"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" "8715","SDN","Sudan","","National Plan of Action for Nutrition (NPOAN) -Sudan","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","","Government of Sudan","4","1995","Adopted","","1995","Council of Ministers","Education and research|Finance, budget and planning|Food and agriculture|Health|Information|Justice|Other|Social welfare|Sport|Trade|Labour","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%201995%20National%20Plan%20of%20Action%20for%20Nutrition%28NPOAN%29Sudan.pdf" "8136","BOL","Bolivia (Plurinational State of)","","Estrategia AIEPI Nut Clínico","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","1996","","","MSD","","1996","Adopted","","1996","MSD","Cabinet/Presidency|Health|Sport","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food fortification|Food security and agriculture","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202009%20-%20AIEPI%20nut%20clinico.pdf" "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" "8840","GEO","Georgia","","Food security, healthy eating & physical activity National policy","Comprehensive national nutrition policy, strategy or plan","","","","2006","","2010","Ministry of Labour, Health and Social affairs","","2010","Adopted","","2010","Ministry of Labour, Health and Social affairs","Cabinet/Presidency|Food and agriculture","Ministry of Labour, Health and Social affairs Cabinet/Presidency, Food and agriculture: Parliament, Ministry of Food and Agriculture","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","The World Bank","Bilateral and donor agencies and lenders: The World Bank","","","","","","","","","","","The goal is to protect and promote health and reduce burden of diseases related to food and nutrition while contributing to social and economic development and sustainable environment. More specifically, the main goal of health sector is promotion of health through well balanced diet, prevention of nutritional deficiencies and prevention and control of food borne diseases.
","
Elaborated in accordance with the first “food and nutrition” action plan for European region, by the supporting of WHO in the frame of biannual agreement, and consists of 12 main positions:
6. Strategic areas:
Goal:
Ensure a dependable sustained food security for all people at all times
Core Objective 1: Adequate and stable supply of safe and nutritious food
Specific Objectives:
1. Sustained increase in food production
2. Efficient food markets
3. Non-distortionary food grain market intervention for price stabilization
Targets:
Core Objective 2: Increased purchasing power and access to food of the people
Specific objectives:
1. (Effective) Transitory shock management
2. Effective implementation of targeted programmes to improve food security
3. Employment generating income growth
Targets:
Core Objective 3: Adequate nutrition for all individuals, especially women and children
Specific Objectives:
1. Long-term national plan for ensuring balanced food in building a healthy nation
2. Supply of sufficient nutritious food for vulnerable groups
3. Balanced diet containing adequate micronutrients
4. Safe drinking water and improved sanitation
5. Safe quality and food supply
6. Adequate health status
Targets:
Key areas of intervention/Program areas:
1.1: Agricultural Research and Extension
1.2: Use and Management of Water Resources
1.3: Adequate Supply and Sustainable Use of Agricultural Inputs
1.4: Agricultural Diversification
1.5: Agricultural Credit and Insurance
1.6: Physical Market Infrastructure Development
1.7: Agricultural Marketing and Trade
1.8: Policy and Regulatory Environment
1.9: Early Warning System Development
1.10: Producer Price Support
1.11: Public Stock Management / Price Stabilization
2.1: Agricultural Disaster Management
2.2: Emergency Distribution from Public Stock
2.3: Enabling Environment for Private Food Trade and Stock
2.4: Effectiveness of Targeted Food Security Programs and Other Safety Nets
2.5: Income Generation for Women and the Disabled
2.6: Promotion of Agro-based/Agro-processing and Micro/Small Rural Enterprises
2.7: Market-driven Skill Development
3.1: Long-term Planning for Balanced Nutrition
3.2: Balanced and Nutritious Food at Minimal Costs for Vulnerable Groups
3.3: Nutrition Education for Dietary Diversification
3.4: Supplementation and Fortification for Balanced Nutrition
3.5: Safe Drinking Water and Improved Sanitation
3.6: Safe, Quality Food Supply
3.7: Women and Children’s Health
3.8: Promotion and Protection of Breastfeeding and Complementary Feeding
","Goal - Outcome-target indicators:
WFS (number of undernourished people) – Target: reduced from 39.3 million (1990-1992) to 19.65 by 2015
MDG (prevalence of undernourished) – Target: reduced from 35% (1990-2002) to 17.5 % by 2015
Objective 1 - Outcome/impact indicators:
Availability/Adequacy of supply: Agricultural GDP; food supply (domestic production, net imports, variation in stocks) compared to national requirements, food production and consumption requirements disaggregated by regions
Stability of supply: Variability of food production; food import dependency ratio, variability of food prices
Objective 2 - Outcome/Impact Indicators:
Proportion of people below the poverty line – MDG1 Target: Reduced proportion of people below US$1 per day (PPP) from 58.8% in 1991 to 29.4% by 2015
Proportion of people in extreme poverty – MDG1 Target: Proportion of people in extreme poverty reduced from 28% in 1991 to 14% by 2015
% increase in average HH cash income from on-farm and off-farm income generating activities
# HH with no food gap – have sufficient food to meet HH needs in all 12months of the year
# income sources per HH
% of HH income spent on food
Food price index; variability in food price
Objective 3 - Related Outcome/Impact indicators/Targets:
Low Birth Weight (Birth wt. <2.5 kg) – Target: reduced from 36% (2004) to 30% by 2010 and < 20% by 2015
Weight gain during pregnancy – Target: increased from 6.7 kg (2004) to 9-10 kg by 2010 and 11-12 kg by 2015
U-5 underweight (weight for age <-2SD) – Target: reduced from 51% (2000) to 38% by 2010 and 33% by 2015
U-5 stunting (height for age <-2SD) – Target: reduced from 49% (2000) to 37% by 2010 and 33% by 2015
U-5 wasting (Weight for height <-2SD) – Target: reduced from 12% (2000) to 10% by 2010and 7% by 2015
Rural-urban difference in U-5 (PEM) – Target: reduced from 10-12% point (2000) to 7-8% points by 2010 and 5-6% points by 2015
Chronic Energy Deficiency (CED) (Body Mass Index (BMI) <18.5 kg/m2) in women (including adolescent girls) – Target: reduced from 45% (2000) to 20% by 2010 and <20% by 2015
Vitamin A deficiency among children and women – Target: reduced from 30% (2000) to 15% by 2010 and to <10% by 2015
Iodine deficiency in children (6-12 years) and women (15-44 years) – Target: reduced from 34-38% (2005) to 25% by 2010 and to <10% by 2015
Iron deficiency anaemia (IDA) – Target: in infants (6-11 months), reduced from 77% (2003) to 60% by 2010 and to 40% by 2015; in adolescent girls (13-19 years) from 30% (2003) to 25% by 2010 and <20% by 2015; in pregnant women from 46% (2003) to 35% by 2010 and to 25% by 2015
Anthropometric indicators: height and weight of under-5 children – Target: increased to at least 80% of WHO standards by 2015
Others:
Per capita calorie intake – Target: Increased from 2238 (BBS, 2006) to 2400 (kcal/person/day)(provisional) by 2015
Dietary energy supply (DES) from cereals (%) – Target: decreased from the current 70% to 60% by 2015
Prevalence of food contamination and food adulteration (physical, chemical, microbiological) (%)
Incidence of food-borne illnesses (number of cases reported)
FIN: Garantizado el derecho y el acceso equitativo y universal a un conjunto de servicios básicos de salud y nutrición para incrementar la esperanza y la calidad de vida de la población nicaragüense.
PROPÓSITO: Incrementada la capacidad de respuesta del sector salud y asegurada la sostenibilidad de las intervenciones en el campo de la salud, alimentación y nutrición con la participación activa y el fuerte compromiso de la actuación intersectorial y la sociedad civil.
OBJETIVO GENERAL DEL PLAN: Reducir de manera sostenida y permanente la desnutrición crónica en la niñez menor de 5 años en el país durante el período 2008 al 2015.
RESULTADO ESPERADO GENERAL: Disminuida al 12% la desnutrición crónica en la niñez menor de 5 años de edad hacia el 2015.
OBJETIVOS ESPECÍFICOS:
1. Brindar atención integral a la niñez menor de cinco años para garantizarles un adecuado estado de salud, alimentación y nutrición.
2. Disminuir la gravedad y letalidad de las EDA por rotavirus (aplicando la nueva generación de intervenciones pra el abordaje de la diarrea).
3. Brindar atención integral a la mujer con el propósito de garantizar un estado de salud óptimo durante su embarazo, parto y puerperio.
4. Contribuir a la seguridad alimentaria y nutricional de la mujer y la niñez.
5. Población recibe mensajes educativos para promoer estilos de vida saludables que mejoren la salud y la nutrición en la familia y en la comunidad.
6. Evaluar con indicadores de procesos y de resultados el Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil"" (HEDCI).
","
Obetivo Específico 1: Brindar atención integral a la niñez menor de cinco años para garantizarles un adecuado estado de salud, alimentación y nutrición.
Actividades:
1. Adaptación e implementación de las normas y protocolos con nuevos estándares de crecimiento, equipamiento y capacitación a nivel nacional y SILAIS.
2. Fortalecimiento del programa de micronutrientes.
3. Fortaleciiento de la coordinación entre las direcciones de regulación de alimentos, Nutrición, Atención Integral a la Niñez y Salud Reproductiva para la aplicación de las normas técnicas de fortificación.
4. Suplementación cocn micronutrientes encapsulados.
5. Adquisición y distribución de antiparasitarios.
6. Atención integrada a las enfermedades prevalentes de la infancia a nivel institucional y comunitario.
7. Fortalecimiento del Programa Comunitario de Salud y Nutrición (PROCOSAN).
Objetivo Específico 2: Disminuir la gravedad y letalidad de las EDA por rotavirus (aplicando la nueva generación de intervenciones para el abordaje de la diarrea).
8. Suplementación con zinc y uso de nuevas sales de rehidratación oral de baja osmolaridad en niños y niñas con diarrea.
9. Inmunizaciones
10. Vacuna Anti-rotavirus.
Objetivo Específico 3: Brindar atención integral a la mujer con el propósito de garantizar un estado de salud óptimo durante su embarazo, parto y puerperio.
11. Fortalecimiento del Programa Nacional de Lactancia Materna.
12. Detección, prevención y tratamiento de la anemia y deficiencia de ácido fólico.
Objetivo Específico 4: Contribuir a la seguridad alimentaria y nutricional de la mujer y la niñez.
13. Entrega de alimentos complementarios fortificados según criterios de selección en las zonas de alta y muy alta vulnerabilidad alimentaria y nutricional.
Objetivo Específico 5: Población recibe mensajes educativos para promover estilos de vida saludables que mejoran la salud y la nutrición en la familia y en la comunidad.
14. Implementación de Estrategia de Comunicación y Acción Comunitaria en Salud.
Objetivo Específico 6: Evaluar con indicadores de procesos y de resultados el Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil"" (HEDCI).
15. Diseño y ejecución de un sistema de Seguimiento y Evaluación del Plan Nacional HECDI.
","
Actividad 1: Adaptación e implementación de las normas y protocolos con nuevos estándares de crecimiento, equipamiento y capacitación a nivel nacional y SILAIS.
Indicadores:
1.1. El 100% de unidades de salud utilizan nuevos estándares de crecimiento OMS.
1.2. En implementación el sistema de información de SAN del menor de 5 años de edad con inclusión de la diversidad de la dieta y el patrón alimentario.
1.3. Incremento de la cobertura del VPCD (vigilancia y promoción del crecimiento y desarrollo) en el menor de una ñao al 90% de acuerdo a los nuevos estándares.
1.4. El 100% de madres qeu participan en las sesiones de evaluación del crecimiento infantil reciben consejería alimentaria basadas en el registro semanal del consumo de alimentos por el infante y de estimulación del desarrollo infantil.
Actividad 2: Fortalecimiento del programa de micronutrientes.
Indicador:
2.1. Incremento del 30% en la cobertura del segundo VPCD en el año en los niños y niñas de 1 a 4 años.
Actividad 3: Fortalecimiento de la coordinación entre las direcciones de regulación de alimentos, Nutrición, Atención Integral a la Niñez y Salud Reproductiva para la aplicación de las normas técnicas de fortificación.
Indicadores:
3.1. Al menos el 95% de los niños y niñas menores de 5 años reciben micronutrientes deficitarios en la dieta básica: vitamina A, sulfato ferroso, zinc, ácido fólico, yodo y flúor.
3.2. El 85% de expendios o procesadoras de alimentos cumplen con las normas de control y garantía de calidad.
Actividad 4: Suplementación con micronutrientes encapsulados.
Indicador:
4.1. El 100% de niños y niñas beneficiarios de PAININ reciben micronutrientes encapsulados.
Actividad 5: Adquisición y distribución de antiparasitarios.
Indicador:
5.1. El 100% de los niños y niñas de 2 a 5 años reciben tratamiento antiparasitario según normas del MINSA.
Actividad 6: Atención integrada a las enfermedades prevalentes de la infancia a nivel institucional y comunitario.
Indicador:
6.1. El 100% de unidades de salud ejecutan AIEPI a nivel institucional y comunitario.
Actividad 7: Fortalecimiento del Programa Comunitario de Salud y Nutrición (PROCOSAN).
Indicadores:
7.1 El 95% de los niños y niñas atendidos por PROCOSAN son referidos y evaluados en el VPCD.
7.2. El 100% de madres que participan en las sesiones de PROCOSAN reciben consejería en salud, alimentación y nutrición.
Actividad 8: Suplementación con zinc y uso de nuevas sales de rehidratación oral de baja osmolaridad en niños y niñas con diarrea.
Indicador:
8.1. El 80% de los niñas y niñas cocn diarrea reciben suplementos de zinc y sales de rehidratación oral de baja osmolaridad.
Actividad 9: Inmunizaciones
Indicador:
9.1 Al menos el 95% de los niños y niñas menores de 5 años cumpletan su esquema de vacunación.
Actividad 10: Vacuna Anti-rotavirus.
Indicador:
10.1. Al menos el 95% de los niños y niñas completan a los 6 meses su esquema de vacunación Anti Rotavirus.
Actividad 11: Fortalecimiento del Programa Nacional de Lactancia Materna
Indicadores:
11.1. Incremento al 53% de mujeres con niños y niñas menores de seis meses que dan lactancia materna exclusiva.
11.2. El 100% de unidades de salud certificadas que cumplen con los 11 pasos para la promoción de una lactancia materna exitosa.
11.3. Instalado y funcionando el primer banco de leche humana en el Hospital Berta Calderón.
Actividad 12: Detección, prevención y tratamiento de la anemia y deficiencia de ácido fólico.
Indicador:
12.1. El 95% de la MEF reciben suplementación con hierro y ácido fólico en los 66 municipios priorizados.
Actividad 13: Entrega de alimentos complementarios fortificados según criterios de selección en las zonas alta y muy alta vulnerabilidad alimentaria y nutricional.
Indicador:
13.1. El 100% de las familias con mujeres embarazadas, madres lactantes y niños menores de tres años en las zonas de intervención del MINSA, MAGFOR y PMA.
Actividad 14: Implementación de Estrategia de Comunicación y Acción Comunitaria en Salud.
Indicador:
14.1. Implementada la Estrategia de Comunicación y Acción Comunitaria dirigida a la familia.
Actividad 15: Diseño y ejecución de un sistema de Seguimiento y Evalución del Plan Nacional HECDI.
Indicador:
15.1. El 100% de las actividades de monitoreo y evaluación del plan nacional HEDCI cumplidas en las zonas de intervención.
","","","Growth monitoring and promotion|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition","","http://www.incap.int/index.php/es/publicaciones/doc_view/255-plan-nacional-hacia-la-erradicacion-de-la-desnutricion-cronica-infantil-en-nicaragua","En la carátula del documento aparece 2008 - 2012 pero en la introducción (página 4) se refieren al Plan Nacional "Hacia la Erradicación de la Desnutrición Crónica Infantil en Nicaragua 2008 - 2015".","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIC%20Plan%20Nac%20Hacia%20Erradicaci%C3%B3n%20DCI.pdf" "14793","UGA","Uganda","","The Operational Framework for Nutrition in the National Child Survival Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2009","","","Ministry of Health","","2009","Adopted","","2009","MoH","Cabinet/Presidency|Education and research|Food and agriculture|Health|Social welfare","Ministry of Health Cabinet/Presidency, Education and research, Food and agriculture, Health, Social welfare: Ministry of Health, Ministry of Gender, Labour and Social Development","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","Global Alliance for Improved Nutrition (GAIN)|International Baby Food Action Network (IBFAN)","International NGOs: Global Alliance for Improved Nutrition (GAIN), International Baby Food Action Network (IBFAN),","US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID)","","","","","Research/academia","Gulu University, Makerere University","","","","","
2.2.1 Goal:
To operationalize the nutrition component of the Child Survival Strategy (CSS) in order to accelerate the reduction of under-five mortality, and thus contribute to the National Development Plan (NDP), the Health Sector Strategic Plan (HSSP) III, and the MDGs.
2.2.2 Overall Objective
To strengthen the implementation of a defined package of proven nutritional interventions that are cost effective and to achieve and sustain high coverage.
2.2.3 Specific Objectives
1. To implement cost effective nutrition interventions through community, population/scheduled, and clinical services.
2. To scale up proven nutrition interventions through community, population /scheduled and clinical services.
3. To sustain high coverage of proven interventions through community, population/scheduled and clinical services.
","Thematic Objective 1: Mainstreaming maternal nutrition interventions designed to ensure
adequate pregnancy outcomes and healthy infancy
Interventions
1. Providing iron and folic acid tablets to adolescents in and out of school, and to pregnant and
lactating mothers
2. Encouragement and support of antenatal care services through health education
3. Promotion of adequate intake of nutrient dense foods by the mother during pregnancy and
lactation, and of more daytime rest during pregnancy
4. Post-partum supplementation with vitamin A, iron and folate
5. Consideration of maize meal fortification with folic acid to help assure maintenance of
adequate serum folate prior to conception
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 2: Mainstreaming infant and young child nutrition interventions to ensure
growth and development
Interventions
1. Counselling during ante-natal and post-natal care to promote and support exclusive
breastfeeding.
2. Continued and intensified growth monitoring and promotion with intensive counselling to
address needed behavioural change, and referral as necessary for facility-based attention.
3. Promotion and support for exclusive breastfeeding for six months, timely introduction of
adequate complementary feeding, and continued breastfeeding to at least 24 months
4. Semi-annual Vitamin A supplementation to infants and children 6 to 59 months
5. Semi-annual deworming of children aged 1 to 14 years
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 3: Mainstreaming nutrition to ensure control and prevention of micronutrient
deficiencies
Interventions
1. Establishment of a comprehensive policy framework for micronutrient deficiency control
2. Support for implementation of a consolidated policy on micronutrient deficiency control
3. Advocacy for the control and prevention of micronutrient deficiencies
4. Control of iodine deficiency disorders
5. Vitamin A supplementation for children and post partum women
6. Iron supplementation for anaemic children and non pregnant women
7. Iron and folic acid supplementation for adolescent girls and for pregnant and lactating
women
8. Deworming of young children, school children and pregnant women
9. Food fortification, particularly of complementary foods with vitamin A, iron and other
micronutrients
10. Control of zinc deficiency through food fortification and supplementation as part of diarrhea
management
11. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 4: Mainstreaming the treatment of acute malnutrition into the health delivery
system with nutrition interventions to control for co- morbidities
Interventions
1. Identification, referral and management of cases of acute malnutrition
2. Nutrition management and support of sick children following IMCI protocols.
Thematic Objective 5: Mainstreaming nutrition into the treatment and management of HIV/AIDS
Interventions:
1. Providing nutritional services and supplements in the context of HIV/AIDS
2. Support for Infant and Young Child Feeding (IYCF) in the context of HIV
3. Prevention of mother to child transmission of HIV.
Thematic Objective 6: Mainstreaming nutrition interventions into emergency planning,
preparedness and response
Interventions
1. Providing nutrition services in emergencies
2. Support for Infant and Young Child Feeding in emergencies.
Thematic Objective 7: Cross cutting issues
Interventions
1. Operational research
2. Human capacity strengthening
3. Linking services across ministries
4. Family Care Practices.
Thematic Objective 8: Development of a comprehensive communication strategy to support all
nutrition interventions
Interventions
1. Development of an effective and comprehensive communication strategy designed to
encourage optimal IYCN for use at all levels
2. Production of appropriate information, education and communication materials at all levels
3. Development of advocacy packages for policy makers, program managers and communities.
","M&E indicators are available.
","","","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|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|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|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Capacity building for the Code|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","http://www.health.go.ug/nutrition/docs/infant/Operational_Framework.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20The%20Operational%20Framework%20for%20Nutrition%20in%20the%20National%20Child%20Survival%20Strategy.pdf" "11496","GMB","Gambia","","National Nutrition Policy 2010-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2010","","2020","National Nutrition Agency (NaNa)","","2010","Adopted","","2010","Government of Gambia (Vice president and Minister of Women Affairs)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Labour|Sub-national|Other","Food Safety and Quality Authority","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","The World Bank","","Other","","","","","","Private sector","Food producers","","","Mission: Establish effective overall mechanisms through which policies, strategies, programmes, and activities can be identified, prioritized, coordinated, implemented, monitored, and evaluated for the attainment of nutrition and food security in Lao PDR.
Overall Goal: Since there is no single measure of nutritional status and food security, the overall goal has been translated into a number discrete, empirically observable and measurable targets by the Year 2015 (attainment year of MDGs) and the Year 2020 (year for exiting Less Developed Country status and entering Medium Income Country status). See indicator tab for list of goal indicators.
","
Strategic Direction I: Address Immediate Causes
SO1: Improve Nutrient Intake
SO2: Prevent and Reduce Food-, Water-, Vector-borne, and Infectious Diseases
Strategic Direction II: Address Underlying Causes
SO3: Increase and Diversify Domestic Food Production
SO4: Improve Access to Nutritious Food
SO5: Improve Mother and Child Care Practices
SO6: Improve Environmental Health and Access to Nutrition and Health Services
Strategic Direction III: Address Basic Causes
SO7: Improve Institutions and Coordination
SO8: Improve Human Capacity
SO9: Increase Quantity and Quality of Information
SO10: Increase Investments in Nutrition and Food Security
Overall Goal Indicators
Indicator (2006 Baseline, 2015 Target, 2020 Target)
Malnutrition
Rate of stunting among CU5 (NCHS standard) (40, 34, 28)
Rate of wasting among under CU5 (NCHS standard) (6, 4, 2)
Rate of underweight among CU5 (NCHS standard)* (37, 22, 15)
Rate of thinness of women among reproductive aged (WRA) (BMI<18.5kgm-2) (14, 12, 10)
Rate of anemia among CU5 (Hemoglobin < 11g/dL) (41, 30, 20)
Rate of Anemia among women of reproductive age (WRA) (Hemoglobin < 12 g/dL) (36, 25, 15)
Iodine deficiency among school age children (urinary iodine excretion < 100µg/L) (27, 17, 10)
Iodine deficiency among women of reproductive age (WRA) (13, 9, 5)
Vitamin A deficiency among CU5 (serum retinol < 0.7) (45, 30, 20)
Percentage of households with low < 1800 KC energy intake* (TBD, 10, 5)
Health
Infant mortality rate (IMR) (70/1,000, 49/1,000, 30/1,000)
Under 5-years old child mortality rate (CU5 MR) (98/1,000, 80/1,000, 40/1,000)
Maternal mortality rate (MMR) (405/100,000, 260/100,000, 100/100,000)
Poverty
Poverty Head Count Ration (HCR) (TBD, 24%, 8%)
* MDG Goal indicators. MDG Goal Indicators will be used as key proxy indicators to measure progress towards MDG 1
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Counselling on infant feeding in the context HIV|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Other B-vitamins|Iodine|Iron|Zinc|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","National Nutrition Policy (2008) https://extranet.who.int/nutrition/gina/en/node/8022","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202010%20National%20Nutrition%20Strategy%20and%20Plan%20of%20Action.pdf" "23615","GEO","Georgia","","National Health Care Strategy 2011-2015","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Labour, Health, and Social Affairs of Georgia","","2011","","","","","Health|Education and research|Social welfare|Sport|Labour|Other","National Center for Disease Control (NCDC); National Reproductive Heath Council","World Health Organization (WHO)","","","","","","European Union","","","","","","Private sector","","Other","Civil Registry Agency","To promote a healthy lifestyle, the government will collaborate with private and non-governmental organizations to initiate educational campaigns increasing public awareness about behavioral risk factors (drug abuse, unhealthy diet, physical inactivity, alcohol and tobacco consumption and road safety). Therefore, the MoLHSA will develop and implement information, education and communication initiatives aimed at increasing the population’s awareness about health and healthy life-style issues.
","The Government will increase its efforts to promote health by implementing a number of special programs such as: the introduction of the “Healthy School” concept
By 2015, special attention will be devoted to improving legislation and elaborating efficient enforcement measures that assure health improvements. To that end, road safety, reduction of drug abuse, assuring food safety and promoting a healthy urban environment will receive prime attention.
NCDC will create and develop national registers for such chronic diseases as cancer, myocardial infarction, diabetes, epilepsy and stroke.
","","","","School-based health and nutrition programmes|Physical activity and healthy lifestyle|Food safety|Vaccination|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/GEO","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202011%20GEORGIA%20-%20NATIONAL%20HEALTH%20CARE%20STRATEGY%202011-2015.pdf" "11530","MOZ","Mozambique","","Plano de Acção Multissectorial de Redução da Desnutrição [Multisectoral plan for chronic malnutrition reduction 2011 – 2014 (2020)]","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2014","MAPUTO","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Urban planning|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) -","Other|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID),","","","","","","","","","","","GENERAL OBJECTIVE:
To accelerate the reduction of chronic undernutrition in children under 5 years of age from 44% in 2008 to 30% in 2015 and 20% in 2020, contributing to the reduction of infant morbidity-mortality and ensuring the development of a healthy and active society.
GOALS FOR EACH TARGET GROUP:
Adolescents
• Reduce anaemia rates in adolescents in and out of school from (estimated) 40% in 2010 to 20% in 2015 and 10% in 2020.
Pregnant and nursing women
• Reduce rates of anaemia during pregnancy from 53% in 2002 to 30% in 2015 and 15% in 2020.
• 30% increase in the number of women who gain 5kg during pregnancy in 2015 and 2020 (baseline to be assessed).
• Reduce iodine deficiency in pregnant women from 68% in 2004 to 35% in 2015 and 15% in 2020.
• Increase coverage rates of preventive postpartum administration of vitamin A from 60% in 2010 to 70% in 2015 and 90% in 2020.
Women of Reproductive Age
• Reduce rates of anaemia in women of reproductive age from 56% in 2010 to 30% in 2015 and 15% in 2020.
Children under 5 years of age, with emphasis on children under 2 years of age:
• Reduce Low Birth Weight from 15% in 2008 (MICS) to 10% in 2015 and 5% in 2020.
• Reduce the prevalence of chronic undernutrition in children under two years from 37.4% in 2008 (MICS) to 27% in 2015 and 17% in 2020.
• Increase the rates of exclusive breastfeeding in infants under six months from 37% in 2008 (MICS) to 60% in 2015 and 70% in 2020.
• Increase the rate of children aged 9-11 months who received at least three meals of complementary food during the day, from 37% in 2008 (MICS) to 52% in 2015 and 67% in 2010.
• Reduce the prevalence of anaemia in children from 74% in 2002 to 30% in 2015 and 15% in 2020.
Strategic Objectives:
1: To strengthen activities with impact on the nutritional status of adolescents.
2: To strengthen interventions with impact on the health and nutrition of women of reproductive age before and during pregnancy and lactation.
3: To strengthen nutrition activities for children in the first two years.
4: To strengthen household-oriented activities to improve access and utilization of foods with a high nutritional value.
5: To strengthen the Human Resources capacity in the area of nutrition.
6: To strengthen the national capacity for advocacy, coordination, management and progressive implementation of the Multisectoral Action Plan for the Reduction of Chronic Undernutrition.
7: To strengthen the food and nutrition surveillance system.
","Interventions/Activities included in the Activity Plan of the PDF
","
M & E Indicators included in the Activity Plan of the PDF (Section 5.2)
","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.who.int/nutrition/landscape_analysis/MozambiqueNationalstrategyreductionstunting.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf" "11534","NAM","Namibia","","Strategic Plan for Nutrition 2011–2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","MOHSS","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Trade|Information|Sub-national|Other","Regional Development, Gender, Defense, Lands and resettlement, Youth Sport and Culture, Saftey and Security, Office of the Prime Minister (OPM) and Namibia Alliance for Improved Nutrition (NAFIN) Trust","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other, please specify under further details|Voluntary Services Overseas (VSO)","Health Unlimited (Britain), Doctors of the World( Spain), CESTAS (Italy), People in Need (Czech Republic), Chinese Medical Programme, faith-based organisations","Other|Centers for Disease Control and Prevention (CDC USA)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|US Agency for International Development (USAID)","PEPFAR (USA), Global Fund","European Commission|European Union","","National NGOs","","Research/academia","","Private sector","food producers, distributors, outlets, gyms, fitness institutions, Namibian grain producers Bokomo, Namib Mills and Southern Choice Mill","","","GOAL:
To improve the nutritional status of the Namibian population, with special emphasis on children, women and people living with HIV and TB, resulting in the reduction of morbidity and mortality due to or associated with malnutrition.
STRATEGIC PRIORITIES;
1. Maternal and child nutrition
2. Micronutrient deficiencies
3. Diet-related diseases and lifestyles
4. Nutritional management of communicable diseases
Objectives:
4.1.2.1. Underweight in under-fives reduced from 17 percent to 10 percent and severely underweight from 4 percent to 1.5 percent
4.1.2.2. Chronic malnutrition in women of reproductive age reduced from 16 percent to 12 percent
4.2.2.1. Disorders associated with iodine, iron, zinc and vitamin A deficiencies eliminated
4.3.2.1. Prevalence of obesity reduced from 12 percent to 8 percent and overweight from 16 percent to10 percent in women of reproductive age and from 4.3 percent to 1.5 percent in under-5s.
4.4.2.1. Appropriate nutrition care provided for at least 80 percent of people living with HIV and TB
4.4.2.2. Nutrition care integrated into management of malaria and other communicable diseases
Priority 1 Strategies:
I. Growth Monitoring and Nutrition Promotion
II. Universal implementation of Baby and Mother Friendly Hospital Initiative
III. Infant and Young Child Feeding
IV. Integrated Management of Acute Malnutrition
V. Code of Marketing of Breast-milk Substitutes
VI. Maternal and Child Nutrition Promotion
VII. Nutrition Surveillance
Priority 2 Strategies:
I. National household food consumption and micronutrient deficiency survey
II. Micronutrient supplementation (iron, zinc, vitamin A)
III. Universal salt iodisation
IV. Food fortification
V. Promotion of dietary diversification
VI. Legislative framework
Priority 3 Strategies:
I. Assessment of prevalence and causes of obesity and associated NCCD in the general population
II. Monitoring and promotion of healthy diets and physical activity
III. Dietary management of diet-related non-communicable diseases
IV. Regulation of food safety, food standards and food labelling
Priority 4 strategies:
I. Integrated Management of Acute Malnutrition
II. Promotion of appropriate nutrition for PLHIV and TB
III. Raise awareness on water and food safety, hygiene and sanitation
IV. Nutrition surveillance
V. Nutrition assessment, counselling and support
OUTPUT INDICATORS:
OUTCOME INDICATORS:
IMPACT INDICATORS:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202011%20Final_strategic_Plan_for_Nutrition_14_March_2011%20%282%29.pdf" "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" "8297","BRB","Barbados","","United Nations Development Assistance Framework (UNDAF) for Barbados and the Organisation of Eastern Caribbean States (OECS) 2012 to 2016","Non-national nutrition policy document","","English","","2012","","2016","United Nations System in Barbados and the Organisation of Eastern Caribbean States (OECS)","","2011","Adopted","","","FAO, UN women, ITU, UNDP, PAHO/WHO, UNAIDS, UNICEF, UNECLAC, UNESCO; UNFPA, UNIC, UPU; ILO, UNEP, UNIDO, UNODC","Health|Labour|Other","Ministry of Health, National AIDS programme","United Nations Development Programme (UNDP)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNODC, PAHO","","","","","","","National NGOs","Media, Environmental NGOs, Agricultural Associations, Employers and Workers Organizations, Human Rights NGOs, NGOs working in HIV/AIDS, FBOs","","","Private sector","UN-Women","","","UNDAF Priority : Improved Food and Nutrition Security
Outcome: By 2016 there is strengthened policy, legislative framework and food production environment towards higher levels of food and nutrition security.
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Outcome: A more enabling environment established for the reduction of incidence, morbidity and mortality from HIV and noncommunicable diseases
UNDAF Priority : Improved Food and Nutrition Security:
Output 1.1 Strengthened capacities for the preparation and implementation of food and nutrition security policies at the national level strengthened.
Output 1.3 Improved production techniques and technologies to support climate resilient agricultural related livelihoods within rural and urban communities
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Output 1.1 Policies to address stigma, discrimination in vulnerable populations promoted and implementation facilitated through the provision of technical assistance, financial resources, capacity building and partnerships
Output 1.3 National Surveillance of NCD/HIV strengthened
UNDAF Priority : Improved Food and Nutrition Security:
Indicators: # of countries with food and nutrition strategies prepared
Baseline :1
Target : 5% in increase production of selected vegetables, fruits, fish and animal products increased by
Indicators: % increase in per capita consumption of
Targeted foods increased
Baseline: 2011 production levels.
Target: 10% increase in 6 countries
Baseline: 2011 production levels
Target: 1% by 2016 in 5 countries
Output 1.1:
Indicators # of regional capacity development opportunities linked to food and nutrition planning with positive evaluations conducted.
Baseline = 0
Target = 2# of countries with food and nutrition strategies prepared.
Baseline = 2
Target = 7
Output 1.3:
Indicators # of countries with DRM/CCA plans for the agricultural sector in place.
Baseline = 2
Target ? 4 % increase in backyard food production disaggregated by sex (rural and urban)
Baseline = 2011 level of backyard production
Target = 10% and age.
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Indicators:
Regional Strategic plan in place
# countries with action agendas for NSPs in implementation.
% increase in expenditure on HIV
# of Parliamentarians advocating on issues of stigma and discrimination
25% increase in sustainable prevention programmes
25% increase in media reports over 2011 base year.
Baseline: Most countries do not yet truly know their epidemic and need to step up efforts to collect, analyse and use data for planning, policy formulation and assessing progress. Overall, significant progress has been made in increasing access to HIV care and treatment and that of NCDs and the HIV epidemic seems to reach a plateau, though at high level. Stigma and discrimination are important challenges and legislative reform is required to ensure the human rights of vulnerable populations and those infected with HIV are respected
Target: All countries have established adequate systems for surveillance of HIV/NCDs to enable countries to better understand their HIV epidemic and NCD status and inform decision making, and increase access to related health services. At least 60% of countries have policies to support HIV and noncommunicable disease programmes that address stigma and discrimination and among vulnerable groups, taking into account of gender-based HIV vulnerabilities. Countries have improved HIV and nutrition education, and clear dietary guidelines.
Output 1.1.
Indicators:
# of schools in which nutrition has been added to the school curriculum.
# of countries with food based dietary guidelines prepared.
Baseline: Countries have draft work place policies Few schools with nutrition as part of curriculum. 4 countries with food based dietary guidelines prepared
Target: At least 60% of member states have policies to support HIV and non-communicable disease programmes that address stigma, discrimination and vulnerabilities. Work place policies adopted or included in national HIV/AIDS revised policies in at least 4 countries. All new programmatic, prevention-oriented responses take account of gender-based HIV vulnerabilities. At least 6 countries have developed food based dietary guidelines and integrated nutrition into school curricula
Output 1.3 National Surveillance of NCD/HIV strengthened
Indicators: % of obesity in females and males between the ages of 16-55% of minors who regularly consume alcohol# of schools with substance abuse and HIV prevention counselling
Baseline: Reporting on UNGASS Indicators in Barbados and the OECS ranges from 27% in Dominica to 77% in St. Lucia, with 5 of the 10 countries reporting on 50% or more. Reporting on Indicators relating to most vulnerable populations is low, indicating that national decision makers have not achieved clear understanding on the most at risk populations in the epidemic. Counselling support, particularly for at risk groups need to be strengthened.
Target: All countries have adequate and functional sites and systems for surveillance of HIV/NCD and capacity of statistics offices, ministries of health, and national aids commissions strengthened through networking, exchange of experiences and training opportunities. HIV prevalence and incidence among population between 0 - 25 reduced by 25% and obesity in females and males by 25%. Policies and updated legislation in place to restrict use of alcohol among minors, support counselling in schools to address the problem of drug and alcohol abuse by students, and integrate substance use and HIV prevention messages into youth services in at least 3 countries.
2. Objectifs globaux Les objectifs globaux visent, d’ici 2012 à 2015, à :
(i) réduire la prévalence de la malnutrition chronique (taille/âge<-2ET) chez les enfants de moins de 5 ans, soit de 50,1% à 42,8%,
(ii) contribuer à la réduction de la mortalité des enfants de moins de 5 ans, de 72 pour 1000 naissances vivantes en 2008 à 56 en 2015.
3. Objectifs spécifiques De 2012 à 2015, les objectifs visent plus spécifiquement à :
i- Réduire la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 5 ans, à moins de 28%;
ii- Réduire la prévalence de la malnutrition aiguë (poids/taille<-2ET) à moins de 5%, chez les enfants de moins de 5 ans;
iii-Réduire la malnutrition aiguë sévère (poids/taille<-3ET) à moins de 1%, chez les enfants de moins de 5 ans ;
iv- Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
v- Augmenter le taux d’allaitement maternel exclusif jusqu’à 6 mois de 51% à 65% et maintenir le taux d’allaitement maternel jusqu’à 2 ans et au-delà, à plus de 98% ;
vi- Réduire la proportion des victimes de l’insécurité alimentaire, de 65% à 43%. Il s’agit des personnes n’atteignant pas le niveau minimum d’apport calorique de 2 300 kilocalories par jour.
Axe stratégique1 : La prévention de la malnutrition
1-2- Les objectifs spécifiques
Les objectifs spécifiques relatifs à cette stratégie sont les suivants: De 2012 à 2015 :
Réduire le taux d’insuffisance pondérale à moins de 28% chez les enfants de moins de 5 ans
Réduire de 50% à 30 % la proportion des enfants de moins de 5 ans présentant de l’anémie ferriprive, de 66% à 40 % chez les enfants d’âge scolaire et de 35% à 15% chez les femmes enceintes ;
Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
Augmenter de 51% à 65% le taux d’allaitement maternel exclusif.
Axe stratégique 2 : La sécurité alimentaire et nutritionnelle
1-2- Objectifs spécifiques
En vue de l’atteinte des objectifs du millénaire pour le développement, le pays s’est fixé de réduire la proportion de la population victime de l’insécurité alimentaire de 65% à 43% d’ici 2015. Cependant, les enquêtes CFSVA auprès des ménages ruraux, ont démontré une détérioration de la situation de sécurité alimentaire des ménages entre 2005 et 2010, avec un taux d’insécurité alimentaire passant de 25% à 35%. Ainsi, l’objectif spécifique auquel contribuera cette stratégie consiste à fixer à 30% le taux d’insécurité alimentaire des ménages ruraux en 2015.
Axe stratégique 3 : La prise en charge de la malnutrition
1-2- Objectifs spécifiques :
Réduire le taux de malnutrition aiguë/globale à moins de 5% chez les enfants de moins de 5 ans, jusqu’en 2015 ;
Contribuer à la réduction de la mortalité des enfants de moins de 5 ans de 72‰ naissances vivantes en 2009 (EDS) à 65‰.
Axe stratégique 4 : Urgences, réhabilitation et développement pour la réduction de risque de la malnutrition
1-2- Les objectifs spécifiques :
Les objectifs spécifiques auxquels contribuera cette stratégie visent à:
Diminuer le taux de la malnutrition aiguë sévère (poids/taille<-3ET) chez les enfants de moins de 5 ans à moins de 1%;
Maintenir le taux brut de mortalité à moins de 1 décès par 10 000 habitants par jour et le taux de mortalité des enfants de moins de 5 ans à moins de 2 décès par jour.
Atténuer les effets des aléas de catastrophes sur la nutrition par des interventions post catastrophes de relance agricole.
Axe stratégique 5 : Coordination et amélioration de l’environnement favorable au développement du secteur nutrition
1-2- Les objectifs spécifiques :
Ce système de coordination et de suivi assurera plusieurs fonctions essentielles pour favoriser la mise en oeuvre du PNAN II dans les meilleures conditions afin d’atteindre les objectifs fixés. Ces objectifs spécifiques visent ainsi à :
Renforcer la coordination du secteur nutrition ;
Renforcer le plaidoyer relatif à la communication institutionnelle, la communication éducationnelle au niveau de la communauté et aux partenaires techniques et financiers ;
Développer la mobilisation et la gestion optimale des ressources financières internes et externes ;
Appuyer la planification et la programmation du secteur nutrition
","Axe stratégique1 : La prévention de la malnutrition
Intervention 1 : Mise à l’échelle des sites PNNC
Intervention 2 : Surveillance, promotion de la croissance et du développement
Intervention 3 : Promotion de l’ANJE et nutrition des femmes (NDF) à travers l’approche cycle de vie
Intervention 4 : Promotion de la nutrition des adolescentes (13-20 ans)
Intervention 5 : Renforcement des activités d’éducation nutritionnelle au sein des écoles
Intervention 6 : Amélioration de l’accès à l’eau potable, l’assainissement et l’hygiène (WASH)
Intervention 7 : Supplémentation en micronutriments (Fer Acide folique, multimicronutriments (MMN), Vit A, Zinc…) des femmes enceintes et allaitantes, des adolescentes de 15 à 24 ans, des enfants de moins de 5 ans et d’âge scolaire de 6 à 14 ans.
Intervention 8 : Fortification alimentaire
Intervention 9 : Déparasitage des enfants de moins de 5 ans, des femmes enceintes, des enfants en âge Scolaire
Axe stratégique 2 : La sécurité alimentaire et nutritionnelle
Intervention 1 : Promotion des cultures maraîchères et des produits riches en micronutriments
Intervention 2 : Promotion de pratiques de petits élevages (à cycle court)
Intervention 3 : Amélioration de l’accessibilité des ménages à l’alimentation pendant toute l’année
Intervention 4 : Mise en place des cantines scolaires dans les zones d’insécurité alimentaire
Axe stratégique 3 : La prise en charge de la malnutrition
Axe stratégique 4 : Urgences, réhabilitation et développement pour la réduction de risque de la malnutrition
Intervention 1 : Préparation et réponses aux urgencies
Intervention 2 : Appui et suivi de la mise en oeuvre de la stratégie pour la réduction du risque de la malnutrition post catastrophe.
Axe stratégique 5 : Coordination et amélioration de l’environnement favorable au développement du secteur nutrition
Intervention 1 : Amélioration et renforcement du cadrage institutionnel dans le secteur nutrition
Intervention 2 : Planification stratégique et programmation du secteur nutrition
Intervention 3 : Développement de la communication institutionnelle pour le plaidoyer
Intervention 4 : Développement de la communication pour le changement de comportement
Intervention 5 : Renforcement de la coordination de l’ONN et renforcement de capacité des intervenants du secteur nutrition
Intervention 6 : Développement de la capacité nationale
Intervention 7 : Recherche et développement
Intervention 8 : Contribution du secteur nutrition à l’application des normes en alimentation et en nutrition
Intervention 9: Renforcement du système de suivi évaluation et d’information du secteur nutrition
Intervention 10 : Mise en place d’un système de veille nutritionnelle et de surveillance alimentaire
","2. Objectifs globaux Les objectifs globaux visent, d’ici 2012 à 2015, à :
(i) réduire la prévalence de la malnutrition chronique (taille/âge<-2ET) chez les enfants de moins de 5 ans, soit de 50,1% à 42,8%,
(ii) contribuer à la réduction de la mortalité des enfants de moins de 5 ans, de 72 pour 1000 naissances vivantes en 2008 à 56 en 2015.
3. Objectifs spécifiques De 2012 à 2015, les objectifs visent plus spécifiquement à :
i- Réduire la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 5 ans, à moins de 28%;
ii- Réduire la prévalence de la malnutrition aiguë (poids/taille<-2ET) à moins de 5%, chez les enfants de moins de 5 ans;
iii-Réduire la malnutrition aiguë sévère (poids/taille<-3ET) à moins de 1%, chez les enfants de moins de 5 ans ;
iv- Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
v- Augmenter le taux d’allaitement maternel exclusif jusqu’à 6 mois de 51% à 65% et maintenir le taux d’allaitement maternel jusqu’à 2 ans et au-delà, à plus de 98% ;
vi- Réduire la proportion des victimes de l’insécurité alimentaire, de 65% à 43%. Il s’agit des personnes n’atteignant pas le niveau minimum d’apport calorique de 2 300 kilocalories par jour.
1.1 Increase employment opportunities for youth, members of vulnerable groups and people with disabilities
1.2 Establish social businesses to hire young people, members of vulnerable groups and individuals with disabilities
2.1 Construct and/or rehabilitate markets for agricultural, animal and fish products
2.2 Establish/rehabilitate infrastructures to store agricultural, animal and fish products
2.3 Establish/rehabilitate secondary roads, especially in areas used to transport goods to market
2.4 Establish social businesses to collect and distribute local food to the poor
3.1 Deploy improved technologies (agricultural inputs, livestock breeding and nutrition)
3.2 Improve management of irrigation systems
3.3 Help build capacity in the extension services and the private sector to use local resources and identify donors to provide financial support to these initiativesto strengthen agricultural innovation systems
3.4 Help build capacity in the advisory service
3.5 Increase financial supportfor national schemes in agriculture and secure support for development research projects funded by the European Union for rural development
3.6 Study the agricultural and environmental potential at national and local (rural) level
3.7 Build social businesses to provide advice and specialized technical support to farmers
4.1 Develop national guidelines for: nutritional status indicators based on the population according to demographic data and special physiological conditions;
• standardized methods of data collection; and
• frequency of data collection, information flow, methods of data analysis and reporting of each indicator.
4.2 Develop and distribute standardized forms and create a central database or registry on the nutritional status of the population
4.3 Develop training activities with primary health care personnel and public health specialists to assess, document, and report on the nutritional status of the population
4.4 Improve the forms used to report foodborne diseases and develop guidelines for the flow of information on foodborne diseases
4.5 Create databases to collect and process national data on foodborne diseases
4.6 Strengthen technical capacity and infrastructure of public health laboratories to identify more causes of foodborne diseases
4.7 Establish and strengthen the NCD surveillance system
4.8 Assess how balanced the diet of the Albanian population is through questionnaires that collect data on the frequency/type of food consumption using 24-hour recall or food and exercise diary
4.9 Include Albania in the WHO European Childhood Obesity Surveillance Initiative for children aged 6.0–9.9 years and monitor obesity among children every three years using WHO protocols
4.10 Participate in the Health Behaviour in School-aged Children (HBSC) study which uses standardized questionnaires and reporting mechanisms to evaluate the physical (including nutrition- related) and mental health among young people aged 11, 13 and 15 years
4.11 Create a surveillance system to monitor progress on eliminating iodine deficiency with particular focus on vulnerable groups and populations with high prevalence
4.12 Monitor progress towards universal salt iodization by periodic testing of salt to ensure proper iodization
4.13 Evaluate average salt content in the main staple foods
4.14 Assess national food security
4.15 Develop standardized methods for collecting, updating and disseminating information on the demand/ supply and use of most food products
4.16 Establish an information system for prompt/early warnings, monitoring and surveillance
4.17 Prepare periodic accounts on imports and exports of food staples
7.1 Review the cash payment system for families assisted by the economic aid scheme whose aim is to improve the nutritional status of children
7. 2 Pilot the improved economic assistance scheme and its nutrition-related components: counselling, education on nutrition and the provision of food packages or coupons for at-risk populations
8.1. Draft and approve legislation for traceability: update general labelling rules and develop specific rules for labelling and controlling food and health statements made on foods
12.1 Review and update the regulatory framework (regulations, guidelines, protocols, stand- ards) on maternal and child health to prevent malnutrition and track the status of maternal and child nutrition
12.2 Assess the nutrition and feeding practices of reproductive-aged women (15–49 years old)
12.3 Organize promotional activities for healthy nutrition in pre-school and compulsory education
12.4 Determine daily feeding rates for nurseries, kindergartens and schools that offer lunch
12.5 Organize communication campaigns promoting behavioural changes to improve the nutritional practices of reproductive-aged women
12.6 Organize training activities to increase knowledge and skills of staff providing health care for women and infants
13.1 Review and update national health statistical indicators on breastfeeding and infant and young child feeding to be consistent with globally standardized indicators
13.2 Train health personnel on feeding practices of infants and young children
13.3 Periodic assessment of “baby friendly” hospitals/maternities to implement this initiative
13.4 Periodic assessment of feeding practices of infants and young children
13.5 Train the personnel providing health care for children in their growth assessment according to the standardized growth curves for children aged 0–5 years
13.6 Prepare and distribute informational materials on family and community level on feeding practices of infants and young children
14.1 Conduct a national study on the prevalence of anaemia
14.2 Develop a regulatory framework for the fortification of flour with iron, folic acid and Vitamin B12
14.3 Provide FBO training and inspectors to monitor the fortification of flour
14.4 Develop protocols to prevent and treat iron deficiency anaemia among children
14.5 Organize promotional activities to use behaviour change to improve dietary diversity
14.6. Establish social businesses that produce and distribute fortified foods to improve child nutrition
15.1 Review the Recommendations on Healthy Nutrition in Albania
15.2. Communicate and distribute Recommendations on Healthy Nutrition in Albania to health professionals
15.3 Inform the public about the Recommendations on Healthy Nutrition in Albania
16.1 Develop and approve extracurricular modules on healthy nutrition for the 9-year primary education system
16.2 Train teachers on the use of extracurricular modules on healthy nutrition for the 9-year primary education system
16.3 Develop and approve extracurricular modules on healthy nutrition for the secondary education system
16.4 Improve the public health nutrition curriculum in the undergraduate and postgraduate programmes in the Faculty of Medicine and Nursing
16.5 Train school health personnel (doctors, nurses, dentists) on the new curricula approved by the MoH
16.6 Implement in phases the European Healthy Eating and Physical Activity in Schools project
16.7 Adopt and implement in stages the Action plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016
16.8 Pilot a public school programme that offers healthy food
16.9 Develop and distribute information, education and counselling about the need to limit the intake of dietary salt
16.10 Promote physical activity and an active lifestyle
16.11 Continuous training of staff and the promotion of sanitary inspectors of the Departments of Public Health on healthy nutrition and good food hygiene practices, at local and national level.
16.12 Strengthening the capacity of local staff (municipalities, Regional Agriculture and Food Directories, Directorates of Public Health, Directorates of Education) in the planning, implementation and monitoring of interventions related to nutrition.
16.13 Implement an advocacy strategy for nutrition issues
16.14 Develop a strategy for reducing salt consumption
16.15 Assess consumer knowledge, attitudes and practices related to food safety
16.16 Raise consumer awareness on food safety
16.17 Present, inform and organize distribution of the NAFPN to all relevant stakeholders including the public
17.1 Evaluate the implementation of the Plan-based on the monitoring and evaluation framework
17.2 Evaluate the implementation of food and nutrition action plans at regional and local government levels
17.3. Strengthen the institutional capacity to monitor and evaluate the implementation of food and nutrition programmes
(a) increasing by 20% (from 39% to 60%) the proportion of children aged 0–6 months who are exclusively breastfed;
(b) increasing by 20% (from 38% to 60%) the proportion of mothers who start breastfeeding within one hour of giving birth;
(c) implementing in 80% of public and private maternity hospitals the infant feeding practices of UNICEF’s Baby- friendly Hospital Initiative;
(d) improving by 10% (from 19% to 29%) the proportion of children aged 6–23 months who are fed according to recommended feeding practices;
(e) reducing by 6% (from 19% to 13%) the proportion of children under five who have growth retardation;
(a) maintaining the proportion of children who have normal body weight
(b) decreasing by 20% the proportion of physically inactive adults
(c) maintaining the proportion of adults over 60 years old who have normal body weight
(d) increasing by 20% the average fruit consumption of adults over 60 years old
(e) maintaining the proportion of adults aged 20–59 years who have normal body weight
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Sodium/salt intake|Fruits|Growth monitoring and promotion|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Salt reduction|Vitamin B12|Iodine|Iron and folic acid|Food fortification|Nutrition education|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/ALB_B19_ligj nr. 74, dt. 25.10.2018 per pijet energjike dhe sheqer.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf" "25916","GUY","Guyana","","Strategic Plan 2013-2020: Integrated Prevention and Control of Non Communicable Disease in Guyana","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2020","Ministry of Health","7","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Trade|Labour","Partners on healthy eating and salt reduction: Ministry of Agriculture, Ministry of Trade and Commerce,Food and Drugs, Food Policy unit, Ministry of Education, Ministry of Labor Human Services and SocialSecurity","Food and Agriculture Organisation (FAO)|World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","","","","","The Policy will seek to:
Ensure that a sufficient quantity of nutritious food of appropriate quality is available to all people in Jamaica, through increased domestic production and a sustainable level of imports (Food Availability).
Ensure that all individuals in Jamaica have access to adequate resources to acquire appropriate foods for a nutritious diet (Food Access).
Ensure that all individuals in Jamaica reach a state of nutritional well-being through food choices and consumption that reflect Recommended Dietary Allowances (RDAs) (Food Utilization).
Ensure that all people in Jamaica have access to adequate, safe and nutritious food at all times, are not at risk of losing access to it due to shocks, and consume/utilize foods that reflect physiological needs (Stability of Food Supply).
","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "23165","RWA","Rwanda","","National Food and Nutrition Policy 2013-2018","Comprehensive national nutrition policy, strategy or plan","","English","10","2013","","2018","Government of Rwanda","10","2013","Adopted","","","Cabinet of Ministers","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Trade|Sub-national|Other","Ministry of Agriculture and Livestock Resources, Ministry of Defence, Ministry of Disaster Management and Refugees, Ministry of local government, Ministry of Gender and Family Promotion","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Other","","","","","","National NGOs","","","","","","","","Strategic Direction 1: Food and nutrition advocacy to sustain commitment and mobilise resources for policy implementation
Strategic Direction 2: Prevent stunting in children under two years of age at national scale
- National level 1st 1000 Days Campaign
- Refocused and strengthened District Plans to Eliminate Malnutrition (DPEM) and District Food and Nutrition Steering Committee (DF&NSC)
- Village level: “1st 1000 Days Community-Based Food and Nutrition Programs”
Strategic Direction 3: Promote services and practices that result in improved household food security
Strategic Direction 4: Prevention and management of all forms of malnutrition
Strategic Direction 5: Improving food and nutrition in schools
Strategic Direction 6: Assuring food and nutrition in emergencies
Strategic Direction 7: Supporting programmes and services
","Community based monitoring of food and nutrition needs to be strengthened. This includes development of key indicators by and for the 1st 1000 Days groups and community leaders. Frontline personnel need to monitor household participation in 1st 1000 Days CBNP.
Further improvements to multisector monitoring and evaluation systems to support nutrition and household food security programmes and strategies.
Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "24489","ZAF","South Africa","","The Government of South Africa United Nations Strategic Cooperation Framework, 2013-2017","Non-national nutrition policy document","","English","","2013","","2017","UN country team in South Africa","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Justice|Labour|Other","International relations, art and culture, cooperative governance, home affairs, human settlements, transport, public enterprises, public service, science and technology","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, OHCHR, UN Women, UNIC, UNODC, UNEP, UN Habitat","","","","","","","","","","","","","","","Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf" "23523","GIN","Guinea","","Plan Stratégique Multisectoriel d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","5","2014","","2016","Ministère de la Santé et de l'Hygiène Publique","5","2014","Adopted","5","2014","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Environment|Industry|Information|Sub-national","Comité national de suivi de la CINAlliance guinéenne pour la fortification des aliments Conseil national de sécurité alimentaire Agence nationale de développement agricole et de sécurité alimentaire, Division alimentation et nutrition)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)|Terre des Hommes","","Other|Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","3.2 Objectifs du plan stratégique national de nutrition et alimentation
Le but de ce plan est de faire reculer la sous-alimentation et la malnutrition ainsi que leurs conséquences socio-sanitaires.
Les objectifs spécifiques d’ici à fin 2016 sont de:
3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
12. Supplémentation alimentaire aux groupes vulnérables – enfants de 24 à 59 mois, personnes âgées, malades, population carcérale, enfants dans la rue, réfugiés, soudure rigoureuse, PVVIH
15. Supplémentation en micronutriments (Fer Acide folique, Vit A, Zinc, Calcium…) des femmes enceintes et allaitantes, femmes de 15 à 45 ans, enfants scolarisés et non scolarisés de 1 à 14 ans
3.4.3 Approche stratégique 3 : L’Accès universel à la prise en charge holistique des cas de malnutrition
3.4.4 Approche stratégique 4 : La Formation, la recherche et le développement pour la sécurité alimentaire et nutritionnelle
Further detail on activities per strategies can be found in tables P20-25
","
4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
Outcome 2.2 Health/WASH/Nutrition. By 2017, health related MDGs achieved and sustained through strong and well-coordinated health systems implementing innovative, high impact and cost effective, equitable, gender responsive interventions inclusive of foundational determinants of health at community, LGA states and Federal levels with active engagement of right holders, informed by South-South cooperation and evidence-based learning.
Output 2.2.1 Public agencies and civil society organizations at federal, state, and LGA levels are able to implement updated, harmonized, evidence based, gender responsive policies and plans to facilitate equitable access to quality water supply and sanitation services and the practice of good hygiene by vulnerable populations and institutions based on innovative communication for development and coordination systems
Output 2.2.2 Capacities of government and partners at all levels including intersectoral linkage and coordination are strengthened to implement high impact, equitable, gender responsive and innovative nutrition and food security interventions, enhance nutrition friendly agricultural productivity especially at household level and promote crop and livestock diversification to improve nutrition outcomes (reduce stunting, acute malnutrition, and micronutrient deficiencies rates) amongst most vulnerable groups especially children and women.
","","Under-five mortality rate
% of people with access to (a) improved sanitation and (b) improved water supply
% of infants under 6 months breastfed exclusively
Prevalence of children under 5 years of age that are underweight
Number of states with (a) WASH policies (b) investment plans and (c) M&E frameworks
Number of states with decentralized WASH services and functional LGA WASH departments
Number of additional children provided with access to WASH in schools
Hunger Index
Number of health facilities providing treatment to severely malnourished children under 5 years
% of children aged 6-59 months who received at least one dose of Vit A in last 6 months
# of community structures supported to assist mothers to appropriately feed children under 2 years
Number of community structures/sites supported to alleviate food insecurity
Proportion of States supported to develop a strategic plan for NCDs
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","https://www.unops.org/SiteCollectionDocuments/Information-disclosure/UNDAFs/Nigeria-UNDAF-2014-2017.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202014%20UNDAF.pdf" "41581","PRY","Paraguay","","Plan Nacional de Acción Para la Prevención y el Control de las Enfermedades Crónicas No Transmisibles","NCD policy, strategy or plan with healthy diet components","","Spanish","","2014","","2024","Ministerio de Salud Pública y Bienestar Social","","2014","","","","","Cabinet/Presidency|Nutrition council|Health|Social welfare","","World Health Organization (WHO)","PAHO","","","","","","","","","","","","","","","Objetivos Generales
1. Estimular la adopción de Estilos de Vida Saludable.
2. Reducir los factores de riesgo modificables.
3. Fortalecer políticas y regulaciones que favorezcan la adopción de Estilos de Vida Saludable.
Metas
• Aumento relativo en un 25% del consumo recomendado de frutas y verduras.
• Eliminación de grasas trans en productos procesados.
• Reducción relativa del 30% del consumo medio de sal en la población adulta.
• Aumento relativo en un 20% de la prevalencia de práctica de actividad física en jóvenes y adultos.
• Reducción relativa del 15% del consumo actual de tabaco en jóvenes y adultos.
• Disminución relativa del 10% del consumo abusivo de alcohol en adultos y del 5% en jóvenes.
• Reducción relativa de la obesidad en 30% en niños y jóvenes.
• Reducción relativa de la obesidad en 30% en mujeres embarazadas.
• Detener el aumento de la obesidad en adultos.
• Incrementar en un 20% la lactancia materna exclusiva en menores de 6 meses.
Objetivos específicos
Estrategia no disponible en 2014.
Meta: Disponer de una estrategia nacional de vigilancia de las ECNT y sus FR para 2015.
","Gestión e implementación del Plan
Resultado esperado: Un Plan de Acción implementado y funcionando con efectividad orientado hacia las metas, con recursos disponibles y sostenibles, con un seguimiento y monitoreo adecuado, mediante el empoderamiento de las autoridades y la sociedad en su conjunto.
1. Incluir el Plan Nacional de Acción de las ECNT 2014-2024 en la agenda nacional, regional y local.
2. Garantizar los recursos para la ejecución y sostenibilidad del Plan.
3. Realizar monitoreo y evaluaciones periódicas de la implementación del Plan.
Indicadores
Output 2: Strengthened mechanisms to increase equitable access to agricultural production and productivity, licit economic opportunities, productive assets and lands for food and livelihood security for vulnerable and marginalized population.
Output 1. Improved capacity of government and nongovernment organizations to increase accessibility to and demand for delivery of quality and cost effective health care, including maternal reproductive health, ASRH, family planning, nutrition and WASH services for the most marginalized and vulnerable populations.
","In the areas of health care, nutrition, WASH, education and prevention and protection services, UN agencies will support a range of interlinked and mutually supportive interventions at three levels: policy reform and implementation; data and knowledge management and community action.
At the policy and institutional level the UNCT will assist the development and implementation of health, nutrition, education drugs, child protection and WASH policies, strategies, and sectoral plans. It will support the strengthening of health systems, including Human Resources for Health (HRH), hospital management and reforms, improving access to essential medicines and health technology, and support establishing quality assurance and improvement mechanisms including drug & food regulation. At the implementation level, it will help expand health facilities to the areas not currently covered by BPHS and or cut off due to climatic or geographical barriers. It will assist the Government and CSOs (includes NGOs, CBOs and other civil society actors), and the private sector, under public-private partnership arrangements, in the implementation of the BPHS & EPHS, with a focus on strengthened capacity to deliver quality health and nutrition services, especially to women and children, psychosocial services to victims of Gender Based Violence, and services for persons with disabilities, including at the community level. The prevention and control of diseases, access to quality drugs, including contraceptives and HIV/AIDS prevention, treatment, care and rehabilitation services, will be other areas of support. It will support the Government in completing the Polio Eradication Initiative agenda and strengthening emergency preparedness and response. It will also provide support to increased coverage of quality safe and drinking water and sanitation and increased access to and utilization of quality preventive and curative nutrition services, provided at community level and through health facilities.
","Output Indicator 2.2: % of targeted populations, farming families and households which have access to agricultural production and productivity, economic opportunities and productive assets for food and agri-based livelihood security
Outcome Indicator 2.4: Prevalence of global acute malnutrition of children 6-59 months by sex
Outcome Indicator 2.5: Proportion of population using an improved drinking water source
Outcome Indicator 2.6: Proportion of population using an improved sanitation facility
Output Indicator 2.1.3: % of communities which have access to health facilities within one hour walking distance by residence
Output Indicator 2.1.6: # of pregnant and lactating women received infant and young child feeding counselling
","Outcome indicators|Process indicators","","Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf" "24452","AGO","Angola","","Partnership framework between the government of Angola and the UN system (UNPAF)","Non-national nutrition policy document","","English","","2015","","2019","Ministry of Planning and Regional Development","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Environment|Industry|Labour|Sub-national|Other","Ministry of Energy and Water","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNCHR, UNEP, UN Habitat, IOM, IAEA, UNISDR, UNCTAD","","","Other|Bill and Melinda Gates Foundation|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","Global Fund, Rotary","European Union|Other","Portuguese bilateral cooperation, cooperation with the German Embassy","National NGOs","ADPP, PIN, AAEA","","","Private sector","","","","Result 1.1: Health. By 2019 Angola reduced maternal and child morbidity and mortality, the mortality rate of its population, the risk factors for the health of adolescents and non- communicable diseases
Result 3.1 Inclusive growth, economic diversification, production and job creation. By 2019, Angola possesses and is implementing policies and strategies for the promotion of inclusive and sustainable growth to enable Angola to leave the group of Less Advanced countries
","Result 1.1. Adequate support from the central level of the Ministry of Health for capacity building of provincial and municipal staff to better implement actions in the field of health.
Recruitment of additional health personnel for the different levels of the health pyramid.
Coordination of the activities of all the actors in the health sector.
Information system on water and sanitation (SISAS) & Model for community management of water (MOGECA) launched and implemented as planned
Surveys and evaluations
Baseline Survey on Mothers and care givers awareness of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Qualitative study on Mothers and care givers awareness and behaviors of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Study on the Impact of the school feeding programme(UNICEF) (2016)
Rapid Assessment study on Mothers and care givers awareness and behavior regarding essential practices in health, nutrition and WASH (UNICEF) (2017)
Final evaluation on parents and caregivers’ awareness of essential practices in health, nutrition and WASH (UNICEF). (2019
","Result 1.1.
Indicator 1: Development and implementation of policies: Number of policies/national plans updated/produced and budgeted with the support of the UN to promote and strengthen health in line with the 9 priority programmes of the PNDS 2012 -2025.
Baseline: 4 plans produced.
Goal: 9 plans produced (1. National Strategic Plan for the Aged; 2 .National Strategic Plan for Maternal, Neonatal and Infant Health (including vaccinations); 3. Strategic Plan for Infant Nutrition; 4. National strategic Plan for the control and prevention of malaria; 5. National Plan for Water and Sanitation; 6 .National Policy for Community Interventions; 7. Multiannual Integrated Plan for Vaccination; 8. National Plan for the Elimination of Mother to child HIV; 9. Plan for Management, Procurement and Logistics )
Indicator 2: Capacity building and training. Number of teams of the government and civil society trained in health matters (sexual and reproductive health, including maternal and newborn health, family planning, HIV/AIDS, DNT, etc.).
Baseline: Not available
Goal: 1000 individuals trained in sexual reproductive health and HIV/AIDS by 2019.
Indicator 3: Supply of services. Number of provinces to implement the policy of re- vitalisation of the municipal health services, including integrated services for health, nutrition, water and sanitation and HIV/AIDS.
Baseline: 5 provinces Goal: 10 provinces by 2019.
Result 3.1
Indicator 5: Increase in the number and improvement in the quality of research on hunger, poverty and national inequalities carried out by Angolan universities.
Baseline: At the moment, few national institutions produce research in a systematic way.
Goal: At least four national institutions produce periodic studies which help in decision making.
","Process indicators","","HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.undp.org/content/dam/angola/docs/legalframework/UNDP_AO_UNPAF2015-2019_EN.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202015%20UNPAF.pdf" "36190","BRB","Barbados","","National Plan of Action for Childhood Obesity Prevention and Control","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2018","","","2015","Adopted","","2014","MoH","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Sport|Urban planning|Trade|Information|Other","Ministries: Health, Education, Agriculture, Trade, National NCD Comission, National Nutrition Center (NNC), Inter Ministerial Committee, Cabinet, Government Information Services","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","WHO, PAHO, FAO, Unicef, UN Women, WTO, UNDP, UNFPA","","","Japan International Co-operation Agency (JICA)","","European Union","","National NGOs","SCOs, Faith based organizations (FBOs), Parent-Teacher Association","Research/academia","","Private sector","Food producers, distributors, restaurants, marketing agents, media, service operators, food vendors","Other","Inter-American Institute for Cooperation on Agriculture (IICA), Barbados National Standards Institute, Healthy Caribbean Coalition (HCC), education facilitators, health professionals working in primary care and tertiary health institutions","Goal:
The ultimate goal is to reverse the upward trends in obesity by 5% by 2019
Objectives:
The broad strategies discussed and agreed in line with the PAHO Regional Plan of Action for the Prevention of Obesity in Children and Adolescents and the Barbados NCD Strategic Plan are as follows:
1. Strengthening Coordination and Management of Obesity Prevention
2. Strengthening Breastfeeding Practices
3. Promoting Physical Activity
4. Developing and Implementing Dietary Regulatory and Fiscal Policies
5. Implementing Health Promoting School Initiatives
","Full list of indicators/targets found in Results Framework on p. 16
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://gisbarbados.gov.bb/download/national-plan-of-action-for-childhood-obesity/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202015%20National%20Plan%20of%20Action%20for%20Childhood%20Obesity.pdf" "40715","HND","Honduras","","Plan estratégico Nacional para la Prevención del Sobrepeso y Obesidad en Honduras 2015-2025","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2015","","2025","Secretaría de Estado en el Despacho de Salud","","2025","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sport","","World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","","","","","Objetivo General
Controlar y prevenir el sobrepeso y la obesidad en la población hondureña para contribuir al control de las enfermedades crónicas no transmisibles relacionadas con la alimentación y actividad física
","Líneas Estratégicas
1. Toma las cosas a pecho y apoya la lactancia materna. Promoción de la lactancia materna exclusiva, continuada y la introducción de la alimentación complementaria adecuada.
Objetivo específico 1.1: 1.1 Reducir la publicidad de sucedáneos de la leche materna.
Indicador
1.1 Monitoreo de la aplicación del código de sucedáneos de la leche materna publicado en un informe al menos cada tres años.
Meta
1.1.1 Disminuir en un 6% el consumo de fórmulas infantiles en niños menores de seis meses de edad al 2025.
Acciones
1.1.1 Socialización del Código Internacional de Comercialización de Sucedáneos de la leche materna (CICSLM) y la Ley de Fomento y Protección de la Lactancia Materna (LFPLM) en los diferentes niveles gubernamentales, ONG, Academia, medios de comunicación, sociedad civil y otros.
1.1.2 Introducción del CICSLM, LFPLM y otros temas relacionados, a la currícula de las escuelas formadoras de los recursos humanos en los diferentes niveles y áreas.
1.1.3 Diseño de una estrategia de información, comunicación y educación a nivel nacional sobre la implementación del CICSLM, la LFPLM y la Iniciativa de Hospitales y unidades de salud amigos de la lactancia materna (IHALM).
1.1.4 Socialización, aprobación y publicación del reglamento de la LFPLM a los diferentes sectores involucrados en su aplicación.
1.1.5 Diseño de una estrategia de monitoreo y vigilancia del CICSLM, la LFPLM y su reglamento, la IHALM, la estrategia de información, comunicación y educación sobre el tema de lactancia materna, así como otros temas relacionados a la lactancia en los diferentes niveles de formación de recursos humanos.
Objetivo específico 1.2: 1.2 Fortalecer una red nacional de hospitales, unidades de salud y clínicas materno infantiles “amigos de la lactancia materna”.
Indicador
1.2 Red de hospitales, clínicas y unidades de salud en el área de influencia de hospitales, con al menos el 70% de unidades reconocidas como “amigos de la lactancia materna”.
Metas
1.2.1 70% de las unidades de salud y clínicas materno infantiles del área de influencia de los hospitales reconocidos como “amigos de la lactancia materna”.
1.2.2 El 80% de los hospitales con maternidad están reconocidos como “amigos de la lactancia materna”.
Acciones
1.2.1 Revisión técnica basada en los lineamientos de normalización de la Iniciativa de Hospitales (y unidades) amigos de la lactancia materna.
1.2.2 Reactivación de la IHALM con la conformación de un equipo técnico conductor a nivel nacional (gestión de recursos, capacitación, etc.).
1.2.3 Elaboración del plan del proceso de reconocimiento de hospitales, clínica materno infantiles y unidades de salud como “amigos de la lactancia materna”.
1.2.4 Implementación de la IHALM a nivel nacional.
1.2.5 Seguimiento para la actualización de aquellos hospitales ya reconocidos con anterioridad como “amigos de la lactancia materna”.
1.2.6 Conformación de una red de hospitales, clínicas y unidades de salud como “amigos de la lactancia materna”.
1.2.7 Reconocimiento de nuevos hospitales, clínicas y unidades de salud “amigos de la lactancia”.
1.2.8 Monitoreo de implementación de la IHALM.
1.2.9 Introducción del tema en la estrategia de información, comunicación y educación a nivel nacional.
Objetivo específico 1.3: 1.3 Monitorear el crecimiento y desarrollo de los niños menores de dos años de edad para su control y tratamiento oportuno.
Indicador
1.3 Proporción de regiones departamentales que han implementado la vigilancia nutricional de los niños y niñas menores de cinco años de edad.
Meta
1.3 100% de las regiones departamentales de salud implementan la vigilancia nutricional de las niñas y niños menores de cinco años de edad.
Acciones
1.3.1 Revisión técnica basada en los lineamientos de normalización de la Secretaría de Salud (Norma para la vigilancia nutricional de los niños menores de cinco años).
1.3.2 Introducción y fortalecimiento del monitoreo y promoción del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años en la currícula de escuelas formadoras de recursos humanos en el área de salud.
1.3.3 Implementación del monitoreo y promoción del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años a nivel nacional en la red de servicios de salud garantizando presupuesto, equipo, material y capacitación).
1.3.4 Análisis de la información existente sobre la identificación y atención oportuna de niños y niñas menores de dos años con problemas de crecimiento y desarrollo (por deficiencia y por exceso).
1.3.5 Fortalecimiento del sistema de vigilancia y monitoreo del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años (RENPI, sistema de información de la SESAL y otras iniciativas).
1.3.6 Fortalecimiento de capacidades de los voluntarios de la estrategia de Atención Integral a la niñez en la Comunidad (con base a estándares de la OMS).
Objetivo específico 1.4: 1.4 Establecer un programa nacional de educación en alimentación complementaria para los cuidadores de los niños/as de seis a doce meses de edad para prevenir la malnutrición.
Indicador
1.4 Proporción de cuidadores de los niños/as de seis a doce meses de edad que participan en el programa de alimentación complementaria.
Meta
1.4 100% de los cuidadores de los niños/as de seis a doce meses de edad son alcanzados con acciones educativas del programa de alimentación complementaria implementado.
Acciones
1.4.1 Definición técnica y normativa de la alimentación complementaria adecuada y oportuna para los niños/as de seis meses a doce meses de edad.
1.4.2 Conformación de equipo de apoyo y seguimiento para la gestión de recursos, capacitación y elaboración de plan de trabajo que promueva la alimentación complementaria adecuada y oportuna para los niños/as de seis meses a doce meses de edad.
1.4.3 Diseño de un programa educativo de alimentación complementaria adecuada y oportuna para los niños/as de seis a doce meses de edad.
1.4.4 Fomento de líneas de investigación de alimentos complementarios a partir de materia prima local y gestión para su implementación.
1.4.5 Revisión de estrategias, programas y proyectos de atención de niños/as con énfasis en menores de dos años de edad en situaciones de emergencia, para velar por su derecho a la alimentación óptima.
2. Aliméntate saludable y lleva una vida activa. Promoción de una alimentación saludable y vida activa en cualquier entorno (doméstico, educativo, laboral, recreativo).
Objetivo específico 2.1: 2.1 Mejorar nutricionalmente la oferta de la alimentación en los centros escolares.
Indicador
2.1 Proporción de escuelas que aplican el reglamento de venta de alimentos en los centros escolares.
Meta
2.1 Haber actualizado e implementado el reglamento de venta de alimentos en centros educativos al 2020 en el 80% a nivel nacional.
Acciones
2.1.1 Actualización y socialización del reglamento para los alimentos en los centros educativos (básicos, pre básicos, medio y superior) a nivel nacional.
2.1.2 Establecimiento de alianzas estratégicas, desarrollo de ferias de la salud nutricional.
2.1.3 Promoción del consumo de agua tratada y de filtros y otras fuentes de almacenamiento (juntas de agua) en los centros educativos a nivel nacional.
2.1.4 Establecimiento de requerimientos mínimos para la apertura de centros escolares que fomenten la actividad física y recreación (área verde, ventilación, espacio adecuado, etc.).
2.1.5 Reconocimiento de los centros educativos que cumplan con la aplicación del reglamento para la venta de alimentos en los centros educativos y la promoción de actividad física.
2.1.6 Capacitación en alimentación y nutrición en los diferentes niveles con alcance nacional y local en la atención nutricional con la inclusión de estudiantes de nutrición.
2.1.7 Fortalecimiento de alianzas estratégicas de las entidades de gobierno2 con las instancias deportivas gubernamentales: CONDEPAH, UNAH, UPNFM para fomentar la formación de personal y aprovechar los espacios.
Objetivo específico 2.2: 2.2 Revisar, actualizar y promover la currícula escolar sobre la importancia de una buena alimentación y vida activa, acompañada de una estrategia de comunicación que fomente la alimentación saludable y la vida activa.
Indicador
2.2.1 Proporción de escuelas que aplican la currícula con la importancia de una buena alimentación y de una vida activa.
2.2.2 Proporción de escuelas que realizan al menos 30 minutos de actividad física moderada a intensa.
Meta
2.2 Haber actualizado e implementado la currícula escolar incorporando temas sobre la importancia de una alimentación saludable y de una vida activa.
Acciones
2.2.1 Actualización y socialización de la curricula escolar con los temas relacionados a hábitos saludables, con énfasis en alimentación y actividad física.
2.2.2 Diseño de la estrategia de comunicación con los temas relacionados a hábitos saludables, con énfasis en alimentación y actividad física.
2.2.3 Establecimiento de alianzas estratégicas, desarrollo de ferias de la salud y nutrición, donde se brinde seguimiento a los escolares.
2.2.4 Fortalecimiento de las actividades lúdicas relacionadas a la enseñanza de llevar una alimentación saludable y una vida activa.
2.2.5 Fortalecimiento de los centros educativos con recursos humanos especializados con el fin de proveer una actividad física adecuada.
Objetivo específico 2.3: 2.3 Mejorar la oferta de alimentación saludable y de espacios para realizar actividad física en las instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares.
Indicador
2.3.1 Proporción de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares que ofrecen un menú de opciones de alimentación saludable.
2.3.2 Proporción de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares que facilitan la oportunidad y/o los espacios para realizar al menos 45 minutos diarios de actividad física moderada a intensa.
2.3.3 Proporción de instituciones académicas, puestos de trabajo y municipios que reciben un reconocimiento por el cumplimiento del desarrollo de actividad física en la población.
Meta
2.3.1 50% de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares ofrecen un menú de opciones de alimentación saludable y de espacios para contribuir a llevar una vida activa.
Acciones
2.3.1 Diseño e implementación de una campaña de concientización sobre la importancia para la salud de una alimentación saludable y de una vida activa.
2.3.2 Desarrollo de ferias de la salud y nutrición, donde se brinde seguimiento a los involucrados (alumnos, docentes, padres de familia, trabajadores, etc.)
2.3.3 Creación y difusión de criterios de reconocimiento a instituciones académicas, puestos de trabajo y municipios, por el desarrollo constante del fomento de actividad física en sus instalaciones.
2.3.4 Fortalecimiento de las actividades lúdicas relacionadas a mantener una alimentación saludable y una vida activa.
2.3.5 Promoción de ambientes con opciones saludables tanto de alimentación como de actividad física en los diferentes espacios escuelas, colegios, universidades, puestos de trabajo, municipios, etc.).
3. Por tu salud, elige mejor tus alimentos. Políticas fiscales (impuestos), reglamentación de la publicidad y promoción de los alimentos calóricos, y etiquetado nutricional frontal de los alimentos.
Indicador
3.1 Número de documentos normativos elaborados y/o actualizados cuyo cumplimiento contribuye a la reducción del consumo de bebidas azucaradas, comidas rápidas y de alto contenido calórico y bajo valor nutrimental en la población hondureña.
Meta
3.1.1 Incrementados los impuestos a los alimentos con alto contenido de sodio, grasa y azúcar, incluyendo bebidas azucaradas.
Acciones
3.1.1 Diagnóstico y priorización de los documentos normativos existentes relativos al tema para su actualización, incluyendo etiqueta frontal para la pronta identificación de productos saludables.
3.1.2 Vigilancia del cumplimiento de los documentos elaborados para regular la emisión de publicidad y promoción de alimentos con alto contenido calórico y bajo valor nutricional a nivel nacional.
3.1.3 Estudios sobre el impacto del consumo de bebidas azucaradas y alimentos ultra procesados en Honduras.
3.1.4 Creación de un portal electrónico de información al consumidor sobre los efectos dañinos de las bebidas azucaradas, alimentos ultra procesados y aplicación del reglamento para regular la publicidad y promoción de alimentos con alto contenido calórico y bajo valor nutricional a nivel nacional. 3.1.5 Políticas fiscales y programas que incentiven la producción de alimentos locales saludables, frutas y verduras (huertos escolares y familiares, alimentos biofortificados, etc.). 3.1.6 Promoción de consumo de alimentos locales saludables, frutas y verduras. 3.1.7 Promoción de un reconocimiento de alimentos saludables a través de un sello de calidad, promovido por la Escuela Agrícola Panamericana Zamorano EAPZ. Objetivo específico 3.2: 3.2 Fortalecer la vigilancia de la publicidad y promoción de bebidas, comidas rápidas y de alto contenido calórico y bajo valor nutricional a través del cumplimiento de la normativa existente.
Objetivo específico 3.3: 3.3 Promover las normas de etiquetado nutricional frontal con declaraciones saludables para su rápida identificación con el fin de facilitar la elección de los productos alimenticios que realizan los consumidores.
Indicador
3.3 Normas de etiquetado nutricional frontal implementadas.
Meta
3.3.1 Etiquetado frontal de alimentos implementado en el 100% de alimentos procesados.
Acciones
3.3.1 Diagnóstico y priorización de los documentos normativos existentes relativos al tema para su actualización, incluyendo la etiqueta frontal para la pronta identificación de productos saludables.
3.3.2 Estudios sobre el impacto del etiquetado frontal en los productos alimenticios.
3.3.3 Fortalecimiento en la formación al consumidor sobre el etiquetado nutricional y frontal, a través de diferentes medios.
4. Controla tu peso. Prevención, detección y control del sobrepeso y obesidad a nivel de atención primaria en salud.
4.1 Fortalecer la prevención, detección y control del sobrepeso y obesidad con la medición sistemática del peso y cintura en las personas que asistan a centros escolares, centros de salud y lugares de trabajo.
Indicador
4.1 Proporción de centros educativos, unidades de salud y centros de trabajo que facilitan la toma de medidas de peso y estatura en la población que acceden a estos centros, por sexo y edad.
Meta
4.1.1 50% de los centros educativos públicos cuentan con al menos una báscula, tallímetros, y disponen de un poster explicativo sobre el significado de los posibles resultados.
4.1.2 50% de los centros educativos púbicos se suman a las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.3 90% de los escolares que asisten a centros educativos con báscula, se realizan control de peso de manera periodica.
4.1.4 100% de los centros de salud facilitan la toma de medidas de peso, estatura y cintura, y brindan explicación a las personas sobre los resultados encontrados.
4.1.5 100% de los centros de salud realizan jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.6 90% de las personas que asisten por algún motivo a los centros de salud se realizan control de peso.
4.1.7 50% de los lugares de trabajo públicos cuentan con al menos una báscula, 20 cintas métricas (por cada 503 empleados) para medir el perímetro de abdomen, y disponen de un poster explicativo sobre el significado de los posibles resultados.
4.1.8 50% de los lugares de trabajo públicos se suman a las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
Acciones
4.1.1 Elaboración y difusión de posters auto explicativos sobre los posibles resultados encontrados al efectuar la medición (peso, estatura, cintura) de las personas.
4.1.2 Elaboración y difusión de protocolo de medición (peso, estatura, cintura) de las personas y de las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.3 Capacitación del personal de los centros escolares, centros de salud y lugares de trabajo sobre el protocolo de medición (peso, estatura, cintura) de las personas, su referencia o atención de acuerdo a los resultados y del desarrollo de las jornadas periódicas de concientización sobre los factores de riesgo de las ENT. 4.1.4 Distribución de balanzas, tallímetros y cintas métricas en los centros escolares, centros de salud y lugares de trabajo públicos, con la explicación respectiva de su cuidado y mantenimiento.
4.1.5 Elaboración y envío semestral de bases de datos sobre el peso, estatura y cintura a la Dirección de Vigilancia de la Salud de la SESAL.
4.1.6 Elaboración de informes semestrales sobre la situación de sobrepeso y obesidad y retroalimentación anual con grupos interesados (padres de familia, grupos de empleados, etc.).
4.1.7 Elaboración e implementación de un carnet de control periódico que incluya IMC, presión arterial, talla, cintura, glicemia y otros. 4.1.8 Control periódico de medidas (cada 6 meses).
Objetivo específico 4.2: 4.2 Fortalecer la prevención y control del sobrepeso y obesidad con la medición sistemática del peso en las embarazadas y mujeres en post parto que asistan a consulta.
Indicador
4.2 Proporción de mujeres embarazadas en control de peso durante su embarazo, antes del mismo y después del parto.
Meta
4.2.1 100% de las embarazadas se realizan control de peso durante sus visitas al centro de salud.
4.2.2 80% de las embarazadas continúan por un año más su control de peso después del parto.
Acciones
4.2.1 Elaboración y difusión de protocolo de medición (peso, estatura) de las embarazadas.
4.2.2 Capacitación del personal de las unidades de salud para brindar consejería a las embarazadas y mujeres en post parto sobre su estado nutricional y su relación con los factores de riesgo de las ENT.
4.2.3 Consejería y control del estado nutricional de las embarazadas y mujeres post parto.
","Seguimiento y Evaluación
Es necesario relevar la importancia de un eje transversal en cada una de las líneas estratégicas, monitoreo y evaluación, con el fin de disponer de información que permita realizar el monitoreo respectivo, y la evaluación en su momento. Es un eje transversal donde al igual que en las líneas estratégicas, es necesario el concurso de los diferentes sectores de gobierno principalmente, incluyendo la academia con su aporte en la investigación y acompañamiento en las diferentes líneas estratégicas, así como la empresa privada y ONG.
Objetivo específico A.1:
A.1 Fortalecer el sistema de información para identificar tendencias y los determinantes de la obesidad, estratificados por al menos dos aspectos de equidad.
Indicador
A.1 Proporción de personas (embarazadas, escolares, adolescentes, adultos, mujeres post parto, etc.) con sobrepeso y obesidad (sexo y edad).
Meta
A.1 Informes presentados sobre los patrones de consumo de alimentos, sobrepeso y obesidad (embarazadas, niños y adolescentes), cada cinco años.
Acciones
Objetivo específico
A.2 Vigilar el cumplimiento de las políticas y programas de atención a la persona afectada con obesidad y sobrepeso
Indicador
A.2Proporción de personas (sexo y edad) en atención con obesidad, anualmente.
Meta
A.2 Disminuida la proporción de atención de personas con obesidad, según sexo y edad.
Acciones
A.2.1 Elaboración de protocolos de atención de las personas afectadas con obesidad y verificación de su cumplimiento.
A.2.2 Conformación de equipos en los diferentes niveles de atención, para el cumplimiento de estos protocolos, con personal multidisciplinario.
","Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Physical activity and healthy lifestyle|Nutrition education|Vaccination|Water and sanitation","","http://www.fao.org/3/a-i7792s.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HND%202015%20Plan%20Estrat%C3%A9gico%20Nacional%20para%20la%20Prevenci%C3%B3n%20del%20Sobrepeso%20y%20Obesidad%20en%20Honduras-%20final.pdf" "24478","MDG","Madagascar","","Plan-cadre des Nations Unies pour l’aide au développement","Non-national nutrition policy document","","French","","2015","","2019","UN Country Team of Madagascar","","2015","","","","","Cabinet/Presidency","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","CNUCED, UNCDF, UN Habitat, IAEA","","","","","","","","","","","","","","","Effet 1 : Les populations vulnérables, dans les zones d’intervention, accèdent aux opportunités de revenus et d’emplois, améliorent leurs capacités de résilience, et contribuent à une croissance inclusive et équitable pour un développement durable.
Effet 3 : Les populations des zones d’intervention, particulièrement les groupes vulnérables, accèdent et utilisent des services sociaux de base pérennes et de qualité
","Le SNU apportera un appui aux producteurs en vue d’améliorer les productions, la sécurité alimentaire, la transformation des produits agricoles et leur commercialisation. Le développement des capacités organisationnelles et techniques des producteurs et du secteur privé en milieux rural et urbain, ainsi que le développement de l’éducation nutritionnelle gureront également parmi les actions prioritaires.
Au niveau de la nutrition, les femmes et les enfants de moins de 5 ans bénéficieront d’appuis afin que leur statut nutritionnel soit durablement amélioré. En effet, compte tenu du niveau élevé et stagnant de la malnutrition chronique, le SNU contribuera à améliorer l’accès des populations vulnérables à une alimentation de qualité nutritionnelle suffisante et au développement de pratiques alimentaires favorables à la prévention et au traitement de la malnutrition. Cette action sera engagée de façon concomitante avec les initiatives qui seront prises pour améliorer la sécurité alimentaire (voir Effet 1 de l’UNDAF).
Le SNU appuiera le gouvernement à tenir ses engagements et son plan quinquennal visant à augmenter la proportion de la population ayant accès et utilisant l’eau potable et l’assainissement améliorés. Il soutiendra des interventions multiformes visant un meilleur accès et un changement de comportements et de pratiques en matière d’hygiène et de propreté, qui ont un impact direct sur la santé des populations.
","% de la population vivant dans l’insecurité alimentaire
Quotient de mortalité des enfants de moins de 5 ans (pour 1000 naissances vivantes)
Taux de prévalence de la malnutrition chronique parmi les enfants de moins de 5 ans
Proportion de la population utilisant des infrastructures d’assainissement de base améliorées.
Proportion de la population utilisant des infrastructures d’eau améliorées.
","Outcome indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://mg.one.un.org/content/unct/madagascar/fr/home/publications/undaf-2015-2019.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202015%20UNDAF.pdf" "24488","SLE","Sierra Leone","","The United Nations Development Assistance Framework (UNDAF)","Non-national nutrition policy document","","English","","2015","","2018","UN country team in Sierra Leone","","2015","","","","","Health|Food and agriculture|Social welfare|Finance, budget and planning|Justice|Labour|Sub-national|Other","Internal affairs, foreign affairs","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNOPS, IOM, UNCDF, UN Women, UNODC, IAEA, OHCHR","Other","","The World Bank","","","","National NGOs","","","","","","","","Pillar 3: Accelerating human development
D. By 2018, children under five, adolescent girls, women of reproductive age, vulnerable groups and households are better protected from hunger and show improved nutritional status as a result of stronger UN support to the government.
E. By 2018, communities have improved and equitable use of safe drinking water, sanitation and hygiene practices.
Pillar 6: Strengthen social protection systems
A. By 2018, vulnerable populations including adolescent girls have increased access to livelihoods, education and improved nutritional status
B. By 2018, 20% of extremely poor households have access to social safety nets
","","
Proportion of women 15-49 years with anaemia.
Proportion of children under 2 years. that are stunted
Proportion of children under 5years that are Underweight
Proportion of infants 0-5 months that are exclusively breastfed
Proportion of population using an improved water source
Proportion of population using basic sanitation
Proportion of population that is practicing open defecation
Percentage of food secure house hold
Supplementary feeding performance rates among targeted children under 5
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Food distribution/supplementation for prevention of acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202015%20UNDAF.pdf" "39763","TKM","Turkmenistan","","Национальный план действий по реализации Государственной программы Президента Туркменистана «Саглык» на 2015-2017 [National Action Plan for the implementation of the State Program of the President of Turkmenistan]","Multisectoral development plan with nutrition components","","Russian","","2015","","","Постановление Президента Туркменистана","7","2015","Adopted","7","2015","Постановление Президента Туркменистана №14336 г. Ашхабад 17 июля 2015 г.","Cabinet/Presidency|Health|Sub-national","Заместителей Председателя Кабинета Министров Туркменистана, Министра здравоохранения и медицинской промышленности Туркменистана, хякимов велаятов и г. Ашхабада, а также Председателя Высшей Контрольной палаты","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","Реализация Программы будет осуществляться в рамках взаимовыгодного сотрудничества с Всемирной Организацией Здравоохранения, Детским Фондом ООН, Фондом Народонаселения ООН, Программой Развития ООН и другими международными организациями.","","","","","","","National NGOs","","","","","","","","","Задачами подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ являются:
Данные задачи будут решены посредством реализации мероприятий подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ согласно приложению 2.
","Сводным целевым показателем Государственной программы и целевыми показателями подпрограмм согласно приложению 8 предусматривается обеспечить к 2020 году:
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "24692","BEN","Benin","","Plan d’actions de la Politique du Secteur Santé pour la Nutrition 2016 -2020","Comprehensive national nutrition policy, strategy or plan","","French","","2016","","2020","Direction de la Santé de la Mère et de l’Enfant","3","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Women, children, families","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Catholic Relief Services|International Baby Food Action Network (IBFAN)|Other|Other, please specify under further details|Terre des Hommes","URCMCDIPSIBORNE FONdenAFRICARECOREGROUP","Swedish International Development Cooperation Agency (SIDA)|The World Bank|US Agency for International Development (USAID)","Coopération Technique Belge, Coopération Française, Coopération des pays Bas","","","","","","","","","","","Objectif Général
Assurer la contribution de la Nutrition à la réalisation des ODD au Bénin
","Réduction de l’insuffisance pondérale à la naissance
Lutte contre l’anémie chez la femme en âge de procréer
Lutte contre les carences en micronutriments
Réduction de la prévalence des maladies chroniques non transmissibles liées à la nutrition
Promotion de la recherche en matière de nutrition
Promotion de l’allaitement maternel exclusif au cours des six premiers mois
Promotion de l’allaitement maternel dans les FS et au niveau communautaire
Renforcement de la sécurité sanitaire et de la qualité nutritionnelle des aliments
Réduction de la malnutrition chez les enfants de moins de 5 ans
Supplémentation et Fortification alimentaires
PCIME clinique et communautaire et de la PFE
Renforcement de la multisectorialité et du partenariat avec les autres secteurs
Plaidoyer et mobilisation des ressources dans le domaine de la nutrition
","","","","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 pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient powder for home fortification|Nutrition education|Wheat flours|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 safety|Food security and agriculture|Home, school or community gardens|Vaccination","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20d%E2%80%99actions%20de%20la%20Politique%20du%20Secteur%20Sant%C3%A9_0.pdf" "36195","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2020","Government of the Federal Democratic Republic of Ethiopia","","2016","Adopted","","2017","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Labour|Other","Government of the Federal Democratic Republic of Ethiopia Ministry of Health, Agriculture and Natural resource, livestock and fishery, ministry of water, irrigation and electricity, ministry of education, Labor and social affairs, women and children affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Concern Worldwide|Global Alliance for Improved Nutrition (GAIN)|Nutrition International|Other, please specify under further details","Alive and Thrive, CIFF, BIG win, SCI(GTN, INSPIRE), SUN-Coalition, etc.","Bill and Melinda Gates Foundation","","","","","","Research/academia","","Private sector","chamber of commerce","","Professional associations","
STRATEGIC OBJECTIVE 1: Improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)
STRATEGIC OBJECTIVE 2: Improve the nutritional status of children from birth up to 10 years
STRATEGIC OBJECTIVE 3: Improve the delivery of nutrition services for communicable and non-communicable/lifestyle related diseases
STRATEGIC OBJECTIVE 4: Strengthen the implementation of nutrition-sensitive interventions across sectors
STRATEGIC OBJECTIVE 5: Improve multisectoral coordination and capacity to implement the national nutrition program
","","
2020 TARGETS
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20National%20Nutrition%20Programme%20II.pdf" "39359","ETH","Ethiopia","","Health Sector Transformation Plan","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","FMOH","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Labour|Other","Ministry of Capacity Building","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","International NGOs","","","","","National NGOs","","","","","","","","","
Strategic Initiatives:
Nutrition
8. Scale-up community-based nutrition (CBN) program and the first 1000 days initiative
9. Implement the Sequota declaration of ending child under nutrition
10. Implement Baby-friendly hospitals initiative in all hospitals
","
Reduce childhood stunting, wasting and under-weight in under-5 year from 40%, 9% and 25% to 26%, 4.9% and 13%, respectively
Increase proportion of children ages 6-59 months who received vitamin A supplementation to 95%
Increase availability of quality assured iodized salt to 100%
Increase proportion of under 5 children with regular growth monitoring to 95%
More indicators in table on p. 165 (Nutrition) and p. 169 (NCDs)
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vaccination","","www.moh.gov.et","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Health%20Sector%20Transformation%20Plan.pdf" "40054","LSO","Lesotho","","Lesotho Food and Nutrition Policy (LFNP) 2016-2025","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Food and Nutrition Coordinating Office","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Other","Food and Nutrition Coordinating Office (under the Prime Minister’s Office), Ministry of Local Government, Ministry of Water, Ministry of Gender, Youth, Sports and Recreation, Disaster Management Authority, Food Management Unit, National AIDS Commission","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","NGOs (unspec.), community volunteers","","","","","National NGOs","","","","","private education institutions","","","2.3. Goal
To attain optimal nutritional requirements for the improvement of health status among the population of Lesotho, enabling them to contribute effectively to national socio-economic growth and development.
3.1. Policy Objectives
Objective I. Nutrition-Specific Programming
1. To ensure that women of child-bearing age and during the neonatal period consume a diet that provides adequate nutrients appropriate for their physiological needs
2. To ensure that all infants and young children 0-59 months of age in Lesotho are appropriately fed
3. To ensure optimal nutrition for school-age children and adolescents
4. To ensure prevention, treatment and management of acute malnutrition according to IMAM guidelines
5. To ensure prevention and control of diet-related non-communicable diseases and ensure a healthy lifestyle.
6. To ensure that all people in Lesotho have adequate micronutrient status
7. To ensure that nutrition aspects are strengthened in all TB and HIV and AIDS prevention, treatment and care programmes.
Objective II. Nutrition-Sensitive Programming
1. To achieve reliable production, supply and utilisation of a variety of safe, adequate, affordable and nutritious foods at all times, the Government shall aim to promote climate-smart technologies
2. To ensure that multiple micronutrients are added to staple and other regularly consumed foods
3. To enact and implement appropriate legislation and other regulatory frameworks to ensure that safe and high quality food is available at all times
4. To expand the coverage of social protection programmes, target nutritionally vulnerable groups and strengthen the quality of service provision
5. To ensure that all children in Early Childhood Care and Development (ECCD) centres and primary schools get adequate nutrition and that nutrition education is covered in curricula from ECCD to institutions of higher learning
6. To ensure that all households and other institutions in Lesotho can live in conditions of good environmental health.
Objective III. Enabling Environment
1. Nutrition capacity building
2. Nutrition research, to ensure coordinated, regulated and appropriately prioritised nutrition research that contributes to and supports policy objectives, poverty reduction and strategy reviews.
3. Institutional framework, to facilitate coordination and harmonisation of all nutrition-related policies and programmes in order to avoid duplication, ensure optimal use of scarce resources and ensure standardisation of operations by all public and private entities
4. Budget - Efficient allocation and use of resources for implementation of LFNP
5. Common Results Framework - Monitoring and evaluation of nutrition programmes.
3.2. National Nutrition Targets to be achieved by 2025
Based on WHA global targets, the following national targets have been formulated for the LFNP to be achieved by 2025:
1. Stunting among children 6-59 months of age will be reduced to a prevalence of 23 per cent or lower
2. Anaemia prevalence among women of reproductive age (15-49 years) will be reduced to 13 per cent or lower
3. Childhood overweight will not have increased and at most will affect 7 per cent of children under five years of age
4. The exclusive breastfeeding rate during the first six months will be maintained at a level of at least 50 per cent
5. Childhood wasting will be maintained at a level below 5 per cent.
6. Low birth-weight will be maintained at a level below 5 per cent.
","
4.1. Improving Maternal Nutrition
Strategic objectives:
1. Integrate nutrition services into antenatal and postnatal care and family health packages.
2. Ensure routine iron folate supplementation and deworming.
3. Institutionalise universal maternity care.
4. Prevent malnutrition and mother-to-child transmission of HIV; ensure adherence to treatment through provision of nutrition services to women and infants.
5. Promote nutritional support for malnourished women of child-bearing age.
4.2 Promotion of Appropriate Infant and Young Child Feeding Practices
Strategic objectives:
1. Promote, protect and support exclusive breastfeeding and create an enabling environment that includes enforcement of the law on marketing breast-milk substitutes.
2. Promote efficient nutrition assessment and counselling.
3. Promote and create access to appropriate, diverse, nutritionally adequate complementary foods for children aged 6-to-24 months.
4. Support the monitoring of IYCF trends.
5. Provide essential nutrition services.
6. Advocate for the incorporation of IYCF into the curricula at all levels of formal and non-formal education systems.
4.3. Prevention, Treatment and Management of Malnutrition
Strategic objectives:
1. Promote efficient early identification, management and follow-up of acute malnutrition patients at community and health facility level.
2. Ensure availability of specialised nutrition products to treat acute malnutrition.
3. Enhance monitoring, evaluation and management of acute malnutrition programmes.
4.4. Nutrition in the General Population
Strategic objectives:
1. Facilitate the prevention and control of nutritional deficiencies through micronutrient supplementation, food fortification, food-based approaches and disease-control measures.
2. Promote behavioural practices supportive of optimal nutrition and healthy lifestyles.
4.5. Preventing and Managing Diet-Related Non-Communicable Diseases
Strategic objectives:
1. Promote consumption of healthy foods and diets, physical activity and healthy lifestyles
2. Promote programmes on prevention and management of diet-related NCDs
3. Promote screening for NCDs
4.5. Preventing Micronutrient Deficiencies
Strategic objectives:
1. Provide access to essential nutrition services, with a focus on vitamin A and iron supplementation and salt iodisation
2. Enforce micronutrient legislation
3. Support the implementation of appropriate micronutrient supplementation programmes for identified groups at risk (pregnant and lactating mothers, infant and young children, school-aged children and people living with HIV/AIDS and TB)
4. Promote the production, processing, preservation, packaging and consumption of foods rich in micronutrients
5. Develop new (and/or update existing) regulations and legislation on micronutrient fortification of both locally-produced and imported foods
6. Develop and implement a communication strategy on the importance of foods rich in micronutrients, to encourage behavioural change
7. Strengthen collaboration and linkages between communities, the GoL, NGOs and the private and informal sectors
8. Support the enforcement of food-fortification regulations and legislation
9. Advocate for the integration of routine de-worming for all populations at risk.
4.6. Nutritional Needs of Special Groups
4.6.1. Nutrition, HIV and AIDS and TB
Strategic objectives:
1. Integrate nutrition into TB, HIV and AIDS prevention, treatment and care programmes
2. Advocate for increased commitment at public, private, NGO and community levels to support nutrition, TB, HIV and AIDS programmes
3. Establish linkages between nutrition assessment care and support (NACS) in communities and livelihood programmes.
4.6.2. School-Aged Children and Adolescents
Strategic objectives:
1. Promote nutrition for optimal growth and development for school-age children and adolescents
2. Promote optimal nutrition composition of all school meals
3. Support school-based meals that contribute to improved daily attendance and reduction of dropout rates
4. Strengthen nutrition education.
5. POLICY OBJECTIVE 2: NUTRITION-SENSITIVE PRIORITY ACTIVITY AREAS
5.1. Food and Nutrition Security at National, Community and Household Level
Strategic objectives:
1. Promote utilisation of diverse, safe and nutritious foods
2. Contribute to the diversification of sustainable food production and supply-base, considering climate-smart technologies
3. Promote community nutrition programmes that support income-generating, sustainable and resilient livelihoods
4. Promote climate-smart and labour-saving technologies.
5.2. Food Fortification
Strategic objectives:
1. Promote the consumption of nutrient-enhanced foods.
2. Advocate for the provision of multiple micronutrient sachets for addition to a child’s meal before consumptions and addition to milling machines used in the community each time a pre-measured portion of grain is added.
5.3. Food Safety and Standards
Strategic objectives:
1. Improve/ensure food standards, quality and safety.
2. Develop food standards guidelines.
5.4. Caring for the Socio-Economically Deprived & Nutritionally Vulnerable
Strategic objectives:
1. Promote social protection interventions for improved nutrition
2. Promote participation by men in the provision of nutritional care and support for their families
3. Support the creation of community-based livelihood and growth-promotion programmes
4. Build capacity for the provision of nutritional care to socio-economically deprived and nutritionally vulnerable household members
5. Advocate for food and nutrition programmes directed to vulnerable groups
6. Ensure that all food packages aimed at nutritionally vulnerable groups meet nutritional standards.
5.5. Early Childhood Care and Development
Strategic objectives:
1. Improve the nutritional status of children in ECCD
2. Improve the nutritional status of children in primary schools
3. Reduce malnutrition in schools
4. Improve food and nutrition security
5. Increase knowledge on nutrition, food production and livelihood opportunities at all schools.
5.6. Water, Sanitation and Hygiene (WASH)
Strategic objectives:
1. Promote safety of drinking water, including commercially bottled water
2. Promote essential WASH practices (hand-washing with water and soap at critical times, treatment and safe storage of drinking water, and sanitary disposal of human faeces)
3. Promote water protection interventions
4. Advocate for water, sanitation and hygiene distribution services to households and other institutions.
5.7. Nutrition in Emergency Situations
Strategic objectives:
1. Strengthen nutrition early warning systems by including a food security and nutritional assessment
2. Strengthen the capacity of Government, UN agencies and NGOs to respond to nutrition and nutrition-related early warning information related to potential shocks
3. Ensure availability of specialised nutrition products, supplementary food, therapeutic food, safe drinking water and water purification commodities
4. Support integration and linkage of emergency programmes to livelihood interventions and social safety nets/transfers
5. Support infant and young child nutrition emergency principles, including breastfeeding support, essential WASH actions and access to other critical services.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202016%20Food%20and%20Nutrition%20Policy.pdf" "36111","MDA","Republic of Moldova","","National Programme on prevention and control of HIV/AIDS and STI’s 2016-2020","Health sector policy, strategy or plan with nutrition components","","Russian","10","2016","","2020","Monitorul Oficial Nr. 369-378 (Government)","10","2016","Adopted","10","2016","Government of Moldova","Health|Education and research|Sport|Justice|Labour|Sub-national","Other: National HIV/AIDS council","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Other","Global Fund","","","National NGOs","","","","","","","","
Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "24458","TCD","Chad","","Plan Cadre des Nations Unies d’Assistance au Developpement (UNDAF)- TCHAD ","Non-national nutrition policy document","","French","","2017","","2021","Chad UN Country Team","","2017","Adopted","","","","Cabinet/Presidency","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNEP","","","","","","","","","","","","","","","
Effet 2. Les populations les plus vulnérables dont les femmes, adolescent(e)s et enfants de moins de cinq ans, incluant les refugiés dans les zones ciblées, utilisent davantage les services intégrés de qualité de santé, nutrition et de bonnes pratiques d’alimentation, de prévention et traitement des maladies prioritaires notamment le VIH et le paludisme ;
Effet 3. Les populations vulnérables incluant les refugiés, dans les zones ciblées , utilisent de manière accrue et durable les services d’approvisionnement en eau potable, assurent un meilleur assainissement et adoptent des bonnes pratiques d’hygiène
Effet 5. D’ici à fin 2021, les agriculteurs, les éleveurs, les pêcheurs et les petits producteurs, notamment les jeunes et les femmes, des régions ciblées emploient des systèmes de production durable leur permettant de répondre à leurs besoins de base, d’alimenter le marché et adoptent un cadre de vie plus résilient au Changement Climatique et aux autres défis environnementaux.
","","Taux d’accouchement assisté par du personnel qualifié
Taux de consultations prénatales
Taux de consultation postnatale
Taux d’allaitement exclusif(enfants 0-5 mois)
Pourcentage de la population utilisant l’eau potable en eau de boisson
Pourcentage des personnes affectées par des urgences qui ont accès en permanence à l’eau potable et à l’assainissement de base selon les standards SPHERE
Pourcentage de producteurs ayant accès aux informations générées par le système d’alerte précoce et les systèmes d’information sur la sécurité alimentaire
","Process indicators","","Counselling on infant feeding in the context HIV|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Infant feeding in emergencies|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TCD%202017%20UNDAF.pdf" "24467","ERI","Eritrea","","The strategic partnership cooperation framework (SPCF) between the government of the state of Eritrea and the United Nations","Non-national nutrition policy document","","English","","2017","","2021","Eritrea UN country team","1","2017","","","","","Health|Food and agriculture|Education and research|Development|Environment|Labour|Other","National Union of Eritrean Women (NUEW)","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IAEA, UNEP, UNODC","","","","","","","","","","","","","","","Outcome 1. Health and Nutrition. By 2021, children under five, youth, women and other vulnerable groups including refugees, have improved access to and utilization of quality, integrated health and nutrition services for the achievement of universal health coverage (UHC) to safeguard healthy lives and promote well-being for all.
Outcome 2. Water, Sanitation and Hygiene (WASH). By 2021, all people, including refugees, benefit from available and sustainable water, sanitation and hygiene services.
Outcome 6. Food Security and Livelihoods. By 2021, smallholder households have improved access to, and utilisation of quality food and enhanced livelihood opportunities.
","Outcome 1. (iii) Strengthen the capacity of community health workers to implement integrated community case management, promote appropriate childcare and care seeking practices at household and community levels, and to make timely referrals to the next level of care. There will be a strong focus on integrated nutrition security, infant and young child feeding practices.
Outcome 2. (i) Involving communities in strengthening their capacity to operate and maintain rural water supplies and to develop and implement sanitation action plans.
(ii) Capacity building support to develop implementation protocols and guidelines on WASH in Institutions, rural water supply and sanitation and hygiene through the Community-Led Total Sanitation (CLTS) approach.
(iii) Evidence generation through support to the GoSE to conduct necessary assessments, surveys, and formative research such as the Eritrea Population and Health Survey (EPHS) and Knowledge, Attitude and Practice (KAP) surveys, as well as formative studies on community based approaches.
(iv) Policy dialogue and advocacy to promote balance between upstream policy and institutional development and the downstream work of capacity building, monitoring, and service delivery in the critical areas of child survival and development through equity-focused programming.
(v) Provision of service delivery assistance in the form of supplies, cash and services to facilitate the government, as implementing partners, to continue to provide WASH services. Service delivery assistance will also assist the GoSE sustain the service delivery gains as well as provide models of best practice to scale-up critical child survival and developmental WASH interventions.
Outcome 6. (i) Continue to support the GoSE expand, diversify and make more sustainable the productive base and engage the international community.
(ii) Continue to provide upstream support by engaging partners in a dialogue to identify capacity and policy gaps and to unlock potential development resources in the agriculture sector.
(iii) Identify diversified productive sectors that could provide sustainable livelihood opportunities for the population. The experience with the mining sector could be replicated in other sectors with higher job intensity, such as manufacturing, food processing and tourism.
(iv) Continue to work with communities to increase food and nutrition capacity, productivity and livelihoods with a special focus on youth and women.
(v) Provide technical assistance to the GoSE in the areas of institutional and human capacity development, quality seed production; improvement of crop and animal production; improved water management through the introduction and installation of new irrigation systems; provision of agricultural inputs; food processing for export and value addition of agricultural products to further increase employment and incomes in the agricultural sector
","1.8: Proportion of infants under 6 months exclusively breastfed
1.9: Proportion of children 6-59 months receiving two doses of vitamin A supplementation per year
1.11: Proportion of children 6-59 months with SAM enrolled in therapeutic feeding programme
2.1: Proportion of the population using an improved source of drinking water
2.3: Percentage of people who wash their hands with soap after defecation.
6.1: % of smallholder households using nutritious foods
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of severe acute malnutrition|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","http://reporting.unhcr.org/sites/default/files/UNDP%20ERITREA_SPCF%202016%20Low%20res%20fa.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ERI%202017%20SPCF.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
Goal
To contribute to a reduction in morbidity and mortality associated with acute malnutrition in children 0–15 years of age.
Objectives
The following five objectives will help maintain the rates of acute malnutrition in children at less than 5 percent throughout the 5-year period. Each of the objectives has a corresponding strategy and actions outlined in Section 3, and a monitoring and evaluation plan detailed in Section 4.1.
1. Improve availability and access to CMAM supplies and equipment.
2. Increase the competence of human resources involved in CMAM service delivery.
3. Increase effectiveness of CMAM coverage by improving access, acceptability, and utilization of services.
4. Strengthen the enabling environment for CMAM service delivery.
5. Improve monitoring and evaluation and promote the use of data and information to inform CMAM programming and planning.
","Prioritised Actions to Improve Availability and Access to CMAM Supplies and Equipment
1. Integrate CMAM supplies and equipment into the national health commodity logistics system
2. Advocate to Central Medical Stores (CMS) for increased allocation and long-term funding for RUTF as an essential drug and/or supply
3. Ensure manufacturers and suppliers register therapeutic and supplementary food supplies with the Pharmacy Medicines and Poisons Board (PMPB)
4. Adopt international technical specifications or reference ranges for quality control checks for locally produced therapeutic and supplementary food supplies
5. Perform quality control certification of therapeutic and supplementary food supplies at Malawi Bureau of Standards (MBS)
6. Conduct annual national quantification of CMAM supplies with all stakeholders
7. Procure essential CMAM supplies and equipment based on annual needs
8. Implement a national CMAM supplies real-time monitoring and reporting system at all levels
9. Train service providers and managers on CMAM supplies and logistics management
10. Establish sufficient warehouses and safe storage facilities at central, district, and facility levels
11. Improve efficiency of transport of SAM and MAM supplies to the health facility and beneficiary
Prioritised Actions to Increase the Competence of Human Resources Involved in CMAM Service Delivery
1. Establish a practitioners’ committee to ensure nutrition content in health professional pre-service training curricula remains current
2. Review the current pre-service training curricula for health professionals to understand gaps and recommend areas to be updated
3. Provide technical update to the pre-service training curricula for nurses, clinicians and HSAs to include CMAM theory and practice
4. Include management of acute malnutrition as part of the nurse and clinician internship program
5. Conduct CMAM training for pre-service tutors and lecturers teaching in the medical and nursing training institutions
6. Conduct CMAM in-service training for all providers in the NRU, OTP, and SFP sites
7. Conduct CMAM training for all district health management teams (DHMT)
8. Develop a computerized training tracking system for personnel trained in CMAM
9. Develop mentorship and supportive supervision guidelines and tools for facility-based CMAM service providers
10. Conduct mentorship and supportive supervision visits for facility-based CMAM service providers in NRU, OTP, and SFP sites
Prioritised Actions to Increase Coverage of CMAM Services
1. Conduct coverage surveys to determine coverage of CMAM services and barriers to access
2. Re-establish community outreach activities countrywide
3. Conduct training of community-based CMAM service providers, including volunteers
4. Harmonise community mobilization efforts across community groups
5. Institutionalise a harmonised system for incentivizing community volunteers
6. Conduct community sensitization and awareness campaigns on acute malnutrition causes, consequences, prevention, and treatment
7. Develop mentorship and supportive supervision guidelines and tools for community-based CMAM service providers and volunteers
8. Conduct integrated mentorship and supportive supervision visits for community-based CMAM service providers and volunteers
Prioritised Actions to Improve the Enabling Environment for CMAM
1. Update the national CMAM guidelines, ensuring integration with other health and nutrition interventions
2. Integrate implementation of CMAM with other health services, such as IMCI, HIV, WASH, and Scaling Up Nutrition (SUN) initiatives
3. Operationalise the Targeted Nutrition Programs (TNP) technical working group for improved coordination and monitoring of implementation of the operational plan
4. Integrate CMAM advocacy activities into the national nutrition advocacy plan
5. Develop quarterly CMAM policy and technical briefs to share data, best practices, and lessons learnt
6. Conduct advocacy campaigns for increased awareness of CMAM among national level policymakers
7. Advocate prioritisation and funding of CMAM by the government
8. Advocate increased CMAM funding from development partners
9. Increase financial and logistical support for the CMAM focal persons at national, regional, and district levels
10. Establish performance based incentives (PBI) with the CMAM focal persons with clear articulation of targets
Prioritised Actions to Improve CMAM Monitoring, Evaluation, and Information Management
1. Identify country-level CMAM operational research questions that address knowledge and implementation gaps
2. Hold annual CMAM dissemination conferences
3. Conduct annual national review of operational plan implementation
4. Conduct midterm and endline evaluations of operational plan implementation
5. Conduct quarterly DHMT review workshops of CMAM data and programme outcomes
6. Establish real-time data management system for CMAM alerts on preparedness and response
7. Conduct CMAM data management trainings, and use of District Health Information Software – Version 2 (DHIS-2) for all district HMIS officers
8. Provide logistical and technical support to districts and facilities in the use of DHIS-2
Prioritised Actions to Intensify CMAM Services to Respond to Emergency and Humanitarian Situations
1. Intensify case finding through community outreach and mobilization
2. Procure additional supplies and equipment to meet the increased SAM caseload
3. Procure additional supplies and equipment to meet the need for increased MAM caseload
4. Conduct refresher training of CMAM service providers on inpatient care, outpatient care, and SFP
5. Intensify the frequency of government and CMAM partner coordination meetings
6. Intensify real-time monitoring and reporting of CMAM service delivery
7. Conduct Standardised Monitoring and Assessment of Relief and Transitions (SMART) nutrition surveys during the emergency and post-emergency period
8. Conduct coverage survey during an identified emergency period
","see Table 4.1: National CMAM Monitoring and Evaluation Plan, pages 19-28
","","","Wasting in children 0-5 years|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","https://www.fantaproject.org/node/1483","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202016%20National%20CMAM%20Operational%20Plan%202017-2021.pdf" "39753","PYF","French Polynesia","","Schéma de prévention et de promotion de la sante de la Polynésie française 2018-2022","Health sector policy, strategy or plan with nutrition components","","French","","2018","","2022","Ministre des solidarités et de la santé, en charge de la réforme de la protection sociale généralisée, de la prévention et de la famille - Direction de la santé","","2018","","","","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Sport|Consumer affairs|Industry|Information|Labour","Comité Interministériel pour la Prévention et la Promotion de la Santé (CIPPS)","World Health Organization (WHO)","","","","","","Other","Communauté du Pacifique","National NGOs","Associations","","","Private sector","","","","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" "40346","BEN","Benin","","Plan stratégique intégré de lutte contre les maladies non transmissibles 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé","11","2018","","","","","Cabinet/Presidency|Health|Education and research|Development|Trade","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","- Promouvoir un régime alimentaire équilibré
- Assurer la consommation d’au moins 5 portions de fruits et légumes par jour
","Adoption de mesures favorisant une alimentation équilibrée
Plaidoyer pour la mise en place des environnements favorables à la consommation de fruits et légumes
Communication pour un changement de comportement
Objetivo específico
Posicionar el abordaje integral de las ENT en la agenda nacional multisectorial como un problema prioritario de salud públicEstrategia 1.1: Fortalecer alianzas y acciones intra y multisectoriales para el abordaje integral de las Enfermedades no Transmisibles
Línea de acción
Incluir en los diferentes espacios intra e intersectoriales de carácter técnico y político, el análisis de las medidas, resultados y su impacto en las ENT
Promover la corresponsabilidad y la participación activa de instituciones públicas y privadas para potenciar en la población ambientes, modos y estilos de vida saludable
Objetivo específico
Fomentar la promoción de la salud y la prevención de las Enfermedades No Transmisibles con participación intra e intersectorial y de la sociedad civil como parte de su abordaje integral
Estrategia
Implementar intervenciones estratégicas de promoción de la salud, educación para la salud y prevención de las Enfermedades no Transmisibles con participación social e intersectorial
Línea de acción
Implementación del plan nacional intra e intersectorial y multidisciplinario de intervenciones estratégicas de promoción de la salud y educación para la salud.
","","
Monitoreo, evaluación y rendición de cuentas
El presente plan de implementación será monitoreado de manera trimestral y evaluado semestral y anualmente con participación intra e intersectorial y de la sociedad civil. Los resultados de las evaluaciones serán presentados en el marco de rendición de cuentas para el seguimiento de los avances y realizar ajustes necesarios para el cumplimiento de la Política Nacional para el Abordaje Integral de las ENT.
Objetivo específico
Fortalecer la vigilancia en salud pública y desarrollar investigaciones para la toma de decisiones en el abordaje integral de las Enfermedades No Transmisibles
Estrategia
Fortalecer el Sistema Único de Información en Salud (SUIS)
Línea de acción
Desarrollo e implementación de la vigilancia en salud pública dentro del SUIS para el abordaje integral de las ENT Diseñar el componente de vigilancia en salud pública de las ENT.
","Process indicators","","Raised blood glucose/diabetes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Physical activity and healthy lifestyle","","http://asp.salud.gob.sv/regulacion/pdf/planes/planimplementacionpoliticaabordajeenfermedadesnotransmisibles2019.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202019%20Plan%20implementacion%20politica%20abordaje%20enfermedades%20no%20transmisibles.pdf" "40328","NER","Niger",""," Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles 2019-2021","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Labour","Assemblée nationaleMinistère en charge de la Renaissance Culturelle","World Health Organization (WHO)","","","","","","","","National NGOs","Société Civile (ONG, Associations et Fondations)","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
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" "40763","URY","Uruguay","","Objetivos Sanitarios Nacionales 2020","Health sector policy, strategy or plan with nutrition components","","Spanish","","2015","","2020","Ministerio de Salud Pública","","2015","Not adopted","","","","Cabinet/Presidency|Health|Education and research","","World Health Organization (WHO)","","","","","","","","","","","","","","","","","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" "66476","UZB","Uzbekistan","","ПОСТАНОВЛЕНИЕ ПРЕЗИДЕНТА РЕСПУБЛИКИ УЗБЕКИСТАН О ДОПОЛНИТЕЛЬНЫХ МЕРАХ ПО ОБЕСПЕЧЕНИЮ ЗДОРОВОГО ПИТАНИЯ НАСЕЛЕНИЯ / [Presidential decree on additional measures for healthy nutrition for the population]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2020","","","National Legal Database","11","2020","Adopted","11","2020","Постановление Президента Республики Узбекистан, от 10.11.2020 г. № ПП-4887","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Information|Sub-national","Ministry of Culture; Antimonopoly Committee; National Sanitary Inspection; National Agency for Standards ","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","7. Центру (Б.Т. Одилова) наладить практику ведения пропагандистской работы путем размещения видеороликов в средствах массовой информации и социальных сетях, а также распространения раздаточных материалов в форме инфографики среди населения с привлечением известных представителей культуры и спортсменов. При этом уделить особое внимание освещению тем о негативном влиянии неправильного питания и малоподвижного образа жизни на здоровье человека, а также полезных свойствах фруктов и овощей в профилактике и лечении возникающих в результате этого заболеваний и их осложнений, пользе, которую приносят здоровью человека регулярные занятия физической культурой и массовым спортом.
1. Изменение рецептуры готовой продовольственной продукции и полуфабрикатов, а также уменьшение потребления соли населением путем приготовления в лечебных и образовательных учреждениях, на рабочих местах пищи с малым количеством натрия
2. Координация действующих санитарных правил и норм качества и безопасности продовольственной продукции, а также государственных стандартов и технических регламентов к рекомендациям Продовольственной и сельскохозяйственной организации ООН и Всемирной организации здравоохранения (далее — ВОЗ), а также нормам Кодекса Алиментариус.
3. Разработка порядка осуществления контрольной закупки товаров народного потребления в пунктах розничной торговли и проведения экспертизы (лабораторных испытаний) товаров (работ, услуг).
4. Внесение проекта Закона «О рекламе» в новой редакции в Законодательную палату Олий Мажлиса.
5. Утверждение государственного стандарта и технического регламента по обогащению пшеничной муки высшего сорта витаминами и микронутриентами и внесение изменений в государственную программу по обогащению муки. Также установление порядка разрешения на импорт муки при условии обогащения ее микронутриентами.
6. Совершенствование деятельности Научно-исследовательского института санитарии, гигиены и профессиональных заболеваний, включая привлечение высококвалифицированных кадров с научным потенциалом, создание научно-исследовательских лабораторий, вивариев и новой клиникипо здоровому питанию
7. Пересмотр государственных и ведомственных форм статистических отчетов, предоставляющих возможность наблюдения индикаторов неинфекционных заболеваний и проблем при питании женщин репродуктивного возраста, беременных и детей
8. Разработка на основе рекомендаций ВОЗ норм, определяющих безопасное или вредное для здоровья человека количество соли, сахара и жиров в составе продовольственной продукции.
9. Внесение изменений и дополнений в «Общий технический регламент о безопасности пищевой продукции в части ее маркировки» по маркировке с учетом полезности или вредности для здоровья человека количества соли, сахара и жиров в составе продовольственной продукции отечественного производства и ввозимой для реализации на территории республики.
10. Совершенствование внедренных государственных стандартов и технических регламентов по обогащению продовольственной продукции йодом в целях проведения массовой профилактики йододефицита среди населения.
11. Регулирование на основе рекомендаций ВОЗ маркетинга продовольственной продукции и напитков, предназначенных для детей.
12. Совершенствование системы производства и регистрации биологически активных добавок.
13. Регулирование маркетинга в области цифровой и розничной торговли продовольственной продукцией с превышающим установленные нормы содержанием соли, сахара и жиров, а также сильно газированных, подкрашенных, сладких и энергетических напитков для детей и подростков.
14. Разработка программы поддержки производителей здоровой продукции с содержанием соли, сахара и жиров в рамках безопасных для здоровья человека норм
II. Повышение эффективности профилактических мероприятий по снижению факторов, способствующих возникновению болезней, связанных с неправильным питанием
15. Пропаганда «программы пяти ключей» по обеспечению безопасного питания ВОЗ.
16. Подготовка и передача в эфир на системной основе цикла передач «Соглом овкатланайлик» («Правильно питаемся») по формированию здорового образа жизни интерактивным методом для родителей и детей.
17. Разработка оптимальных норм питания для разных по возрасту, полу, физиологическому состоянию и профессиям групп населения.
18. Принятие государственной программы по бесплатному обеспечению населения витаминами и минералами, предусмотренными в пункте 1 постановления.
19. Бесплатное обеспечение:
20. Разработка норм профилактического питания для работающих в неблагоприятных условиях труд
21. Пересмотр нормы питания и меню, предназначенных для больных в медицинских учреждениях, в том числе диетической пищи.
22. Совершенствование системы здорового и безопасного питания учащихся средних общеобразовательных школ. В частности, приведение школьных столовых в соответствие с санитарными правилами, нормативными требованиями гигиены, налаживание качества и контроля безопасности пищи.
23. Разработка рекомендаций по организации здорового питания для специалистов, занятых в области общего питания, производства и переработки продовольственной продукции.
24. Пересмотр стандартов лабораторных тестовых испытаний по раннему выявлению болезней, связанных с неправильным питанием. Обеспечение лабораторий многопрофильных центральных поликлиник Республики Каракалпакстан, областей, районов (городов) необходимым оборудованием, расходными материалами и реактивами на основе стандартов лабораторных тестовых испытаний.
25. Переутверждение стандартов диагностики и лечения неинфекционных заболеваний, а также клинических пособий и протоколов на основе рекомендаций ВОЗ по здоровому питанию и ведению здорового образа жизни.
26. Создание системы консультации беременных женщин и родителей детей в возрасте до 5 лет по вопросам питания путем разработки универсальной прогрессивной модели патронажа по республике.
27. Разработка научно обоснованной рецептуры продуктов питания и напитков для населения, в частности детей, на основе отечественной плодоовощной продукции и другого сырья.
III. Подготовка, повышение квалификации кадров по направлениям гигиены питания, нутрициологии, диетологии, поддержка научных исследований в сфере формирования здорового питания
28. Обучение медицинских работников учреждений первичной медико-санитарной помощи по рекомендациям ВОЗ по самоуходу и контролю за своим здоровьем больных с неинфекционными заболеваниями.
29. Повышение квалификации врачей и медицинских сестер по программе «Первые 1 000 дней» ВОЗ по здоровому питанию беременных, кормящих матерей и детей в возрасте до 2 лет.
30-38.... (Measures on nutriton in various curriculums
39. Реализация один раз в 5 лет Программы европейской инициативы по эпидемиологическому контролю ожирения у детей (COSI).
40. Проведение каждые 5 лет среди населения Узбекистана на основе рекомендаций и методик ВОЗ и ЮНИСЕФ исследований, предусматривающих: изучение анемии, йододефицита, дефицита фолиевой кислоты и витамина А; изучение уровня правильного и здорового питания среди беременных и детей в возрасте до 5 лет; изучение уровня потребления населением соли; изучение уровня и причин распространения факторов риска неинфекционных заболеваний.
IV. Обеспечение безопасности продовольственной продукции, производимой и ввозимой на территорию республики в целях ее реализации
41. Принятие мер по снижению количества насыщенных жировых кислот и их обмену на ненасыщенные жировые кислоты, трансжиров — на ненасыщенные жиры в составе продовольственной продукции, а также снижению содержания свободного сахара в продуктах питания и напитках
42-44...
45. Осуществление контроля за отсутствием промышленных трансжиров, в том числе технического пальмового масла в составе импортной и отечественной продовольственной продукции
49. Ограничение использования трансжиров, в том числе пальмового и кокосового масла, при производстве продуктов питания, в соответствии с рекомендациями ВОЗ.
V. Внедрение информационно-коммуникационных технологий в сферу организации здорового питания
52. Усиление пропагандистских работ по разъяснению преимущества грудного вскармливания в соответствии с требованиями Закона Республики Узбекистан «О поддержке грудного вскармливания и требованиях к продуктам питания для младенцев и детей раннего возраста».
53. Создание специальных каналов в социальных сетях по кратким консультациям по профилактике заболеваний, в том числе по здоровому питанию, физической активности, отказу от употребления табачной и алкогольной продукции.
54. Создание на платформе «Соглом хаёт» раздела правильного питания, предоставляющего населению возможность подсчета индекса массы тела человека, рекомендации нормы дневного питания с учетом образа жизни, подсчета калорий потребляемой пищи, продуктов питания и напитков
","CAPÍTULO II
DE LOS ALIMENTOS ENVASADOS CON CONTENIDO DE CALORÍAS, AZÚCARES, GRASAS SATURADAS, GRASAS TOTALES Y SODIO
Artículo 4°- Sello en la Cara Principal. Los alimentos y bebidas analcohólicas envasados en ausencia del cliente y comercializados en el territorio de la República Argentina, en cuya composición final el contenido de nutrientes críticos y su valor energético exceda los valores establecidos de acuerdo a la presente ley, deben incluir en la cara principal un sello de advertencia indeleble por cada nutriente crítico en exceso, según corresponda: “EXCESO EN AZÚCARES”; “EXCESO EN SODIO”; “EXCESO EN GRASAS SATURADAS”; “EXCESO EN GRASAS TOTALES”; “EXCESO EN CALORÍAS”.
En caso de contener edulcorantes, el envase debe contener una leyenda precautoria inmediatamente por debajo de los sellos de advertencia con la leyenda: “CONTIENE EDULCORANTES, NO RECOMENDABLE EN NIÑOS/AS”.
En caso de contener cafeína, el envase debe contener una leyenda precautoria inmediatamente por debajo de los sellos de advertencia con la leyenda: “CONTIENE CAFEÍNA. EVITAR EN NIÑOS/AS”.
...
…
CAPÍTULO III
DE LA PUBLICIDAD, PROMOCIÓN Y PATROCINIO
Artículo 10.- Prohibiciones. Se prohíbe toda forma de publicidad, promoción y patrocinio de los alimentos y bebidas analcohólicas envasados, que contengan al menos un (1) sello de advertencia, que esté dirigida especialmente a niños, niñas y adolescentes.
En los demás casos de publicidad, promoción y/o patrocinio por cualquier medio, de los alimentos y/o bebidas analcohólicas que contengan al menos un (1) sello de advertencia:
a) Tienen prohibido resaltar declaraciones nutricionales complementarias que destaquen cualidades positivas y/o nutritivas de los productos en cuestión, a fin de no promover la confusión respecto de los aportes nutricionales;
b) Deben visibilizarse y/o enunciarse en su totalidad los sellos de advertencia que correspondan al producto en cuestión cada vez que sea expuesto el envase;
c) Tienen prohibido incluir personajes infantiles, animaciones, dibujos animados, celebridades, deportistas o mascotas, elementos interactivos, la entrega o promesa de entrega de obsequios, premios, regalos, accesorios, adhesivos juegos visual–espaciales, descargas digitales, o cualquier otro elemento, como así también la participación o promesa de participación en concursos, juegos, eventos deportivos, musicales, teatrales o culturales, que contengan al menos un (1) sello de advertencia o leyendas precautorias, según corresponda, que inciten, promuevan o fomenten el consumo, compra o elección de éste.
…
CAPÍTULO IV
PROMOCIÓN DE LA ALIMENTACIÓN SALUDABLE EN LOS ESTABLECIMIENTOS EDUCATIVOS
…
Artículo 12.- Entornos escolares. Los alimentos y bebidas analcohólicas que contengan al menos un (1) sello de advertencia o leyendas precautorias no pueden ser ofrecidos, comercializados, publicitados, promocionados o patrocinados en los establecimientos educativos que conforman el nivel inicial, primario y secundario del Sistema Educativo Nacional.
xxxxxx
...
CAPÍTULO II
DE LOS ALIMENTOS ENVASADOS CON CONTENIDO DE CALORÍAS, AZÚCARES, GRASAS SATURADAS, GRASAS TOTALES Y SODIO
ARTÍCULO 4°.- Sello en la Cara Principal. La declaración del rotulado nutricional frontal es obligatoria en los alimentos y bebidas analcohólicas envasados en ausencia del cliente o de la clienta cuando en su composición final las cantidades de azúcares añadidos, grasas saturadas, grasas totales, sodio y/o energía sean iguales o superiores a los límites y condiciones definidos en el artículo 6° de la presente Reglamentación. Del mismo modo, aquellos alimentos que contengan edulcorantes y/o cafeína deben declarar la leyenda precautoria de acuerdo a lo dispuesto por el artículo 4° de la Ley.
Se entenderá que hay agregado de azúcares, grasas y sodio cuando:
Agregado de azúcares: se refiere al agregado durante el proceso de elaboración de azúcares, azúcares de hidrólisis de polisacáridos, ingredientes que contengan azúcares adicionados, ingredientes que contienen naturalmente azúcares como la miel, los jarabes, jugos y concentrados de frutas y hortalizas y/o la mezcla de cualquiera de los anteriores.
Agregado de grasas: se refiere al agregado durante el proceso de elaboración de grasas y aceites de origen vegetal y/o animal (incluyendo la grasa láctea) o productos e ingredientes que los contengan agregados.
Agregado de sodio: se refiere al agregado durante el proceso de elaboración, de cualquier sal que contenga sodio o cualquier ingrediente que contenga sales de sodio agregadas, incluso cuando el uso fuera como aditivo alimentario.
Se entenderá que el alimento y/o las bebidas analcohólicas contienen edulcorantes si la lista de sus ingredientes incluye aditivos edulcorantes nutritivos o no nutritivos.
Se entenderá que un alimento y/o bebida analcohólica contiene cafeína si la lista de ingredientes la incluye como tal o proviene de un ingrediente que la aporta en las bebidas analcohólicas o polvos para prepararlas, elaboradas con extractos, infusiones, maceraciones y/ o percolaciones.
Los alimentos y bebidas analcohólicas envasados en ausencia del cliente o de la clienta y comercializados en el territorio de la REPÚBLICA ARGENTINA que contengan más de UNA (1) cara principal deberán llevar el sello de advertencia que corresponda y la leyenda precautoria, en cada una de ellas.
ARTÍCULO 5°.- Características del sello de advertencia. Las especificaciones técnicas del sello de advertencia y leyendas precautorias se realizarán de conformidad a las pautas indicadas en el documento que como ANEXO II (IF-2022-24456831-APN-DNAIENT#MS) forma parte de la presente Reglamentación.
ARTÍCULO 6°.- Valores máximos. Los criterios del modelo de perfil de nutrientes, en cumplimiento de los valores máximos establecidos por el artículo 6° de la Ley que se reglamenta, se fijan de acuerdo a los siguientes puntos de corte para los nutrientes críticos (azúcares añadidos, grasas saturadas, grasas totales y sodio) y/o edulcorantes y/o cafeína y/o calorías (Tabla 1):
Tabla 1: Puntos de corte para nutrientes críticos, edulcorantes y cafeína*
Etapas**
Primera Etapa
Azúcares añadidos - ≥ 20% del total de energía proveniente de azúcares añadidos***
Grasas Totales - ≥ 35% del total de energía proveniente del total de grasas
Grasas saturadas - ≥ 12% del total de energía proveniente de grasas saturadas
Sodio - ≥ 5 mg de sodio **** por 1 kcal o ≥ 600 mg/100 g, Bebidas analcohólicas sin aporte energético: ≥ 40 mg de sodio cada 100 ml
Edulcorantes y/o cafeína - Cuando el alimento contenga cafeína y/o edulcorante de acuerdo a lo establecido en el artículo 4° de la presente reglamentación
Calorías****** - Alimentos ≥ 300 kcal/100g, Bebidas analcohólicas: ≥ 50 kcal/100 ml
Segunda Etapa
Azúcares añadidos -≥ 10% del total de energía proveniente de azúcares añadidos
Grasas Totales - ≥ 30% del total de energía proveniente del total de grasas
Grasas saturadas - ≥10% del total de energía proveniente de grasas saturadas
Sodio - ≥ 1 mg de sodio***** por 1 kcal ≥ 300 mg/100 g, Bebidas analcohólicas sin aporte energético: ≥ 40 mg de sodio cada 100 ml
Edulcorantes y/o cafeína - Cuando el alimento contenga cafeína y/o edulcorante de acuerdo a lo establecido en el artículo 4° de la presente reglamentación
Calorías****** - Alimentos ≥ 275 kcal/100g, Bebidas analcohólicas ≥ 25 kcal/100 ml
...
ARTÍCULO 8°.- Declaración obligatoria de azúcares. Los alimentos y bebidas analcohólicas envasados en ausencia del cliente o de la clienta, que deban llevar información nutricional conforme a las normas específicas del CÓDIGO ALIMENTARIO ARGENTINO (CAA), deberán declarar el contenido de azúcares totales y de azúcares añadidos en el rotulado nutricional.
La declaración de azúcares totales y/o añadidos deberá realizarse en el rotulado nutricional inmediatamente después de la declaración de carbohidratos de la siguiente manera:
Carbohidratos: ................g, de los cuales:
Azúcares totales: ............g,
Azúcares añadidos:………g.
...
CAPÍTULO III
DE LA PUBLICIDAD, PROMOCIÓN Y PATROCINIO
ARTÍCULO 10.- Prohibiciones. Se establece que toda publicidad, promoción y/o patrocinio dirigida al público y difundida en medios masivos tradicionales y digitales; de alimentos y bebidas analcohólicas envasados que contengan algún sello de advertencia quedará bajo la fiscalización y control de la ADMINISTRACIÓN NACIONAL DE MEDICAMENTOS, ALIMENTOS Y TECNOLOGÍA MÉDICA (ANMAT), organismo descentralizado actuante en el ámbito del MINISTERIO DE SALUD, que oportunamente establecerá y dictará las normas aclaratorias o complementarias que resulten necesarias a los fines de su implementación, según el medio en que la publicidad se efectúe y sobre la base de los lineamientos establecidos en la Ley Nº 27.642.
CAPÍTULO IV
PROMOCIÓN DE LA ALIMENTACIÓN SALUDABLE EN LOS ESTABLECIMIENTOS EDUCATIVOS
ARTÍCULO 11.- Hábitos de alimentación saludable. El Consejo Federal de Educación, con la intervención del MINISTERIO DE EDUCACIÓN y en articulación con la Autoridad de Aplicación, actualizará los Núcleos de Aprendizaje Prioritario específicos para la Educación Obligatoria, conforme las previsiones establecidas en el artículo 11 de la Ley N° 27.642 y en concordancia con las “Guías Alimentarias para la Población Argentina” (GAPA). Asimismo, promoverá acciones tendientes para su fortalecimiento en la Formación Docente Continua a través del Instituto Nacional de Formación Docente (INFoD) dependiente del citado Ministerio.
ARTÍCULO 12.- Entornos escolares. El Consejo Federal de Educación, con la intervención del MINISTERIO DE EDUCACIÓN y en articulación con la Autoridad de Aplicación, resolverá la normativa específica para la efectiva aplicación de lo dispuesto en el artículo 12 de la Ley N° 27.642 en comedores y kioscos escolares de los establecimientos educativos de nivel inicial, primario y secundario del Sistema Educativo Nacional, acorde a los plazos establecidos en el artículo 19 de la Ley que se reglamenta.
...
ARTÍCULO 19.- Disposición transitoria. De conformidad con el cuarto párrafo del artículo 6° de la Ley N° 27.642, se determina el siguiente cronograma de DOS (2) etapas en relación con los límites establecidos para determinar el exceso en nutrientes críticos y valores energéticos y la presencia de edulcorantes y/o cafeína:
PRIMERA ETAPA: Dentro de los NUEVE (9) meses desde la fecha de entrada en vigencia de la Ley que se reglamenta y QUINCE (15) meses para las Pequeñas y Medianas Empresas (PyMES). La posibilidad de prorrogar este plazo se evaluará de acuerdo a lo establecido en el artículo 20 de la presente Reglamentación.
La prórroga solo podrá ser otorgada para la Primera Etapa y por única vez en articulación con el artículo 20 de la Ley.
SEGUNDA ETAPA: El límite de implementación de la Segunda Etapa se establece en un plazo no mayor a los DIECIOCHO (18) meses desde la fecha de la entrada en vigencia de la Ley que se reglamenta y VEINTICUATRO (24) meses desde dicha fecha para las Pequeñas y Medianas Empresas (PyMES).
1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
3.4.3 Health Care Delivery
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf"