDs|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Deworming","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Angola/angola_pnds_2012_2025_vol_22.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202012%20PNDS.pdf" "41555","COL","Colombia","","Plan Decenal de Salud Pública","Health sector policy, strategy or plan with nutrition components","","Spanish","","2012","","2021","Ministerio de Salud y Protección Social","","2012","Adopted","","2012","","Health","","","","","","","","","","National NGOs","","","","","","","","Objetivos
Dimensión vida saludable y condiciones no transmisibles
Modos, condiciones y estilos de vida.
a. Promover el desarrollo del marco político, normativo, estratégico transectorial y comunitario para el desarrollo e implementación de medidas y otras disposiciones que favorezcan positivamente las condiciones de vida y bienestar de las personas, familias y comunidades.
b. Desarrollar acciones transectoriales y comunitarias que garanticen infraestructuras, bienes y servicios saludables de manera diferencial e incluyente.
c. Crear condiciones para el desarrollo de aptitudes personales y sociales que permitan ejercer un mayor control sobre la propia salud y sobre el medio ambiente, de tal forma que las personas opten por decisiones informadas que propicien su salud.
d. Desarrollar acciones encaminadas al fortalecimiento de la movilización, construcción de alianzas y desarrollo de redes de apoyo para el empoderamiento y la corresponsabilidad social por una cultura que promueva y proteja la salud.
Estrategias del componente
a. Políticas públicas intersectoriales: comprende la inclusión de la promoción de modos, condiciones y estilos de vida saludable en todas las políticas públicas, con enfoque de equidad; y la elaboración e implementación de una política transectorial de estilos de vida saludable.
b. Alianzas transectoriales para la promoción de modos, condiciones y estilos de vida saludable: implica la participación de varios sectores en la generación de infraestructuras, espacios, bienes y servicios sostenibles, orientados a mejorar la oferta y facilitar el acceso a programas de recreación, cultura y actividad física; el fortalecimiento del transporte activo no motorizado; el acceso a una alimentación saludable; la disminución en la exposición y el consumo de tabaco y del consumo nocivo de alcohol; y que se generen condiciones que garanticen la autonomía e independencia en la población con limitaciones motoras, visuales y auditivas.
c. Desarrollo de regulación y control adecuado de la composición de alimentos procesados y bebidas, tendientes a disminuir los contenidos de sal-sodio, reducir las grasas totales, grasas trans, grasas saturadas, reducir azucares añadidos, refinados y libres, entre otros nutrientes de interés en salud pública.
d. Control sobre la disponibilidad,comercialización y acceso de bebidas alcohólicas: su densidad por unidad vendida y la vigilancia del consumo de los mismos, como factor de riesgo para diversos órganos, enfermedad cardiovascular y cáncer.
e. Regulación de la publicidad, promoción, patrocinio y comercialización, que proteja, informe y eduque en hábitos y estilos de vida saludable, como alimentación y bebidas, entre otros, con énfasis en niños, niñas, jóvenes y adolescentes.
f. Fortalecimiento de las capacidades técnica, científica y operativa, para el ejercicio de la rectoría y autoridad sanitaria en el orden nacional y territorial en el manejo de las ENT, incluida la salud bucal, visual, auditiva y comunicativa y sus factores de riesgo.
g. Desarrollo de sistema de incentivos fiscales y no fiscales que promuevan y garanticen la oferta y demanda efectiva de bienes y servicios que cumplan con las recomendaciones de la OMS contenidas en la “Estrategia mundial sobre régimen alimentario, actividad física y salud”, en la “Estrategia de Alimentación del Lactante y el niño pequeño”, en la “Carta de Toronto para la promoción de la Actividad Física: Un llamado a la acción Mundial”, en el “Convenio Marco para el Control del Tabaco”, en la “Estrategia mundial para reducir el uso nocivo del alcohol” y otros que se acuerden con la Comisión Intersectorial de Salud Pública.
h. Fomento de medidas regulatorias, de mercado, informales, fiscales y no fiscales, con el fin de reducir los precios de alimentos saludables (frutas y hortalizas, entre otros), promover su producción sostenible, adecuada e inocua, y promover su consumo.
i. Movilización social y corresponsabilidad de actores, sectores y comunidades hacia la promoción de los modos, condiciones y estilos de vida saludable; la salud bucal, visual y auditiva; el envejecimiento activo y saludable; y la atención integral de las ENT; con especial interés en la primera infancia yla activa participación de los jóvenes.
j. Participación social activa para la construcción, desarrollo, monitoreo y evaluación de procesos que permitan a la población incrementar el control sobre su salud y bienestar; y tener incidencia política y ejercer el control social para la promoción de la salud, la afectación de los determinantes sociales y el control de las enfermedades no transmisibles, incluida la salud bucal, visual, auditiva y comunicativa.
k. Desarrollo de plataformas y proyectos multipropósito transectoriales, incluidos los programas de atención social y de lucha contra la pobreza, que promuevan condiciones para la promoción de los hábitos y estilos de vida saludable, la actividad física, la alimentación saludable, la prevencióndel consumo y la no exposición al humo de cigarrillo, la reducción del consumo nocivo de alcohol,y el envejecimiento activo y saludable en toda la población.
l. Información, comunicación y educación que incentive la adopción de estilos de vida saludable, el reconocimiento de riesgos, y que aporte elementos que permitan responder de manera asertiva a los retos de la vida diaria; que promueva las capacidades individuales y colectivas, y la movilización de los diferentes grupos humanos que favorecen la cultura de la salud, el autocuidado y el desarrollo de habilidades en los diferentes ámbitos de la vida cotidiana.
m. Desarrollo de entornos que promuevan estilos de vida saludable y protejan la salud: incluye el desarrollo e implementación de procesos de certificación de entornos saludables; intervenciones poblacionales adaptadas a los entornos cotidianos de las personas y a las características socioculturales de la población; y el desarrollo de instrumentos urbano/rurales, entre otros, dentro del Plan de Ordenamiento Territorial POT.
Dimensión seguridad alimentaria y nutricional
Componentes
Disponibilidad y acceso a los alimentos
Estrategias del componente
a. Gestión de la Política y el Plan Nacional de Seguridad Alimentaria y Nutricional: posicionamiento y fortalecimiento del rol de las entidades que integran la Comisión Intersectorial de Seguridad Alimentaria y Nutricional CISAN, como máxima instancia de concertación y coordinación.
b. Alianzas estratégicas entre sectores: articulación de los distintos sectores involucrados en la construcción de la SAN, mediante la conformación y desarrollo de alianzas que conlleven a la conformación de pactos y acuerdos orientados a la lucha contra el hambre en los ámbitos nacional y regional, tanto rural como urbano, la promoción y apoyo a los procesos de planificación descentralizados y la participación ciudadana en temas asociados con la SAN. Esta estrategia puede materializarse a través del fortalecimiento de las redes de observatorios de SAN.
c. Participación social y comunitaria en los planes, programas y proyectos de SAN: promoción de la participación social y comunitaria en los temas de SAN, que genere un mayor sentido de pertenencia y responsabilidad en las acciones que se emprendan para lograr los objetivos propuestos. Debe fomentarse una mayor obligatoriedad por parte del Estado en el compromiso de crear y apoyar la participación comunitaria presente en la formulación, ejecución, seguimiento y evaluación de los programas y proyectos de SAN.
d. Información, educación y comunicación: diseño e implementación de estrategias de gestión del conocimiento para la provisión de información clara, pertinente, eficaz y actualizada desde una perspectiva integral que incorpore cada uno de los aspectos que abarca la Seguridad Alimentaria y Nutricional. Incluye el fortalecimiento, ampliación y articulación de los sistemas, estructuras y fuentes de información oportuna y veraz de todos los sectores involucrados a nivel nacional y territorial, con el fin de orientar los procesos de evaluación y la toma de decisiones de todos los actores relacionados con la seguridad alimentaria y nutricional. Cobra relevancia la estructuración de una red de comunicaciones para la divulgación masiva de información sobre SAN, fundamentada en una estrategia integrada por un plan de acción y un plan de medios.
e. Planes territoriales de SAN: concreción de la institucionalidad a nivel territorial expresada en planes departamentales y municipales de SAN, construidos a través de instancias legitimadas por las Asambleas Departamentales o los Concejos Municipales, con participación social y comunitaria, y que incluyan los instrumentos básicos de planificación del desarrollo territorial, en el marco de planes de desarrollo, planes de ordenamiento territorial y planes indicativos, que permitan la implementación efectiva de acciones en SAN en lo local.
f. Seguimiento y evaluación: establecimiento y desarrollo del sistema de seguimiento, monitoreo y evaluación desde el orden nacional, articulado a las metas e indicadores territoriales en los ejes establecidos por la Política y el Plan Nacional de SAN 2012-2019 y al Observatorio de Seguridad Alimentaria y Nutricional OSAN, concebido como un sistema integrado de instituciones, actores, políticas, procesos, tecnologías, recursos y responsables de la Seguridad Alimentaria y Nutricional SAN, que integra, produce y facilita el análisis de información y gestión del conocimiento, para fundamentar la implementación, seguimiento y evaluación de la Seguridad Alimentaria y Nutricional, la Política, el Plan Nacional 2012-2019 y los planes territoriales.
g. Vigilancia en salud pública del estado nutricional: implementación del modelo de vigilancia del estado nutricional en la población colombiana. El Instituto Nacional de Salud, en coordinación con el Ministerio de Salud y Protección Social, y como entidad competente de la operación y administración del sistema de vigilancia para el país, definirá los eventos y progresividad de la implementación de dicho modelo.
Consumo y aprovechamiento biológico de alimentos
Estrategias del componente
Para este componente aplicarán las mismas estrategias definidas en el componente de “Disponibilidad y acceso a los alimentos”.
Inocuidad y calidad de los alimentos
Estrategias del componente
a. Gestión de las Políticas de Medidas Sanitarias y Fitosanitarias: es el proceso permanente de planificación, organización, seguimiento y comunicación, en forma integrada, de numerosas decisiones basadas en el análisis de riesgos, y de distintas medidas para garantizar la inocuidad y la calidad de los alimentos tanto nacionales como importados (Organización de las Naciones Unidas para la Agricultura y la Alimentación. Fortalecimiento de los sistemas nacionales de control de los alimentos. Directrices para evaluar las necesidades de fortalecimiento de la capacidad 2007).
b. Reglamentación: es el acervo completo de textos jurídicos que establecen los principios generales para el control de los alimentos en el país y que regulan los aspectos de producción, manipulación y comercialización de alimentos, como medio para proteger la salud de los consumidores (Organización de las Naciones Unidas para la Agricultura y la Alimentación. Fortalecimiento de los sistemas nacionales de control de los alimentos.
c. Inspección, Vigilancia y Control (Vigilancia y Control Sanitario: acciones de protección de la salud a cargo de la autoridad sanitaria, con el apoyo de la ciudadanía, consistente en el proceso sistemático y constante de inspección, vigilancia y control del cumplimiento de normas y procesos para asegurar una adecuada situación sanitaria y de seguridad de todas las actividades que tienen relación con la salud humana.
d. Fortalecimiento del sistema de Vigilancia en Salud Pública: acciones sistemáticas y constantes de recolección, análisis, interpretación y divulgación de datos específicos relacionados con la salud, para su utilización en la planificación, ejecución y evaluación de la práctica en salud pública.
e. Desarrollo de capacidades técnicas y analíticas y fortalecimiento de los laboratorios de análisis de alimentos, a fin de que estén en capacidad de vigilar y orientar la adopción de medidas adecuadas para proteger a los consumidores.
f. Información, educación y comunicación (Decreto 3518 de 2006): proceso de elaboración, presentación y divulgación de mensajes adecuados para destinatarios concretos,
","Monitoreo y evaluación del Plan Decenal de Salud Pública (PDSP) 2012-2021
Indicadores
Objectives
Selected Targets
Strategies
Strategic objective 2: Improve maternal, newborn and child health
2.5.2 Strengthen care of newborns and children though implementing the Baby Friendly Hospital Initiative and designing and implementing standard treatment protocols for management of common paediatric and neonatal conditions
2.5.3 Promote and support exclusive breastfeeding up to 6 months of age, and adequate and safe complementary feeding from 6 months
2.5.4 Improve the detection and treatment of children with malnutrition and provide nutritional counselling and IEC materials to parents
2.5.5 Implement the EPI multi-year plan within stated timeframes, including for Vitamin A and deworming
2.6.5 Investigate feasibility and value of consolidating community support groups (eg, in IMCI and breastfeeding/nutrition), or at ways to promote joint working
Strategic objective 4: Strengthen initiatives to reduce the prevalence of risk factors for NCDs, and to reduce morbidity, disability and mortality from NCDs
4.3.1 Promote food and nutrition guidelines supported by other communication methods and messages about healthy eating, including messages about the link between diet, obesity and disease
4.3.2 Strengthen and extend outreach activities around community gardening and cooking demonstrations
4.3.3 In collaboration with the Ministry of Commerce, Industry and Cooperatives, investigate the feasibility and value of introducing requirements for food fortification
4.3.4 In collaboration with the Ministry of Commerce, Industry and Cooperatives, investigate the public health value of greater disclosure of food ingredients and nutritional information
4.5 Strengthen initiatives around prevention and management of diabetes
4.6 Promote prevention, early diagnosis and early intervention in relation to cancer, hypertension, heart disease and chronic lung disease
","Improve maternal, newborn and child health
Strengthen initiatives to reduce the prevalence of risk factors for NCDs, and to reduce morbidity, disability and mortality from NCDs
Maternal, newborn and child health related indicator
NCD related indicators
Main Focus Den Sooluk 2012-2016: Improving health outcomes will be in the following areas: cardiovascular diseases; maternal and child health; tuberculosis; HIV infection. Public health services will focus on introducing new approaches to solving problems related to social determinants of health (alcohol, drugs, smoking, quality of life, nutrition, traumatism, stress, infections, etc.), creating new kinds of partnership in the protection and strengthening health that provide for the active involvement of the community, increasing the readiness of the state to the new threats and emergencies, etc.
","Key population interventions cardiovascular diseases: Measures will be undertaken to transform the behavior of the population with respect to CVD risk factors with an emphasis on smoking, alcohol consumption and unhealthy diet. b) proper detection, registration and management of patients with hypertension and acute coronary syndrome at the level of primary health care; c) detection and treatment of diabetes at the level of primary health care as one of the risk factors for cardiovascular diseases; development of inter-sectoral cooperation to reduce the abuse of alcohol as well as changes in behavior with respect to unhealthy diet (reduced intake of food with high content of salt and saturated fat).
Key population interventions maternal and newborn health: Improving the awareness of women and their families about the prevention of anemia, maternal nutrition, danger signs during pregnancy. The involvement of civil society (nonprofit organizations) and the media should be the key mechanisms for achieving this objective. Strategies: a) antenatal care for timely diagnosis of anemia and prescription of iron containing drugs and folic acid, early detection of hypertensive disorders and timely referral to the delivery, prevention of HIV transmission from mother to child; provision of postpartum family planning counseling, advice on breastfeeding and newborn danger signs.
Key population interventions child health: Core services for the population should be aimed at informing the public about the health of children under 5 years (exclusive breastfeeding, immunization, child nutrition, danger signs and symptoms of diseases in children under 5 years in which to address the health care provider, etc.). The involvement of civil society and population to improve public awareness of the standard package of recommended preventive services for children under 5 years, which includes an assessment of development, immunization, routine micronutrient fortification of food (mixture ""Gulazyk""), diagnosis and treatment of anemia. Information support and maintenance of social mobilization for conducting a week of breastfeeding.
Strengthening inter-sectoral approach to public health
3. Implementation of the strategy to promote the principles of a healthy lifestyle, with the active involvement of the education sector (programs ""Healthy schools"", ""Healthy lyceums"", etc.)
4. Further development of inter-sectoral cooperation in matters of micronutrient enrichment of food products (flour fortification, iodized salt, etc.).
","Expected outcomes of Den Sooluk for cardiovascular diseases
Expected outcomes of Den Sooluk for maternal and newborn health
Expected health gain and expected outcomes of Den Sooluk for child health
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)
","
Nutrition Policy Statements
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" "11521","ZAF","South Africa","","Strategic Plan for Maternal, Newborn, Child and Women’s Health (MNCWH) and Nutrition in South Africa","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2016","Republic of South Africa","","2012","","","","","Health|Food and agriculture|Education and research|Social welfare|Development|Environment|Sub-national|Other","Department of Rural Development, Department of Water Affairs and Forestry","","","","","","","","","National NGOs","National Blood Transfusion Service","Research/academia","","","","Other","","Overall Goal:
· To reduce the maternal mortality ratio and neonatal, infant and child mortality rates by at least 10% by 2016
· To empower women, and to ensure universal access to reproductive health services
· To improve the nutritional status of all mothers and children.
Strategy 1: Address inequity and social determinants of health
Strategy 2: Develop a comprehensive and coordinated framework for MNCWH & Nutrition service delivery
Strategy 3: Strengthen community-based MNCWH & Nutrition interventions
Strategy 4: Strengthen provision of MNCWH & Nutrition services at PHC and district levels
Strategy 5: Strengthen delivery of MNCWH & Nutrition services at district hospital level
Strategy 6: Strengthen the capacity of the health system to support the provision of MNCWH & Nutrition services
Strategy 7: Strengthen human resource capacity for delivery of MNCWH & Nutrition services
Strategy 8: Strengthen systems for monitoring and evaluation of MNCWH & Nutrition interventions and outcomes
","M & E indicators included on page 44 of the Strategic Plan.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Maize flours|Staple foods|Management of severe acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20MNCWHstratplan.pdf" "17861","SSD","South Sudan","","Health Sector Development Plan","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2016","Ministry of Health","","2012","","","","","Health","","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Global Affairs Canada|Department of International Development (DFID)","","European Union","","","","","","","","Other","Liverpool Associates for Tropical Health","Goal
Contribute to the reduction of maternal and infant mortality and improve the overall health status as well as the quality of life of the South Sudanese population.
Objectives
- To increase the utilisation and quality of health services, with emphasis on maternal and child health
- To scale up health promotion and protection interventions so as to empower communities to take charge of their health
- To strengthen institutional functioning including governance and health system effectiveness, efficiency and equity
","Objective one: To increase the utilisation and quality of health services, with emphasis on maternal and child health
Strategies
1. Improve on Health services delivery & access
a) Reduce inequalities in access to health care and extend coverage of basic services through mobilising the communities, developing effective partnership, implementing basic package of health care, capacity building and resources mobilisation;
b) Review and continue implementing the Basic Package of Health services (BPHS) through evidence based decision making, effective partnerships, capacity building and resource mobilisation
c) Improve delivery of maternal and child health interventions through making relevant services accessible and acceptable, especially obstetric services and integrated disease prevention and control programmes
d) Develop policies & guidelines to address the issues of neglected tropical diseases (NTDs), communicable (CDs) & non-communicable diseases (NCDs), and environmental health
Strategic Actions
Collaborate closely with relevant departments e.g.:
- Ensure skilled care during pregnancy and child birth, and 24 hours CEmONC
- Develop health promotion/education communication strategies, scale up advocacy and mass media interventions, and implement user friendly sensitisation programmes
","Esta ley tiene por objeto promover hábitos y estilos de vida saludables para mejorar la calidad de vida y el bienestar de las personas. Para efectos de esta ley, se entenderá por hábitos y estilos de vida saludables, aquellos que propenden y promueven una alimentación saludable, el desarrollo de actividad física, la vida familiar y las actividades al aire libre, como también aquellas conductas y acciones que tengan por finalidad contribuir a prevenir, disminuir o revertir los factores y conductas de riesgo asociados a las enfermedades no transmisibles.
","Créase el Sistema Elige Vivir Sano, en adelante ""el Sistema"", el cual será un modelo de gestión constituido por políticas, planes y programas elaborados y ejecutados por distintos organismos del Estado, destinados a contribuir a generar hábitos y estilos de vida saludables y a prevenir y disminuir los factores y conductas de riesgo asociados a las enfermedades no transmisibles, establecidas en la resolución a que se refiere el artículo anterior. El Ministerio de Desarrollo Social, a través de la Secretaría Ejecutiva Elige Vivir Sano dependiente de la Subsecretaría de Servicios Sociales, tendrá a su cargo la administración, coordinación y supervisión del Sistema. Por su parte, a través de la Subsecretaría de Evaluación Social, tendrá a su cargo la evaluación de la implementación del Sistema. Un reglamento determinará el funcionamiento de la Secretaría Ejecutiva y establecerá las normas necesarias para la administración, coordinación, supervisión y evaluación del Sistema.
","El Sistema podrá utilizar instrumentos de información, incluidas encuestas realizadas por parte de organismos públicos, que contengan información necesaria para el seguimiento de los hábitos y estilos de vida no saludables y de los factores o conductas de riesgo asociados a enfermedades no transmisibles de la población. Para estos efectos, el Ministerio de Desarrollo Social podrá solicitar a las entidades correspondientes encargadas de dichos instrumentos, las bases de datos, incluyendo los datos personales necesarios.
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Distribution of take home rations|Monitoring of children’s growth in school|Front of pack labelling|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets","","http://eligevivirsano.gob.cl/","file://ad.ucl.ac.uk/homeP/rmjlaep/Documents/WHO-GINA/Chile/LEY-20670_31-MAY-2013.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHL%202013%20LEY-20670%20SISTEMA%20ELIGE%20VIVIR%20SANO%20EN%20COMUNIDAD.pdf" "23653","JOR","Jordan","","Ministry of Health Strategic Plan 2013-2017","Health sector policy, strategy or plan with nutrition components","","","","2013","","2017","Ministry of Health","","2013","","","","","","Ministry of Health","United Nations Children's Fund (UNICEF)|United Nations Relief and Works Agency (UNRWA)|World Health Organization (WHO)","","","","","","","","","","","","","","Other","UniversitiesandinstitutionsCivil societyinstitutions , Governmenthealthinstitutionsand nongovernmental, Financier,RoyalMedicalServices,the privatesector , nongovernmentalorganizations","-Promote healthy parctices and behaviors among community members
- Reduce the risk factors for noncommunicable diseases
-Improve monitoring and early detection of noncommunicable diseases
-Health policy support for programs to combat noncommunicable diseases
-Support research, preventive and therapeutic studies of noncommunicable diseases
-Coordination and cooperation with health institutions, governmental and nongovernmental organizations, universities and civil society organizations in the fight against noncommunicable diseases
- Enhance the nutritional status of pregnant women children
-Ensure continuity in the provision of subsistence foods according to nutritional requirements
","Project of preventive health and health education
Healthy lifestyles (binary from the World Health Organization)
Community Development Program (Community health committees)
Parental awareness, which includes: Early Childhood, Towards better communication with adolescents
Program of early detection of diabetes and hypertension
Prevention of noncommunicable diseases, especially cardiovascular
Adopt a national strategy for the control and reduce the spread of noncommunicable diseases
Implement MOH communicable diseases strategy
Participation in conferences, seminars and special events for noncommunicable
Community based nutrition programs: Add iron and vitamins to flour, Iodine to salt.
Distribution of vitamin A capsules to children under two years of age
Baby friendly hospitals initiative
","Percentage of people who practice moderate physical activity
Percentage of people who practice active physical activity
Number of healthy villages
Number of healthy cities
The prevalence of diabetes among the population (18 years and over)
Percentage of control of diabetes among diabetic patients in health centers of ministry
Percentage of control of blood pressure among patients with high blood pressure in health centers of ministry
Prevalence of hypertension among the population (18 years and over)
Number of health policies to combat noncommunicable diseases
Number of studies of preventive and therapeutic research for noncommunicable diseases
Participation in the number of international committees to control noncommunicable diseases
Number of national committees for the control of noncommunicable diseases
Prevalence of anemia among women of childbearing age
Prevalence of anemia among children under five
Vitamin A deficiency rate among children under five years of age
Exclusive breastfeeding rate for infants at the age of less than six months
Number of MoH hospitals participating in ‘‘Baby friendly hospital iniatives’’
","","","Baby-friendly Hospital Initiative (BFHI)|Anaemia in women 15-49 yrs|Vitamin A deficiency|Micronutrient supplementation|Staple foods","","http://www.moh.gov.jo/Documents/Strategy%20of%20the%20Ministry%20of%20Health%202013-2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JOR%20Ministry%20of%20Health%20Strategic%20Plan%202013-2017.pdf" "23794","MEX","Mexico","","Plan Sectorial de Salud 2013-2018","Health sector policy, strategy or plan with nutrition components","","Spanish","","2013","","2018","Secretaria de Nacional de vSalud","","2013","","","","","","","","","","","","","","","","","","","","","","","
Promover actitudes y conductas saludables y corresponsables en el ámbito personal, familiar y comunitario
Incrementar el acceso a la salud sexual y reproductiva con especial énfasis en adolescentes y poblaciones vulnerables
Asegurar un enfoque integral para reducir morbilidad y mortalidad infantil en menores de cinco años, especialmente en comunidades marginadas
Основное мероприятие 1.1 ""Развитие системы медицинской профилактики неинфекционных заболеваний и формирования здорового образа жизни, в том числе у детей.
Основное мероприятие 4.3 ""Выхаживание детей с экстремально низкой массой тела""
","Ожидаемые результаты реализации подпрограммы: увеличение потребления овощей и бахчевых культур в среднем на потребителя в год (за исключением картофеля) до 121 килограмма; увеличение потребления фруктов и ягод в среднем на потребителя в год до 82 килограммов
","Outcome indicators","","Maternity protection|Low birth weight|Fruit and vegetable intake|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Vulnerable groups","","http://programs.gov.ru/Portal/programs/passport/1","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202014%20National%20Health%20Policy_0.pdf" "38204","WSM","Samoa","","National Child & Adolescent Health Policy 2013-2018","Health sector policy, strategy or plan with nutrition components","","English","","2013","","2018","Ministry of Health","","2013","Adopted","","2013","Ministry of Health","Health|Education and research|Finance, budget and planning|Development|Sport|Other","A special thanks to the following organizations and people;2. National Health Servicesa. Mental Health Unitb. Laboratoryc. Community Health Nursing Integrated Servicesd. Climate Change & Healthe. Paediatrics Unitf. Clinical Services Unitg. Obstetrics & Gynaecology Unit3. National Kidney Foundation4. Ministry of Women Community & Social Developmenta. Division for Womenb. Division for Youth5. Ministry of Education Sports & Culture6. Ministry of Finance7. Public Service Commission8. Office of the Attorney General11. Samoa Nursing Association12. Samoa Family Health Association13. Samoa General Practitioners Association14. Samoa Cancer Society15. Samoa Red Cross16. National Council of Churches17. Loto Taumafai Society18. Sui o Nu'u (Upolu & Savaii)19. Sui Tamatai o Nu'u (Upolu & Savaii)20. Youth Representatives (Upolu & Savaii)21. Pastor Brenda Sio","World Health Organization (WHO)","","","","","","","","National NGOs","10. Samoa Umbrella of Non Governmental Organisations","Research/academia","9. National University of Samoa, Faculty of Nursing & Health Sciences.","","","","","Goals & Objectives
Thematic Areas
1.1 Perinatal and Neonatal Health
1.2 Infant and Young Child Feeding (ICYF)
The policy does not serve to enforce but to encourage and promote nurseries in all public ministries as well as within the private sector to ensure that working mothers are able to breastfeed their children within working places and ensuring that all mothers are able to exclusively breastfeed their children for the first six months. Cabinet approval for this policy was received in November 2011.
1.3 Major Childhood Illnesses
1.3.1 Malnutrition and Micronutrient Deficiency
1.3.2 Immunization and Vector Borne Diseases
1.3.3 Acute Respiratory Infection
1.3.4 Gastroenteritis
1.3.5 Rheumatic Fever
1.4 Nutrition, Physical Activity and Obesity
To reduce rates of obesity and overweight among the youth of Samoa, this policy aims to encourage consumption of more local, low fat foods, including fruits and vegetables, especially through better school nutrition and the promotion of home vegetable gardens. This policy will also promote children’s and adolescents’ levels of physical activity, both through sports at school and extracurricular activities. These aims also closely relate to those outlined in the draft National Food and Nutrition Policy and National NCD Policy 2010-2015.
1.5 Dental Health
","","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight and obesity in school age children and adolescents|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|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|Home, school or community gardens|Vaccination","","www.health.gov.ws","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/WSM%202013%20Child%20and%20Adolescent%20Health%20Policy_0.pdf" "38235","SUR","Suriname","","National Safe Motherhood and Newborn Health Action Plan","Health sector policy, strategy or plan with nutrition components","","English","","2013","","2016","Ministry of Health","","2013","","","","","Health|Education and research|Social welfare","Bureau of Public Health;","","UNICEF, PAHO","","Regional Health Services (RGD), Medical Mission (MM)","","","","","","","Research/academia","ADEK University; ELSJE FINK SANICHAR COLLEGE; MIDWIFERY SCHOOL","Private sector","General Practitioners; Privet Clinics","","","1. Ampliar progresivamente, a través de la RIISS la cobertura de salud a toda la población, así como la prestación integral de los servicios de salud en forma oportuna, haciéndolos accesibles, asequibles, eficaces y de calidad.
","1. Acciones de salud pública para reducir la morbi mortalidad de la persona en el curso de vida, fortalecidas, incluyendo la reducción de la morbi mortalidad a causa de enfermedades crónico trasmisibles y no trasmisibles.
2. Mejorar la salud materna perinatal.
3. Mejorar la salud de la niñez y la adolescencia.
4. Reducción de la morbi mortalidad y discapacidad por enfermedades crónicas no transmisibles.
","Entre las causas de muerte en menores de 5 años es la desnutrición proteica calórica y los tumores malignos, además de continuar figurando la diarrea y la neumonía con un 4.3 % y 5.3% respectivamente.
","","Decreto Ejecutivo de creación de la Comisión Nacional de Alimentación y Nutrición (CONASAN).
Ley de protección, promoción y apoyo a la Lactancia Materna.
Programa Comunidades Solidarias
","Breastfeeding|Maternity protection|Low birth weight|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Right to food|Right to health|Breastfeeding promotion/counselling|Food security and agriculture","","https://www.mindbank.info/item/5866","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV_2014%20Plan%20Estrategico%202014-2019.pdf" "23508","SWZ","Eswatini","","National Health Sector Strategic Plan II (NHSSP II)","Health sector policy, strategy or plan with nutrition components","","","","2014","","2018","Ministry of Health Kingdom of Swaziland","","2015","Adopted","","2015","Ministry of Health","Health","Ministry of Health Kingdom of Swaziland Ministry of Health","","WHO, UNICEF and WFP","","World Vision International. SINAN","","","","","","","","","","Premier Swaziland milling","","","","Outcome areas, Strategies and Priority interventions
4 Managing risk factors for health
4.4 Promote healthy food consumption
4.4.1. Strengthen healthy nutrition promotion programme to target population groups particularly in and out-of-school youth
4.4.2. Increase household consumption of iodized salt
5 Reduced nutritional risk factors
5.2 Promote availability, accessibility and utilization of macro and micronutrients at health facility and household level
5.2.1 Promote, protect and support appropriate infant and young child feeding practices and behaviours with focus on the first 1000 critical days
5.2.2 Develop, implement and monitor action plans based on the maternal, infant and young child nutrition comprehensive implementation plan
5.2.3 Adapt and implement norms and standards on maternal, infant and young child nutrition, population dietary goals, and breastfeeding and policy options for effective nutrition actions against stunting, wasting and anaemia
5.3 Strengthen nutrition services and social protection in schools and communities
5.3.1. Promote dietary diversification and healthy eating habits in schools and communities
5.4 Promote the integration and documentation of micronutrient deficiencies
5.4.1. Integrate micronutrients indicators into existing tools e.g. ANC card, CH card
5.5 Ensure food and nutrition preparedness for emergencies
5.5.1 Provide nutrition care and support for vulnerable groups (children, women, elderly, disabled).
Stunting prevalence, target 2016: 26.8%, target 2018: 23%
% population who are obese
","","","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|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Minimum dietary diversity of women|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|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School 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|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|Maize flours|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "23636","HND","Honduras","","Plan Nacional de Salud 2014-2018","Health sector policy, strategy or plan with nutrition components","","Spanish","","2014","","2018","SESAL","","2014","","","2014","Health ministry","Cabinet/Presidency|Health|Development","","","OMS","","","","","","","","","","","","","","","Objetivos:
Para alcanzar tal aspiración es necesario superar los siguientes grandes desafíos del actual Sistema Nacional de Salud (SNS):
1. Articular el Sistema Nacional de Salud actualmente fragmentado y no regulado, para mejorar gradualmente el acceso universal y equitativo a los servicios de salud.
2. Atender con efectividad y calidad a la población, prioritariamente aquella con mayor exposición a riesgo y en situación de exclusión social, por problemas estructurales-coyunturales de saludenfermedad
3. Incrementar las posibilidades de impacto en el estado de salud de la población, asegurando la complementariedad de las acciones
","Casi el 10% de la población mundial adulta padece diabetes.
La mortalidad en menores de cinco años es de 30 por 1,000 nacidos vivos (más elevada en los hombres con 31 y de mujeres 28), la desnutrición continúan siendo una las principales causas en este grupo de edad
En el año 2012 se notificaron 159,579 casos de hipertensión arterial con mayor incidencia en las Regiones de Tegucigalpa, San Pedro Sula y Comayagua y 62,464 casos de diabetes con las mayores tasas en las Regiones de Tegucigalpa, San Pedro Sula, Francisco Morazán y Comayagua, 6928 egresos hospitalarios por enfermedades endocrinas, nutricionales y metabólicas
","","","Baby-friendly Hospital Initiative (BFHI)|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|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School fruit and vegetable scheme|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Refined sugar|Food distribution/supplementation for prevention of 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","","http://www.salud.gob.hn/doc/upeg/plannacionaldesalud2014.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HON%202014%20Plan_de_salud_2014-2018.pdf" "79839","IRQ","Iraq","","National Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2014","","2023","Ministry of Health","","2014","","","","","Health","","","","","","","","","","National NGOs","","","","","","","","Priority Actions
Implementation matrix of all interventions on p. 71
","Full list of indicators on p.73
2.3 Arii strategice pentru sectorul de sănătate
OS 1.1. Îmbunătăţirea stării de sănătate şi nutriţie a mamei şi copilui şi reducerea riscului de deces infantil şi matern
Direcţii strategice/Măsuri
Objetivo
Garantizar el derecho a la salud de todas las personas mediante un Sistema Nacional de Salud integrado, sólido, que fortalezca sostenidamente lo público y regule efectivamente lo privado, con un abordaje de determinación social de la salud y la aplicación plena de la estrategia de APS-I, sumando esfuerzos hacia la cobertura universal de salud, el acceso universal a la salud, búsqueda constante de la equidad y de un ambiente sano y seguro, a través de la promoción de la salud, prevención de la enfermedad, curación y rehabilitación.
","Ejes estratégicos de la Reforma de Salud
Líneas de acción
Observatorio de la Reforma de Salud
El observatorio se constituye en la instancia ofi cial para dar seguimiento a los avances y retos del proceso de reforma del sector. Es una herramienta integrada de gestión para aportar información y conocimiento que apoye el trabajo de los responsables de políticas y los tomadores de decisiones. Tendrá como marco de referencia el proceso de reforma (10 ejes actualmente establecidos) y como marco teórico la APS-I, la determinación social de la salud y el modelo de atención en salud basado en el individuo, familia y comunidad. Líneas de acción
Améliorer l’état de santé de la population guinéenne.
","
Objectif stratégique 1
: Réduire la mortalité et la morbidité liées aux maladies transmissibles, non transmissibles et aux situations d’urgences
Objectif stratégique 2
: Améliorer la santé à toutes les étapes de la vie
Objectif stratégique 3
: Améliorer la performance du système national de santé.
","","","","Baby-friendly Hospital Initiative (BFHI)|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|Overweight in children 0-5 yrs|Sodium/salt intake|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|Complementary feeding promotion/counselling|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Complementary foods|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|Vaccination","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN-2015-PNDS.pdf" "25894","SMR","San Marino","","Piano sanitario e socio-sanitario della Repubblica di San Marino 2015-2017","Health sector policy, strategy or plan with nutrition components","","Italian","","2015","","2017","Authority per l’Autorizzazione, l’Accreditamento e la Qualità dei Servizi Sanitari, Socio-Sanitari e Socio-Educativi","","2015","","","","","Health|Education and research","Segreteria di Stato alla Sanità, l’Authority e ISS (UOC di Pediatria e UOSD Servizio Dietologico), le Direzioni delle Scuole dell’Infanzia ed Elementari, la UOC Pediatria dell’ISS, la UOSD Servizio Dietologico, servizi Ospedalieri (Ostetricia e Pediatria) con quello territoriale, quali ServizioMinori, Tutela Minori e Salute Donna","","","","","","","","","","","","","","","","","","
Goal
The following are the RMNCAH goals for 2019, which have been set in the NHSSP 2011-2030:
1. To reduce maternal mortality ratio (MMR) from 557 in 2010 to less than 300/100 000 live births.
2. To reduce neonatal mortality rate (NMR) from 22 in 2010 to at least 15 per 1000 live births.
3. To reduce under-five mortality rate from 64 in 2005-2009 to at least 40 per 1000 live births.
Objective
In achieving the above goals, the following are the RMNCAH objectives to be achieved by 2019:
1. To reduce TFR from 5.7 in 2010 to 4.5 children per woman.
2. To increase contraceptive prevalence rate (CPR) from 22% in 2010 to at least 40%.
3. To reduce adolescent fertility rate (AFR) from 51 in 2010 to at least 40 per 1000 girls aged 15-19 years.
4. To increase coverage of skilled care at birth from 30% in 2010 to at least 75%.
5. To increase coverage of neonatal/postpartum care from 32% in 2010 to at least 70%.
6. To reduce rate of premature and low-birth-weight babies to less than 12 per 100 live births.
7. To increase coverage of BCG-Polio-DPT-Hep B-measles immunization from 53% in 2010 to 95%.
8. To reduce the rates of malnutrition (stunted, wasted, underweight) in children under five by at least 15% from levels recorded in 2010.
","4.1. GOAL 1: Reduce MMR from 557 to less than 300 per 100 000 live births by 2019
3. Increase the coverage of skilled care at birth from 30% to at least 75%
1. Provide quality antenatal care (ANC) as early as possible in the first trimester, at least four times during pregnancy and include provision of iron-folic acid, TT injection, Hb/ blood pressure, nutrition and foetal growth monitoring. It is also an opportunity to identify health problems and to treat them accordingly, educate mothers on self-care, birth and emergency preparedness.HIV and syphilis tests are required in areas with concentrated epidemic or at high-risk community with HIV and when positive, pregnant women are given ARV as soon as possible, e.g. at least six months before delivery. Pregnant women in malaria endemic areas need to have a blood test during the first trimester and when positive they are given treatment immediately and ITN. Tuberculosis is to be screened during ANC by asking whether pregnant women have experienced cough more than two weeks. The nutritional status of a pregnant mother must be assessed, and malnourished and anaemic mothers treated adequately. Provide education on avoiding exposure to tobacco, medications and environment teratogens during pregnancy. Manage complications of abortion by providing post- abortion care, including post-abortion FP service. At least 70% of pregnant women to be covered in 2015, 75% in 2016, 80% in 2017, 85% in 2018 and 90% in 2019. Proper recording and reporting of antenatal care is required for monitoring progress. Local area monitoring for MCH is a useful tool for identifying disparities among localities. Expand coverage of ANC through mobile clinics using tents (to ensure sufficient space with privacy) that are integrated with FP and other relevant services.
4.2. GOAL 2: Reduce NMR from 22 to at least 15 per 1000 live births by 2019
This goal is to be achieved by: i) increasing coverage of neonatal/postpartum care from 32% in 2010 to > 70 %; ii) reducing rate of premature and low birth-weight babies to less than 12 per 100 live births by 2019. NMR declines slowly as the case of MMR. The following are key interventions/activities for each objective.
1. Increase the coverage of neonatal/postnatal care from 32% to at least 70%Neonatal/postnatal care is an opportunity to provide appropriate care and monitoring the health of newborns and their mothers. It is usually carried out through postnatal home visits, as in most communities mothers and newborns stay at home till 40 days after birth. In achieving the target, it is necessary to provide neonatal health service in a continuum of care with maternal health. The following are the key interventions and activities.
i. Ensure that essential newborn care is given immediately after birth, including keeping the baby warm, skin-to-skin contact with the mother (immediately after cutting the cord) for initiating breastfeeding within an hour and rooming-in of the baby if delivery occurred in a health facility. An evidence-based guideline and standard on this is to be followed at all levels of health facilities. When deliveries are carried out at home and without a skilled birth attendant’s assistance, a postnatal care visit within 48 hours after birth is to be carried out by a midwife/nurse-midwife by using information from TBAs, PSFs and local authorities. This visit is also applied to newborns with deliveries assisted by a skilled provider.
iii. Ensure proper care of newborns by educating mothers, families and communities, including proper care of umbilical cord and exclusive breastfeeding up to 6 months after birth. This can be initiated in ANC.
","prevalence of poor nutrition status
coverage of children fully immunized
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|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|Anaemia|Anaemia in women 15-49 yrs|Complementary feeding|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Vitamin A|Folic acid|Calcium|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food security and agriculture|Diarrhoea or ORS|Family planning (including birth spacing)|Nutrition and malaria|Vaccination","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TLS%202016%20RMNCAH_Strategy_2015-2019.pdf" "40061","BDI","Burundi","","Politique nationale de santé 2016 – 2025","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2025","Ministère de la Santé Publique et de Lutte contre le Sida","1","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Environment|Information|Other","Défense et SécuritéÉnergie et Mines","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "39359","ETH","Ethiopia","","Health Sector Transformation Plan","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","FMOH","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Labour|Other","Ministry of Capacity Building","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","International NGOs","","","","","National NGOs","","","","","","","","","
Strategic Initiatives:
Nutrition
8. Scale-up community-based nutrition (CBN) program and the first 1000 days initiative
9. Implement the Sequota declaration of ending child under nutrition
10. Implement Baby-friendly hospitals initiative in all hospitals
","
Reduce childhood stunting, wasting and under-weight in under-5 year from 40%, 9% and 25% to 26%, 4.9% and 13%, respectively
Increase proportion of children ages 6-59 months who received vitamin A supplementation to 95%
Increase availability of quality assured iodized salt to 100%
Increase proportion of under 5 children with regular growth monitoring to 95%
More indicators in table on p. 165 (Nutrition) and p. 169 (NCDs)
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vaccination","","www.moh.gov.et","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Health%20Sector%20Transformation%20Plan.pdf" "23805","FJI","Fiji","","National Strategic Plan 2016-2020 Executive Version","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health and Medical Services","","2016","Adopted","","2016","Ministry of Health and Medical Services","Health","Ministry of Health and Medical Services","","","","","","","","","","","","","","","","","
Provide quality preventive, curative and rehabilitative health services responding to the needs of the Fijian population including vulnerable groups such as children, adolescents, pregnant women, elderly, those with disabilities and the disadvantaged
Priority area 1. NCDs, including nutrition, mental health, and injuries
Priority area 2. Maternal, infant, child and adolescent health
Population prevalence of diabetes : 21.6% (2014) to ≤ 31% (2020)
Prevalence of overweight/obesity in primary school children : 15.7% (2013) to ≤10% (2020)
Prevalence of anaemia in pregnancy at booking : 31.8% (2014) to ≤22% (2020)
% of live births with low birth weight : 6.3% (2014) to ≤5% (2020)
% of children being exclusively breastfed at 6 months : Pop70.2% (2014) to Pop95% (2020)
% of divisional and sub-divisional hospitals certified as meeting Baby Friendly Hospital Initiative (BFHI) standards : TBC in 2015 to 100% (2020)
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Anaemia in pregnant women|Overweight in school children|Fat intake|Sugar intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition counselling on healthy diets|Management of severe acute malnutrition","","http://www.health.gov.fj/PDFs/Corporate%20Plan/Strategic%20Plan%202016-2020%20Executive%20Version.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FJI%202016%20National%20Strategic%20Plan.pdf" "23647","KIR","Kiribati","","Ministry Strategic Plan 2016-2019","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2019","Ministry of Health and Medical Services","","2015","","","","","","","","","","","","","","","","","","","","","","","Strategic objective 1: Strengthen initiatives to reduce the prevalence of risk factors for NCDs, and to reduce morbidity, disability and mortality from NCDs
Indicators and targets
Health indicator - 2019 target - Baseline
Obesity rate (population aged 25–64 years) - Female 44%, Male 31% - Female 59% (2006), Male 42% (2006)
Prevalence of diabetes - Female 20%, Male 22% - Female 27% (2006), Male 30% (2006)
Strategic objective 3: Improve maternal, newborn and child health.
Indicators and targets
Health indicator - 2019 target - Baseline
Newborn infants weighing less than 2500 g at birth - 30% reduction - 22% (2010)
Percentage of anaemia in pregnant women - 50% reduction by 2025 - baseline NA
Number of cases of malnutrition (LWA, VLWA,Bilateral Edema)(children aged <5 years) - 25% reduction - 320 (2014)
Number of cases of stunting (children aged <5 years) - 40% Reduction by 2025 - baseline NA
Number of cases of overweight (children aged <5 years) - No increase - baseline NA
Percentage of wasting (children aged <5 years) - Reduce or maintain to less than 5% by 2025 - baseline NA
Rates of exclusive breastfeeding at birth - 50% increase by 2025 - 79% (2009)
Rates of exclusive breastfeeding - 50% increase By 2025 - 23%(2009)
Percentage of pre-schools enforcing school food policy - 50 - baseline NA
","","","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|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|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Nutrition counselling on healthy diets|Food fortification","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KIR%20MHMS%20Startegic%20Plan%202016-2019.pdf" "39467","MYS","Malaysia","","Ministry of Health Strategic Plan","Health sector policy, strategy or plan with nutrition components","","Malay","","2016","","2020","Ministry of Health Malaysia","","2016","Adopted","","2016","Ministry of Health Malaysia","Health","Ministry of Health Malaysia, all relevant ministries and government agencies","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","WHO, UNICEF","","","","","","","National NGOs","","","","","","","","","","","","","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|Underweight in children 0-5 years|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|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Home grown school feeding|School gardens|Food labelling|Creation of healthy food environment|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","http://www.moh.gov.my/penerbitan/Pelan%20Strategik%20KKM.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS%202016%20Health%20Strategic%20Plan.pdf" "25895","NRU","Nauru","","National Health Strategic Plan 2016-2020","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","","","2016","","","","","Health","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","Public Health Nutrition
Priority Action and Targets by 2020
PH Nutrition
3. Wskaźniki monitorowania poszczególnych celów operacyjnych 1) cel operacyjny 1
The strategic objectives that form the basis of the scale-up plan were derived from the Zambia Newborn Health Framework 2013. The overall goal of the newborn health framework was to reduce neonatal morbidity and mortality by providing key high-impact interventions for newborn health care by 2015. The framework provided a broad planning context in which planning and costing of essential newborn care interventions can occur.
The framework focuses on three strategic objectives that will guide programming and selection of interventions for district community medical offices. These are as follows:
Strategy: Strengthen advocacy for increased commitment and resources and integrated newborn health policy
Priority interventions:
Develop/revise/adapt and adopt minimum standards, protocols, and algorithms for essential newborn care and management of basic newborn problems (low birthweight, infection, asphyxia) and disseminate them for use.
Implement an appropriate essential newborn care package at all levels of service delivery.
Implement kangaroo mother care for low-birthweight babies at all levels.
Increase the presence of skilled attendants at all health facility levels during antenatal, birth, and postnatal periods.
Train community health workers and Safe Motherhood Action Groups to identify danger signs during antenatal and postnatal periods.
Ensure clear linkages and integration between maternal health and other related services and programs (e.g., Integrated Management of Childhood Illness, HIV,malaria).
Strengthen referral and outreach systems.
Appendix 3: Interventions with indicators and targets
% newborns who receive immediate and thorough drying, skin-to-skin contact, and delayed cord clamping
% mothers initiating exclusive breastfeeding within one hour
% preterm babies weighing <2000 g who receive KMC
% mothers of newborns who receive breastfeeding counseling and support
% mothers of newborns who receive breastfeeding counseling and support for appropriate feeding of LBW newborns
% newborns who receive Bacillus Calmette–Guérin vaccine and oral polio vaccine
Key Result Area 2: Community Health Services
KRA 2 Objectives
The strategic objectives are operationalised yearly through the TMO Business Plan. The Business Plan will itemise the activities linked to the strategic objective.
DA 1. Health Protection Strategic Objective
Environmental Health
...
1.2. Enforce Food Safety and Tobacco Control Regulations.
...
1.5. Strengthen food safety and food standards.
1.6. Maintain and strengthen pollution control measures especially sewerage and medical waste
...
DA 2. Health Promotion Strategic Objectives
NCD
2.1. Support and facilitate the implementation of activities outlined in the NCD Strategic Plan 2015-2019.
2.2. Support and strengthen prevention and management services for diabetes, hypertension and cardio vascular diseases.
2.3. Support and strengthen ongoing prevention activities against NCD risk factors.
2.4. Strengthen and support health communication strategies covering key risk factors.
2.5. Support research activities in NCDs and their risk factors.
Nutrition
2.6. Support prevention of childhood obesity through nutrition Programs targeting school based approaches.
2.7. Support the Baby Friendly Hospital initiative.
2.8. Advocate for household food security and good nutrition through home/school gardening and
healthy food preparations.
2.9. Develop a profile of nutrient intake for Cook Islanders using import data and Household expenditure survey data.
...
DA 3. Family Health Services (Public Health Nursing) Strategic Objectives
...
Child Health
3.6. Promote exclusive breastfeeding up to 6 months.
3.7. Maintain and strengthen Maternal Child Health Clinic for follow up and care of children.
3.8. Maintain and strengthen School health programs and services.
...
KRA 2 Targets
...
DA 2. Health Promotion
NCD
2.1. Reduce premature mortality due to NCD by 20% (4% per year) by 2020.
...
Nutrition
2.4. Increase by 30% consumption of 5 or more serves of fruit and vegetables (survey based).
2.5. Reduce or maintain Primary school student obesity rate at 25%.
...
DA 3. Family Health Services (Public Health Nurses)
MCH/FP
...
3.3. Establish baseline and targets for exclusive breast feeding rate on discharge from maternity ward at 3 months and 6 months.
....
Key Result Area 4: Allied Health Services
KRA 4 Objectives
...
KRA 4 Targets
...
KRA 5 Objectives
Based on available resources, the strategic objectives are operationalised yearly through the TMO Business Plan. The Business Plan will itemise the activities linked to the strategic objective.
DA 1. Community Health Services
...
1.3. Strengthen child health services especially on immunisation and nutrition Programs.
...
DA 2. Hospital Health Services
2.1. Strengthen PEN management for NCD control.
...
2.4. Initiate and support Baby Friendly Hospital program and status recognition.
...
2.10. Introduce the Baby Friendly Hospital Initiative for Aitutaki.
...
KRA 5 Targets
DA 1. Community Health Services
...
1.9. Establish exclusive breastfeeding rate on discharge from birth 3 months and 6 months.
...
1.14. Less than 10 complaints received for non-compliance to Food Act and Regulations.
...
Key Result Area 6: Health Partners
KRA 6 Objectives
The following local health partners are recognized for their contribution to the health service and community based health care and programs for citizens. The Ministry of Health will seek to support the contribution of the partners through the following stated joint strategies. In relation to networking, overseas partnership with professional bodies and specialist services are also recognized.
...
1. Government Agencies
...
Agriculture
1.6. Support food security initiatives to mitigate for disaster and climate change
1.7. Support initiatives on ensuring nutrition values of agriculture produce including organic farming
practices.
...
KRA 6 Targets
...
Agriculture
a. Register of schools with “home gardens”.
...
","","","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Anaemia in pregnant women|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|School gardens|Healthy food environment in hospitals|Food safety|Food security and agriculture|Home, school or community gardens|Family planning (including birth spacing)|Vaccination|Water and sanitation","","http://www.fao.org/faolex/country-profiles/general-profile/en/?iso3=COK","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COK%202017%20NHSP%202017-2021%20page%201-9.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/COK%202017%20NHSP%202017-2021%20page%201-9.pdf" "36008","ERI","Eritrea","","The Second Health Sector Strategic Development Plan (HSSDP II)","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2021","Ministry of Health","","2016","","","","","Health","","","","","","","","","","","","","","","","","","4.1 Maternal, neonatal and child health and nutrition
Goal: By 2021 Eritrea will implement comprehensive maternal, neonatal, child health and nutrition interventions to reduce maternal mortality by 48%, neonatal mortality by 14% and child mortality by 31%.
4.3 Prevention and Control of Non-Communicable Diseases
Goal: To ensure healthy lifestyle, reduce disabilities and premature death due to non-communicable diseases.
","4.1 Maternal, neonatal and child health and nutrition
Strategic Focus
8. Strengthening the Management of under 5 SAM/MAM children at facility and community level
9. Ensuring uninterrupted supply of Therapeutic foods and drugs for malnourished children, pregnant and lactating mothers
10. Revitalize and scale up BFHI
11. Provision of vitamin A supplementation to children 6-59 months every six months
Key Innovations
(iii) Adoption of the International Code of Breast Feeding Substitutes (BMS Codes) aimed at preventing artificial formulas.
(vii) Development of complementary food menu booklet with available food ingredients in the country
(viii) Collaboration with Ministry of Information for mass media communication on complementary feed, growth monitoring and development
Priority Interventions
Revitalize the Baby Friendly Hospital Initiative
Strengthening Growth Monitoring and Promotion
Uninterrupted pipeline of therapeutic supplies (foods, drug and equipment)
Vitamin A supplementation for children <5 years
Household consumption of Iodized Salt
Strengthen the Nutrition Surveillance System
Strengthen the capacity building of the nutrition staffs
Roll out infant and young feeding program
4.3 Prevention and Control of Non-Communicable Diseases
Priority Interventions
Promote healthy life style through school health program intervention.
","Raised BP at age 18+ (≥140 and/or ≥90 mmHg): 5% reduction from baseline
Overweight and obesity in adolescents (BMI 25, 30): 5% reduction from baseline
Exclusive breastfeeding rate (%) 2017 69%; 2018 72%; 2019 75%; 2020 78%; 2021 81%
% of facilities practicing GMP Baseline 40%; Mid-term 60%; End-term 80%
% of children 6-59 months supplemented with Vit A Basline 83%; Mid-term 90%; End-term 95%
% of Households with consumption of iodized salt Baseline 90%; Mid-term >90%; End-term >90%
Number of Zoba’s implementing infant and young feeding program Baselin 0; Mid-term 3; End-term 6
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Vitamin A|Micronutrient supplementation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Vaccination","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "40704","LVA","Latvia","","Veselības veicināšanas un slimību profilakses plāns [Health promotion and disease prevention plan]","Health sector policy, strategy or plan with nutrition components","","Latvian","","2017","","","the Cross-sectoral Cooperation Committee for Health Promotion and Disease Prevention","","2017","","","","","Health","","","","","","","","","","","","","","","","","","Ņemot vērā sabiedrības veselības politikas virsmērķi un atbilstoši sabiedrības veselības rādītājiem, īstenojot veselības veicināšanas un slimību profilakses pasākumus veselīga uztura jomā, rekomendējamie pasākumu tematiskie virzieni līdz 2019. gadam ir:
Vēlamie sasniedzamie sabiedrības veselības rādītāji veselīga uztura jomā:
Kopējais (vispārējais) rezultāts - uztura paradumu maiņa (t.sk., zīdīšanas pieaugums) un iedzīvotāju īpatsvara ar lieko ķermeņa masu un aptaukošanos mazināšanās.
Sabiedrības veselības rādītāji: Iedzīvotāju (15 – 74 g.v.) īpatsvars, kuri katru dienu uzturā lieto svaigus dārzeņus, augļus un ogas (%)
Bāzes vērtība (gads): 43,3% dārzeņi, 29,7% augļi un ogas (2016.)
Vērtība 2022: 48,3% dārzeņi, 33,5% augļi un ogas
Sabiedrības veselības rādītāji: Iedzīvotāju (15 – 74 g.v.) īpatsvars, kuri katru dienu uzturā lieto konfektes (%)
Bāzes vērtība (gads): 5,2% (2016.)
Vērtība 2022: 4,2%
Sabiedrības veselības rādītāji: Iedzīvotāju (15 – 74 g.v.) īpatsvars, kuri katru dienu uzturā lieto cepumus vai kūkas (%)
Bāzes vērtība (gads): 6,3% (2016.)
Vērtība 2022: 5,0%
Sabiedrības veselības rādītāji: Iedzīvotāju (15 – 74 g.v.) īpatsvars, kuri katru dienu uzturā lieto sāļos našķus (čipsi, sāļie riekstiņi u.c.) (%)
Bāzes vērtība (gads): 0,8% (2016.)
Vērtība 2022:0,7%
Sabiedrības veselības rādītāji: Iedzīvotāju (15 – 74 g.v.) īpatsvars, kuri katru dienu dzer saldinātos gāzētos dzērienus (%)
Bāzes vērtība (gads): 2,0% (2016.)
Vērtība 2022: 1,0%
Sabiedrības veselības rādītāji: Skolēnu īpatsvars (11, 13, 15 g.v.), kuri ikdienā ēd dārzeņus un augļus (%)
Bāzes vērtība (gads): 25,7% dārzeņi, 26,1% augļi (2014.)
Vērtība 2022: 27,0% dārzeņi, 28,0% augļi
Sabiedrības veselības rādītāji: Skolēnu īpatsvars, kuri katru dienu darba dienās ēd brokastis (11, 13, 15 g.v.) (%)
Bāzes vērtība (gads): 62,4% (2014.)
Vērtība 2022: 65,0%
Sabiedrības veselības rādītāji: Skolēnu īpatsvars (11, 13, 15 g.v.), kuri vismaz reizi dienā dzer saldinātos gāzētos dzērienus (%)
Bāzes vērtība (gads): 6,4% (2014.)
Vērtība 2022: 5,4%
Sabiedrības veselības rādītāji: Skolēnu īpatsvars (11, 13, 15 g.v.), kuri vismaz reizi dienā ēd saldumus (%)
Bāzes vērtība (gads): 28,0% (2014.)
Vērtība 2022: 25,5%
Sabiedrības veselības rādītāji: Skolēnu īpatsvars (11, 13, 15 g.v.), kuri vismaz reizi dienā ēd čipsus (%)
Bāzes vērtība (gads): 14,4% (2014.)
Vērtība 2022: 12,9%
Sabiedrības veselības rādītāji: Iedzīvotāju (15 – 74 g.v.) īpatsvars ar lieko ķermeņa masu (ĶMI virs 25) un aptaukošanos (ĶMI virs 30) (%)
Bāzes vērtība (gads): 31,4% un 23,2% (2016.)
Vērtība 2022:28,0% un 22,0%
Sabiedrības veselības rādītāji: 7 g.v. un 9 g.v. bērnu īpatsvars ar lieko ķermeņa masu un aptaukošanos (%)
Bāzes vērtība (gads): 7-gadīgie: 13,0% un 8,7%, 9-gadīgie: 16,1% un 9,7% (2015./ 2016. m.g.)
Vērtība 2022: 7-gadīgie: 11,5% un 7,5%, 9-gadīgie: 15,0% un 8,8%
Sabiedrības veselības rādītāji: Zīdaiņu īpatsvars, kuri saņēmuši krūts barošanu līdz 6 mēnešu vecumam (%)
Bāzes vērtība (gads): 57,3 (2015.) %)
Vērtība 2022: 62,0 (%)
Nacionālā līmenī plānotie pasākumi veselīga uztura jomā17:
2. tabula. Nacionālā līmenī plānotie pasākumi veselīga uztura jomā pasākuma 9.2.4.1. ietvaros.
Veselības veicināšanas pasākumi:
...
Sabiedrības informēšanas kampaņa par veselīgu uzturu. 2017. - 2019. gada tēmas:
Kampaņa ietver arī informatīvo materiālu un izglītojošu īsfilmu sagatavošanu.
...
Apmācību organizēšana izglītības un sociālo iestāžu ēdināšanas uzņēmumos strādājošiem pavāriem, pārtikas tehnologiem u.c. speciālistiem, kā arī bērnu aprūpes iestāžu, kas sniedz ģimeniskai videi pietuvinātus pakalpojumus, darbiniekiem un klientiem par veselīga uztura jautājumiem.
Programma pirmsskolas un sākumskolas izglītības iestāžu pedagogiem par mutes un zobu veselības veicināšanu saistībā ar veselīga uztura paradumiem.
Programma pirmsskolas un sākumskolas vecuma bērniem Latvijā par mutes un zobu veselības veicināšanu saistībā ar uztura paradumiem
Muzejpedagoģiskie pasākumi par veselīgu uzturu.
Pasākumu piemēri veselīga uztura jomā vietējā sabiedrībā īstenojamajiem pasākumiem:
الهدف الاستراتيجي: القضاء على الفقر المدقع والجوع الشديدين
مشروع مكافحة ومعالجة سوء التغذية الحاد
هدف المشروع
1- تقليل نسبة سوء التغذية وسط الأطفال دون الخامسة
2- خفض المراضة والوفيات وسط الأطفال بسبب سوء التغذية
مشروع خقض مراضة ووفيات الأمهات والأطفال
مشروع مكافحة ومعالجة سوء التغذية المزمن والتقزم
1- تقليل نسبة سوء التغذية وسط الأطفال دون الخامسة
2- خفض المراضة والوفيات وسط الأطفال بسبب سوء التغذية
مشروع مكافحة نقص المغذيات الدقيقة
1- تقليل الإصابة بالانيميا الغذائية عند الحوامل والأطفال دون سن الخامسة وحالات العمى الليلي ونقص اليود
الانشطة
مشروع مكافحة ومعالجة سوء التغذية الحاد
1- تقديم الخدمات العلاجية للمصابين بسوء التغذية الحاد والمتوسط للأطفال والحوامل والمرضعات
2- توفير الأغذية العلاجية والوقائية للأطفال والحوامل والمرضعات
3- تدريب الكوادر التي تقدم خدمات سوء التغذية
4- توفير الأغذية والالبان العلاجية للمصابين بسوء التغذية
5- تدريب الأطر الصحية
6- توعية الاسر والامهات
7- توفر المعدات
8- تحريك المجتمع
9- التخزين والترحيل
10- توفير الادوي الروتينية
11- الاشراف والمتابعة والتقييم
مشروع خقض مراضة ووفيات الأمهات والأطفال
خفض نسبة الانيميا وسط الحوامل (توفير حبوب الحدبد)
مشروع مكافحة ومعالجة سوء التغذية المزمن والتقزم
1. الترويج للرضاعة الطبيعية
2. متابعة النمو
3. زيادة التغطية بالمغذيات الدقيقة
4. توفير الأغذية والالبان العلاجية للمصابين بسوء التغذية
5. توفير المعدات
6. تدريب الأطر الصحية
7. التوعية الصحية وتحريك المجتمع
مشروع مكافحة نقص المغذيات الدقيقة
","
النتائج المتوقعة
مشروع مكافحة ومعالجة سوء التغذية الحاد
مشروع مكافحة ومعالجة سوء التغذية المزمن والتقزم
مشروع خقض مراضة ووفيات الأمهات والأطفال
مشروع مكافحة نقص المغذيات الدقيقة
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" "40373","QAT","Qatar","","National Health Strategy 2018-2022","Health sector policy, strategy or plan with nutrition components","","English","","2018","","2022","Ministry of Public Health","","2018","","","","","Health","","","","","","","","","","","","","","","","","","Goal 1: A comprehensive world-class healthcare system
Goal 3: Preventive healthcare
goal 5: A national health policy
National targets by 2022:
4.3 OVERARCHING GOAL
To eliminate preventable maternal, stillborn, neonatal, and child deaths and promote the well-being of women, newborns, children, and adolescents using a rights-based, multi-sec- toral approach and universal access to evi- dence-informed integrated RMNCAH essential interventions provided through a continuum of care.
The five strategic objectives are the following:
Universal access to quality MNCH services for all citizens.
Health services organized and equipped to maximize access to quality MNCH care for all citizens
Enhanced community health literacy, skills and practices through social, behavioral and community engagement efforts to im- prove equitable MNCH outcomes for all
Available, accessible, acceptable, and high-quality MNCH workforce developed and enforced at all levels of service deliv- ery
Governance and accountability systems of integrated MNCH interventions reviewed, updated and enforced at each level
Maternal
Newborn
Child
- ORS treatment for children with diarrhoea 43% - Care seeking for ARI
7.4.1 Nutrition promotion and growth monitoring
Strategic Objective 1
Further strengthen the promotion of child nutrition with community involvement
Strategic Objective 2
To strengthen the process of detection of nutritional problems among children and ensure appropriate interventions
Strategic Objective 3
To optimize the efficacy of nutritional supplementation interventions
Strategic Objective 4
To create a favorable legal environment to support breast-feeding, appropriate complementary feeding and child nutrition
","7.4.1 Nutrition promotion and growth monitoring
Strategic Objective 1
Further strengthen the promotion of child nutrition with community involvement
Strategies
Strengthen Baby Friendly Hospital Initiative (BFHI) and Baby Friendly concept in other settings
Major actions
Improve capacity of ground level health staff in promoting child nutrition
Major actions
Improve parents’ and care givers’ capacity on nutrition promotion
Strategic objective 2
To strengthen the process of detection of nutritional problems among children and ensure appropriate interventions
Strategies
Strategic objective 3
To optimize the efficacy of nutritional supplementation interventions
Strategies
Strategic Objective 4
To create a favorable legal environment to support breast-feeding, appropriate complementary feeding and child nutrition
Strategies
5 Strategic Goals
Strategic Goal 2: Prevention and Control of Noncommunicable Diseases (NCDs)
Giving Every Child the Best Start in Life
Improving Brunei’s Food Environment
Supporting Active Communities
8.1. Revitalizing Health Services
Policy Objective
To provide people-centred essential package of health services with efficient, equitable, culturally acceptable and universal access to promotive, preventive, curative and rehabilitative services that produce the desired health outcomes in terms of reduced morbidity, mortality and improved quality of life and wellbeing.
a) Strengthening reproductive, Maternal, Neonatal, Child Health (MNCH) and Nutrition
b) Control of Communicable Diseases
c) Prevention and Control of Non-Communicable Diseases
","8.1. Revitalizing Health Services
Policy Objective
Priority Policy Directions
a) Strengthening reproductive, Maternal, Neonatal, Child Health (MNCH) and Nutrition
b) Control of Communicable Diseases
Policy objective
To prevent and control the spread of the priority targeted communicable diseases to reduce their burden of morbidity, mortality and disability.
Priority Policy Directions
c) Prevention and Control of Non-Communicable Diseases
3.3.2 Three strategic axes for action
The three strategic priorities for action, as derived above, include:
strategic axis 1: making pregnancy and childbirth safer
Overall objective:
Accelerate the reduction of maternal and neonatal mortality towards the achievement of MDGs 4 and 5.
strategic axis II: promoting healthy families
Overall objective:
Empower men and women to take informed actions for optimum spacing of births to help reduce risks to the lives of women and children and improve the health and welfare of families, communities and the nation.
strategic axis III: promoting beneficial and addressing harmful practices
Overall objective:
Improve the lifetime health of women and children by raising awareness of the beneficial and harmful effects of certain practices connected to reproduction, working towards their reduction and eventual elimination of practices that endanger health.
4.2 Specific objectives to achieve Axis I
Overall objective: accelerate the reduction of maternal and neonatal mortality towards the achievement of MDgs 4 and 5.
specific objective 1: Improve access, availability and quality of Maternal and Neonatal Health (MNH) services
5.2 Specific objectives to achieve Axis II
Overall objective: improve women’s and infant health and reduce risk of death or disability through ensuring adequate birth spacing.
two specific objectives with the following directions have been identified:
specific objective 1: Improve affordable ready access to good quality birth spacing services for men and women, especially focusing on preferred methods.
specific objective 2: Strengthen awareness of health benefits and demand for birth spacing
6.2 Specific objectives to achieve Axis III
Overall objective: improve the health of women, adolescents and children by promoting beneficial and reducing harmful practices connected with reproduction.
three specific objectives with the following directions have been identified:
specific objective 1: Strengthen awareness among the population of the positive health benefits of certain traditional practices.
specific objective 2: Strengthen awareness among population concerning the harmful effects of FGM.
specific objective 3: Reduce adolescent pregnancy.
","specific objective 1: Improve access, availability and quality of Maternal and Neonatal Health (MNH) services
1. Strategic directions:
SD5: Bridge the health professional gap where no skilled care is available:
5.2 Specific objectives to achieve Axis II
Birth spacing package of interventions
Promotion of exclusive breast feeding for 4 to 6 months after birth
6.2 Specific objectives to achieve Axis III
specific objective 1: Strengthen awareness among the population of the positive health benefits of certain traditional practices.
Strategic directions:
sd1: Strengthen awareness of beneficial health effects of exclusive and prolonged breastfeeding for mother and child.
4.3 Axis I: National indicators and targets 2010–15
11. Percentage pregnant women tested for anaemia (no baseline).
6.3 Axis III: National indicators and targets 2010–25
1. exclusive breastfeeding rate (0- 5 months) increased from 9% (baseline) to 18%.
Percentage exclusive breastfeeding average length of breastfeeding period
","","","Anaemia|Anaemia in pregnant women|Breastfeeding|Breastfeeding - Exclusive 6 months|Breastfeeding promotion/counselling|Family planning (including birth spacing)","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SOM%202010%20Reproductive_Health_Strategy_2010-2015.pdf" "41566","PSE","West Bank and Gaza Strip","","Every Newborn Action Plan: Strategic Action Plan for neonatal care in Palestine 2017-2019","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2019","Government ","","2017","Not adopted","","","","","","","","","","","","","","","","","","","","","","Strategic Objective 1: Provision of Health services -Strengthen and invest in care during labour, birth and the first day and week of life.
Strategic Objective 2: Quality of care -Improve the quality of maternal and newborn care
Strategic Objective 3: Equity -Reach every woman and newborn to reduce inequities
Strategic Objective 4: Community involvement-Harness the power of parents, families and communities.
Strategic Objective 5: Measurement and reporting -Count every newborn through measurement, programme-tracking and accountability
Strategic Objective 1: Provision of Health services -
Strengthen and invest in care during labour, birth and the first day and week of life.
Strategic Action1.1: To produce evidence of neonatal morbidity, mortality and quality of care
Operational Objective1.1.1: To make available baseline data on mortality levels and causes and on quality of care gaps in order to identify priorities and to allow monitoring of intervention
Strategic Action 1.2: Define essential package of services for neonatal care
Operational Objective 1.2.1: Ensure consistent adoption and implementation of “Early Essential Newborn Care ” (EENC) to prevent neonatal deaths (see annex 1)
Strategic Action 1.3: Harmonize and synergize service provision among care providers
Strategic Action 1.4: Highlight service delivery gaps, such as pre-conception care and post-natal care
Strategic Action 1.5: Finalizing of service levelling exercise at hospitals
Strategic Action 1.6: Integration of new born care into national emergency preparedness plan
Strategic Action 1.8: Advocate for policies to govern neonate health care provision
Strategic Objective 2: Quality of care -Improve the quality of maternal and newborn care
Strategic action 2.1: Enhancing skills and ensure system support to health professionals providing neonatal care
Operational Objective 2.1.1: To enable providers of newborn care to practice Early Essential Newborn Care at every delivery and newborn by providing appropriate system support and trainin
Strategic action 2.2: Strengtheningsafe transportation/referral between units, hospitals and at community level
Strategic Objective 2.2.1 Ensure that mothers and newborns receive the needed care at the appropriate level without any delay
Strategic action 2.3: Enhancing capacity of GPs at PHC in detecting high risk pregnancies
Strategic action 2.4: Rolling out neonatal resuscitation protocol training at different levels
Strategic action 2.5: Update and unify protocols of neonatal care
Strategic action 2.6: Ensure efficient and safe working conditions at facility level
Operational objective 2.6.1: To equip maternity and neonatal units with needed resources to support the provision of quality EENC
Strategic Objective 3: Equity -Reach every woman and newborn to reduce inequities
Strategic Action 3.1: Ensure access of vulnerable groups to essential package of services
Strategic Objective 3.1.1: To guarantee referral outside Gaza of Newborn and mothers in need of specialized services that are not available in Gaza, despite the siege restriction
Strategic Action 3.2: Strengthening health care services to vulnerable groups
Strategic Objective 3.2.1: To guarantee that supplies, equipment and spare parts for maternal and newborn care enter Gaza,despite the siegerestrictions
Strategic Action 3.3: Scale up and sustain outreach services with Focus on Vulnerable groups
Strategic Action 3.4: Ensure health coverage to vulnerable groups in vulnerable areas
Strategic Action 3.5: Implementation of the Minimal Essential Service Package (MESP) and in particular the objective to reduction of neonate and maternity mortality
Strategic Action 3.6: Ensure continuum of care in every geographic sub divisions where movement/ access of population is most likely to be impacted during acute emergencies
Strategic Action 3.7: Advocate through international forums on the effect of the occupation on NH
Strategic Action 3.8: Advocate to ensure right to health
Strategic Objective 4: Community involvement-Harness the power of parents, families and communities.
Strategic Action 4.1: Develop a communication strategy for RMNCAH
Strategic action 4.2: Capacity building of health staff for efficient use of communication for development (C4D) as a vehicle to improve neonatal survival in crisis
Strategic Action 4.3: Increase the role of media promoting healthy health care seeking practices related to newborn health
Strategic Objective 5: Measurement and reporting -Count every newborn through measurement, programme-tracking and accountability
Strategic Action 5.1: Improve the availability and quality of perinatal information through the Health Information System (HIS).
Operational Objective 5.1.1:Strengthen the capacity of HIS to collect accurate data on perinatal health
Strategic Action 5.2: Improve collection and use of data on perinatal health and practices through research, surveys and audit.
","","","","Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|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/PSE%202017%20ENAP_Strategic_Action_Plan_for_Neonatal_Care_2017-2019.pdf" "41569","LKA","Sri Lanka","","Sri Lanka Every Newborn. An Action Plan to End Preventable Morbidity and Mortality SLENAP 2017 - 2020","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2020","Family health Bureau -Ministry of Health ","","2017","Not adopted","","","","Health","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","
4.5 Strategic objectives and key activities in SLENAP
Five strategic objectives are identified in order to achieve the vision and goals of the SLENAP.
Sri Lanka Every Newborn Action Plan
Strategic Objective 1
Strengthen and invest in care during labour, birth, first day and first week of life
Strategic Objective 2
Improve the quality of maternal and newborn care
Strategic Objective 3
Reach every woman and newborn to reduce inequities
Strategic Objective 4
Harness the power of parents, families and communities
Strategic Objective 5
Count every newborn through measurement, programme-tracking and accountability
Major activities under strategic objective 2
Strengthening leadership and governance in maternal and neonatal care
Identify a separate allocation for new developments in neonatal care including in-service training in neonatal care
Plan and strengthen the health workforce in numbers, skills, competencies on a regular basis so that skill levels are maintained to provide quality care
Strengthen health service delivery by introducing quality assurance in maternal and neonatal care
Revamp the Baby Friendly Hospital Initiative and incorporate it to the quality assurance system with an inbuilt accreditation mechanism
Strengthen promotion, protection and support for breastfeeding
Scale up Neonatal Retrieval Programme and set up neonatal networks as proposed in the Bottle Neck analysis on newborn care in Sri Lanka
Ensure that all essential medical products, equipment, laboratory facilities and technologies are availably uninterruptedly
Strengthen newborn care in the field setting
Strengthen and update advanced care for newborns
Number of live born babies with birth weight less than 2,500 g
Number of live born neonates who are breastfed within 1 h of birth
Number of living children < 6 months of age who are exclusively breastfed
“Exclusive breastfeeding” is defined as no other food or drink, not even water, except breast milk (including milk expressed or from a wet nurse) for 6 months of life, but allows the infant to receive ORS, drops and syrups (vitamins, minerals and medicines).
3.2. Policy objectives
5.1. Strategies
1. Strengthening (primary) health care systems capacity
2. Creating supportive political and legislative climate and regulatory frameworks
3. Strengthening availability of strategic information for effective monitoring and evaluation
","5.2. Priority areas and targets
5.2.1. Improving antenatal, delivery, postpartum and newborn care
TARGETS:
Goal
All people, especially women, children, young people, people with special needs and other vulnerable groups, and those living in rural areas, respectful of their individual rights, shall have access to quality reproductive, maternal, newborn, child and adolescent health services, resources and information.
Key Policy Areas
The following eight KPAs were selected and prioritised for the Reproductive, Maternal, Newborn, Child and Adolescent Health Policy 2016:
KPA1: Safe Motherhood: antenatal, perinatal, postpartum and newborn care.
KPA2: Child Survival: immunization, nutrition and prevention & management of childhood illness.
objective: Improved health outcomes for children: the child mortality rate is less than 25 deaths per 1000 live births per year and stunting among children under five is less than 20%
KPA3: Family Planning.
KPA4: Adolescent Sexual and Reproductive Health (ASRH).
KPA5: STIs, including HIV.
KPA6: Gender-based violence and sexual assault.
KPA7: Morbidities of the reproductive system: cancer, infertility, menopause and abortions.
KSA8: Reproductive, Maternal, Newborn, Child and Adolescent Health Commodity Security
Detailed Implementation Strategy and Plan 2017-2020
page 43-61
1.4.7. New/ Renewed certification of Hospitals under Baby Friendly Hospital Initiative (BFHI).
1.4.8. Develop/finalize code of conduct for breast milk substitutes.
1.4.9 Workshops for nurses on breastfeeding.
1.4.10 Expand baby friendly communities initiative/awareness to . breastfeeding mothers.
2.3.1 Develop and disseminate guidelines for infant and young child feeding (IYCF) practices
2.3.2 Train health providers on nutrition counselling and use of new IYCF guidelines
2.3.3 Support demonstrations of IYCF practices (including food preparation)
2.3.4 Support regular implementation of 6 monthly child health weeks in all provinces throughout the country (including Vit A supplementation and de-worming)
2.3.5 Strengthen and train VHW and nurse aids to be breastfeeding counsellors
2.3.6 Strengthen supply chain management of nutritional commodities (Refer TO KPA8)
3.1.1 Development of Family Planning Training Manual (to complement National Evidence-based Guidelines)
% of children under five years whose height for age falls more than two standard deviations below the median (-2SD) for the reference population
","","","Stunting in children 0-5 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|International Code of Marketing of Breast-milk Substitutes|Complementary feeding promotion/counselling|Vitamin A|Iron and folic acid|Micronutrient supplementation|Deworming|Vaccination","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VUT%202017%20RMNCAH_Policy_and_Impl_Strat_2017-2020.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
Metas
50% - Porcentaje de embarazadas atendidas en el primer trimestre gestacional.
90% Cobertura de Tamiz Neonatal.
5% - Porcentaje de recién nacidos con bajo peso al nacer.
30 - Razón de mortalidad materna.
7.07 - Tasa de Mortalidad Neonatal.
25% - Porcentaje de cesáreas
","Estrategias
Líneas de acción
1.2.1. Fomentar la alimentación de calidad con micronutrientes que favorezcan la salud materna y fetal.
1.2.2. Impulsar la lactancia materna exclusiva durante los primeros seis meses y en caso de las mujeres con VIH brindar consejería sobre las alternativas para la alimentación infantil.
1.2.3. Fortalecer el manejo nutricional del prematuro extremo sustentado en evidencia científicas actuales y buenas prácticas.
","Indicadores
El objetivo principal del Programa de Acción Específico: Salud de la Infancia y la Adolescencia es coordinar estrategias enfocadas a reducir la morbilidad y mortalidad en los menores de 19 años en el país para contribuir en la disminución de la brecha de desigualdad en materia de salud.
Objetivo específico
Disminuir la morbilidad y mortalidad en menores de 19 años mediante estrategias que reduzcan la desigualdad.
Una de sus principales estrategias será implementar acciones de prevención, vigilancia y control de nutrición en la infancia y la adolescencia que incluyen las intervenciones del control nutricional, el fortalecimiento del registro relacionado al tema de desnutrición, implementación de acciones de detección, control y seguimiento en niñas, niños y adolescentes con sobrepeso y obesidad; la procuración de los medicamentos e insumos requeridos; así como, la colaboración en el diseño de protocolos de atención para el menor con problemas de nutrición. De igual manera, como parte de esta estrategia se definirán acciones de orientación alimentaria y activación física, y se coadyuvará en la atención integral del sobrepeso y obesidad en el primer nivel de atención.
Estrategias
Líneas de acción
Implementar acciones de vigilancia de la nutrición en niñas, niños y adolescentes.
Definir acciones de orientación alimentaria y favorecer la activación física en niñas, niños y adolescentes.
Coadyuvar a la atención integral del sobrepeso y obesidad en niñas, niños y adolescentes en el primer nivel de atención.
Línea de acción
Realizar acciones de promoción de estilos de vida saludables en la adolescencia.
","Finalidade e metas
Finalidade
Contribuir para a aceleração da redução da mortalidade materna, neonatal e infantil em Moçambique, através do investimento e esforços focalizados num pacote de intervenções prioritárias, de alto impacto para a Saúde Materna, Neonatal e Infantil, possíveis de serem implementadas até 2016, dentro da capacidade existente no Serviço Nacional de Saúde.
Principais indicadores e metas
A implementação deste Plano pretende contribuir para os indicadores e metas propostas no PESS 2014-2019 e no PNI. No entanto, considerando os níveis actuais atingidos, parte das metas definidas foi revista de forma a reflectir a realidade e o que espera atingir com este Plano até Dezembro de 2016.
Indicadores de impacto e metas
1. Reduzir o Rácio de Mortalidade Materna Institucional de 284/100.000 NV em 2012 para 150/100.000 NV em 2015 e para 90/100.000 NV em 2016 (Meta: PNI);
2. Reduzir o Rácio Geral de Mortalidade Materna de 408 por 100.000 NV em 2011 para 250 por 100.000 NV em 2015 e 190 em 2017 (Meta PNI e PESS: 2014 - 2019);
3. Reduzir a Taxa de Nati-mortalidade Intra-hospitalar de 24/1.000 NV em 2007 para 12/1.000 NV em 2015 e para 10/1.000 em 2016 (Meta: PNI);
4. Reduzir a Proporção de Nados Mortos com Foco (+) à entrada da Maternidade de 12% em 2007 para 6% em 2015 e para 4% em 2016 (Meta: PNI);
5. Reduzir a Mortalidade Neonatal de 30 por 1000 NV em 2011 para 28 por 1000 NV em 2015 e 25 por 1000 NV em 2017 (Meta: PNI e PESS: 2014 - 2019);
Indicadores de resultados e metas
6. Aumentar a cobertura de 4 Consultas Pré-Natais de 51% em 2011 para 70% em 2015 e 80% em 2017 (Meta: PESS: 2014 - 2019);
7. Aumentar a percentagem de mulheres grávidas que recebem TIP Malária de acordo com o Protocolo Nacional de 19% em 2011 para 70% em 2015 e 80% em 2017 (Meta: PESS: 2014 - 2019);
8. Aumentar a cobertura do despiste da Sífilis na mulher grávida de 60% em 2007 para 80% em 2015 e 95% em 2016, e o tratamento completo para 80% 2015 e 95% em 2016 (Meta: PNI);
9. Aumentar a percentagem de mulheres grávidas HIV + que recebem que receberam medicamentos ARV nos últimos 12 meses para reduzir para <de 5% o risco de transmissão de mãe para o filho dos 79% em 2012 para 90% em 2015 e 90% em 2016 (Meta: PESS: 2014 – 2019);
10. Aumentar a Taxa de Cobertura do Parto Institucional de 48% em 2003 e 54% em 2011, para 68% em 2015 e 70% em 2017 (Meta: PESS: 2014 – 2019);
11. Aumentar o número de Unidades Sanitárias que prestam Cuidados Obstétricos de Emergência Básicos dos 2.2/500.000 habitantes em 2011 (DNSP-DSMC) para 3,2/500.000 habitantes em 2015 e para 4/500.000 habitantes em 2016 (Meta: PNI);
12. Aumentar o número de Unidades Sanitárias que prestam Cuidados Obstétricos de Emergência Completos dos 0,7/500.000 habitantes em 2011 (DNSP-DSMC) e para 1,2/500.000 habitantes em 2015 e para 1.5/500.000 habitantes em 2016 (Meta: PNI);
13. Aumentar o número de Maternidades que prestam assistência humanizada ao parto de acordo com os parâmetros da IMM de 34 em 2010 para 140 em 2015 e 172 em 2016 (Meta: MISAU-DepSMC);
14. Aumentar a percentagem de partos com manejo activo do 3º período do trabalho de parto de 0% em 2010 para 75% em 2015 e 98% em 2016 (Meta: MISAU-DepSMC);
15. Aumentar a percentagem de casos de pré-eclâmpsia grave e eclâmpsia tratados com Sulfato de Magnésio de 20% em 2010 para 75% em 2015 e 98% em 2016 (Meta: MISAU-DepSMC);
16. Aumentar a Taxa de Cesarianas em relação aos Partos Esperados de 3% em 2012 para 8% em 2015 e 10% em 2016 (Meta: PNI);
17. Aumentar a percentagem de recém-nascidos com contacto imediato pele-a-pele com mãe de 0% em 2010 para 85% em 2015 e 95% em 2016 (Meta: MISAU-DepSMC);
18. Aumentar a percentagem de recém-nascidos amamentados dentro da 1ª hora após o nascimento de 0% em 2010 para 85% em 2015 e 95% em 2016 (Meta: MISAU-DepSMC);
19. Aumentar a percentagem de Crianças Expostas ao HIV com Teste Virológico dentro de 2 meses do nascimento de 35.3% em 2013 para 72% em 2015 e 74% em 2016 (Meta: MISAU/PTV:);
20. Aumentar a percentagem de Crianças Expostas identificadas HIV + que iniciam TARV de 22% em 2012 para 80% em 2015 e 80% em 2016 (Meta: PESS: 2014 – 2019)
21. Aumentar a Taxa de Cobertura da Consulta Pós-Parto de 62% em 2012 para 80% em 2015 e para 90% em 2017 (Meta: PESS: 2014 – 2019);
","Cuidados durante a Gestação
Intervenções Prioritárias
CPN: Promoção da 1ª CPN dentro do 1º trimestre da gravidez e mínimo de 4 CPN durante a gravidez;
Cuidados durante o Parto
Cuidados Neonatais imediatos: Secagem do RN, contacto imediato pele a pele, amamentação precoce e estímulo do recém-nascido, cuidados a ter com o recém-nascido em casa (lavagem das mãos, atraso do 1◦ banho, aquecimento, LME, cuidados higinénicos com o cordão umbilical e os olhos, e reconhecimento dos sinais de perigo);
Cuidados Pós-Parto para a Mulher e Recém-Nascido
Promoção da Amamentação precoce (dentro da 1ª hora) e exclusiva até aos 6 meses;
Cuidados de Saúde Infantil
Promoção de comportamentos chave e boas práticas para a SI, e busca activa de casos e referência: AIDI-C incluindo distribuição baseada na comunidade de Vit A, SRO, Cloro e seguimento/profilaxia com Cotrimozal (PTV) de Crianças em risco;
Mobilização social/comunicação social
Organizar, anualmente, a semana da Campanha Nacional de Tolerância “0” para as Mortes Maternas e Neonatais;
Processo para a monitoria e avaliação
O Processo de Monitoria e Avaliação tem como finalidade oferecer uma informação consistente e fiável sobre os progressos na implementação do Plano Operacional para a Aceleração da Redução da Mortalidade Materna, Neonatal e Infantil, tal como:
Enquanto que o processo de monitoria fará o seguimento das actividades para identificar que progressos estão a ser alcançados em relação aos resultados esperados, provendo aos gestores oportunidades de clarificar, identificar e responder às necessidades que surjam durante a implementação, o processo de avaliação apoiará na determinação da relevância, eficiência, eficácia e sustentabilidade das intervenções deste Plano para a melhoria da saúde e na redução da mortalidade Materna, Neonatal e Infantil, com o propósito de identificação de futuras politicas, estratégias e intervenções.
As principais tarefas e actividades deste plano de M&E são:
Monitoria e Avaliação do Plano
Indicadores de Processo
Objectivo estratégico 1: Aumentar o acesso e utilização dos serviços de saúde
Aumentar o acesso aos serviços de saúde promotivos, preventivos, curativos e de reabilitação, com destaque para intervenções de comprovado custo-eficácia.
Intervenções-Chave
Expandir a rede sanitária, sobretudo do nível primário e para as zonas rurais e peri-urbanas, assegurando o seu apetrechamento adequado (equipa mínima de saúde, equipamento básico, medicamentos e material médico-cirúrgico essenciais, água e energia)
Fortalecer o sistema referência, em particular do nível II, para assegurar a continuidade dos cuidados de saúde
Intensificar as actividades de promoção de saúde com vista à mudança dos estilos de vida e prevenção de comportamentos de risco
Expandir as actividades de prevenção de doença, incluindo o fortalecimento das brigadas móveis
Ampliar e fortalecer os serviços de base comunitária, com enfoque nos APEs e outros ACSs
Aumentar a utilização dos serviços de saúde existentes
Intervenções-Chave
Intensificar acções de introdução da procura pelos serviços e programas de saúde, com enfoque nos programas prioritários
Remover as barreiras ao acesso (financeiras, género, culturais, qualidade do atendimento, disponibilidade de medicamentos, etc.)
Promover a participação comunitária na gestão das US e dos programas de saúde no geral (planificação, implementação, M&A)
Objectivo Estratégico 2: Melhorar a qualidade dos serviços prestados
Intervenções-Chave
Garantir a humanização no atendimento, com base em serviços orientados para o utente
Desenvolver e implementar normas, padrões de atendimento e protocolos de procedimentos médicos e das áreas de apoio
Objectivo Estratégico 3: Reduzir as desigualdades geográficas, e entre grupos populacionais, no acesso e utilização de serviços de saúde
Intervenções-Chave
Desenvolver e assegurar a implementação de mecanismos de alocação/afectação de recursos (fundos, RH, medicamentos) baseados nas necessidades/equidade15
Desenvolver e implementar um sistema de planificação e alocação (“interna”) que favoreça as intervenções-chave dos programas prioritários do sector
Fortalecer os mecanismos de protecção social dos grupos vulneráveis (serviços gratuitos, isenções, , etc.)
Objectivo Estratégico 4: Melhorar a eficiência na prestação de serviços e utilização de recursos
Intervenções-chave
Desenvolver e implementar um pacote básico/mínimo de serviços/intervenções de saúde por nível de atenção, que responda às necessidades de saúde e que seja custo-efectivo (tipo e nível das intervenções, integração de serviços, etc.)
Desenvolver e implementar mecanismos para a melhoria do desempenho hospitalar
Identificar áreas de ineficiências (produtividade de pessoal, práticas clínicas, nível das intervenções, despesa orçamental, sistema de procura, desperdício, uso indevido de medicamentos, material médico-cirúrgico e outros bens, etc.) e desenvolver medidas de mitigação
Mobilizar recursos adicionais para a implementação do pacote básico/mínimo de serviços de saúde, incluindo relocação/reinvestimento de recursos poupados, e assegurar a sua alocação atempada
Introduzir mecanismos de programação de actividades orientadas para resultados na planificação anual, orçamentação, M&A, etc., nos vários níveis de atenção de saúde, incluindo incentivos/financiamento baseados no desempenho
Objectivo Estratégico 5: Fortalecer as parcerias para saúde na base do respeito mútuo
Intervenções-chave
Definir e implementar mecanismos institucionais eficazes, de colaboração intersectorial, com vista a reduzir os efeitos e iniquidades dos determinantes de saúde, bem como facilitar o processo de descentralização do sector
Rever e implementar mecanismos de envolvimento da Sociedade Civil no desenho, implementação e M&A das políticas e programas de saúde,nos vários níveis do sector
Elaborar e implementar uma estratégia para o estabelecimento de Parcerias Público- Privadas (PPP), que apoiem a mobilização de recursos adicionais para a saúde e contribuam para a melhoria do acesso e utilização dos serviços de saúde
Fortalecer os mecanismos de diálogo e relacionamento com os parceiros de desenvolvimento, com vista a restabelecer a confiança mútua e reforçar o papel de liderança do MISAU
Rever os mecanismos de relacionamento com as ONGs (nacionais e internacionais) com vista a fortalecer o seu papel de advocacia e de apoio à implementação dos programas de saúde
Objectivo Estratégico 6: Aumentar a transparência e prestação de contas na forma como os bens públicos são utilizados
Intervenções-chave
Fortalecer os sistemas contabilísticos e de “procura”, nos vários níveis do sector
Desenvolver uma estratégia de comunicação que privilegie o acesso e partilha inclusiva de informação sobre as decisões políticas e desempenho do sector
Estabelecer mecanismos efectivos de participação da sociedade civil na monitoria da utilização dos bens públicos alocados à saúde
Objectivo Estratégico 7: Fortalecer o sistema de saúde moçambicano
Implementar o Plano Acelerado de Reformas Institucionais
Desenvolver uma agenda de reformas para o fortalecimento efectivo de todas as componentes do sistema de saúde, tendo como foco a descentralização
Capacitar os sistemas distritais de saúde para a implementação dos objectivos estratégicos e preparação para a descentralização efectiva
","Estratégias
Indicadores
Indicador de impacto Rácio de Mortalidade Materna (mortes maternas /100,000 nascimentos vivos) Taxa de fecundidade na adolescência (nascimentos por 1,000 mulheres com idades 15-19)
Taxa de mortalidade de crianças menores de 5 anos (per 1,000) nados vivos Taxa de mortalidade infantil (per 1,000) nados vivos. Taxa de mortalidade
Taxa de prevalência da Desnutrição Crónica em crianças menores de 5 anos
Taxa de prevalência contraceptiva Necessidades não satisfeitas de contracepção
Incidência/prevalência das doenças transmissíveis e não transmissíveis
Objectivos
i) Promover o respeito e o exercício dos Direitos Sexuais e Reprodutivos entre todos os intervenientes.
ii) Assegurar a provisão de serviços para os Cuidados de Saúde Sexual e Reprodutiva (CSSR), baseada em evidência, em todos os níveis de atenção.
iii) Fornecimento de serviços atempados e adequados de cuidados de saúde sexual e reprodutiva aos beneficiários.
Metas
ITS e HIV/SIDA
Metas
Maternidade segura
Objectivos de cobertura e qualidade
Metas
Maternidade segura
Instituições de Referência: Parto seguro, incluindo COEm e serviços adequados para os recém nascidos e referência de casos.
Intervenções estratégicas
Monitoria e avaliação
Monitoria
Avaliação
Intervenções estratégicas
Indicadores
Objetivo general
Ofrecer una atención global, continuada, integral y de calidad al proceso reproductivo en el Sistema Nacional de Salud, basada en el mejor conocimiento disponible, centrada en las necesidades y circunstancias de las personas usuarias, y orientada a promover una vivencia humana, íntima y satisfactoria para las mujeres, sus parejas, bebés y familia.
Objetivos específicos
1. Promover la salud, el bienestar y autonomía de las mujeres embarazadas. Facilitar adecuadamente su implicación en el proceso fisiológico y en sus cuidados, y proporcionar una atención adaptada a las necesidades y circunstancias de cada mujer y pareja.
2. Potenciar la atención al parto normal. Mejorar la calidad y calidez asistencial, favoreciendo el clima de confianza, seguridad e intimidad de las mujeres, apoyado y respetado por los y las profesionales, manteniendo los niveles de seguridad actuales.
3. Mejorar las condiciones del nacimiento. Orientar la atención al bienestar del bebé, su adecuada adaptación a la vida extrauterina, el establecimiento del vínculo afectivo, la lactancia materna y los cuidados centrados en el desarrollo y las familias.
4. Promover la salud y bienestar de las mujeres puérperas. Continuar la atención facilitando asesoramiento y cuidados, explorando sus necesidades, cambios emocionales y psicológicos, y situación del vínculo, la lactancia y el apoyo de la pareja.
5. Impulsar los aspectos que deben contemplarse de manera transversal en todo el proceso. Destacar la importancia de la formación de profesionales, la participación de las mujeres y sus parejas (considerando la multiculturalidad y discapacidad), la coordinación institucional, y la investigación y difusión de buenas prácticas.
6. Impulsar un cambio en los valores sociales en torno a la maternidad y paternidad, que tradicionalmente se concretan en exigencias inalcanzables para las madres y en la tolerancia de una escasa implicación paterna.Prevenir defectos congénitos del tubo neural mediante la suplementación con Ácido Fólico (AF). Identificar precozmente anomalías cromosómicas y malformaciones mediante las técnicas de diagnóstico prenatal.
","Salud Reproductiva
Línea estratégica 1: Promoción de la salud en el embarazo
Línea estratégica 2: Atención sanitaria en el embarazo
Línea estratégica 3: Atención al parto. Se hace referencia a la Estrategia de Atención al Parto Normal en el SNS, que dispone de sus propias líneas estratégicas, con objetivos y recomendaciones específicos, que actualmente se encuentra en desarrollo.
Línea estratégica 4: Cuidados del nacimiento a la primera semana de vida
Línea estratégica 5: Promoción de la lactancia materna
Línea estratégica 6: Cuidados del recién nacido hospitalizado
Línea estratégica 7: Cuidados propios del puerperio
Línea estratégica 8: Atención sanitaria en el puerperio
Línea estratégica 9: Formación de profesionales
Línea estratégica 10: Participación de las mujeres y las parejas
Línea estratégica 11: Coordinación institucional
Línea estratégica 12: Investigación, innovación y buenas prácticas
Recomendaciones
Seguimiento y evaluación de la Estrategia Nacional de Salud Sexual y Reproductiva (ENSSR)
El proceso de seguimiento y evaluación de la ENSSR comenzará una vez haya sido aprobada por el CISNS. Para su desarrollo, se constituirán dos Comités de Seguimiento y Evaluación compuestos por los CCII y CCTT de Salud Sexual y de Salud Reproductiva, y estará coordinado por el OSM del MSPS. Una de las funciones de estos nuevos Comités de Seguimiento y Evaluación será la actualización de los contenidos del documento en base a la nueva evidencia disponible. Otra, directamente vinculada con este proceso, será la revisión, actualización y evaluación de la ENSSR, que se realizará a los dos años de su puesta en marcha y posteriormente cada cuatro años. El proceso evaluativo al que se enfrenta la Estrategia será complejo, ya que por un lado se pretende abordar el estado de bienestar físico, emocional, mental y social de hombres y mujeres relacionado con la sexualidad y la reproducción (y no una enfermedad concreta o un conjunto de problemas de salud), y por otro, se propone recoger la información de la atención ofrecida en los servicios sanitarios del SNS. Por ello, y para facilitar su desarrollo, se llevará a cabo en tres fases vinculadas a la estructura, el diseño y los resultados que se desprendan de la implantación de la Estrategia
","","","Anaemia in pregnant women|Iodine deficiency disorders|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Raised blood glucose/diabetes|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Capacity building for the Code|Maternity protection|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron and folic acid|Micronutrient supplementation|Nutrition education|Food safety|Family planning (including birth spacing)|Vulnerable groups","","https://www.mscbs.gob.es/organizacion/sns/planCalidadSNS/pdf/equidad/ENSSR.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ESP%202011%20National%20SRH%20Strategy.pdf" "41591","PRY","Paraguay","","Plan Nacional de Salud Sexual y Reproductiva Paraguay","Health sector policy, strategy or plan with nutrition components","","Spanish","","2014","","2018","Ministerio de Salud Pública y Bienestar Social","1","2014","Not adopted","","","","Cabinet/Presidency|Health|Social welfare","","United Nations Population Fund (UNFPA)|World Health Organization (WHO)","PAHO","","","","","European Union","","","","","","","","","","Objetivo específico
Lograr disminuir los niveles de morbilidad y mortalidad materna y neonata
","Lineamientos
Gestión eficiente del Plan, Monitoreo y Evaluación
Implementar el Plan Nacional de Salud Sexual y Reproductiva de manera efectiva, completa y orientada al logro, velando por el respeto y vigencia de los derechos de las personas y con un eficiente y sistemático componente de monitoreo y evaluación
","","","Low birth weight|Breastfeeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Iron and folic acid|Micronutrient supplementation|Nutrition education|Family planning (including birth spacing)|Vaccination|Vulnerable groups","","http://www.cepep.org.py/archivos/PNSSR2014.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRY%202014%20Plan%20Nacional%20de%20Salud%20Sexual%20y%20Reproductiva%202014%20%E2%80%93%202018.pdf" "41500","SLE","Sierra Leone","","Sierra Leone National Reproductive, Maternal, Newborn, Child And Adolescent Health Strategy 2017 - 2021 ","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2021","Ministry of Health And Sanitation ","","2017","Not adopted","","","","Health","","Other|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UN Women","","","The World Bank","","","","","","","","","","","","The RMNCAH Strategy
Goal: Accelerating reduction of preventable deaths of women, children and adolescents and ensuring their health and wellbeing.
Goal targets
Overall objective: Increase access to and utilisation of quality evidence based RMNCAH high impact interventions
","Nutrition
Prioritised package of interventions under child health nutrition will include
10.4 RMNCAH Interventions by Life Course
Pre-pregnancy
Pregnancy
Postnatal for the Mother
Post natal for the newborn
Infancy and Childhood period
Adolescence period
Coverage Indicators
10.1. Monitoring and Evaluation Framework
Overall Objective: Increased access and utilisation of quality RMNCAH Services
Goals
Ending preventable newborn deaths, achieving a neonatal mortality rate of 12 (or less) per 1,000 live births by 2030.
Ending preventable stillbirths, achieving a stillbirth rate of 12 (or less) per 1,000 live births by 2030.
KEY ACTIVITIES BY STRATEGIC OBJECTIVE (SO)
Strategic Objective 1: Strengthen and invest in care during labour, birth and the first day and week of life.
Outcome 1.4: Further roll out of baby friendly initiatives at hospital and community levels
Output 1.4.1: More hospitals and vommunities made baby friendly
1.4.1.2 Establishing BFHI at hospital level
1.4.1.3 Establishing CFHI at community level
Strategic Objective 2: Improve the quality of maternal and newborn care.
Strategic Objective 3: Reach every woman and newborn to reduce inequities.
Strategic Objective 4: Harness the power of parents, families and communities.
Strategic Objective 5: Count every newborn through measurement, programme tracking and accountability.
","# Hospitals that are baby friendly
# Communities that are baby friendly
Table 6 – Proposed SLENAP monitoring indicators
Number of live born babies weighing < 2500 g at birth
Number of live born infants (in the two years before the survey) who are breastfed within one hour of birth
","","","Low birth weight|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Baby-friendly Hospital Initiative (BFHI)","","","","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/SLE%202017%20Every%20Newborn%20Action%20plan.pdf" "41509","PHL","Philippines","","MNCHN Strategy Manual of Operations","Health sector policy, strategy or plan with nutrition components","","English","","2011","","","Department of Health ","3","2011","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","The strategy aims to achieve the following intermediate results:
Every pregnancy is wanted, planned and supported;
Every pregnancy is adequately managed throughout its course;
Every delivery is facility-based and managed by skilled birth attendants/skilled health professionals; and
Every mother and newborn pair secures proper post-partum and newborn care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn.
2.3.1. MNCHN Core Package of Services
The intervention in the MNCHN core package of services that were found effective in preventing deaths and in improving the health of mothers and children include the following:
1. Pre-pregnancy: provision of iron and folate supplementation, advice on family planning and healthy lifestyle, provision of family planning services, prevention and management of infection and lifestyle-related diseases. In particular, modern family planning reduces unmet need and unwanted pregnancies that expose mothers to unnecessary risk from pregnancy and childbirth. Unwanted pregnancies are also associated with poorer health outcomes for both mother and her newborn. Effective provision of FP services can potentially reduce maternal deaths by around 20 percent. This also encompass adolescent health services, deworming of women of reproductive age (to reduce other causes of iron deficiency anemia), nutritional counseling, oral health.
2. Pregnancy: first prenatal visit at first trimester, at least 4 prenatal visits throughout the course of pregnancy to detect and manage danger signs and complications of pregnancy, provision of iron and folate supplementation for 3 months, iodine supplementation and 2 tetanus toxoid immunization, counselling on healthy lifestyle and breastfeeding, prevention and management of infection, as well as oral health services. While the contribution of antenatal care in anticipating and preventing maternal and newborn emergencies is unclear, components of prenatal care remain effective in reducing perinatal deaths and serves as a venue for birth planning and promotion of facility based deliveries.
3. Delivery: skilled birth attendance/skilled health professional-assisted delivery and facility-based deliveries including the use of partograph, proper management of pregnancy and delivery complications and newborn complications, and access to BEmONC or CEmONC services.
4. Post-Partum: visit within 72 hours and on the 7th day postpartum to check for conditions such as bleeding or infections, Vitamin A supplements to the mother, and counselling on family planning and available services. It also includes maternal nutrition and lactation counseling and postnatal visit of the newborn together with her visit.
5. Newborn care until the first week of life: Interventions within the first 90 minutes such as immediate drying, skin to skin contact between mother and newborn, cord clamping after 1 to 3 minutes, non-separation of baby from the mother, early initiation of breastfeeding, as well as essential newborn care after 90 minutes to 6 hours, newborn care prior to discharge, after discharge as well as additional care thereafter as provided for in the “Clinical Practice Pocket Guide, Newborn Care Until the First Week of Life.”
6. Child Care: immunization, micronutrient supplementation (Vitamin A, iron); exclusive breastfeeding up to 6 months, sustained breastfeeding up to 24 months with complementary feeding, integrated management of childhood illnesses, injury prevention, oral health and insecticide-treated nets for mothers and children in malaria endemic areas
","MNCHN Health Indicators
Health indicators are used to monitor the health status of a population. These health indicators either (1) reflect impact or outcomes or (2) coverage or utilization of services. For MNCHN, health outcome indicators are Maternal Mortality Ratio (MMR), Newborn Mortality Rate (NMR), Infant Mortality Rate (IMR), Under-five Mortality Rate (UFMR) and proportion of underweight 6 to 59-month old children while Service Coverage indicators are Contraceptive Prevalence Rate (CPR), Antenatal Care (ANC), Facility- based Deliveries (FBD), Fully Immunized Children (FIC), Early initiation of breastfeeding, Exclusive breastfeeding from birth up to six (with sustained breastfeeding and complementary feeding). and early initiation of breastfeeding.
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Complementary feeding|Breastfeeding promotion/counselling|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Deworming|Family planning (including birth spacing)|Vaccination","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20MNCHN%20Strategy%20MOP.pdf" "41489","USA","United States of America","","Healthy People - Maternal, Infant, and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2010","","2020","Office of Disease Prevention and Health Promotion","","2010","Not adopted","","","","Health","Office of Disease Prevention and Health Promotion","","","","","","","","","","","","","","","","","Goal
Improve the health and well-being of women, infants, children, and families.
Overview
Improving the well-being of mothers, infants, and children is an important public health goal for the United States. Their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the health care system. The objectives of the Maternal, Infant, and Child Health topic area address a wide range of conditions, health behaviors, and health systems indicators that affect the health, wellness, and quality of life of women, children, and families.
","","MICH-1 Reduce the rate of fetal and infant deaths
MICH-8 Reduce low birth weight (LBW) and very low birth weight (VLBW)
MICH-8.1Reduce low birth weight (LBW)
MICH-8.2 Reduce very low birth weight (VLBW)
MICH-14 Increase the proportion of women of childbearing potential with intake of at least 400 µg of folic acid daily from fortified foods or dietary supplements
MICH-15 Reduce the proportion of women of childbearing potential who have lower (below the 25th percentile) red blood cell folate concentrations
MICH-16 Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors
MICH-16.2 Increase the proportion of women delivering a live birth who took multivitamins/folic acid prior to pregnancy
MICH-16.5 Increase the proportion of women delivering a live birth who had a healthy weight prior to pregnancy
MICH-20 Increase the proportion of infants who are put to sleep on their backs
MICH-21 Increase the proportion of infants who are breastfed
MICH-21.1 Increase the proportion of infants who are ever breastfed
MICH-21.2 Increase the proportion of infants who are breastfed at 6 months
MICH-21.3 Increase the proportion of infants who are breastfed at 1 year
MICH-21.4 Increase the proportion of infants who are breastfed exclusively through 3 months
MICH-21.5 Increase the proportion of infants who are breastfed exclusively through 6 months
MICH-22 Increase the proportion of employers that have worksite lactation support programs
MICH-23 Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life
MICH-24 Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies
","","","Low birth weight|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Folic acid|Micronutrient supplementation|Food fortification","","https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health/objectives ","","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/USA%202010%20Maternal%2C%20Infant%2C%20and%20Child%20Health%20_%20Healthy%20People%202020%20overview.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/USA%202010%20Maternal%2C%20Infant%2C%20and%20Child%20Health%20_%20Healthy%20People%202020%20overview.pdf" "41508","NAM","Namibia","","Namibia National Strategy for Women’s, Children’s & Adolescents’ Health ‘RMNCAH-Nut Strategy’ (2018-2022)","Health sector policy, strategy or plan with nutrition components","","English","","2018","","2022","Government ","","2018","Not adopted","","","","","","","","","","","","","","","","","","","","","","3.4. Goal
To accelerate the health development and reduction of preventable maternal, newborn, child and adolescent morbidity and mortality in line with the national development vision and frameworks
3.5. Objectives
The objectives of this strategic plan are to achieve the following by 2022:
1. Survive: End preventable deaths among women, newborn, children and adolescents
I. Reduce maternal mortality
II. Reduce neonatal mortality
III. Reduce childhood mortality
IV. End epidemics of HIV, tuberculosis, malaria, neglected tropical diseases and other communicable diseases
V. Reduce premature mortality from non-communicable diseases
2. Thrive: Promote the health and well-being of women, newborn, children and adolescents
I. Ensure universal access to sexual and reproductive health-care services and rights
II. Reduce adolescent pregnancy rate
III. End all forms of malnutrition, and address the nutritional needs of adolescent girls, pregnant and lactating women and children
3. Transform: expand enabling environment for women, newborn, children and adolescents
I. Eliminate all harmful practices and all discrimination and violence against women and girls
","4.1. Intervention packages
4.1.1. Maternal Health
Pre-pregnancy
Pregnancy
Postnatal Care
The postnatal care package should include:
4.1.2. Newborn and Child Health
Essential newborn care: the package of care consists of:
4.1.3. Adolescent Health
Adolescent-friendly health services: The key services will include:
","
3.6. Targets
A. Survive
II. Reduce neonatal mortality
III. Reduce childhood mortality
B. Thrive
I. Ensure universal access to sexual and reproductive health- care services and rights
III. End all forms of malnutrition, and address the nutritional needs of adolescent girls, pregnant and lactating women and children
Indicators:
4.2. Intervention coverages
4.2.2. Newborn Care
Table 11: Newborn Health: Intervention coverage
4.2.3. Child Health
Table 12: Child Health: Intervention coverage
4.2.4. Adolescent Health
Table 13: Adolescent Health: Intervention coverage
4.2.6. Nutrition
Table 15: Nutrition: Intervention coverage
Table 21: Core indicators for monitoring the implementation of the Strategic Plan
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Raised blood glucose/diabetes|Raised blood pressure|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Counselling on feeding and care of LBW infants|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iron|Iron and folic acid|Micronutrient supplementation|Multiple micronutrients supplementation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202018%20National%20Strategy%20for%20Women%20Children%20Adolescents.pdf" "41473","MHL","Marshall Islands","","3-Year Rolling Strategic Plan 2017-2019","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2019","Ministry of Health","","2017","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","
Key Outcome Area 1: Bureau Of Primary Health Care Services
Goal: Preventative and public health services will be efficiently maximized through a healthy islands lifestyle concept and with essential medical and administrative functions to ensure that the health and life span of various individuals, families and communities are enhanced.
","Output 1.3: Non-Communicable Diseases
Output 1.3 Provide integrated NCD services along with the tools and support that people need to manage their health
Output 1.3.1: Diabetes & Tobacco including Nutrition
Objective To prevent, maintain, and manage Diabetes and tobacco- related diseases.
Output 1.4: Maternal Child Health
Output 1.4: Strengthen national capacity to deliver high quality maternal, infant, child & adolescent health and community based interventions for family resource management
Output 1.4.2: Family Planning Services
Output 1.7: Zone Outreach
Output 1.7: Promote and educate the public in healthy lifestyle changes
Output 1.7.1: Community Health
Objectives Educate and promote the various preventative and public health care services to the hard to reach communities, thus capacitating each individual and family to have full
Output 1.8: Health Promotions
Output 1.8: Promote and educate the public in healthy lifestyle changes
Output 1.8.1: Health Promotions
Educate and promote the various preventative and public health care services to the hard to reach communities, thus capacitating each individual and family to have full ownership of their health.
Output 1.3.1: Diabetes & Tobacco including Nutrition
Implementing Actions
Output 1.4: Maternal Child Health
Output 1.4: Strengthen national capacity to deliver high quality maternal, infant, child & adolescent health and community based interventions for family resource management
Output 1.4.1: Children with Special Care Needs
Implementing Actions
Output 1.4.2: Family Planning Services
Patient Care
13. Continue providing breast and cervical cancer screening by collaborating with the Comprehensive Cancer Program
14. Continue providing STDs/HIV screening by collaborating with STDs/HIV Prevention Program
15. Continue promoting breastfeeding and providing nutrition information to increase infants’ health by collaborating with Maternal and Child Health Program
16. Continue providing assessment on client’s reproductive life plan and preconception services during the family planning counseling
17. Conduct community outreach to ensure the access and the availability of quality family planning counseling services at the health facilities
18. Continue providing educational awareness , family planning counseling services and the post-partum clinic services
Output 1.8: Health Promotions
Output 1.8.1: Health Promotions
Implementing Actions
Output 1.3.1: Diabetes & Tobacco including Nutrition
Indicators
Output 1.4: Maternal Child Health
Output 1.4: Strengthen national capacity to deliver high quality maternal, infant, child & adolescent health and community based interventions for family resource management
Output 1.8.1: Health Promotions
The overall objective of the National Child Health Strategy is to provide practical guidance for strengthening the provision of evidence-based interventions for child health and development, while specifically addressing inequalities. As such, the primary target group of the National Child Health Strategy is a child population in the age group 0-18, with a focus on newborn health, birth defect prevention and nutrition.
The Child Health Strategy 2016-2020 is focused on strategic directions, interventions and actions at three inter-linked levels:
1. Actions within the health care system to implement effective health service delivery strategies for the prioritized interventions along the continuum of care
2. Actions within the health care system to strengthen all health system components to improve the system's ability to ensure equitable access to quality newborn, child, nutrition and development services
3. Actions beyond the health care system to promote an enabling policy environment to mainstream child health and development into national development agenda, to address the key determinants of maternal and child health, nutrition and development and to tackle the inequities among population groups.
IV. Action plan and monitoring framework page 23-48
- Promoting family planning introduction of preconception counselling and iron folic acid supplementation
- Promoting healthy lifestyles and prevention of substance abuse and sexual and domestic violence
- Providing maternal nutrition informative counseling
- Initiating exclusive breastfeeding within the first I hour of birth
- Promoting Kangaroo mother care especially for low birth weight and premature newborns, including neonatal sepsis management
- Providing maternal and child nutrition information and counseling
- Strengthening integrated management of childhood illnesses and care for development with emphasis on growth monitoring and counseling
- Ensuring immunization
- Promoting infant and young child feeding practices
- Childhood obesity prevention
IV. Action plan and monitoring framework page 23-48
List of outcome level indicators for maternal, newborn and child health
Policy Objectives
The core objectives of the National Community Health Services Policy are to:
Strengthen community engagement and build the capacity of households to contribute to the reduction of maternal, neonatal, infant, and child morbidity and mortality and to address issues of public health concern;
Increase access to and utilization of a high-quality, standardized package of essential interventions and services, including IPC.
Strengthen support and governance systems for implementation of community health services;
Build human resource capacity for community health services via pre-service and in-service training, including IPC; and
Develop robust community-based surveillance and information systems linked with National Health Monitoring, Evaluation, and Research (HMER) systems.
ANNEX1
Community Health Assistant (CHA) Service Package
i. Family planning promotion, counseling, and service provision; referral for additional family planning counseling and services where needed
B. Maternal and Neonatal Health
ii. Home-based Maternal and Newborn Care
Post-partum home visits
Well-being check form other and newborn
Identification and referral for maternal danger signs.
Identification and referral for neonatal danger signs.
Counsel about danger signs form other and newborn,the need for prompt recognition and care-seeking, and advise on where to seek early care when needed
Promotion of essential care of the newborn and essential nutrition actions, including exclusive breastfeeding, supportive counseling, and troubleshooting of breastfeeding problems, referral when needed
Promote hygienic umbilical cord care,including chlorhexidine application, and skin care
Support for Kangaroo Mother Care (KMC) application
Identify and support newborns who need additional care (e.g. Low birthweight, sick, HIV-positive mother)
Provide birth spacing and family planning counseling
Promote birth registration and timely vaccination
C. Child Health
Integrated Community Case Management (iCCM) of:
Diarrhea including provision of Oral Rehydration Salts (ORS) and zinc
Pneumonia including provision of Amoxicillin and pediatric paracetamol
Malaria: referral of suspected cases if Rapid Diagnostic Tests (RDTs) are not available; confirmed case management with Artemisinin-Based Combination Therapy (ACT) for children under-five when RDTs are available and pre-referral treatment for severe cases; provision of pediatric paracetamol
Community-based bi-directional referrals, particularly for newborns, for danger signs and other emergency cases
Integrated outreach services including:
D. Nutrition
Mid-upper arm circumference (MUAC) screening and referrals for malnourished children
Nutrition education for caregivers and households, including: optimal nutrition for women, exclusive breastfeeding up to 6 months for infants, optimal complementary feeding starting at 6 months with continued breastfeeding to 2 years of age and beyond, nutritional care for the sick and malnourished
Goal
Objectives
ES10 SO7 Weekly iron & folic acid supplementation for reproductive women
ES17 SO2 Screening of anaemia
ES22 SO7 Provide deworming for pregnant women after the first trimester
ES23 SO7 Daily Iron and folic acid to prevent maternal anaemia, puerperal sepsis, low birth weight, and preterm birth
ES42 SO4 Early essential newborn care (immediate and thorough drying, immediate skin-to-skin contact, delayed cord clamping, initiation of exclusive breastfeeding, eye prophylaxis, infection prevention)
ES43 SO6 Routine immunisation for newborns according to the national guidelines (e.g. BCG, Hepatitis B birth dose)
ES44 SO4 Detect and refer (low-birth weight (< 2000 g)
ES45 SO4 Kangaroo Mother Care for low-birth weight infants
ES50 SO 2 Counselling to mothers on physiological recover, danger signs, nutrition, hygiene, malaria protection, mobilisation, family planning, breastfeeding
ES52 SO 7 Provide Iron and folic acid supplementation and Vitamin B1 for postpartum/ lactating women
ES53 SO2/SO4 Assessment and counselling on breastfeeding progress, review of emotional wellbeing, observation for domestic abuse, counselling on family planning
ES56 SO6 Routine immunization of children (BCG, DPT-HepB-Hib, Polio (IPV/ OPV), Measles-Rubella, PCV, JE)
ES57 SO7 Vitamin A and deworming for under 5 children
ES58 SO7 Screening of nutrition status with MUAC for children under 5 years of age
ES59 SO7 Growth monitoring and counselling
ES60 SO5/SO7 Integrated management of newborn childhood illnesses (IMNCI)
ES61 SO5/ SO7 Management of severe acute malnutrition without complication
ES62 SO5/ SO 7 Management of severe acute malnutrition with complication Penicillin (Amoxycillin/ Benzylpenicillin) / Gentamicin/ Chloramphenicol/ Cotrimoxazole/ Sulphamethoxazole / Trimethoprim/ Ciprofloxacin/ Tetracycline eye ointment / Mebendazole, Anti-malaria drugs, Paracetamol, Vitamin A/ Iron, ORS, Chlorpromazine, Gentian violet, ReSoMaL and oral potassium solution (chlorvescent)
ES64 SO5 Community based case management of diarrhoea (ORS and Zn)
ES66 SO5 / SO7 Detect danger signs for severe child illness (e.g. severe acute malnutrition) and refer
ES67 DHC Primary prevention of non-communicable diseases through health education and promotion: Tobacco cessation, regular physical activity 30 minutes a day, reduced intake of salt (< 5g per day), fruits and vegetables at least 400g per day
ES68 Hospital Risk factor screening: Measure blood pressure for people aged over 40 years, smokers, harmful alcohol consumption, obese (waist circumference ≥ 90 cm in women ≥100 cm in men) or known history of hypertension, DM, CVD
ES69 Hospital Provide counselling on diet, physical activity, smoking cessation and avoiding harmful use of alcohol
ES70 Hospital Hypertension management
ES74 Hospital Risk factor screening of diabetes mellitus with past history, BMI (>30kg/m2), urine and blood glucose testing and refer for further diagnosis
ES78 Hospital Provide counselling on modification of diet, maintenance of a healthy body weight and regular physical activity for type-2 diabetes
ES97 All Health promotion and education on communicable diseases, hygiene and sanitation and others (choose topics based on target population)
","","","","Low birth weight|Anaemia|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Salt reduction|Vitamin A|Iron and folic acid|Zinc|Micronutrient supplementation|Delayed cord clamping|Management of severe acute malnutrition|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Water and sanitation","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202018%20Essentia%20Service%20Health%20Package.pdf" "41513","ZWE","Zimbabwe","","Zimbabwe Reproductive, Maternal, Newborn, Child, Adolescent Health, and Nutrition Strategy (2017 – 2021) ","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2021","Ministry of Health and Child Care","3","2017","Not adopted","","","","Health","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Other|Save the Children","Absolute Return for Kids (ARK)The Family Health Directorate for coordinating the processMaternal Child Health Integrated Program (MCHIP)","US Agency for International Development (USAID)","","","","","","","","","","","","4.2: STRATEGIC GOAL AND OBJECTIVES
Broad Objectives
1) To increase the Modern Contraceptive Prevalence Rate to 68% by 2020
2) To reduce the maternal mortality Ratio from 651 to 300 by 2020
3) To reduce the Neonatal Mortality Rate from 29 to 20 deaths per 1,000 live births by 2020
4) To reduce the Under-five Mortality Rate from 75 to 50 deaths per 1,000 live births by 2020
5) To reduce the age-specific fertility rate for 15-19 age group from 110 per 1,000 women to 99 per 1,000 By 2020
6) To reduce mortality and morbidity due to malnutrition by 50% by 2020
Strategic Objectives
6. The RMNCAH&N Implementation Framework
page 42-52
7.3.1: Indicators for Measuring Impact
At the impact level, the indicators for this Maternal and Neonatal Strategy will include the following:
7.3.2: Indicators for Measuring Outcomes
Page 54-56
ج.4. الأهداف
تهدف الاستراتيجية إلى تقليل نسبة وفيات الأمهات والاطفال بنسبة 20 في المائة عن مستويات 2013 ليصل معدل وفيات الأمهات إلى 118 حالة من 148 لكل 000 100 مولود حي ومعدل وفيات المواليد يصل الى 20 من 26 حالة وفاة بين المواليد لكل 000 1 مولود حي. وقد تقرر ذلك بناء على الوضع المتردي الذي وصل اليه صحة الأم أثناء الحرب، ويقدر أن معدل وفيات الأمهات على مستوى المجتمع المحلي قد تضاعف 100000/300.
","أهداف الاستراتيجية: ترمي استراتيجية صحة حديثي الولادة2017- 2021 الى
تحسين جودة الخدمات المقدمة لحديثي الولادة بحلول العام 2021 يتم تحسين الرعاية الأولية الوقائية لحديثي الولادة
ج.5. الغايات
وبنهاية 2021، سيتم تحسين تغطية واستخدام خدمات الصحة الإنجابية القائمة على حقوق الإنسان لتحقيق ما يلي:
“Five in Ten Strategy”. This “Five in Ten Strategy aims to maximize efforts towards saving mothers and children through adoption ten strategic objectives for the coming five years.
3-Improve Neonatal services and improved management of neonatal emergencies at community level. Strengthening referral pathways and care at all levels of health care provision with quality improvements sustained through neonatal death audits,
5- Improve nutrition status of mothers, children and adolescent; the country realizes that the most successful approach is through nutrition’ multi-sectorial execution of the program of work and through establishment of supporting networks which complement each other. The improvement of nutrition status will be targeted through scale-up of case management processes at all levels of care including the community, active case-finding, a focus on appropriate infant and young child feeding practices, and enhanced prevention and management of micronutrient deficiencies,
10- Empower families and communities through skills development and expansion of health promoting programs with due consideration to the particular circumstances and competing needs of communities.
4.3 Goals
Improve health status and outcomes of mothers, children and adolescent, prioritizing poor, underserved, disadvantaged and vulnerable populations.
4.4 Objectives:
The “Ten in Five” strategy aims to achieve the following objectives by 2020: • Reduce maternal mortality ratio from 216 to 130 per 100000 live births
• Reduce under five mortality rate from 68 to 55 per 1000 live birth
• Reduce newborn mortality rate from 33 to 25 per 1000 live birth
• Achieve universal coverage by RMNCHA services to all mothers, children and adolescent
• Reduce the prevalence of global malnutrition to 6 per cent.
","4.5 Strategic directions
4. Improve nutrition status of mothers, children and adolescent girls through scale-up of case management processes at all levels of care including the community, active case-finding, focus on appropriate infant and young child feeding practices, and enhanced prevention and management of micronutrient deficiencies,
Section 6: “Ten in Five” strategy’s activities
Activity :1.11.3: Provide safe water and sanitation for (5000) schools
Product:4.1: Exclusive breast feeding and complementary feeding practices rates has been increased from %55 and %61 to %90 and 90 % respectively
Activity: 4.1.1: Advocate for the enactment of the national law of marketing BMS into a law through public mass media sensitization at all levels.
Activity: 4.1.2: Development, endorsement and implementation of national IYCF and complementary feeding guidelines
Activity: 4.1.3: Development, endorsement and implementation of national IYCF guidelines during exceptionally difficult circumstances ( emergency, HIV/ AIDS and Malnutrition)
Activity: 4.1.9: Expand the BFHI to all rural and maternal hospital
Product: 2 .4: SAM and MAM coverage has been increased from (%90-% 68 ) to (MAM %90-%20 )
Activity: 4.2.7: Provision of supplies : RUTF and RUSF for 1800 PHC facilities , (Therapeutic Milk for 107 locality hospital) (NO of child expected sever wasted (MICS (2014 %4.5 of under 5 children)
Activity: 4.2.9: Advocate for family production of food through home gardens
Product 4.3: Micronutrient uptake has been increased
Activity: 4.3.1: Update the national committee for combating micronutrients deficiency and its sub committees (laws & regulation , investment , research, USI ,social mobilization and M&E ) annually
Activity: 4.3.2: Develop and disseminate national strategy for Micronutrient Deficiency (MND) prevention and control
Activity: 4.3.4: Provision of Vit. A for lactating women and under 5 children
Activity: 4.3.6: Provision of Fefol and folic acid for pregnant women (1st three months of pregnancy period)
Activity: 4.3.7:lobbing of the ministry of council for the enforcement of the food control act 1973 by introducing of micronutrient and preparation of their regulations
Activity: 4.3.8: Conduct orientation workshop for decision makers and related sectors on importance of using iodized salt at SMOH level
Activity: 4.3.17: Advocate to flour fortification and for others fortifcants
Product 4.4 : A national preparedness, response and recovery plan for nutrition in emergency have been developed
","Section 7. Annexes
7.1: Targets set for 2020-2016 plan
The specific objectives of the plan are to:
Three broad strategies for achieving the above stated objectives are:
Annex 2: Child Health Interventions by Packages and Main Health Outcome
","5.4.2 Coverage Targets
The Child Health Strategy 2016-2020 is focused on strategic directions, interventions and actions at three inter-linked levels:
1. Actions within the health care system to implement effective health service delivery strategies for the prioritized interventions along the continuum of care
2. Actions within the health care system to strengthen all health system components to improve the system's ability to ensure equitable access to quality newborn, child, nutrition and development services
3. Actions beyond the health care system to promote an enabling policy environment to mainstream child health and development into national development agenda, to address the key determinants of maternal and child health, nutrition and development and to tackle the inequities among population groups.
","Level 1: Directions and actions within health care system to strengthen health service delivery along the continuum of care
Interventions
Reproductive health, nutrition and pre-conception care
- Strengthening pre-marital counselling system throughout the country
- Promoting family planning introduction of preconception counselling and iron folic acid supplementation
- Preventing gender-based violence
- Promoting healthy lifestyles and prevention of substance abuse
- Strengthening genetic counseling
- Providing maternal nutrition informative counseling
- Implementing National birth defects prevention and control strategy
- Developing and implementing National policy and action plan on elimination of congenital rubella syndrome and prevention of mother-to- child transmission of HIV
Actions
- Develop mechanisms for reaching vulnerable groups (single mothers, substance users, people with mental illness and disabilities)
- Advocate for strengthening health promotional activities, through policy decisions, school health programs and community awareness programs to improve nutrition and physical activity
- Advocate for enforcement of existing laws and regulations on tobacco control, substance abuse, breast milk substitutes, sexual and domestic violence
- Advocate for restriction and ban of advertising of infant formula, pre-packaged supplementary food, energy drinks
Postpartum care for mother and newborn
- Ensuring early postnatal care for mothers and newborns, with three visits after discharge
- Initiating exclusive breastfeeding within the first I hour of birth
- Ensuring infection prevention and control measures
- Promoting Kangaroo mother care especially for low birth weight and premature newborns, including neonatal sepsis management
- Providing intensive neonatal care for high-risk newborns
- Providing maternal and child nutrition information and counseling
- Strengthening referral system
Health care in infancy and early childhood
- Strengthening integrated management of childhood illnesses and care for development with emphasis on growth monitoring and counseling
- Ensuring immunization
- Promoting infant and young child feeding practices
- Preventing accidental injuries
- Providing age-specific parenting information on early childhood development and stimulation
Care of the healthy child and promoting child development
- Promoting early childhood development, including early detection and referral for developmental delays
- Preventing and managing non- communicable diseases and disabilities - Ensuring oral health and hygiene in children aged 5-18 years
- Providing age-specific parenting information on physical and mental development for children aged 5-18 years
- Childhood obesity prevention
Level 3: Directions and actions to address the key determinants of mother, newborn and child health, nutrition and development
Addressing environmental issues in line with existing national plans
- Ensuring access to safe water and sanitation
- Reinforcing waste management practices
- Preventing injuries, accidents and violence
- Strengthening monitoring systems for air, soil and water pollution with chemical and toxic substances
Emergency preparedness
","List of outcome level indicators for maternal, newborn and child health
Maternal health
- Prevalence rate of low birth weight (%)
Newborn health
- Prevalence of exclusive breastfeeding at 6 months (%)
Child health
- Prevalence rate of under-weight (weight-for-age) and stunting (height-for-age) in under five children (%)
- Prevalence of overweight (weight-for-height) in under five children (%)
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Iron and folic acid|Micronutrient supplementation|Family planning (including birth spacing)|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/MDV%202015%20National_Child_health_Strategy-2.pdf" "41464","BTN","Bhutan","","National Health Policy ","Health sector policy, strategy or plan with nutrition components","","English","","2010","","","Ministry of Health","","2010","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","3. Aspirations
The National Health Policy aspires to be congruent with the philosophy of Gross National Happiness and reflects various inputs ranging from social, spiritual, cultural and environmental aspects.
It recognizes the values of democracy, transparency, and equity especially addressing the needs of the poor and underprivileged through partnership in health. It also aspires to further pursue decentralization policy in the delivery of health services to its population.
It aims to promote self-reliance and sustainability by increasing efficiency, productivity, accountability and ownership in health care interventions and service delivery.
","PART III: DISEASE CONTROL AND MEDICAL CARE
11. Preventive, Promotive and Control Services
11.2 Non-Communicable Diseases and Health Promotion.
a. Non-Communicable Disease (NCD) prevention strategy shall focus on addressing the impact of unhealthy dietary habits/life style/traditional practices on the health of Bhutanese people and their prevention and control through advocacy, risk surveillance and analysis rather than making disease specific interventions.
b. Health promotion, disease prevention and health care services shall be strengthened and incorporated as a vital component in all relevant programmes.
c. Appropriate measures shall be instituted to intensify health promotion interventions that address social determinants causing life style related diseases.
f. The Royal Government of Bhutan shall strive to contribute towards the national goal of food self sufficiency and security through effective enforcement of standards and regulations and shall endeavor to assure that foods are of good quality and safe for consumption.
g. The Royal Government of Bhutan shall strive to reduce malnutrition of all types including reduction of micronutrient deficiency diseases through multi-sectoral approach.
k. Provision of holistic health education in all educational institutions shall be promoted through multi-sectoral approach.
l. Ministry of Health shall establish awareness raising modalities to prevent occupational diseases and injuries at all workplaces.
m. Healthy ageing shall be promoted through social communication and community involvement.
n. Every individual shall keep themselves healthy and prevent disease by practicing healthy living measures.
11.3 Maternal and Child Health
a. Comprehensive quality maternal and child health care services shall be provided not limiting to family planning and promotion of institutional delivery.
b. Free and equitable access to safe, quality and cost effective vaccines for all children and pregnant women to protect against vaccines-preventable diseases shall be provided.
c. The introduction of new vaccines shall be done only after assessing the disease burden, public health impact, cost effectiveness of the vaccine, affordability and sustainability.
Healthy child growth and development shall be promoted through advocating breast-feeding, appropriate nutrition, and Integrated Management of Neonatal and childhood diseases.
Nutrición, alimentación saludable y actividad física
Propuesta de intervención
Elaboración, aprobación, publicación de guías y normas para una alimentación saludable y adecuada actividad física.
Líneas de acción
Actualización de guías alimentarias y guías de actividad física para: a. La población en general b. Grupos según ciclo de vida, con participación de socios estratégicos. Mujer embarazada y en lactancia, incluyendo la valoración nutricional Niña/os en edad preescolar Niña/os en edad escolar Adolescentes Población adulta Población de adultos mayores. c. Personas con patologías seleccionadas.
Publicación de la Norma de lactancia materna.
Publicación de las guías de:
i. Alimentación complementaria
ii. Prescripción de sucedáneos de la leche materna
iii. Evaluación del crecimiento para menores de 5 años.
Revisión y publicación de la Guía de Prevención de deficiencia de hierro.
Diseño, aprobación y publicación de la Guía para el abordaje interdisciplinario (tratamiento y seguimiento) de niños con déficit nutricional. Área de intervención 5 Capacitación para la promoción de la nutrición y la adopción de una alimentación saludable y adecuada actividad física.
Líneas de acción
Capacitación de los equipos de salud y responsables en las siguientes áreas:
i. El manejo de la prevención y tratamiento de la deficiencia de hierro (Suplementación con micronutrientes, clampeo oportuno del cordón, dieta rica en hierro, screening adecuado).
ii. Lactancia y alimentación complementaria.
iii. La evaluación del crecimiento del niño menor de 5 años.
iv. El abordaje interdisciplinario del tratamiento y seguimiento de niños con déficit nutricional.
v. La mejora del crecimiento intrauterino. Protocolo de atención nutricional de la mujer embarazada. Consejería y valoración nutricional. Atención diferenciada para las mujeres con bajo peso y obesidad.
vi. Alimentación y actividad física para la población en general (niños, adolescentes, adultos y adultos mayores) y para personas con: obesidad; diabetes; enfermedad cardiovascular (cardiopatía isquémica, ACV); hipertensión arterial; cáncer y osteoporosis. vii. Alimentación y actividad física para adultos mayores y personas con discapacidad, incluyendo personal de casas de reposo, acompañantes, etcétera.
Coordinación intersectorial para la capacitación de directores, maestros y personal que desarrolla tareas en servicios de alimentación escolar de centros enseñanza (escuelas y liceos) públicos y privados, en el fomento de la alimentación saludable en cumplimiento de la ley 19.140.
Coordinación con el INDA, con el apoyo de UCC y el Sistema de Cuidados del MIDES, de la capacitación de los equipos interdisciplinarios de los centros de educación inicial (CAIF, INAU y privados) en el marco del CCEPI para el fomento de la lactancia, alimentación complementaria, dieta saludable y actividad física en cumplimiento de la ley 19.140.
Sensibilización en alimentación saludable y actividad física para:
i. Cocineros, chefs, gastrónomos para unir los beneficios de una alimentación saludable a la defensa de la cultura culinaria con un enfoque de género.
ii. Profesores de educación física, directores técnicos, entrenadores de baby fútbol para que sean facilitadores para la creación de entornos de alimentación saludables.
Promoción de la incorporación curricular de la temática en las facultades de Medicina y Enfermería, Escuela de Parteras e ISEF, incluyendo contenidos de alimentación saludable y actividad física.
Área de intervención
Difusión de prácticas de alimentación saludable y de actividad física en la población.
Diseño intersectorial de estrategias de comunicación dirigidas a la población en general para alcanzar una alimentación más saludable y mayor actividad física.
Difusión en:
Los medios masivos Radio y TV. Redes sociales. Buses. Calle. Espectáculos públicos. Telefonía móvil. Plan Ceibal y Plan Ibirapitá.
Instituciones: Servicios de salud públicos y privados. Escuelas públicas y privadas. Liceos públicos, privados y centros de UTU. Instituciones de larga estadía (residencias u hogares de ancianos, “casas de salud”).
Eventos científicos.
Área de intervención
Políticas públicas de modificación del entorno que favorezcan la adopción de hábitos alimentarios saludables y el desarrollo de la actividad física Líneas de acción: En el entorno de los centros educativos
Fortalecimiento de los sistemas de fiscalización y control de la aplicación de la actual ley 19.140 con participación activa de las Direcciones Departamentales de Salud.
Valorar el envío al parlamento de un artículo complementario a la ley 19.140 de alimentación saludable en centros educativos, que restrinja la comercialización dentro de los mismos, de alimentos que no cumplan con los criterios establecidos por el MSP.
Actualización de los criterios para la definición de alimentos recomendados por el MSP y sus formas de identificación.
Diseño, implementación y certificación de Buenas prácticas de alimentación en centros educativos de Primaria, Secundaria y UTU. En el entorno de los servicios de atención infantil (CAIF, jardines infantiles públicos y privados)
Diseño, implementación y certificación de Buenas prácticas de alimentación en los servicios de atención infantil.
i. Definición de BPA de alimentación en los servicios de atención infantil.
ii. Estímulos para el cumplimiento de las BPA en los servicios de atención infantil.
iii. Preparación de los cursos de capacitación y de los materiales.
iv. Sistema de evaluación de la acreditación de BPA en los servicios de atención infantil. En el entorno de los servicios de salud
Fortalecimiento de las buenas prácticas de alimentación para la mujer embarazada y el niño pequeño en los servicios de salud.
i. Incorporación del hierro polimaltosado al FTM.
ii. Fiscalización del abastecimiento en los servicios públicos y privados de diferentes formulaciones de hierro medicamentoso, en forma imprescindible el hierro polimaltosado.
iii. Acreditación y reacreditación de los servicios de salud en BPA como criterio de calidad. (Ref. Línea de acción 73.1)
iv. Incentivo para la creación de centros de recolección departamentales de leche humana. En el entorno de los hogares con mujeres embarazadas y niños pequeños con inseguridad alimentaria
Articulación interinstitucional para el diseño de un Sistema de respuesta oportuna ante la inseguridad alimentaria en los hogares con mujeres embarazadas y niños pequeños.
i. Establecimiento de criterios para la detección y prestación oportuna ante situaciones de inseguridad alimentaria, emergencias y riesgo nutricional.
ii. Unificación de las modalidades mejorando la calidad de la prestación.
iii. Fortalecimiento e implementación del seguimiento y evaluación de las prestaciones brindadas a la población.
Articulación con los servicios de sa - lud, centros de atención a la primera infancia y programas de proximidad, de atención directa y territorial.
Acciones de prevención de la contaminación ambiental que incidan en la biodisponibilidad de los nutrientes. En entornos de centros urbanos:
Propuestas para la instalación en centros urbanos de facilidades para la actividad física.
i. Facilidades para el transporte activo, como caminar y andar en bicicleta de forma segura.
ii. Creación de circuitos aeróbicos.
iii. Fomento de instalaciones deporti - vas y recreativas que ofrezcan opor - tunidades para hacer actividad física. En entornos de ámbitos laborales:
Promover la creación de ambientes laborales que incentiven, protejan y apoyen la lactancia.
Contribuir a la mejora de la legislación sobre licencias parentales. Respecto a los alimentos industrializados
Etiquetado general de los alimentos industrializados.
i. Convocatoria a la comisión específica de etiquetado para la discusión y eva - luación de diferentes alternativas (advertencias, semáforo, etc.).
ii. Definición de criterios para considerar a los productos con exceso de calorías, azúcares, sodio y grasas saturadas, en un proceso gradual y en sintonía con los procesos regionales. iii. Elaboración de propuestas de inclusión del rotulado del frente del envase.
iv. Elaboración de decreto u ordenanza ministerial según corresponda.
Establecimiento de políticas progresivas de supresión de grasas trans de origen industrial 2015- 2020. Convocatoria a un grupo técnico para la discusión y evaluación de metas para la eliminación de grasas trans.
Establecimiento de metas y de un plan de reducción de la sal/sodio en los procesos de la industria de alimentos según los topes acordados en el MERCOSUR.
Regulación de la publicidad de alimentos y bebidas dirigida a niños y adolescentes.
","Control, monitoreo y evaluación
Sistematización de la información recibida a través de las metas asistenciales para conocer:
i. Prevalencia de sobrepeso y obesidad en la población infantil a los 4 meses, 18 meses y 4 años; en la mujer previa a la gestación y durante el embarazo.
ii. Prevalencia de anemia.
Impulso y articulación de las si - guientes encuestas poblacionales:
i. Encuesta Nacional de Salud, Nutrición y Desarrollo Infantil (ENDIS).
ii. Encuesta Nacional de Factores de Riesgo de Enfermedades Crónicas No Transmisibles (15 a 64 años).
iii. Encuesta Mundial de Salud en Estudiantes (13 a 15 años liceos públicos y privados).
iv. Encuesta de Gastos e Ingresos.
v. Encuesta sobre estado nutricional, prácticas de alimentación y anemia (usuarios de servicios de salud pú blicos y privados < 2 años).
Propuesta e implementación por la ANEP de un sistema de vigilancia incorporado al proyecto Gurí para conocer la situación de los escolares y adolescentes.
Trabajo con el Congreso de Intendentes a efectos de que reoriente sus cuerpos inspectivos para el control de las normativas vinculadas a la alimentación.
Fiscalización del cumplimiento del Código de comercialización de sucedáneos de la leche materna.
Estimular los cursos y la emisión de certificados habilitantes de manipuladores de alimentos en las diferentes comunas.
","Outcome indicators","","Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Trans 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|Health professional training on breastfeeding|Monitoring of the Code|Capacity building for the Code|Maternity protection|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|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|Food labelling|Front of pack labelling|Trans fat|Salt/sodium|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 hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Iron|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition","","https://www.gub.uy/ministerio-salud-publica/comunicacion/publicaciones/publicaciones-objetivos-sanitarios-nacionales-2020","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/URY%202015%20BAJA_Objetivos.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/URY%202015%20BAJA_Objetivos.pdf" "40414","IRQ","Iraq","","National Reproductive, Maternal, Neonatal, Child and Adolescent Health Strategy ","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","Impact 3: Health and development of U-5yrs children have improved.
Outcome 3.1: By 2020, integrated quality child health care services for U-5yrs children are available and accessible, including in emergency.
Output 3.1.1: Availability and accessibility of integrated quality management of common childhood illnesses for U-5 children are confirmed.
Outcome 3.2: By end of 2020, nutritional status of U-5yrs children is improved, including in emergency.
Output 3.2.1: Availability and accessibility of quality nutrition services for U-5yrs children at health facility and community levels are scaled up.
Outcome 3.3: By end of 2020, routine immunization services for U-5yrs children are available and accessible including in emergencies.
Output 3.3.1: Availability and accessibility of vaccination services are ensured.
Output 3.3.2: Routine immunization coverage is increased through mobilization of families and communities.
Annex 1: RMNCAH Action plan (2016-2020) (Impacts, Outcomes, Outputs and Indicators)
Page 22 - 41
Key Indicators Page 18-20
The goals of the National Health Promotion Policy are to:
Advocate for healthy public policies to achieve health outcomes;
Empower local communities on health promotion approaches that facilitate strengthened community action and ownership;
Create an enabling environment that promotes healthy behavioural practices;
Strengthen human resources capacity to deliver health promotion services; and
Strengthen systems to monitor and evaluate health promotion interventions.
9. AREAS FOR ACTION
9.1 Advocate for Healthy Public Policies
9.2 Empower Local Communities on Health Promotion Approaches
9.3 Create an Enabling Environment that Promotes Healthy Behaviour
The National Health Promotion Policy will:
Establish and maintain Health Promoting Crèches and early learning centres that promote safe and healthy environments (e.g., clean water and adequate sanitation), personal hygiene practices (e.g., tooth brushing, hand washing), healthy eating options and personal safety;
Advocate for Health Promoting Schools that complement the work of the School Health Teams through empowering learners and educators to undertake healthy lifestyle practices including healthy eating habits, prevention of substance abuse (including tobacco, alcohol and drugs), increased physical activity, effective life skills and safer sexual practices;
Advocate for health promotion programmes at institutions of higher education that promote healthy lifestyles in partnership with Department of Higher Education and Training; and
Work with the private sector and labour unions to promote healthy lifestyle practices within the workplace. This includes promoting physical activity, smoking cessation, providing HIV and pregnancy prevention programmes. Ensuring that HCT and screening services are available for TB and other essential chronic diseases of lifestyle (e.g., diabetes and hypertension).
9.4 Strengthen Human Resources Capacity for the Delivery of Health Promotion Services
9.5 Strengthen Systems to Monitor and Evaluate Health Promotion Interventions
Health Promotion Strategy
page 28-32
Strategic objectives
1. To strengthen and invest in care during labour, birth and the first week of life.
2. Improve the quality of maternal and newborn care.
3. Harness the power of parents, families and communities.
4. Count every newborn through measurement, programme-tracking and accountability.
5. Reach every woman and newborn to reduce inequities.
Strategic Objective 4. Harness the power of parents, families and communities.
4.1Engage and mobilize families and communities to increase demand
4.1.4 Support and promote breastfeeding through the revitalization of the Baby Friendly Hospital Initiative, endorse policies to protect breastfeeding and develop a Code of Marketing for breast milk substitutes
Prevalence of low birth weight
Essential Newborn Care with early initiation of exclusive breastfeeding (as a tracer indicator)
Exclusive breastfeeding for 6 months
Proportion of newborns who received all fou relements of essential care:
Immediate skin-to-skin contact
Delayed cord clamping
Initiation of breastfeeding in the first hour
Goal 1: Ending Preventable Newborn Deaths to achieve “Single Digit NMR” by 2030, with all the states to individually achieve this target by 2035
Goal 2: Ending Preventable Stillbirths to achieve “Single Digit SBR” by 2030, with all the states to individually achieve this target by 2035
annexure 2
Summary of strategic interventions packages with actions under each of the six distinct life stages
pages 72-74
Table 6: Dashboard Indicators
page 59-60
Health Outcome Goals established in the 12th Fiver Year Plan
Coverage targets for key RMNCH+A interventions for 2017
Table 1: Continuum of care across life cycle and different levels of health system
Page 12
Coverage targets for key RMNCH+A interventions for 2017
Reduce prevalence of under-five children who are underweight at annual rate of 5.5% from the baseline of 45% (NFHS 3)
Increase ORS use in under-five children with diarrhoea at annual rate of 7.2% from the baseline of 43% (CES 2009)
Reduce unmet need for family planning methods among eligible couples, married and unmarried, at annual rate of 8.8% from the baseline of 21% (DLHS 3)
Increase met need for modern family planning methods among eligible couples at annual rate of 4.5% from the baseline of 47% (DLHS 3)
Reduce anaemia in adolescent girls and boys (15–19 years) at annual rate of 6% from the baseline of 56% and 30%, respectively(NFHS 3)
4.2.1 Goals of the Newborn Strategy
1. To contribute to the reduction of neonatal mortality rate from 32 per 1000 live births in 2011 to 21 per 1000 live births in 2018 (5%/year).
2. To contribute to the reduction of institutional neonatal mortality rate by at least 35% by 2018.
4.2.2 Objectives of the Newborn Strategy
1. Increase the proportion of health workers trained in Essential Newborn Care...
c) To increase the proportion of skilled workers trained in the IMNCI strategy to at least 80% by the year 2018....
2. Improve Basic Essential Newborn Care (primarily preventive care)
a) To increase the proportion of deliveries conducted by skilled birth attendants from 68% in 2011 to 82% in 2018.
b) To increase the proportion of babies receiving the first postnatal visit within 48 hours from 56% in 2011 to 90% in 2018.
c) To increase the proportion of babies receiving the 2nd postnatal visit by day 7 from 40% in 2013 to at least 80% in 2018.
d) To increase early initiation of breastfeeding (within 1 hour of birth) from 45.9% in 2011 to 80% in 2018.
e) To increase exclusive breastfeeding at 6 months from 45.7% in 2011 to 85% in 2018.
3. Provide basic neonatal resuscitation for adverse intrapartum events (birth asphyxia)
Treatment: To reduce institutional neonatal mortality (case fatality) due to adverse intrapartum events (birth asphyxia) by 50% by the year 2018.
4. Improve care of preterm/low-birthweight/growth-restricted babies
a) Prevention: To administer antenatal corticosteroids to at least 60% of preterm births under 34 weeks gestational age by 2018.
b) Treatment: To increase the number of hospitals providing the full package of KMC according to national criteria to at least 80% by 2018.
c) To increase the proportion of babies with birth weight less than 2000 g receiving skin- to-skin contact for at least 3 hours per day for at least 1 week to at least 60% by 2018.
...
","Chapter 5 Strategies and Implementation Activities
Page 40-52
....
5.9 Strategy 9: Scaling Up a Strengthened and Expanded Mother/Baby- Friendly Facility Initiative
APPENDIX 3: LIST OF INDICATORS1
page 58-64
Goal
The overall goal of the Child Health Strategy is by 2025, to achieve 50% reduction10 in the childhood mortality rates from the baseline of 2014:
4.2: Strategy Objectives
4.6: Linkages to the Global and Regional Strategies
Page 47-48
Table 3 Page 57
","","","Low birth weight|Anaemia|Anaemia in pregnant women|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Baby-friendly Hospital Initiative (BFHI)|Counselling on feeding and care of LBW infants|Counselling on infant feeding in the context HIV|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron and folic acid|Zinc|Multiple micronutrients supplementation|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Deworming|HIV/AIDS and nutrition|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202017%20Child_Health_Policy_and_Strategy_2017-2025.pdf" "40400","ETH","Ethiopia","","National Strategy for Newborn and Child Survival in Ethiopia","Health sector policy, strategy or plan with nutrition components","","English","","2015","","2020"," Ministry of Health","6","2015","Not adopted","","","","Health","Maternal and Child Health Directorate Federal Ministry of Health","","","","","","","","","","","","","","","","","4.1 Vision
4.2 Goals
4.3 Objectives
To ensure effective universal coverage of high impact neonatal and child survival interventions with special focus on the poorest and marginalized sections of the population including in regions requiring equitable development
To ensure provision of high quality essential health care for mothers, newborns and children at the community and health facility levels
Ensure community empowerment and demand creation for effective use of newborn and child survival interventions and promote key family and community care practices
11: ANNEXES
ANNEX 1 - Intervention packages and selected indicators for monitoring the strategy
page 67-71
11: ANNEXES
ANNEX 1 - Intervention packages and selected indicators for monitoring the strategy
page 67-71
Cible 5 : Reduction de la malnutrition chronique de 43% à 33%
details in tables p80-86
","Mise en oeuvre des actions conjointes pour agir sur les déterminants sociaux de la santé
Il sera question d'actualiser et de mettre en œuvre les plans d'actions conjoints entre le secteur de la santé et les autres secteurs notamment en ce qui concerne la promotion de la sécurité alimentaire et la lutte contre la malnutrition, l’amélioration de l’approvisionnement en eau, hygiène et assainissement ainsi que pour l’amélioration de l’accès des populations marginalisées aux services et soins de santé.
","details in tables p80-86
","","","Stunting in children 0-5 yrs|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Raised blood cholesterol|Raised blood glucose/diabetes|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Vitamin A|Calcium|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|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/COD%202018%20Plan%20National%20de%20D%C3%A9veloppement%20Sanitaire.pdf" "40770","DJI","Djibouti","","Plan national de développement sanitaire (PNDS) 2018 – 2022","Health sector policy, strategy or plan with nutrition components","","French","","2018","","2022","Ministère de la sante","","2018","Not adopted","","","","Health|Women, children, families","","World Health Organization (WHO)","","","","","","","","","","","","","","Other","Partenaires techniques et financiers","Effet 2.7 : Renforcer la lutte contre la malnutrition.
Le renforcement de la lutte contre la malnutrition sera réalisé à travers trois produits ou résultat d’extrants qui sont : (1) renforcer la sensibilisation des mères pour adopter les pratiques familiales essentielles y compris l’allaitement maternel exclusif jusqu’à 6 mois (2) Assurer la disponibilité permanente des intrants de prise en charge de la malnutrition (3) Renforcer les structures de réhabilitation nutritionnelle (4) Renfoncer les capacités du personnel impliquées dans la lutte contre la malnutrition.
","","Prévenir les naissances des PPN en améliorant la nutrition maternelle et en contrôlant les infections maternelles et les anémies
I.1.2 Soins Préventifs de l'Enfant sain
I.2.1 Soins préventifs pour adolescentes et femmes en âge de procréer
I.2.3 Soins Préventifs de l'Enfant Sain
I.3.2 Prise en charge clinique au niveau primaire (CS et Poste) des pathologies
6- Incidence du Petit Poids de Naissance
7- Taux de supplémentation en vitamine A (au moins 1 dose et 2 doses)
8- Prévalence de l’insuffisance pondérale, de l’émaciation et du retard de croissance 9- Initiation précoce de l’allaitement (1ère heure après la naissance)
10- Allaitement exclusif (0-5 mois)
11- Alimentation complémentaire (6-9 mois)
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|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)|Counselling on feeding and care of LBW infants|Counselling on infant feeding in the context HIV|Complementary feeding promotion/counselling|Vitamin A|Calcium|Iodine|Iron|Iron and folic acid|Zinc|Food fortification|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|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/DJI%202015%20Document%20de%20Strat%C3%A9gie%20de%20Lutte%20contre%20la%20Mortalit%C3%A9%20Infantile%20et%20N%C3%A9onatale.pdf" "40691","BDI","Burundi","","Plan stratégique national de la sante de la reproduction, maternelle, néonatale, infantile et des adolescents","Health sector policy, strategy or plan with nutrition components","","French","","2019","","2023","Ministère de la santé publique et de la lutte contre le sida","1","2019","Not adopted","","","","Health|Education and research|Finance, budget and planning","","United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","CARE","","","","","","","","","","","","","","","2.3. Amélioration de l’état nutritionnel des femmes enceintes et allaitantes
2.3.1 Offrir le paquet complet de services de prévention et de prise en charge nutritionnel des femmes enceinte et allaitante
RA 2.6.Une supplémentation nutritionnelle chez les femmes enceintes et allaitantes est assurée
3.2 Amélioration de l’état nutritionnel des enfants
3.2.1 Renforcer la mise en œuvre des approches de préventions et de prise en charge de la malnutrition au niveau communautaire (FARN/FAN, ANJE, MNPs)
3.2.2 Renforcer les compétences des prestataires de soins sur la PCIMA
3.2.3 Doter les FOSA en intrants nutritionnels, médicaments, outils et matériel nécessaire pour la prise en charge de la malnutrition
4.2 Amélioration de l’état nutritionnel des adolescents
4.2.1 Mener l’évaluation annuelle de la malnutrition au niveau des écoles
4.2.2 Offrir un paquet complets des services et soins nutritionnels chez les adolescents dans les 46 DS
","VII.3. Objectifs globaux
− Réduire la mortalité néonatale de 31%° en 2010 à 15%° en 2015 ;
− Réduire la mortalité infantile de 59%° en 2010 à 34%° en 2015 ;
− Réduire la mortalité infanto-juvénile de 96%°en 2010 à 61%° en 2015.
VII.4. Objectifs spécifiques ...
11. D’ici 2015, la couverture de prise en charge de la malnutrition aiguë (CMAM+ FARN) a atteint 70%.
...
","Cible 27 : D’ici fin 2018, le niveau de la malnutrition aigüe sévère passe de 2% à moins de 0,5%
R2.15. Augmenter le taux d’allaitement maternel exclusif de 64,3% à 70%
R2.16. Réduire le niveau de la malnutrition aigüe sévère de 5,5 % à moins de 3,5%
R2.17. Réduire le niveau de la malnutrition chronique de 48,8 % à moins de 35 %
","
Multiplication des Centres Nutritionnels de PEC de malnutrition
Renforcement des prestations des interventions à haut impact sur la SRMNIA (PF, CPNr, SONU, SENN, PCIME, PTME, Vaccination, Nutrition, SRAJ, PEC des fistules obstétricales et VBG, prévention du cancer du col utérin,
Organisation des visites à domicile pour relancer les femmes enceintes à la CPN, les parturientes à la CPoN, et les mères des enfants malnutris à l’éducation et récupération nutritionnelle
A2.6.1. Elaborer les normes et standards sur le paquet des soins des adolescents intégrant les volets nutritionnel, psychologique, comportemental, et la prévention de la consommation d’alcool, du tabac et des drogues ;
A2.7.18. Former les ASC sur leur rôle dans la santé maternelle, néonatale et infantile, notamment sur le dépistage, la référence et le suivi de la PEC des cas de malnutrition dans le cadre du paquet intégré communautaire
","Taux d’allaitement maternel exclusif
Prévalence de la malnutrition aigüe chez les enfants de moins de 5 ans
Prévalence de la malnutrition chronique chez les enfants de moins de 5 ans
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Exclusive 6 months|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on infant feeding in the context HIV|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Family planning (including birth spacing)|Vaccination|Water and sanitation","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20Plan%20Nationalde%20la%20Sante%20de%20la%20Reproduction%20de%20la%20Sante%20de%20la%20Mere%2C%20lu%20Nouveau-Ne%2C%20de%20L%E2%80%99enfant%20et%20de%20L%E2%80%99adolescent.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","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding promotion/counselling|Maternity protection|Folic acid|Micronutrient supplementation|Family planning (including birth spacing)|Vulnerable groups","","http://zdravstvo.gov.mk/wp-content/uploads/2012/12/akcionen-bezbedno-majcinstvo.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MKD%202018%20Action%20Plan%20for%20Sexual%20and%20reproductive%20Health%202018-2020.pdf" "40322","ALB","Albania","","Plani I Veprimit Të Promocionit Shëndetësor 2017-2021 [Health Promotion Action Plan 2017-2021]","Health sector policy, strategy or plan with nutrition components","","Albanian","","2017","","2021","Ministra e Shëndetësisë [Ministry of Health]","8","2015","Not adopted","","","","Health","","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","STOP AIDS","","","","","","","
Objektivi strategjik 1: Rritja e vetëdijes së popullatës shqiptare për shëndetin dhe orientimi drejt një mënyre jetese të shëndetshme dhe përdorimit të duhur të shërbimeve shëndetësore.
...
...
Поотношение на бременните с патологично протичаща бременност –бременност и диабет, бременност и прееклампсия, бременност и сърдечно-съдови заболявания е необходимо да се предприемат мерки за специализирано медицинско наблюдение и насочване на места, където има възможност за по-добра диагнностика/апаратура и специалисти/, както и родоразрешение.
...
ІІІ. Оперативни цели:
...
...
РАБОТЕН ПЛАН
...
2. Повишаване нивото на информираност на бременни, двойки, деца и родители по различни аспекти на репродуктивното здраве
...
2.3 Провеждане на кампании за подобряване познанията на населението по въпросите на бременността, раждането, грижите за децата, за недоносените деца, хранене и здравословно поведение
","","","","Breastfeeding|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Nutrition education","","http://www.strategy.bg/StrategicDocuments/View.aspx?lang=bg-BG&Id=907","","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/BGR%202014%20National%20Programme%20for%20Improvement%20of%20Maternal%20and%20Child%20Health%202014-2020.pdf" "41556","THA","Thailand","","The 2nd National Reproductive Health Development Policy and Strategy (2017-2026): Promotion of Healthy Birth and Child Development","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2026","","","2017","Not adopted","","","","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Industry|Justice|Labour","","","","","","","","","","","","","","","","","","4. The 2nd National Reproductive Health Development Policy and Strategy (2017-2026): Promotion of Healthy Birth and Child Development
...
5. Target group
5.1 Women and men of reproductive age
5.2 Pregnant women
5.3 Children aged 0-5 years
6. Goals
...
6.3 Promote safe motherhood, postpartum care, and childrearing in an environment that is suitable for healthy growth and appropriate development, one which will provide optimal learning and education opportunities for the child.
7. Indicators
...
7.3 Healthy newborns and child development
...
7.3.3 Percentage of low birth weight infants
7.3.4 Percentage of children aged 0-5 years who have an appropriate level of growth and development for their age
7.3.5 Percentage of children aged 0-5 years who have an appropriate height for their age.
8. Strategies, measures, indicators, goals, and responsible agencies
...
Sub-strategy 1: Improving the relevant legislation, policies, and strategies
...
Sub-strategy 2: Improving the health service system and establishing equal access to services
...
2.1 Pre-marriage and pre-pregnancy
Indicators
...
5. Percentage of women of reproductive age who want to have a child and who receive iron supplement tablets and folic acid 12 weeks before their pregnancy
6. Percentage of women of reproductive age who have anemia
7. Percentage of women of reproductive age who have an appropriate body mass index (BMI)
...
Measures
...
2. Advocate for a policy to provide iron and folic acid supplement tablets to pregnant women of reproductive age and for those who want to have a child.
...
2.2 During pregnancy
Indicators
...
4. Percentage of pregnant women who have anemia
5. Percentage of pregnant women who receive iodine, iron, and folic acid supplements
6. Pregnant women with less than 150 microgram/litres of median urine iodine
concentration
7. Percentage of pregnant women who are underweight
8. Percentage of pregnant women with a tendency to gain significant weight
Measures
...
2.3 During delivery
Indicators
...
...
2.4 Postpartum period
Indicators
...
...
Measures
...
3. Promote exclusive breastfeeding for 6 months followed by breastfeeding in combination with age-appropriate food until the child is 2 years of age or older.
4. Promote the importance of an age-appropriate diet at home, at their child care center, and at school among children aged 6 months to 5 years.
5. Provide children aged 6 months to 5 years with liquid iron supplement once a week. In the case of newborns with low birth weight, liquid iron supplement is given daily from 2 to 6 months and then the dosage is reduced to once a week.
6. Provide required immunization for children.
7.Conduct surveillance on child nutrition, oral health, and development by parents or child care givers using the Maternal and Child Health Handbook as guidance.
...
Sub-strategy 3: Improving the social welfare system
...
2.4 Postpartum period
...
4. Promote working families who want/have children.
...
","","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Maternity protection|Complementary feeding promotion/counselling|Iodine|Iron and folic acid|Family planning (including birth spacing)|Vaccination","","https://rh.anamai.moph.go.th/th/download-03/download?id=39713&filename=2nd_RH_Policy_FINALVERSION.pdf&type=pdf&url=%2Fweb-upload%2F7x027006c2abe84e89b5c85b44a692da94%2Fm_document%2F31985%2F13761%2Ffile_download%2Fa0a97d2c74aac44e3b19d99971016bbe.pdf&mid=3","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documentshttps://rh.anamai.moph.go.th/th/download-03","https://extranet.who.int/nutrition/gina/sites/default/filesstore/THA%202017%20The%202nd%20National%20Reproductive%20Health%20Development%20Policy%20and%20Strategy.pdf" "41559","GEO","Georgia","","საქართველოს დედათა და ახალშობილთა ჯანმრთელობის ხელშეწყობის 2017-2030 წლების ეროვნული სტრატეგიისა და მისი [National Strategy for the Promotion of Maternal and Newborn Health of Georgia for 2017-2030 and the Action Plan for its Implementation for 2017-2019]","Health sector policy, strategy or plan with nutrition components","","Georgian","","2017","","","Government of Georgia","","2017","Not adopted","","","","Cabinet/Presidency|Health|Social welfare|Labour","The Ministry of Labor, Health and Social Affairs of Georgia","","","","","","","","","","","","","","","","","2.3. Objectives and priority interventions for improving the health of mothers and newborns in Georgia
...
Priority interventions:
Task 2: By 2030, the quality of maternal and neonatal medical services will be improved, services will be integrated and standardized
A) Strengthening continuous maternal and neonatal services by increasing the efficiency of antenatal, intranatal and postpartum care services and their interfering referral system
...
An important component of maternal and neonatal health and survival is the promotion of healthy nutrition before pregnancy and during pregnancy, as well as improving the effectiveness of iron, folic acid and other micronutrient supplementation programs by strengthening their supply chain systems and ensuring established protocols.
At the same time it should be noted that the support of early breastfeeding, exclusive breastfeeding and the use of depleted breast milk are extremely important for the health and survival of newborns. Effective interventions in this regard should be aimed at removing barriers to exclusive breastfeeding and promoting a hospital-friendly hospital initiative.
...
8. Action Plan for the Implementation of the National Strategy for the Promotion of Maternal and Newborn Health Care of Georgia for 2017-2019
...
Objective 2: By 2020 quality of maternal and neonatal health services will be improved and standardized along with integration of these services
Outcome 2: Quality of maternal and neonatal health services is improved and standardized, as measured by indicators listed below, that should be included in the standard monitoring system.
Indicators:
...
2. % of pregnant women who receive the recommended number of iron/folate supplements during pregnancy
Baseline: 22% (2016)
Target: ≥95%
...
14. Prevalence of low birth weight from total number of livebirth
Baseline: 6.1%
Target: 5% reduction
15. % of newborns who were exclusively breastfed at the hospital discharge
Baseline: 95%
Target: 98%
...
Output
2.1. Mechanisms for strengthening the continuum of care for MNH through enhancing preconception, antenatal, intrapartum and postpartum/ postnatal care connected with effective referral system to improve pregnancy outcomes are established
...
Activity
...
2.1.10. Promote, support and protect early and exclusive breastfeeding:
2.1.10.1. Evaluate the implementation of the Law of Georgia on Protection and Promotion of Breastfeeding;
2.1.10.2. Develop and implement the Law enforcement mechanisms.
2.1.11. Forecast demand, procure and supply essential supplies, medicines for MNH services, specifically folic acid, Iron, micronutrient supplements and surfactant
...
","","","","","Low birth weight|Breastfeeding|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Iron and folic acid|Family planning (including birth spacing)","","https://matsne.gov.ge/ka/document/view/3825285?publication=0","MCA policy survey","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202017%20National%20Strategy%20for%20the%20promotion%20of%20MNCH%20and%20Action%20Plan.pdf" "40031","ERI","Eritrea","","Policy Guidelines for RMNCAH, Nutrition and Healthy Ageing Programs","Health sector policy, strategy or plan with nutrition components","","English","","2018","","","Ministry of Health","1","2018","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","...
3.6 Impact Indicators
The following are the RMNCAH, Nutrition and Healthy Aging Impact Indicators (Impact Targets) to be achieved by 2021:
...
5. Reduce the prevalence of stunting among children less than 5 years of age by 20% by 2021
...
3.7 Strategic Objectives
...
...
Table 7.1 Strategic Objectives with Selected Key Indicators for each Strategic Objective:
1. Improve the coverage and quality of services provided to pregnant women and neonates from pre-conception to post-natal, to reach 70% of targeted population by 2021
2. Improve the coverage of effective child health interventions to reach 70% of the <5 children by 2021
...
8. Reduce wasting and stunting among children less than 5 years of age by about 30% of the 2015 levels by 2021
Proportion of infants 0-5months who are exclusively breastfed:
Proportion of children 0-59 months of age wasted:
Proportion of children 0-59 months of age stunted:
Goal: To accelerate efforts towards ending preventable deaths of women, newborns, children and adolescents and ensure their health and wellbeing
The following targets will be used to measure achievement of the goal
Reduce maternal mortality ratio from 789 to 600 per 100,000 live births by 2022
Reduce neonatal mortality rate from 39.9 to 33 per 1000 live births by 2022
Reduce underfive mortality rate from 93 to 75 per 1000 live births by 2022
Reduce still birth rate from 30 to 25 per 1000 live births by 2022
Reduce adolescence mortality rate from 292 to 195 per 100000 by 2022
Overall strategic objective: Increased access to and utilization of quality high impact RMNCAH and N interventions for all women, newborns, children and adolescents in South Sudan.
Strategies and key actions by strategic objectives
To achieve the overall strategic objective, this plan will implement a set of targeted and prioritised strategies across the three strategic objectives. The table below presents a summary of the strategies and key actions by the three strategic objectives.
SO1: Strengthened health systems for effective delivery of high impact RMNCAH interventions
SO2: Enhanced community engagement and partnerships for improved access to and utilization of high impact RMNCAH interventions
SO3: Improving provision of RMNCAH services in humanitarian and fragile settings
Overall Objective: Increased access to and utilisation of quality high impact RMNCAH and N interventions for all women, newborns, children and adolescents in South Sudan
% of low birth weigh babies
% of infants aged 0 to 5 months who are fed exclusively on breast milk
% of infants breastfed within one hour of birth in 48% TBD a specified period
% of stunted children aged 0-59 months
% of wasted (moderate and severe) children aged 0-59 months
% Population using safely managed sanitation services including a hand washing facility with soap and water
% of population using clean and safe drinking water
% of women aged 15 to 49 years, married or in union, who are currently using or whose sexual partner is using, atleast one method of contraception regardless of the method being used
% of children aged 6-59 months who received Vitamin A supplementation in the past 12 months.
No. of children 6 -59 months receiving supplementary foods
% of pregnant women receiving micronutrient supplementation
% of mothers of children 0-6 months receiving supplementary foods
% of children with diarrhea in the last two weeks receiving ORS
% of children 12 to 23 months who received all the vaccines as per the South Sudan national schedule