"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" "126229","NLD","Netherlands","","Wet van 15 december 1971 tot invoering van een accijns van alcoholvrije dranken [Act of 15 December 1971 introducing an excise duty on non-alcoholic drinks]","Legislation relevant to nutrition","","Dutch","1","1972","","","Staatsblad 1971-731","12","1971","Adopted","12","1971","De Minister van Financiën, De Staatssecretaris van Financiën, De Minister van Justitie","Finance, budget and planning|Justice","","","","","","","","","","National NGOs","","","","","","","","","","","","
HOOFDSTUK I
Grondslag en bedrag van de accijns
Artikel 1. 1. Onder de naam „accijns van alcoholvrije dranken” wordt een accijns geheven van alcoholvrije dranken.
2. Onder alcoholvrije dranken worden verstaan mineraal water en limonade.
3. Onze Minister kan nadere bepalingen geven omtrent het geen onder mineraalwater en limonade moet worden verstaan.
Artikel 2. De accijns waaraan de hier te lande vervaardigde en de ingevoerde alcoholvrije dranken zijn onderworpen be draagt per 100 liter f 14,50.
...
HOOFDSTUK VI
Slotbepalingen
Artikel 17. 1. In afwijking van artikel 2 bedraagt de accijns waaraan de hier te lande vervaardigde en de ingevoerde alcoholvrije dranken zijn onderworpen voor het tijdvak in gaande met het tijdstip van inwerkingtreding van deze wet en eindigende 31 augustus 1972 per 100 liter f 8,50.
2. Voor de op 1 januari 1972 bestaande fabrieken van alcoholvrije dranken wordt geacht de aangifte bedoeld in artikel 4 te zijn gedaan indien uiterlijk 15 januari 1972 die aangifte wordt ontvangen door de inspecteur.
Artikel 18. 1. Deze wet treedt in werking met ingang van 1 januari 1972.
2. Zij kan worden aangehaald als „Wet op de accijns van alcoholvrije dranken”. Lasten en bevelen, dat deze in het Staatsblad zal worden geplaatst, en dat alle Ministeriële Departementen, Autoriteiten, Colleges en Ambtenaren, wie zulks aangaat, aan de nauw keurige uitvoering de hand zullen houden.
","Sugar intake|Taxation on unhealthy foods|Volume or weight based specific excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)","","https://zoek.officielebekendmakingen.nl/stb-1971-731 https://zoek.officielebekendmakingen.nl/stb-1971-731.pdf","Tarievenlijst Accijns en verbruiksbelastingen https://www.belastingdienst.nl/wps/wcm/connect/bldcontentnl/themaoverstijgend/brochures_en_publicaties/tarievenlijst_accijns_en_verbruiksbelastingen","","" "126228","NLD","Netherlands","","Wet van 24 december 1992 tot vaststelling van de Wet op de verbruiksbelastingen van alcoholvrije dranken en van enkele andere produkten [Act of 24 December 1992 establishing the Act on consumption taxes on non-alcoholic drinks and certain other products]","Legislation relevant to nutrition","","Dutch","12","1992","","","Staatsblad-1992-683","12","1992","Adopted","12","1992","De Staatssecretaris van Financiën, De Minister van Justitie","Finance, budget and planning|Justice","","","","","","","","","","National NGOs","","","","","","","","","","","","HOOFDSTUK II
DEFINITIES VAN DE GOEDEREN EN TARIEVEN
Afdeling 1 Alcoholvrije dranken
Artikel 6. Onder alcoholvrije dranken worden verstaan vruchte- en groentesap, mineraalwater en limonade, ook indien zij alcohol bevatten, voor zover zij niet worden aangemerkt als bier, wijn, intermediaire produkten of overige alcoholhoudende produkten in de zin van de Wet op de accijns (Stb. 1991, 561).
Artikel 7. 1. Onder vruchte- en groentesap wordt verstaan drank die bestaat uit sap van vruchten of groenten of een mengsel daarvan, mengsels van water en vruchtesap die tenminste een bij ministeriële regeling vast te stellen percentage vruchtesap of vruchtemoes bevatten daaronder begrepen.
2. Als vruchte- en groentesap wordt mede aangemerkt de drank, bedoeld in het eerste lid, in vaste vorm of als concentraat in kleinhan delsverpakking of in een verpakking die is bestemd voor afnemers die voor gebruik gereed vruchte- en groentesap vervaardigen voor gebruik ter plaatse.
Artikel 8. Onder mineraalwater wordt verstaan:
a. natuurlijk en kunstmatig mineraalwater;
b. spuitwater;
c. water dat kennelijk is bestemd voor inwendig gebruik door de mens, in kleinhandelsverpakking of in een verpakking die is bestemd voor afnemers die daaruit water voor gebruik ter plaatse afleveren.
Artikel 9. 1. Onder limonade worden verstaan met water aangelengd vruchte- of groentesap alsmede gezoete en aromatische dranken en dranken waaraan geurstoffen of smaakstoffen zijn toegevoegd die kennelijk zijn bestemd om onverwarmd te worden gedronken.
2. Als limonade wordt mede aangemerkt de drank, bedoeld in het eerste lid, in vaste vorm of als concentraat in kleinhandelsverpakking of in een verpakking die is bestemd voor afnemers die voor gebruik gerede limonade vervaardigen voor gebruik ter plaatse.
3. Als limonade wordt niet aangemerkt:
a. de uit melk of melkprodukten bereide drank met een gehalte aan melkvetten van 0,02%mas of meer waarin zich melkeiwit en melksuiker bevinden, niet zijnde een uit wei of weiprodukten vervaardigde drank;
b. de uit soja bereide drank met een vetgehalte en een eiwitgehalte die vergelijkbaar zijn met het vetgehalte en het eiwitgehalte van melk.
Artikel 10. 1. De belasting bedraagt per hectoliter bij een tempe ratuur van 20°C voor:
a. vruchtesap, groentesap en mineraalwater f 15,-;
b. limonade f 25,-.
2. Voor de toepassing van het eerste lid wordt, met inachtneming van bij ministeriële regeling te stellen regels, het volume van vruchte- en groentesap en limonade in vaste vorm of in geconcentreerde vorm herleid tot het volume van voor gebruik gereed vruchte- en groentesap voor gebruik gerede limonade, met dien verstande dat voor limonade in vaste of geconcentreerde vorm voor huishoudelijk gebruik deze herleiding geschiedt op basis van de factor 3.
","Sugar intake|Taxation on unhealthy foods|Volume or weight based specific excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)|Fruit and vegetable juices (100%) (taxes)","","https://zoek.officielebekendmakingen.nl/0000015812 https://repository.overheid.nl/frbr/sgd/19921993/0000015812/1/pdf/SGD_19921993_0005319.pdf","Tarievenlijst Accijns en verbruiksbelastingen https://www.belastingdienst.nl/wps/wcm/connect/bldcontentnl/themaoverstijgend/brochures_en_publicaties/tarievenlijst_accijns_en_verbruiksbelastingen","","" "15026","LUX","Luxembourg","","Règlement grand-ducal du 20 novembre 1993 concernant les préparations pour nourrissons et les préparations de suite","Legislation relevant to nutrition","","French","","1993","","","Gouvernment","","1993","Adopted","","1993","Government","Health|Justice","","","","","","","","","","","","","","","","","","","","","","Le présent règlement s’applique aux préparations pour nourrissons et aux préparations de suite destinées aux nourrissons en bonne santé. Il fixe les normes de composition et d’étiquetage pour ces préparations et il met en application les principes et objectifs du «Code international de commercialisation des substituts de lait maternel» en matière de commercialisation, d’information et des responsabilité des autorités sanitaires.
Le présent règlement concerne également les préparations pour nourrissons et les préparations de suite destinées à être exportées vers des pays tiers. Le texte comprend 17 articles comme suit: Champ d’application (1er); Définition (2); Principes généraux (3); Composition de base (4); Enrichissement en substances nutritives (6); Additifs. (7); Absence de contaminents (8); Critères microbiologiques (9); Etiquetage (10); Publicité et pratiques promotionnelles (11); Information et documentation (12); Modifications des annexes et méthodes d’analyse (13); Interdictions (14); Dispositions pénales (15); Entrée en vigueur (16) Exécution (17). Sept annexes sont jointes.
(Summary retrieved from FAOLEX)
ЗАКОН № 90 With amendments of 2003, 2008, 2013 and 2015
2. Информация о товарах (работах, услугах) в обязательном порядке должна содержать: обозначение стандартов, обязательным требованиям которых должны соответствовать товары (работы, услуги); сведения об основных потребительских свойствах товаров (работ, услуг), а в отношении продуктов питания - сведения о составе (в том числе перечень использованных в процессе их изготовления иных продуктов питания и пищевых добавок), информация (маркировка) о наличии в продуктах питания компонентов, полученных с применением генноинженерно-модифицированных организмов, весе и объеме, калорийности продуктов питания, содержании в них вредных для здоровья веществ в сравнении с обязательными требованиями стандартов, а также противопоказания для применения при отдельных видах заболеваний. Перечень товаров (работ, услуг), информация о которых должна содержать противопоказания для применения при отдельных видах заболеваний, утверждается Правительством Кыргызской Республики;
","Food safety|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Energy value (ND)|Monitoring mechanism established|Sanctions exist","","http://cbd.minjust.gov.kg/act/view/ru-ru/590","With amendments of 2003, 2008, 2013 and 2015 ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%201997%20Consumers%20Rights.pdf" "25393","SEN","Senegal","","DECRET n° 2005-913 du 12 octobre 2005","Legislation relevant to nutrition","","French","","2005","","","","","2005","","","","","Health|Food and agriculture|Finance, budget and planning|Trade|Industry|Justice","","","","","","","","","","","","","","","","","","","","","","Article premier. - Les normes CODEX pour les graisses et les huiles comestibles non visées par des normes individuelles (CODEX STAN 19-1981), pour les huiles d’olive vierges et raffinées et pour l’huile de grignons d’olive raffinée (CODEX STAN 33-1981), pour l’étiquetage des denrées alimentaires préemballées (CODEX STAN 1-1985) et pour les huiles végétales portant un nom spécifique (CODEX STAN 210-1999) sont rendues obligatoires, ainsi que leurs adaptations et/ou transpositions ultérieures.
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim","","http://www.jo.gouv.sn/spip.php?article2662","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202005%20Decret%20n%C2%B0%202005-913.pdf" "15027","LUX","Luxembourg","","Règlement Grand-Ducal concernant les Préparations pour Nourrissons et les Préparations de Suite","Legislation relevant to nutrition","","French","","2008","","","Ministre de la Santé, Ministre de la Justice","","2008","Adopted","","2008","Government","Health|Justice","","","","","","","","","","","","","","","","","","","","","","Le texte traite les aspects suivants: champ d’application, définitions, principes généraux, composition de base, enrichissement en substances nutritives, additifs, critères microbiologiques, étiquetage , publicité et pratiques promotionnelles information et documentation, interdictions. Neuf annexes sont jointes. Le texte comprend 22 articles. En outre, le présent règlement grand-ducal modifie le règlement grand-ducal du 26 mai 2000 relatif aux aliments diététiques destinés à des fins médicales spéciales.Notamment, à l’annexe, dans la deuxième partie du tableau 1 concernant les substances minérales, la ligne relative au manganèse est remplacée.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Food safety|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS|Promotion to health workers and health facilities: Prohibition of materials/gifts|Promotion to the general public: Prohibition of advertising of BMS|Promotion to the general public: Prohibition of sale promotions","","http://www.legilux.public.lu/","","Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes / ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202008%20R%C3%A8glement%20grand-ducal%20concernant%20les%20pr%C3%A9parations%20pour%20nourrissons%20et%20les%20pr%C3%A9parations%20de%20suite_0.pdf" "43614","FRA","France","","Arrêté du 30 septembre 2011 relatif à la qualité nutritionnelle des repas servis dans le cadre de la restauration scolaire","Legislation relevant to nutrition","","French","9","2012","","","de l'agriculture, de l'alimentation, de la pêche, de la ruralité et de l'aménagement du territoire","10","2011","Adopted","9","2011","Journal officiel électronique authentifié n° 0229 du 02/10/2011","Food and agriculture|Health|Education and research|Women, children, families|Finance, budget and planning|Consumer affairs|Trade|Industry|Justice|Labour|Other","","","","","","","","","","","","","","","","","","","","","","
Article 1
Les déjeuners et dîners servis dans le cadre de la restauration scolaire comprennent nécessairement un plat principal, une garniture, un produit laitier et, au choix, une entrée et/ou un dessert.
La variété des repas est appréciée sur la base de la fréquence de présentation des plats servis au cours de 20 repas successifs selon les règles fixées à l'annexe I du présent arrêté.
La taille des portions servies doit être adaptée au type de plat et à chaque classe d'âge. Les gestionnaires des restaurants scolaires doivent exiger de leurs fournisseurs que les produits alimentaires qu'ils livrent soient conformes aux valeurs précisées à l'annexe II du présent arrêté.
Article 2
L'eau est à disposition sans restriction.
Le sel et les sauces (mayonnaise, vinaigrette, ketchup) ne sont pas en libre accès et sont servis en fonction des plats.
Le pain doit être disponible en libre accès.
Article 3
Les dispositions du présent arrêté entrent en vigueur à compter du 1er septembre 2012 pour les services de restauration scolaire servant moins de 80 couverts par jour en moyenne sur l'année.
Article 4
Le présent arrêté sera publié au Journal officiel de la République française.
…
A N N E X E I
FRÉQUENCES DE PRÉSENTATION DES PLATS
Au sens de la présente annexe, on entend par :
― produits gras : produits à teneur en matières grasses supérieure à 15 % ;
― produits sucrés : produits contenant plus de 20 g de sucres simples totaux par portion ;
― plat protidique : plat principal à base de viandes, poissons, œufs, abats ou fromages.
Les fréquences figurant ci-dessous sont définies sur la base de 20 repas successifs.
Pour garantir les apports en fibres et en vitamines, il convient de servir :
― au moins 10 repas avec, en entrée ou accompagnement du plat, des crudités de légumes ou des fruits frais ;
― au moins 8 repas avec en dessert des fruits crus ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes cuits, autres que les légumes secs ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes secs, féculents ou céréales.
Pour garantir les apports en calcium, il convient de servir :
― au moins 8 repas avec, en entrée ou en produit laitier, des fromages contenant au moins 150 mg de calcium par portion ;
― au moins 4 repas avec, en entrée ou en produit laitier, des fromages dont la teneur en calcium est comprise entre 100 mg et 150 mg par portion ;
― au moins 6 repas avec des produits laitiers ou des desserts lactés contenant plus de 100 mg de calcium et moins de 5 g de matières grasses par portion.
Pour garantir les apports en fer et en oligoéléments, il convient de servir :
― au moins 4 repas avec, en plat protidique, des viandes non hachées de bœuf, veau, agneau ou des abats de boucherie ;
― au moins 4 repas avec, en plat protidique, du poisson ou une préparation d'au moins 70 % de poisson et contenant au moins deux fois plus de protéines que de matières grasses ;
― moins de 4 repas avec, en plat protidique, une préparation à base de viande, de poisson ou d'œuf contenant moins de 70 % de ces produits.
Pour limiter les apports en matières grasses, il convient de ne pas servir :
― plus de 4 entrées constituées de produits gras ;
plus de 3 desserts constitués de produits gras ;
― plus de 4 plats protidiques ou garnitures constitués de produits gras à frire ou préfrits ;
― plus de 2 plats protidiques qui contiendraient autant ou plus de matières grasses que de protéines.
Pour limiter les apports en sucres simples, il convient de ne pas servir :
― plus de 4 desserts constitués de produits sucrés et contenant moins de 15 % de matières grasses.
","Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Fibre|Sugar intake|Free sugars|Fruit and vegetable intake|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|School milk scheme|Mandatory standards|School breakfasts or snacks|School lunches|Schools (standards)|Food-based criteria (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Salt shakers should not be available|Nutrient-based criteria (standards)|Total fat (standards)|Micronutrients (standards)|Total sugars (standards)|Portion size (standards)","","https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000024614763","","","" "43607","BOL","Bolivia (Plurinational State of)","","Lineamientos Técnicos Administrativos, Estándares de Calidad de la Alimentación Complementaria Escolar [Administrative technical guideline, quality standards for complementary school meals]","Government guidance","","","","2015","","","Health Ministry, Education Ministry","","2015","","","","","Health|Justice|Other","Ministry of Health, Ministry of Justice, Health Promotion Ministry, Food and Nutrition Unit, Intercultural and Traditional Medicine Ministry","","","","","","","","","","","","","","","","Educational and Social Community Councils of the Educational Units","","","","","Los Lineamientos Técnico - Administrativos son los procesos y procedimientos para operativizar la alimentación complementaria escolar, considerando el marco legal que lo respalda, las modalidades de contratación en aplicación del Sistema de Administración de Bienes y Servicios y los actores que intervienen en su implementación. Entendiendo que estos procesos y procedimientos son dinámicos y se actualizan en función a las normativas vigentes.
Los estándares de calidad son los requisitos mínimos para la implementación de la alimentación complementaria escolar desde la planificación hasta el consumo de los alimentos por parte de los portadores del derecho (estudiantes).
…
1.1 OBJETIVO GENERAL
Establecer los lineamientos técnico-administrativos y estándares de calidad para normar, regular y orientar la operativización de la alimentación complementaria escolar en sus diferentes fases.
1.2. OBJETIVOS ESPECIFICOS
Promover los procesos y modalidades de contratación basados en la Norma Básica de Contrataciones, referida a la alimentación complementaria escolar.
Establecer los lineamientos técnico - administrativos de la alimentación complementaria escolar.
Establecer los estándares de calidad relacionados con la alimentación complementaria escolar
…
CAPíTULO 8: LINEAMIENTOS NUTRICIONALES PARA LA ALIMENTACION COMPLEMENTARIA ESCOLAR
En una merienda saludable no deben faltar alimentos de los grupos: cereales, lácteos y frutas.
Del grupo cereales se deben consumir alimentos como el pan preferentemente con harinas integrales con sus variantes dulces y saladas y/o galletas fortificadas que son ricos en carbohidratos complejos, aportan la energía para la actividad de las y los portadores del derecho.
Los alimentos del grupo lácteos proporcionan calcio y proteínas, nutrientes básicos para el crecimiento. Es recomendable el consumo de leche, yogur o un pedazo de queso de manera alterna.
El grupo de frutas son alimentos ricos en vitaminas, minerales y fibras que protegen el cuerpo y ayudan al buen funcionamiento del intestino.
Es saludable recomendar a las y los portadores del derecho el consumo de agua, jugo o zumo de frutas y evitar las bebidas endulzadas y gaseosas. Tener en cuenta además que los jugos de frutas no deben remplazar a las frutas frescas; en lo posible deben consumirse enteras y/o como postres.
Es importante limitar los alimentos con alto contenido en grasas, azucares y sal.
…
La ración alimentaria, debe ser fortificada con nutrientes seleccionados para poder alcanzar las recomendaciones de micronutrientes
…
Las recomendaciones de energía y nutrientes para las y los portadores del derecho se definieron sobre la base del documento técnico normativo “Recomendaciones de energía y de nutrientes para la población boliviana. Primera Edición. 2007. (Ver Anexo 6: Recomendaciones
Nutricionales por edad y sexo de las y los estudiantes)
La norma que establece el aporte nutricional a las y los estudiantes de la alimentación complementaria escolar es la Resolución Bi-ministerial N° 001/00 del 1 de agosto de 2000 emitida por los Ministerios de Educación y de Salud.
…
CAPITULO 9: RACION ALIMENTARIA DE LA ALIMENTACION COMPLEMENTARIA ESCOLAR
La ración alimentaria orienta sobre la cantidad de los distintos grupos de alimentos que debemos
consumir para conseguir una alimentación saludable.
…
La composición de la ración de alimentos se presenta de manera diferenciada por la modalidad de atención (solo merienda y/o almuerzo) y las cantidades de alimentos, según la edad de las y los portadores del derecho que garanticen menús con suficiencia y calidad nutricional, según nivel de escolaridad.
A continuación se presenta un cuadro de referencia para la utilización de alimentos por, cantidades mínimas, máximas y un promedio y el aporte en nutrientes.
…
…
7. OTRAS CONSIDERACIONES IMPORTANTES
• El agua debe ser la única bebida que acompañe a las comidas.
• La incorporación de alimentos de producción ecológica en las comidas escolares tienen ventajas, en relación a la sostenibilidad y protección del medio ambiente
• Se recomienda limitar el uso de productos precocinados a una frecuencia máxima de tres veces al mes, evitando que las guarniciones que les acompañen sean frituras.
• Se prohíbe el uso de aceites recalentados.
• Se evitará el uso del mismo alimento en el primer y segundo plato, o en guarniciones.
• Se moderará el uso de sal en el cocinado de los alimentos utilizando sal yodada.
• En casos de estudiantes que por aspectos culturales o religiosos se motive la exclusión de un tipo de alimento, se respetara sustituyendo el alimento de acuerdo a la capacidad del servicio de alimentación, caso contrario se promoverá que lleven de su casa.
• Se evitará el uso de guantes de látex para impedir la transferencia de proteínas de este material a los alimentos, ya que pueden causar reacciones anafilácticas en personas sensibles. (Adaptado de G.E. ME.IFIIE.NAUS. MSPSEI.AESAN. 2010: 11
Incluir alimentos y preparaciones nativas de alto valor nutricional, en la alimentación complementaria escolar es preservar, rescatar, valorar la cultura alimentaria de los pueblos indígenas originarios, campesinos y afro bolivianos.
KIOSCOS ESCOLARES Y ALIMENTACION SALUDABLE
Los Kioscos escolares saludables son un espacio físico adecuado para la promoción y práctica de consumo de alimentos nutricionalmente saludables, en el cual se brinda la oferta de alimentos sanos e inocuos, se implementan normas sanitarias de control y calidad de alimentos y además tiene el objetivo de promover estilos de vida saludables en la población escolar.
Desde el punto de vista de la educación alimentaria nutricional, se busca que los Kioscos situados dentro y en el entorno de las unidades educativas sean coherentes con la alimentación saludable y optimo estado nutricional de las y los portadores del derecho, debido a que, en estos últimos años las prevalencias de sobrepeso y obesidad son significativas en la población menor de 18 años de las y los bolivianos.
…
La venta de alimentos en los kioscos deben ser controlados y regulados a través de ordenanzas u otros mecanismos que definan los GAM, identificando el tipo de alimentos, orientados a formar hábitos alimentarios saludables y duraderos en torno a las unidades educativas.
A modo de ilustración se presentan algunos ejemplos de alimentos saludables, que se deben ofertar en los kioscos saludables de las unidades educativas:
• Bebidas: Refrescos naturales: Limonada, jugo de piña, manzana, pera, papaya, durazno, sandia y otros frutos de la estación.
• Refrescos hervidos: De cañahua, cebada, linaza, mocochinchi y otros.
• Cocimientos de cereales: Avena, quinua, arroz y otras tradicionales de la comunidad
• Lácteos; Yogur, leche saborizada, jugos, batidos lácteos.
• Infusiones: anís, manzanilla, hierbas disponibles en la comunidad
• Frutas: Frutas frescas enteras (de la estación) o deshidratadas, ensaladas de frutas
• Sándwiches: Pan con pollo, palta, queso, huevo
• Snacks saludables: Cereales envasados bajos en azúcar: hojuelas de maíz. Trigo, quinua, amaranto y otros propios de la comunidad. Frutos secos: maní, almendras, pasas, habas, soya, maíz (tostados), bajos en sal y otros disponibles en la comunidad.
• Otras preparaciones como: papa con huevo, choclo con queso, mote de maíz, habas con queso y/o huevo y otros alimentos propios de la comunidad
","Stunting in children 0-5 yrs|Anaemia|Overweight in adolescents|Overweight in school children|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|School gardens|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Food stores and snack bars in schools|School breakfasts or snacks|School lunches|Schools (standards)|Objective to reduce climate impact of food|Procure from local sources|Purchase from quality farms|Reduce food loss/waste|Use organic foods|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Milk (standards)|Fruit and vegetables (standards)|Fortified staple foods (wheat, rice, maize) (standards)|Iodized salt (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Carbonated or non-carbonated soft drinks (standards)|Fruit and vegetable juices (100%) (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Liquid and powder concentrates (standards)|Flavored water (standards)|Ready-to-drink tea or coffee (standards)|Sweetened or flavored milk drinks (standards)|Saturated fats (standards)|Trans-fats (standards)|Added sugars (standards)|Portion size (standards)","","https://www.minedu.gob.bo/files/publicaciones/upiip/Lineamientos-Tcnico-Administrativos-y-Estndar-de-Calidad-de-la-ACE.pdf","","","" "57254","LVA","Latvia","","Grozījumi Ministru kabineta 2014. gada 12. augusta noteikumos Nr. 461 """"Prasības pārtikas kvalitātes shēmām, to ieviešanas, darbības, uzraudzības un kontroles kārtība"""" [Amendments to the Regulations No. 461 """"Requirements for Food Quality Schemes ...""""] ","Legislation relevant to nutrition","","Latvian","","2019","","","Latvijas Vēstnesis 2019. gada 15. jūlijs, Nr. 142 (6481)","7","2019","Adopted","7","2019","Ministru prezidenta biedrs, tieslietu ministrs, Zemkopības ministrs","Cabinet/Presidency|Food and agriculture|Justice","","","","","","","","","","National NGOs","","","","","","","","","","","","Article One: Purpose of this Law
This Law establishes the excise duty levied on some of the imported products or products manufactured in Rwanda.
…
Article 4: Products and corresponding rates
The excise duty is levied on the following products at the corresponding rates:
Products Tax rate
Natural fruit or vegetable juices 5%
Lemonade, Soda and other non-natural juices 39%)
Industrial packed water 10%
…
Powdered milk 10%
…
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)","","https://www.rra.gov.rw/fileadmin/user_upload/new_excise_duty_law__official_gazette__1.pdf https://extranet.who.int/ncdccs/Data/RWA_Abiv_s21_Law no 025 2019 of 13.09.2019 establishing the Excise Duty.pdf","","","" "8715","SDN","Sudan","","National Plan of Action for Nutrition (NPOAN) -Sudan","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","","Government of Sudan","4","1995","Adopted","","1995","Council of Ministers","Education and research|Finance, budget and planning|Food and agriculture|Health|Information|Justice|Other|Social welfare|Sport|Trade|Labour","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%201995%20National%20Plan%20of%20Action%20for%20Nutrition%28NPOAN%29Sudan.pdf" "8645","CMR","Cameroon","","Plan d'Action National pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","","Gouvernement","","1996","","","","","Development|Education and research|Environment|Food and agriculture|Health|Justice|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","Banque Internationale pour la Reconstruction et le Développement","Other","Fond National de Développement Rural, Sindicat des Boulangers","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition.pdf" "23555","KGZ","Kyrgyzstan","","Государственная программа по предупреждению эпидемии ВИЧ/СПИДа и ее социально-экономических последствий в Кыргызской Республике на 2006-2010 годы [National programme for prevention of HIV/AIDS and socioeconomic consequences in Republic of Kyrgyzstan]","Health sector policy, strategy or plan with nutrition components","","Russian","","2006","","2010","Government of Kyrgyzstan","7","2006","Adopted","7","2006","Government of Kyrgyzstan","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Justice|Labour|Other","Ministry of Foreign Affairs","","","","","","","","","","","Research/academia","","Private sector","Privet parties that contribute to the fight against HIV/AIDS","","National Statistics Committee; Media","","Внесены изменения и дополнения в Закон Кыргызской Республики ""О государственных пособиях в Кыргызской Республике"", в котором закреплен порядок предоставления и определен размер ежемесячного социального пособия для детей, живущих с ВИЧ/СПИДом или рожденных ВИЧ-инфицированными матерями
1.2. Подключение служб охраны здоровья матери и ребенка (далее ОЗМиР) и служб репродуктивного здоровья к реализации программ профилактики ВИЧ-инфекции у детей грудного возраста.
3.3. Обеспечение искусственным питанием детей, родившихся от ВИЧинфицированных женщин
3.4. Подготовка медицинских кадров, обученных вопросам профилактики вертикальной трансмиссии ВИЧ/СПИДа
- по вожможности, отказ от грудного вскармлевания существенно снижает риск инфецирования ребенка
","","","","Maternity protection|Minimum acceptable diet|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20HIVAIDS%20prevention%20programme.pdf" "82237","RWA","Rwanda","","Law N° 26/2006 of 27/05/2006 determining and establishing consumption tax on some imported and locally manufactured products","Legislation relevant to nutrition","","English","7","2006","","","Government Gazette Year 45 n° 13 ter 1st July 2006","7","2006","Adopted","5","2006","President of the Republic, Prime Minister, Minister of Finance and Economic Planning, Minister of Commerce, Industry, Investment Promotion, Tourism and Cooperatives, Minister of Justice","Cabinet/Presidency|Justice|Finance, budget and planning|Trade","","","","","","","","","","National NGOs","","","","","","","","","","","","Article one :
This law determines the consumption tax to be collected on some imported and locally manufactured products as well as modalities for its verification.
…
Section 2: Taxable Goods and the Tax rate
Article 4: Consumption tax shall be levied on the following products at the corresponding rates:
Product Tax rate
Juice, Soda and Lemonade 39%
Mineral Water 10%
…
Powdered Milk 10%
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)","","https://gazettes.africa/archive/rw/2006/rw-government-gazette-dated-2006-07-01-no-13%20ter.pdf","","","" "8165","TUN","Tunisia","","Politique nationale de la santé de l’enfant de moins de 5 ans dans les soins de santé de base [National Child Health Policy: children under-five at Primary Health Care]","Health sector policy, strategy or plan with nutrition components","","French","","2006","","","Primary Health Care Directorate","","2005","Adopted","","2006","Ministry of Health","Health|Social welfare|Development|Justice","Primary Health Care Directorate Ministry of Health: Primary Health Care Directorate","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","WHO","","","","","","","National NGOs","Les ONG (scouts tunisiens, association tunisienne des droits de l’enfant…)","Research/academia","L’université","","","","","D- Principaux programmes nationaux de santé de l’enfant :
2. Surveillance de la croissance :
L’objectif du programme de surveillance de la croissance est de surveiller de façon continue la croissance des enfants de moins de cinq ans et de détecter de manière précoce les troubles de la croissance.
4. Stratégie PCIME :
Les objectifs de cette stratégie sont les suivants:
1. Améliorer la qualité de la prise en charge des pathologies courantes de l’enfantn(diarrhée, infections respiratoires aiguës, fièvre et anémie).
2. Favoriser un meilleur développement psychologique, moteur, sensoriel et staturo pondéral de l’enfant à travers:
* Le dépistage précoce de certains troubles sensoriels.
* La surveillance systématique du développement psychomoteur.
* La surveillance systématique de la croissance dans le but de prendre en charge les cas de malnutrition.
* Le dépistage systématique de l’anémie.
* La promotion de l’allaitement maternel et des bonnes pratiques d’introduction des aliments de complément.
","
En matière de promotion de l’allaitement maternel (…)
Trois axes stratégiques sont envisagés :
1- Une stratégie de formation : elle concerne le personnel médical et paramédical dans les structures de santé publique (PMI, maternité , etc . ) et dans les cliniques privées ainsi que les médecins de libre pratique .
2- Une stratégie d'accompagnement dans les structures de santé immédiatement avant et après l'accouchement ainsi que tout au long de la période d'allaitement à domicile , par l'entourage familial , par d'autres moyens comme les numéros verts d'appel gratuits ou les groupes de soutien entre mères allaitantes et l'encouragement des créations de crèches dans les lieux de travail.
3- Une stratégie de communication visant la sensibilisation des futures mères, de leur entourage immédiat, du personnel de santé et du grand public . Cette stratégie doit intégrer deux idées principales :
• renforcer une pratique sociale déjà répandue tout en positivant l'image de l'allaitement au sein .
• rectifier les connaissances, attitudes et pratiques qui risquent de faire reculer la fréquence de l'allaitement maternel .
b- Composantes de la stratégie PCIME
Cette stratégie a trois composantes :
* L’amélioration des capacités des personnels de santé par l’élaboration de directives en matière de PCIME et leur assimilation lors de cours de formation.
* L’amélioration du système de santé pour assurer dans les meilleures conditions cette prise en charge intégrée par la planification des activités, une meilleure organisation du travail au niveau des structures de santé, une amélioration du système de recueil des données, la supervision et l’usage rationnel des médicaments.
* L’implication à un degré élevé de la communauté et l’amélioration des pratiques familiales et communautaires en vue de l’habilitation des familles pour une prise en charge correcte de l’enfant à domicile.
","","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Overweight in children 0-5 yrs|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Management of moderate acute malnutrition|Management of severe acute malnutrition|Vaccination","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202006%20Politique%20nationale%20de%20la%20sant%C3%A9%20de%20l%E2%80%99enfant%20de%20moins%20de%205%20ans.pdf" "17851","AFG","Afghanistan","","National Public Nutrition Policy and Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2009","","2013","Ministry of Public Health","","2010","Adopted","","2009","MoPH","Development|Education and research|Food and agriculture|Health|Justice|Nutrition council|Other|Trade|Women, children, families","Ministry of Public Health Development, Education and research, Food and agriculture, Health, Justice, Nutrition council, Trade, Women, children, families: MoPH Public Nutrition Department, Provincial Nutrition Officers, other MoPH Departments, such as the","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","International Baby Food Action Network (IBFAN)|Nutrition International|Other|World Alliance for Breastfeeding Action (WABA)","International NGOs: International Baby Food Action Network (IBFAN), Micronutrient Initiative (MI), World Alliance for Breastfeeding Action (WABA), - Breastfeeding Promotion Network of India","The World Bank|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: The World Bank, US Agency for International Development (USAID),","","","National NGOs","National NGOs: Implementation of the Public Nutrition interventions is mainly done through partnerships with NGOs (in particular BPHS NGOs, but also NGOs working in agriculture, rural development and education)","","","Private sector","Private sector","","","Specific objectives of the Public Nutrition Strategy 2009-2013
1. To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge, skills and support that is required to adopt healthy nutrition practices, using food-based approaches.
2. To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices.
3. To reduce the prevalence of major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, and zinc, throughout the country and prevent possible outbreaks of vitamin C.
4. To strengthen case management and increase access to quality therapeutic feeding and care at health facility and community levels.
5. To ensure that all commercial and home-produced foods are safe for consumption.
6. To monitor changes in the nutritional situation in Afghanistan and evaluate the impact of nutrition strategies and programs, in order to inform development planning and emergency responses.
7. To ensure that responses to treat or to prevent moderate acute and/or chronic malnutrition are timely and appropriate, and that increases in global acute malnutrition rates are effectively managed.
8. To strengthen in-country capacity to assess the nutrition situation, and design, implement, monitor and evaluate public nutrition interventions.
","
1. Strategies for Nutrition Promotion at National, Provincial and Community levels
Objective 1: To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge, skills and support that are required to adopt healthy nutrition practices, using food-based approaches
Strategy 1.1: Advocacy and sensitization on the importance of promoting healthy nutrition
Strategy 1.2: Harmonized Nutrition Promotion across sectors
Strategy 1.3: Strengthening of community-based nutrition promotion activities
Strategy 1.4: Nutrition promotion through schools and literacy courses
Strategy 1.5: Linkages to food security interventions
2. Strategies for Infant and Young Child Feeding
Objective2: To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices.
Strategy 2.1: Advocacy, regulations, guidelines.
Strategy 2.2: Behaviour change through awareness raising, counselling and community Support
Strategy 2.3: Infant and Young Child Feeding in health facilities.
3. Strategies to address Micronutrient Deficiency Disorders
Objective 3: To reduce the prevalence of major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, and zinc, throughout the country, and prevent possible outbreaks of vitamin C deficiency.
Strategy 3.1: Public education on micronutrients
Strategy 3.2: Universal Salt Iodization
Strategy 3.3: Flour Fortification
Strategy 3.4: Ghee and Cooking Oil Fortification
Strategy 3.5: Fortification of complementary foods
Strategy 3.6: Micronutrient Supplementation
4. Strategies for Adequate Management of Severe Acute Malnutrition
Objective 4: To reduce mortality from severe acute malnutrition through strengthened case management and increased access to quality therapeutic feeding and care at health facility and
community levels.
Strategy 4.1: Improved Community Mobilization and Screening of Acute Malnutrition at Health Facility and Community Levels.
Strategy 4.2: strengthen network of Therapeutic Feeding Units for complicated cases
Strategy 4.3: Out-patient treatment of SAM for non-complicated cases
5. Strategies for Food Safety and Quality Control
Objective 5: To ensure that all commercial and home-produced foods are safe for Consumption.
Strategy 5.1: Food safety education for consumers, food processors, retailers and traders
Strategy 5.2: Establishment and strengthening of a food quality control system
6. Strategies for Nutrition surveillance, Monitoring and Evaluation
Objective 6: To monitor changes in the nutritional situation in Afghanistan and evaluate theimpact of nutrition strategies and programs, in order to inform development planning and emergency responses.
Strategy 6.1: Strengthen nutrition surveillance
Strategy 6.2: Evidence-based action and Monitoring and Evaluation
7. Strategies for Adequate prevention and response to moderate acute malnutrition and/ or chronic malnutrition
Objective 7: To ensure that responses to treat or to prevent moderate acute and/or chronic malnutrition are timely and appropriate, and that increases in global acute malnutrition rates are effectively managed.
Strategy 7.1: Appropriate Assessments, Design and Implementation of Timely and Relevant Interventions
Strategy 7.2: Appropriate use of food assistance
Strategy 7.3: Management and prevention of Global Acute Malnutrition and Chronic Malnutrition.
8. Strategies for Human resource capacity development on Public Nutrition
Strategy 8.1: Integrate public nutrition in pre-service and in-service training
Strategy 8.2: Support to the Public Nutrition Department
","To protect and promote child and maternal nutrition, reduce chronic malnutrition and associated MDDs, and reduce mortality from SAM
- Prevalence of chronic malnutrition
- Prevalence of MDDs (see micronutrient targets, below)
- Prevalence death associated to SAM among children <5 yrs of age
- Coverage of treatment of SAM among children < 5yrs of age.
(Note: Proportion of SAM among children < 5 yrs of age cured and discharge. This indicator will be used as proxy indicator to measure the coverage of SAM among children <5yrs of age.)
Objective: To increase access to and utilization of quality nutrition services provided at community level and through health facilities.
- % of BPHS facilities provide nutrition services planned in the BPHS
- % of EPHS facilities provide nutrition services planned in the BPHS
- % of villages (defined by presence of a Community Development Council) where community nutrition promotion activities are delivered
Nutrition promotion:
To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge,skills and support required to adopt health nutrition practices
- % of Afghan adult and adolescent population is aware of key healthy nutrition message on IYCF. (e.g. 9 messages in MoPH nutrition booklet)
- % of Afghan adult and adolescent population is aware of key healthy nutrition message on SAM (e.g. 9 messages in MoPH nutrition booklet)
- % of community leaders and shura members (men & women) aware of key healthy nutrition messages.
- # of functional community support groups promoting breastfeeding practices.
Advocacy and sensitization
- % of the households applies improved family nutrition practices (including their dietary diversity).
- Number of senior government officials actively participating in nutrition advocacy and sensitization meetings.
- % of funding commitment to public nutrition interventions as compare to year 2008.
Harmonized Nutrition Promotion
- # of Radio & TV spots on nutrition disseminated through the local media and average airing time
- % of health facilities providing nutrition education messages
- # of schools where nutrition education is provided
- # of producer groups receiving nutrition education through agricultural extension projects
Community-based nutrition promotion
- Number of IYCF community support groups established and operational
Nutrition promotion through schools and literacy courses
- Number of schools with school gardens available.
- Number of children participating in school gardening recreational activities
- Number of literacy learners receiving nutrition education
Linkages to food security interventions
- # of communities where nutrition activities are effectively linked to food security interventions (diversification and increase of home based production), or where nutrition promotion activities are integrated in agricultural and rural development programmes
2. IYCF: To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices
- Increase in percentage of mothers who have initiated breast feeding within first hour after birth
- Increase in percentage of mothers that are exclusively breastfeeding until the child is 6 months.
- Increase in percentage of mothers who continue breastfeeding until the child is two years or older.
- Increase in percent of children that are receiving complementary foods at the age of 6 months
- Increase in percentage of children’s under 2 with adequate frequency of complementary feeding
Advocacy, regulations, guidelines
- Number of Relevant government officials, civil servants, NGO and health sector personnel, and private sector aware the IYCF Policy & Strategy
- Financial resources for IYCF mobilised and allocated
- National Committee for the Code of Marketing of BMS active
- Number of Violations of the Code and Maternity Protection Act denounced and condemned
Behaviour change
- Number of facilities certified as Baby-friendly facilities.
- 50% of the EPHS facilities and health centers (CHC&BHC) provide IYCF counselling as part of the MCH services. (=700)
- 50% of health care providers demonstrate correct counseling skills on IYCF
- Number of women receiving breastfeeding counseling per month per counselor in health services
- Number of health facilities conducting participatory cooking demonstrations sessions
IYCF integration in BPHS/EPHS
- Prevalence of iodine deficiency among school age children and women of reproductive age
3. Micronutrients: To reduce the prevalence of major micronutrient deficiency disorders, in particular
iron, folic acid, iodine, vitamin A,and zinc, throughout the country and prevent possible outbreaks of
vitamin C
- Prevalence of iron deficiency among under-five children and women of reproductive age.
- Prevalence of vitamin A deficiency among under-five children and women of reproductive age (night-blindness and vitamin A level in blood)
- Number of outbreaks of vitamin C deficiency
Universal Salt Iodisation
- % of households using Iodised salt
- Quantity of Iodized salt produced responding to MoPH quality standards
- % of households using Iodised salt
- Quantity of Iodized salt produced responding to MoPH quality standards
Flour fortification
- % of households using fortified flour
- Annual production of fortified flour compliant with MoPH standards
Ghee & oil fortification
- Standards developed for fortified ghee and oil
- Quality controls for imported ghee & oil in place at customs
Supplementation
- % of women pregnant and lactating women receiving iron/folic acid supplements.
- % women receiving post-partum vitamin A supplements
- Coverage of vitamin A supplementation through NIDs
- % of patients treated for diarrhoea receiving zinc
- Number of health facilities applying MoPH guidelines for supplementation
4. SAM treatment: To reduce mortality from severe acute malnutrition through strengthened case management and increased access to quality therapeutic feeding and care at health facility and community levels
- # of children under 5 years admitted for SAM treatment in inpatient and/or out-patient care
- % Admitted SAM children cured
- Percentage of defaulted SAM children <5yrs of age in TFUs and CMAM
Screening & community mobilization
- # of children screened and referred at community level
- # of children screened and referred in health facilities
- Number of CHWs applying MoPH screening guidelines
In-patient care
- # of SAM children admitted for in-patient care
- # of SAM patients referred for out-patient care after stabilization
- # of inpatient cases cured
- # of inpatient cases died
- # of inpatient cases defaulted
- Inpatient Average weight gain
- Inpatient Average length of stay
- Number of health facilities correctly applying MoPH guidelines for in-patient care
Out-patient care
- # of children admitted for out-patient care
- # of patients referred for in-patient care if complications
- # of outpatients cured
- #of out patients died
- # of out patient defaulted
- out patients average weight gain
- out patients average length of stay
- Number of health facilities correctly applying MoPH guidelines for out-patient care
5. Food safety
- Nationwide campaign on food safety and food hygiene targeted at the public and food retailers is implemented
Consumer and food retailer education
- Effective inter-ministerial coordination mechanism for food safety established
- Relevant standards defined and legislation passed
- Number of inspectors trained and carrying out regular inspections
- Number of foodstuffs which can be checked in laboratory facilities or number of analyses which can be made (N.B. Not
necessarily in MoPH labs)
6. Nutrition surveillance & M&E To monitor changes in the nutritional situation in Afghanistan and evaluate the impact of nutrition strategies and programs
- Information available to measure progress on the PNPS according to the indicators described in the present table.
- Number of Information sharing sessions on nutrition situation is regularly shared with key stakeholders (Government,
donors, technical assistance providers and implementing partners)
Surveillance
- Estimates of prevalence of acute malnutrition among children <5yrs of age.
- IYCF M&E indicators effectively collected and results regularly disseminated to main partners
- Inpatients care M&E indicators effectively collected and results regularly disseminated to main partners
- Outpatient care M&E indicators effectively collected and results regularly disseminated to main partners
- Micronutrient M&E indicators effectively collected and results regularly disseminated to main partners
7. Severe and Moderate acute malnutrition: To ensure that responses to nutritional emergencies are timely and appropriate, and that increases in global acute malnutrition prevalence are effectively managed
- Number of Effective & relevant responses to nutritional crises implemented in timely manner
Assessment and response capacity
- Number of quality nutrition emergency assessments carried out when a crisis justifies such assessment
Food assistance
- Number of food assistance rations that meet the MoPH requirements (nutritional adequacy, safety, cultural acceptability)
GAM cases management
- Number of children admitted for MAM in SFP
- Number of children admitted for SAM in-patient care
- Number of children admitted for or SAM out-patient care
- Number of patients referred for in-patient care if complications
- Number of MAM patients cured from SFP
- Number of MAM patient defaulted from SFP
- Average weight gain of MAM cases in SFP
- Average length of stayof MAM cases in SFP
- Number of partners applying correctly SFP guidelines
8. Public Nutrition Capacity development: To strengthen incountry capacity to assess the nutrition situation, and design,
Implement, monitor and evaluate
- Number of professional staff trained in nutrition topics related to their terms of reference
- Number of professionals trained in nutrition who apply in practice the skills they have acquired
In-service and pre-service training
- Number of academic institutions providing pre-service public nutrition training
- Nutrition of session training on IYCF conducted,
- Number of session training on Micronutrients conducted,
- Number of session training on SAM conducted
- Number of session training on CMAM conducted
Support to PND
- Number of PND staff received Diploma/master degree in Public Nutrition
- Number of PND staff received training on IYCF.
- Percentage in Staff turnover
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Nutrition in schools|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Menu labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Food vehicles (i.e. types of fortified foods)|Wheat flours|Staple foods|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","http://moph.gov.af/Content/Media/Documents/PublicNutritionPolicyStrategy2009-2013309201292640770553325325.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Public%20Nutrition%20Policy%20and%20Strategy.pdf" "17857","AFG","Afghanistan","","National Child and Adolescent Health Strategy","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2009","","2013","Ministry of Public Health","7","2009","","","","","Development|Education and research|Food and agriculture|Health|Industry|Information|Justice|Women, children, families","Ministry of Rural Rehabilitation and Development (MRRD), Ministry of Education, Ministry of Higher Education, Ministry of Agriculture, Irrigation and Livestock (MAIL), Ministry of Commerce and Industry, Ministry of Communication and Information Technology, Ministry of Justice, Ministry of Women’s Affairs","","","","","European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","","","","","","","","","","","","
Strategy overview
Goal
To reduce newborn and under five mortality and improve child and adolescent health in order to achieve MDG4.
Objectives
- To improve access to and utilization of a package of strategic interventions for child survival,
particularly in the areas of greatest need; and
- To provide an enabling environment for child survival where political will, financial and human
resources match the burden of disease.
","Priority Strategic Interventions - an integrated package
- Skilled or improved attendance during pregnancy, delivery and immediate post-partum
- Neonatal care
- Breastfeeding and complementary feeding
- Immunization of mothers and children
- Micronutrient supplementation
- Integrated management of sick children
- Use of LLINs high risk areas
- Birth spacing
Additional interventions that strengthen the package
- Improve water, sanitation, and environment
- Prevention of accidental injuries
- Promote health at schools
- Draw attention to adolescent health considerations
- Monitor changing priorities
","Indicator:
An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202009%20Republic%20Act%20No.%2010028%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202009.pdf" "17832","SDN","Sudan","","National Nutrition Policy and Key Strategies","Comprehensive national nutrition policy, strategy or plan","","","","2009","","","Federal Ministry of Health Republic of Sudan","","2009","Adopted","","2009","Federal Ministry of Health","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Justice|Other|Trade|Women, children, families","Federal Ministry of Health Republic of Sudan","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","","","","","","","National NGOs","National NGOs","","","Private sector","Iodized salt producers and traders, Millers, Schools, Universities","Other","Other: Religious leaders, Community leaders, Local administration","Objective 1: Ensure the prevention and treatment of nutrition related disorders in emergency and non-emergency situations.
Objective 2: Reduce nutritional risk for individuals throughout their life-cycle through implementation of integrated health, nutrition, and food security interventions.
Objective 3: Increased optimal use of available food and micro level resources to maximize nutritional benefit.
Objective 4: To reduce nutrition risk and improve malnutrition prevention and treatment programming.
Objective 5: Ensure that the nutritional needs of people living with HIV & AIDS and their families are adequately addressed
Objective 6: Ensure quality food production that meets food safety standards.
Objective 7: Increased knowledge & awareness & improved nutrition practice at community level
Objective 8: Increase skills and capacity of nutrition staff and non-nutrition staff working in areas related to the direct and underlying causes of malnutrition.
Objective 9: Multi-sectoral coordination and collaboration to address malnutrition comprehensively and effectively, to bring about sustained change in population nutrition status (linked to Objective 3).
Objective 10: Strengthen nutrition information, research, and nutrition advocacy systems, to feed into national and local planning, analysis, monitoring and evaluation.
","Strategy 1:
a. Prevent chronic malnutrition through improved dietary intake and reduced infant morbidity.
b. Prevent, detect and treat acute malnutrition (including response to emergencies) through provision of appropriate services through the public health system.
c. Prevent, detect, and treat Micronutrient Deficiency Disorders (MDDs) through a combination of supplementation, fortification, education, and food based approaches.
d. Prevent obesity and lifestyle diseases through the promotion of optimal eating and physical exercise habits.
Strategy 2:
a. Improve maternal nutrition status
b. Improve infant and young child nutrition status
c. Address the nutritional needs of school age children and adolescents
d. Address the nutritional needs of adults and older persons
Strategy 3:
Strategy 4:
a. Reduce nutrition risk caused by excess morbidity through increased coverage and accessibility of quality of basic child health care services (IMCI).
b. Improve nutrition related programming through coordinated engagement of a wide range of health providers in nutrition related activities and the establishment of strong linkages between facility and community based nutrition activities.
Strategy 5:
a. Develop systems and guidelines to support the nutritional needs of people living with HIV & AIDS and their families
Strategy 6:
b. Develop systems and guidelines to safeguard quality food production that meets food security standards.
Strategy 7:
a. Utilise social mobilization, nutrition education/behavior change communication and advocacy strategies to promote improved knowledge and nutritional practices through all health facilities, at community level and through the general media.
Strategy 8:
a. Support and develop technical and managerial/planning capacity in nutrition for nutritionists and dieticians
b. Support and develop appropriate nutrition capacity of wider public health staff
c. Support and develop appropriate nutrition knowledge/ capacity of technical staff in related sectors
Strategy 9:
a. To promote and facilitate multi sectoral coordination and collaboration to address malnutrition at Federal and State levels
b. Nutrition information, research and advocacy
Strategy 10:
a. Strengthen and further develop timely & accurate nutrition information systems for action.
b. Carry out research in areas that will improve the understanding of nutritional risk in Sudan.
c. Utilisation of nutrition information in advocacy efforts across a range of nutrition related issues.
","IV. A cselekvési területeken végzett tevékenységek eredményeinek, illetve a megtett intézkedéseknek előrehaladásának vizsgálata és értékelése
1.7.1 Handlungsfeld Bewegung (p. 14)
Durch geeignete MaΒnahmen und Interventionen soll die österreichische Bevölkerung - unter besonderer Berücksichtigung der körperlich inaktiven Österreicher/innen - dazu motiviert werden, Bewegung als “Lebensgewohnheit” in einem ausgewogenen MaΒ in den täglichen Lebensablauf zu integrieren. Dabei sollen auch die Voraussetzungen der Menschen - wie z.B. unterschiedliches Bewegungsverhalten, Mobilitätsgewohnheiten, soziale Normen und ökonomische Bedingungen - miteinbezogen werden. Weiter gilt es, die Verhältnisse, die gesundheitsförderliche Bewegung ermöglichen, durch nachhaltige Strategien der Gesundheitsförderung und Primärprävention unter Einbeziehung anderer relevanter Bereiche zu verbessern. Insbesondere hinsichtlich der Förderung der Alltagsbewegung sind Allianzen mit anderen Fachgebieten zu bilden (“Health in all policies”).
1.7.2 Handlungsfeld Ernährung (p. 14)
Darüber hinaus gilt es, die Verhältnisse, die gesunde Ernährung möglich machen, durch geeignete MaΒnahmen und Strategien der Gesundheitsförderung und Primärprävention zu verbessern.Ernährungshotline (p. 52)
1.7 Handlungsfelder
1.7.1 Handlungsfeld Bewegung (p. 14)
1.7.2 Handlungsfeld Ernährung (p. 14-15)
Im Einzelnen handelt es sich dabei um erhöhten Blutdruck, erhöhte Cholesterinwerte, Ãœbergewicht, zu geringen Obst- und Gemüsekonsum. (p. 15)
Die Jugendlichen essen zu wenig Obst und Gemüse, dafür täglich etwas SüΒes oder trinken gezuckerte Limonaden. (p. 17)
Глава 3. Цель и задачи Концепции
Основными задачами Концепции являются:
систематизация и совершенствование законодательства, обеспечивающего межведомственный подход к формированию здорового образа жизни;
формирование установки и мотивации населения на здоровье как высшую ценность; обеспечение условий для здорового образа жизни: разработка перспективных и увеличение объема существующих технологий укрепления здоровья и профилактики заболеваний;
...
формирование культуры питания, четких установок в пользу здорового рационального питания;...
","ОТРАСЛЕВОЙ ПЛАН МЕРОПРИЯТИЙ ПО ФОРМИРОВАНИЮ ЗДОРОВОГО ОБРАЗА ЖИЗНИ, СОХРАНЕНИЮ И УКРЕПЛЕНИЮ ЗДОРОВЬЯ НАСЕЛЕНИЯ РЕСПУБЛИКИ БЕЛАРУСЬ НА ПЕРИОД ДО 2015 ГОДА
Ожидаемыми результатами реализации настоящей Концепции являются:
Ожидаемые результаты
4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf" "23612","CHN","China","","The Twelfth Five-Year Plan for Health Sector Development","Health sector policy, strategy or plan with nutrition components","","","","2011","","2015","KPMG","","2011","Adopted","","2011","China National People's Congress","Food and agriculture|Justice|Sub-national","KPMG Food and agriculture, Justice, Sub-national: Food producers, Legal authorities, Local governments","","","","","","","","","","","","","Private sector","Health service industry","","","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Stunting in children 0-5 yrs|Anaemia|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHN%202011%20National%20Health%20Plan%202011-2015.pdf" "40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
","
Nutrition Policy Statements
Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf" "43355","RUS","Russian Federation","","Национальная стратегия действий в интересах детей на 2012 - 2017 годы / National Strategic Action Plan for Child Protection 2012-2017","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Russian","","2012","","2017","Ministry of Labor","6","2012","Adopted","6","2012","President of the Russian Federation","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sport|Information|Justice","","","","","","","","","","National NGOs","","","","","","","Institutions for child education, healthcare and child sanatoriums. Social child centers.","Сбережение здоровья каждого ребенка. В Российской Федерации должны приниматься меры, направленные на формирование у семьи и детей потребности в здоровом образе жизни, всеобщую раннюю профилактику заболеваемости, внедрение здоровьесберегающих технологий во все сферы жизни ребенка, предоставление квалифицированной медицинской помощи в любых ситуациях.
Особое внимание уязвимым категориям детей. В Российской Федерации во всех случаях особое и достаточное внимание должно быть уделено детям, относящимся к уязвимым категориям. Необходимо разрабатывать и внедрять формы работы с такими детьми, позволяющие преодолевать их социальную исключенность и способствующие реабилитации и полноценной интеграции в общество.
","Формирование потребности у детей и подростков в здоровом питании и совершенствование системы обеспечения качественным питанием детей в образовательных учреждениях, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
4. Меры по развитию политики формирования здорового образа жизни детей и подростков
6. Меры по формированию культуры здорового питания детей и подростков, обеспечению качества и режима питания как залога здоровья ребенка
Организация просветительской работы с использованием специальных обучающих программ, средств массовой коммуникации, включая интернет-технологии, социальную рекламу, по формированию культуры здорового питания.
Расширение профилактики вертикальной передачи ВИЧ-инфекции и СПИДа, включая обязательное дородовое обследование беременных женщин независимо от наличия у них регистрации по месту жительства и гражданства, бесплатное обеспечение кормящих ВИЧ-инфицированных матерей молочными смесями для кормления ребенка, с привлечением средств, предусмотренных для реализации приоритетного национального проекта ""Здоровье"".
The overall goal of the policy is to contribute to the improved health, social and economic well-being for all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups. The general objective is to improve the nutritional status of the population especially infants and young children, pregnant and lactating women in Sierra Leone.
The policy has eight specific objectives
Nutrition Indicator Targets of the implementation plan
Strategic interventions
2.1 Priority Food and Nutrition Interventions
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Indicators of each priority intervention
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Задача № 1. Формирование национальной политики профилактики и контроля неинфекционных заболеваний на основе межсекторального подхода и партнерства
1.6: Внедрение политики контроля употребления поваренной соли
1.7: Внедрение политики по повышению физической активности населения
Задача № 2. Изучение и проведение оценки распространенности основных НИЗ и их факторов риска на уровне первичного звена здравоохранения
Задача № 3. Регулирование и контроль основных факторов риска НИЗ на индивидуальном и популяционном уровнях
Задача № 4. Повышение качества оказания медицинской помощи при НИЗ на всех уровнях здравоохранения
Задача N 5. Снижение неравенства в доступности населения к медицинской помощи независимо от географических условий проживания, транспортной доступности и уровня доходов
","1.1.3: Проведение выпусков теле- и радиопрограмм по факторам риска НИЗ
Внедрение политики контроля употребления поваренной соли
1.6.1: Проведение информационных кампаний, ""круглых столов"" с предпринимателями о вреде чрезмерного употребления поваренной соли
1.6.2:. Внесение предложений по пересмотру рациона питания в школьных и дошкольных учреждениях
1.6.3: Приведение документов в соответствие с положениями Закона Кыргызской Республики ""Технический регламент ""О маркировке пищевых продуктов""
2.1.1: Проведение ""STEPS""-исследования факторов риска НИЗ
2.1.2: Проведение ежегодной акции ""Узнай свое давление!""
2.1.3: Обеспечение функционирования государственного регистра больных сахарным диабетом и внедрение регистра раковых больных
3.1.1: Подписание меморандума со СМИ, разработка медиа-плана и тиражирование
3.1.2: Проведение обучающего семинара для журналистов, сотрудников кабинетов укрепления здоровья, проведение ""Дня открытых дверей"", пресс-туров, фотовыставки по профилактике факторов риска НИЗ
3.2.1: Проведение семинаров для преподавателей школ и вузов
3.2.2: Повышение информированности специалистов и население по вопросам здоровья и о ""вредных"" продуктах""
3.2.3: Поддержка программы ""Грудного вскармливания""
4.1.1: Внедрение программ по борьбе с сердечно-сосудистыми заболеваниями, сахарным диабетом, хроническими обструктивными заболеваниями легких на уровне первичной медико-санитарной помощи
4.1.2: Создание и укрепление потенциала ""Школ диабета"", ""Астма-кабинетов"" на уровне первичной медико-санитарной помощи
","Process
Outcome
2) относительное снижение распространенности недостаточной физической активности - на 10%;
4) предотвращение перехода преддиабета в диабет;
5) стабилизация показателя общей смертности от сердечно-сосудистых заболеваний, рака, диабета, хронических респираторных заболеваний;
6) относительное снижение среднепопуляционного потребления соли/натрия на 30%;
7) увеличение показателя системы эффективного контроля гипертонической болезни с 2,4% до 4,3%;
","","","Fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Salt/sodium|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education","","http://cbd.minjust.gov.kg/act/view/ru-ru/94879","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202013%20-%20Decree%20on%20Programme%20for%20prevention%20of%20NCDs%202013-2020.pdf" "24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "25918","FSM","Micronesia (Federated States of)","","National Strategic Plan for the Prevention and Control of Non-Communicable Diseases in the Federated States of Micronesia 2013-2017","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","Government of the Federated States of Micronesia","5","2012","","","","","Health|Education and research|Development|Justice","","","","","","","","","","","","","","","","","","IX. REDUCING PREVALENCE OF COMMON RISK FACTORS
Component 4: Nutrition
Objective: Improve the nutritional status of the FSM population by improving the percentage of people who consume less than five combined servings of fruits and vegetables by 5% by 2017. (Baseline 81.8%)
Component 6: HYPERTENSION
-Decrease the number of people who consume more than 5 grams of salt a day by 5% by 2017. (Baseline)
Component 7: DIABETES
Target is to reduce by 5% by 2017 from baseline
","PLAN OF ACTION FOR NUTRITION: Improve diet to improve health
Goal: To improve healthy diets in the FSM.
Objective 3. Develop nutrition policies - To incorporate clear nutrition goals and components in national development policies and sectoral plans, programs and projects, particularly in the areas of food and agriculture, fisheries, forestry, health, education, and environment.
3.1 Strengthen NFNC
3.2 Endorsement of Nutrition policies completed.
3.3 Establish Salt Reduction Program in the FSM
3.4 Advocacy seminars on nutrition for policy makers, leaders
3.5 Review FSM dietary guidelines
3.6 Encourage healthy school policies (School Nutrition and Physical Activity Guidelines)
3.7 Encourage and promote a wide usage of the MODFAT in the clinics as a prescription and counseling tool, in all government and public food establishments and in the homes
3.8 Encourage healthy diets via church and community programs
Objective4. Improving Households Access to Nutritious and Local Foods - Achieving food security has three dimensions, which all equally important in the FSM context. They are: (i) ensuring a safe and nutritionally adequate food supply both at the national and household level; (ii) ensuring a reasonable degree of stability in the supply of food both from one year to the next and during the year; (iii) ensuring that each household has physical, social and economic access to enough food to meet its needs
4.1 Initiate price control on key food items
4.2 Review feasibility of Government subsidy on local food industry
4.3 Improve the availability of good quality seeds and plants
4.4 Establish monitoring system for nutrition (food security)
Objective 5. Promoting Breastfeeding to Prevent Malnutrition and the Introductory of Certain Diseases to Young Children 0-6 years up to Two Years- Exclusive breastfeeding to 6 months and continued breastfeeding for up to 2 years with quality complementary foods.
5.1 All prenatal and post natal mothers to receive education on breastfeeding and preparation of Complementary foods using local foods.
5.2 To have an Infant Feeding Policy in place using locally grown food.
5.3 All children to be monitored for growth and child development
5.5 Monitoring and Evaluation to be conducted for all infant feeding activities.
5.6 Continue BFHI training and assessments
5.7 WHO Code endorsed legislation (Infant and young child feeding)
5.8 Education on BF in school curriculum
5.9 BF education and support for new mothers & improved monitoring of BF rates
Objective 6. Prevent Micronutrient Deficiencies - The FSM suffers from key micronutrient deficiencies among some of the most vulnerable groups. Vitamin A deficiency is widespread, as is iron-deficiency anemia especially in pregnant women.
6.2 Strengthen programs for Vitamin A deficiency
6.3 Investigate legislation on compulsory food fortification of key products
","-Prevalence of adults who are not consuming enough fruits and vegetables (less than 5 servings per day)
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" "24446","BEN","Benin","","Plan cadre des Nation Unies pour l'Assistance au Développement UNDAF ","Non-national nutrition policy document","","French","","2014","","2018","United Nations System in Benin","3","2014","","","","","Nutrition council|Health|Food and agriculture|Women, children, families|Environment|Justice|Sub-national","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Fonds d’Equipement des Nations Unies (UNCDF), Agence internationale de l'énergie atomique(AIEA)","","","The World Bank","","","","","","","","","","","","UNDAF effet 1:D’ici à fin 2018, les populations rurales et périurbaines, notamment les jeunes et les femmes dans les communes d’intervention accroissent leur revenu et améliorent leur sécurité alimentaire
1.4 Les populations pauvres et les groupes vulnérables disposent de capacités accrues (filets de protection sociale ; transfert des revenus, techniques et technologiques appropriés) pour assurer leur sécurité alimentaire et nutritionnelle ainsi que l’accès aux marchés.
Effet 2: D’ici à fin 2018, les enfants de moins de 5 ans, les adolescents (es), les femmes en âge de procréer et les ménages bénéficient de façon équitable d’interventions à haut impact de qualité en santé y compris le VIH/SIDA, les MNT, la nutrition, la planification familiale, l’assainissement de base et les communautés adoptent des practiques favorable à la sante.
2.1 Les institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes)ont des capacités accrues pour laplanification, la coordination et le suivide la mise en oeuvre des paquets d’intervention àhautLes institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes) ont des capacités accrues pour la planification, la coordination et le suivi de la mise en oeuvre des paquets d’intervention à haut impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.
2.2 Les Zones Sanitaires et les communes retenues ont des capacités accrues pour offrir des paquets d’intervention à haut impact de qualité en nutrition, planification familiale, VIH/ Sida, MNT et sasainiessement de base.
","UNDAF effet 1
1.4 activités
Implications de tous les acteurs ; Bon ciblage des populations et zones vulnérables.
UNDAF effet 2
Engagement et appropriation des partenaires
2.2
Accessibilité aux services de santé en terme de coût des prestations et de la disponibilité des infrastructures améliorées
","UNDAF effet 1
1.4
• Nombre de ménages pauvres et vulnérables ayant bénéficié d’un appui pour la mise en place d’une AGR
• Existence d’un socle de protection sociale
UNDAF effet 2
• Taux d’accouchements assistés par du personnel qualifié (médecins, infirmiers, sage femmes) (R : 84% ; C : 90%)
• Proportion des femmes enceintes séropositives mises sous -prophylaxie ARV
• Proportion d’enfants de 6 à 59 mois présentant la malnutrition aigue
• Proportion de populations utilisant les latrines améliorées
2.1
• Existence d’un document politique/stratégie pour le financement du secteur de la santé
• Existence d’un document de coordination et de suivi de la mise en oeuvre des PIHI (paquet d'interventions à haut impact)
• Nombre de documents de politique et stratégie en santé de la mère et de l’enfant intégrant les PIHI
• Proportion d’acteurs clés formés pour faire une planification basée sur les résultats
2.2
• % de formations sanitaires des zones sanitaires retenues disposant du plateau technique adéquat (ressources humaines,matérielles, infrastructures) pour offrir: des services de prise en charge de qualité des enfants malnutris
","","","Wasting in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Vaccination","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/documents/publication/wcms_461896.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202014%20UNDAF.pdf" "23570","BOL","Bolivia (Plurinational State of)","","Política de Alimentación y Nutrición (PAN) en el Marco del Saber Alimentarse para Vivir Bien","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2014","","2025","","","2014","Adopted","","2014","Health, education, productive development, economy, rural development, justice, public economy and finance, water and environment ministries","Health|Education and research|Finance, budget and planning|Development|Environment|Justice","","","","","","","","","","","","","","","","","","
Objetivo General
Objetivos Especificos
Objetivo 1:
Programa:
Objetivo 2:
Programa:
Objetivo 3:
Programas:
Objetivo 4:
Progamas:
Objetivo 5:
Programa:
Art. 1º Esta Resolução dispõe sobre a abusividade do direcionamento de publicidade e de comunicação mercadológica à criança e ao adolescente, em conformidade com a política nacional de atendimento da criança e do adolescente prevista nos arts. 86 e 87, incisos I, III, V, da Lei nº 8.069, de 13 de julho de 1990.
§ 1º Por 'comunicação mercadológica' entende-se toda e qualquer atividade de comunicação comercial, inclusive publicidade, para a divulgação de produtos, serviços, marcas e empresas independentemente do suporte, da mídia ou do meio utilizado.
§ 2º A comunicação mercadológica abrange, dentre outras ferramentas, anúncios impressos, comerciais televisivos, spots de rádio, banners e páginas na internet, embalagens, promoções, merchandising, ações por meio de shows e apresentações e disposição dos produtos nos pontos de vendas.
Art. 2º Considera-se abusiva, em razão da política nacional de atendimento da criança e do adolescente, a prática do direcionamento de publicidade e de comunicação mercadológica à criança, com a intenção de persuadi-la para o consumo de qualquer produto ou serviço e utilizando-se, dentre outros, dos seguintes aspectos:
I - linguagem infantil, efeitos especiais e excesso de cores;
II - trilhas sonoras de músicas infantis ou cantadas por vozes de criança;
III - representação de criança;
IV - pessoas ou celebridades com apelo ao público infantil;
V - personagens ou apresentadores infantis;
VI - desenho animado ou de animação;
VII - bonecos ou similares;
VIII - promoção com distribuição de prêmios ou de brindes colecionáveis ou com apelos ao público infantil; e
IX - promoção com competições ou jogos com apelo ao público infantil.
§ 1º O disposto no caput se aplica à publicidade e à comunicação mercadológica realizada, dentre outros meios e lugares, em eventos, espaços públicos, páginas de internet, canais televisivos, em qualquer horário, por meio de qualquer suporte ou mídia, seja de produtos ou serviços relacionados à infância ou relacionados ao público adolescente e adulto.
§ 2º Considera-se abusiva a publicidade e comunicação mercadológica no interior de creches e das instituições escolares da educação infantil e fundamental, inclusive em seus uniformes escolares ou materiais didáticos.
§ 3º As disposições neste artigo não se aplicam às campanhas de utilidade pública que não configurem estratégia publicitária referente a informações sobre boa alimentação, segurança, educação, saúde, entre outros itens relativos ao melhor desenvolvimento da criança no meio social.
","Regulating marketing of unhealthy foods and beverages to children|Advertising (in streets and stores)|Give-aways|Internet|Promotions|Radio|Settings where children gather such as schools, childcare and other educational establishments|TV|Use of licensed and brand equity characters|Using celebrities|Any product, including foods and beverages|Covers children up to 18 years of age|Mandatory marketing restrictions","","https://crianca.mppr.mp.br/pagina-1635.html#resolucao_163 https://extranet.who.int/ncdccs/Data/BRA_B15_Resolu%C3%A7%C3%A3o%20CONANDA%20163_2014.pdf","http://www.planalto.gov.br/ccivil_03/leis/l8069.htm","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202014%20Resolu%C3%A7%C3%A3o%20CONANDA%20163_2014.pdf" "24482","NER","Niger","","Plan cadre des Nations Unies Pour l’assistance au développement (UNDAF)","Non-national nutrition policy document","","French","","2014","","2018","UN Country Team of Niger","","2014","","","","","Health|Education and research|Women, children, families|Development|Justice|Other","Intérieur","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 Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, CEA, IOM, UN Women, UNCDF, PNUD, UNEP, UNOPS, UN Habitat, ONUD","Other","","Other|Japan International Co-operation Agency (JICA)","USA, Belgique, France","European Union","","National NGOs","","","","Private sector","","","","Effet 1. D’ici à 2018, les ménages vulnérables et les communautés ciblés augmentent leur résilience en matière de sécurité alimentaire et nutritionnelle, d’environnement, de catastrophes et d’inclusion socio-économique
Produit 1-2 : Les ménages vulnérables ciblés utilisent les services de prévention et de soins et les bonnes pratiques en vue d’améliorer leur nutrition
Produit 1-3 : Les ménages vulnérables dans les zones d’intervention ont accès à des filets sociaux et des programmes de relèvement adaptés
Effet 2. D'ici à 2018, les institutions nationales, régionales et locales appuyées utilisent des systèmes et mécanismes adaptés pour la prévention/gestion des risques/ catastrophes, la gestion durable de l’environnement et de la sécurité alimentaire
Produit 2-3 : Les institutions de vulgarisation nationales, régionales et locales soutenues disposent de capacités renforcées de transfert de compétences pour améliorer la production agro-pastorale et l’état nutritionnel des populations
","24. La stratégie du SNU consistera à apporter un appui-conseil au Gouvernement, à renforcer les capacités des acteurs, à développer un plaidoyer en faveur de la mobilisation des ressources et à inciter les pouvoirs publics à formuler et à mettre en oeuvre des politiques et programmes appropriés dans ses secteurs d'intervention.
25. Dans cette perspective, le SNU contribuera à l’amélioration de la sécurité alimentaire et nutritionnelle, de l'accès aux moyens de subsistance et de la gestion des ressources naturelles. Le SNU propose de faciliter aux ménages vulnérables un meilleur accès aux intrants (services financiers, eau, engrais, semences améliorées, équipements, appui-conseil/vulgarisation/encadrement, intrants zootechniques, etc.), aux marchés et aux infrastructures de stockage et transformation ainsi qu'à l'énergie, dans une approche de sauvegarde d'un environnement sain et d’atténuation des impacts du changement climatique. Le SNU veillera également à renforcer l’implication des acteurs des chaînes alimentaires et des institutions pour permettre l’adoption des bonnes pratiques limitant les pertes post-récoltes (infrastructures qualité).
26. L’amélioration de l’état nutritionnel des enfants et des femmes implique nécessairement : i) le renforcement et l’extension de couverture des services de prévention, de soins et de prise en charge de la malnutrition aiguë et chronique ; ii) la diversification de leur alimentation et la correction des carences nutritionnelles spécifiques (micronutriments) ; iii) l'application des pratiques familiales essentielles pour la survie et le développement de l’enfant (lavage des mains, allaitement maternel, espacement des naissances, utilisation des moustiquaires imprégnées, etc.) ; iv) l’amélioration de l’accès à l’eau potable et l’assainissement.
27. Le SNU facilitera également l'accès des ménages vulnérables, y compris les ménages non agricoles, à des filets sociaux de sécurité adaptés (transferts conditionnels et inconditionnels d’espèces, etc.), à des programmes de relèvement et de restauration des moyens d’existence diversifiés (AGR, etc.), à des opportunités économiques, à des emplois décents et à des connaissances utiles et pratiques pour promouvoir le changement social et de comportement et rehausser le niveau de leur résilience. Le SNU renforcera aussi les capacités du Dispositif National de Prévention et de Gestion des Catastrophes et des Crises Alimentaires (DNPGCCA) et des institutions nationales compétentes pour assurer une meilleure efficacité dans le domaine de la prévention et de la gestion des crises alimentaires et des catastrophes.
","1.1 Taux de prévalence de l’insécurité alimentaire sévère et modérée pour les ménages (désagrégé par sexe)
1.2 Taux de prévalence de la malnutrition aiguë et chronique
1.5 Pourcentage des ménages des zones vulnérables à l’insécurité alimentaire bénéficiaires de filets sociaux
1.1.1 Pourcentage de ménages vulnérables à l’insécurité alimentaire utilisant les intrants agricoles (désagrégé par sexe)
1.2.1 Taux de guérison des enfants malnutris par sexe pris en charge dans les centres de récupération nutritionnelle
1.2.2 Taux de couverture des enfants en vitamine A
1.2.3 Pourcentage de ménages assurant la diversification de l’alimentation des enfants (désagrégé par milieu de vie)
1.2.4 Pourcentage de mères pratiquant l’allaitement maternel exclusif pendant les 6 premiers mois dans les localités ciblées
1.3.2 Pourcentage des ménages vulnérables bénéficiant de programmes de restauration et de développement de moyens d'existence
","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|Underweight in women|Vitamin A deficiency|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.uncclearn.org/sites/default/files/niger_undaf.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202014%20UNDAF.pdf" "24486","NGA","Nigeria","","United Nations Development Assistance Framework ","Non-national nutrition policy document","","English","","2014","","2017","UN country team in Nigeria","7","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Environment|Information|Justice|Labour|Sub-national|Other","Tourism and culture, Youth development","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UN Women, UNODC, UNOPS, UN Habitat, UNITAR, WMO OIC, UNOCHA, ITC, UNEP, IAEA","Other","","Other|Department of International Development (DFID)|The World Bank","GIZ, IMF, KOICA","European Union","","National NGOs","","","","","","","","Outcome 2.2 Health/WASH/Nutrition. By 2017, health related MDGs achieved and sustained through strong and well-coordinated health systems implementing innovative, high impact and cost effective, equitable, gender responsive interventions inclusive of foundational determinants of health at community, LGA states and Federal levels with active engagement of right holders, informed by South-South cooperation and evidence-based learning.
Output 2.2.1 Public agencies and civil society organizations at federal, state, and LGA levels are able to implement updated, harmonized, evidence based, gender responsive policies and plans to facilitate equitable access to quality water supply and sanitation services and the practice of good hygiene by vulnerable populations and institutions based on innovative communication for development and coordination systems
Output 2.2.2 Capacities of government and partners at all levels including intersectoral linkage and coordination are strengthened to implement high impact, equitable, gender responsive and innovative nutrition and food security interventions, enhance nutrition friendly agricultural productivity especially at household level and promote crop and livestock diversification to improve nutrition outcomes (reduce stunting, acute malnutrition, and micronutrient deficiencies rates) amongst most vulnerable groups especially children and women.
","","Under-five mortality rate
% of people with access to (a) improved sanitation and (b) improved water supply
% of infants under 6 months breastfed exclusively
Prevalence of children under 5 years of age that are underweight
Number of states with (a) WASH policies (b) investment plans and (c) M&E frameworks
Number of states with decentralized WASH services and functional LGA WASH departments
Number of additional children provided with access to WASH in schools
Hunger Index
Number of health facilities providing treatment to severely malnourished children under 5 years
% of children aged 6-59 months who received at least one dose of Vit A in last 6 months
# of community structures supported to assist mothers to appropriately feed children under 2 years
Number of community structures/sites supported to alleviate food insecurity
Proportion of States supported to develop a strategic plan for NCDs
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","https://www.unops.org/SiteCollectionDocuments/Information-disclosure/UNDAFs/Nigeria-UNDAF-2014-2017.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202014%20UNDAF.pdf" "24494","AFG","Afghanistan","","United Nations Development Assistance Framework for Afghanistan 2015-2019","Non-national nutrition policy document","","English","","2015","","2019","UN country team of Afghanistan","","2015","","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Transport|Urban planning|Information|Justice|Labour|Other","Economy, foreign affairs, interior, public works, refugees, rural development","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNEP, UN Habitat, UNMAS, UNODC, UN Women","","","","","","","","","","","Private sector","","","","Output 2: Strengthened mechanisms to increase equitable access to agricultural production and productivity, licit economic opportunities, productive assets and lands for food and livelihood security for vulnerable and marginalized population.
Output 1. Improved capacity of government and nongovernment organizations to increase accessibility to and demand for delivery of quality and cost effective health care, including maternal reproductive health, ASRH, family planning, nutrition and WASH services for the most marginalized and vulnerable populations.
","In the areas of health care, nutrition, WASH, education and prevention and protection services, UN agencies will support a range of interlinked and mutually supportive interventions at three levels: policy reform and implementation; data and knowledge management and community action.
At the policy and institutional level the UNCT will assist the development and implementation of health, nutrition, education drugs, child protection and WASH policies, strategies, and sectoral plans. It will support the strengthening of health systems, including Human Resources for Health (HRH), hospital management and reforms, improving access to essential medicines and health technology, and support establishing quality assurance and improvement mechanisms including drug & food regulation. At the implementation level, it will help expand health facilities to the areas not currently covered by BPHS and or cut off due to climatic or geographical barriers. It will assist the Government and CSOs (includes NGOs, CBOs and other civil society actors), and the private sector, under public-private partnership arrangements, in the implementation of the BPHS & EPHS, with a focus on strengthened capacity to deliver quality health and nutrition services, especially to women and children, psychosocial services to victims of Gender Based Violence, and services for persons with disabilities, including at the community level. The prevention and control of diseases, access to quality drugs, including contraceptives and HIV/AIDS prevention, treatment, care and rehabilitation services, will be other areas of support. It will support the Government in completing the Polio Eradication Initiative agenda and strengthening emergency preparedness and response. It will also provide support to increased coverage of quality safe and drinking water and sanitation and increased access to and utilization of quality preventive and curative nutrition services, provided at community level and through health facilities.
","Output Indicator 2.2: % of targeted populations, farming families and households which have access to agricultural production and productivity, economic opportunities and productive assets for food and agri-based livelihood security
Outcome Indicator 2.4: Prevalence of global acute malnutrition of children 6-59 months by sex
Outcome Indicator 2.5: Proportion of population using an improved drinking water source
Outcome Indicator 2.6: Proportion of population using an improved sanitation facility
Output Indicator 2.1.3: % of communities which have access to health facilities within one hour walking distance by residence
Output Indicator 2.1.6: # of pregnant and lactating women received infant and young child feeding counselling
","Outcome indicators|Process indicators","","Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf" "26104","DZA","Algeria","","Plan Stratégique National Multisectoriel de Lutte Intégrée Contre les Facteur de Risque des Maladies Non Transmissibles 2015-2019 et Plan de Suivi et Evaluation","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2019","REPUBLIQUE ALGERIENNE DEMOCRATIQUE ET POPULAIRE","","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Industry|Justice","","","","","","","","","","","","","","","","","","2.1. Objectif général
Développer une action coordonnée et intersectorielle de lutte contre les facteurs de risque, leurs déterminants et renforcer la prévention des Maladies Non Transmissibles
...
3.1. AXE STRATEGIQUE 1 - PROMOTION DE L'ALIMENTATION SAINE
...
Objectif 1 – Promouvoir l’alimentation appropriée à l’état de grossesse, ainsi que l'allaitement maternel exclusif jusqu'à 6 mois
Action 1.1.1 : Soutenir et généraliser l'Initiative Hôpitaux Amis des Bébés (IHAB)
MESURE 1 : Renforcer la promotion de l'Allaitement Maternel Exclusif (AME) et fournir toutes les renseignements sur les avantages de l'AME.
MESURE 2 : Former le personnel des maternités pour l’accompagnement de la parturiente dans la mise en route de l’allaitement.
MESURE 3 : Apporter un soutien aux mères allaitantes pour la mise en route précoce de l’allaitement maternel dans la demi-heure qui suit l'accouchement.
MESURE 4 : Mettre en œuvre un programme de soutien aux maternités et aux hôpitaux afin qu'ils puissent répondre aux dix conditions pour l'obtention du label "" Ami(e) des bébés"".
MESURE 5 : Sensibiliser sur la révision de la durée du congé de maternité pour permettre l’allaitement exclusif pendant 6 mois.
Action 1.1.2 : Promouvoir les règles de la diversification correcte de la nutrition des nourrissons
MESURE 6 : Etablir des directives sur les différentes étapes de la diversification des aliments des bébés.
MESURE 7 : Favoriser l’équilibre des micronutriments dans la prévention des maladies métaboliques.
MESURE 8 : Réglementer les substituts de laits selon le code international de commercialisation des substituts de lait maternel.
Action 1.1.3 : Promouvoir l’alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
MESURE 9 : Veiller à assurer l’équilibre des micronutriments chez la femme enceinte dans la prévention des maladies métaboliques et prévenir les malformations chez le nouveau-né.
MESURE 10 : Améliorer la nutrition maternelle par le biais de suppléments adaptés afin d’éviter la sous- ou surnutrition et la «programmation fœtale» des maladies chez l’enfant.
...
Objectif 2 : Promouvoir une alimentation saine chez les enfants, les jeunes et les adolescents dans les établissements éducatifs, scolaires et préscolaires
Action 1.2.1 : Promouvoir une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs.
MESURE 11 : Elaborer un Guide pour une alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
MESURE 12 : Mettre en place un mécanisme intersectoriel pour mettre en œuvre les recommandations pour une alimentation saine en milieux éducatifs.
MESURE 13 : Améliorer les compétences des médecins des Unités de Dépistage Scolaire (UDS) sur l'alimentation saine.
MESURE 14 : Promouvoir les bonnes pratiques en matière d'animation d'ateliers pédagogiques relatives à une alimentation saine en milieux éducatifs, comme la création de potagers et de jardins scolaires.
MESURE 15 : Concevoir des valises pédagogiques pour l’apprentissage de l’alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
MESURE 16 : Promouvoir les initiatives locales pour la distribution gratuite de fruits pendant la récréation et l'installation de fontaines d'eau dans les écoles
Action 1.2.2 : Développer un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
MESURE 17 : Elaborer un programme de communication sur la relation «Alimentation et Santé» en ciblant les professionnels travaillant avec les enfants.
MESURE 18 : Elaborer un programme d'éducation pour un changement de comportement alimentaire dans les écoles en associant les parents d'élèves.
MESURE 19 : Elaborer les outils d'information et de formation destinés aux enfants, adolescents et les parents ainsi qu’à tous les professionnels travaillant avec les enfants et adolescents.
MESURE 20 : Intégrer les concepts de l'alimentation saine dans les programmes pédagogiques.
MESURE 21 : Elaborer un référentiel national pour la communication sur l'alimentation saine en direction des enfants, des parents d'élèves, des enseignants et du personnel d'encadrement en définissant des objectifs à atteindre.
MESURE 22 : Impliquer les médias à travers la formation dans leur rôle de relais des informations relatives à «l'alimentation et la santé en milieux éducatifs».
MESURE 23: Inclure des messages de santé dans les publicités sur les aliments.
Action 1.2.3 : Renforcer les capacités des professionnels et leurs actions auprès des enfants
MESURE 24 : Développer une formation des praticiens des unités de santé de proximité sur la nutrition et l'alimentation saine.
MESURE 25 : Développer une formation du personnel des cantines en milieux éducatifs sur les principes d'une alimentation saine et équilibrée.
MESURE 26 : Promouvoir l'éducation nutritionnelle à tous les niveaux de la formation médicale (graduée et post graduée) et paramédicale
MESURE 27 : Concevoir et diffuser des fiches techniques pour le personnel de santé sur le thème «MNT et alimentation».
Action 1.2. 4 : Renforcer les textes réglementaires régissant la commercialisation des denrées alimentaires destinés aux enfants (étiquetage, publicité)
MESURE 28 : Elaborer un texte juridique régulant l'offre de produits alimentaires à proximité des écoles (aliments gras, hypercaloriques trop salés et trop sucrés, ainsi que boissons sucrées).
MESURE 29 : Faire appliquer les normes codex pour l'étiquetage des produits alimentaires.
MESURE 30 : Contrôler la publicité sur les aliments salés et gras, ainsi que sur les aliments sucrés (boissons sucrées) destinés aux enfants qui doit comporter des messages de santé.
...
Objectif 3 - Promouvoir une alimentation saine au sein de la population générale
Action 1.3.1 : Renforcer les capacités des professionnels de santé en charge des soins de santé de proximité
MESURE 31 : Mettre en œuvre un programme de sensibilisation et de formation des professionnels de santé au service de la population sur la relation «Alimentation et santé».
MESURE 32 : Intégrer le concept de lutte contre les MNT et les FR dans les curricula de formation initiale et les offres de formations continues des professionnels de santé.
Action 1.3.2: Mettre en œuvre un programme de communication sur une alimentation saine en direction du grand public
MESURE 33 : Elaborer une stratégie nationale de communication.
MESURE 34 : Mettre en œuvre la stratégie de communication en direction du grand public (média – journaux, mosquées et lieux publics) en mettant l'accent sur des thèmes spécifiques (maladies cardiovasculaires, HTA, diabète et la relation avec l'alimentation).
Action 1.3.3 : Renforcer les capacités techniques (capacity building) des autres intervenants (associations, secteurs autre que la santé)
MESURE 35 : Mettre en œuvre un programme de formation sur la relation «Alimentation et santé». pour les associations de consommateurs et des industriels de l’alimentation.
...
Objectif 4 - Réduire la consommation journalière : de sel, de sucre, de graisses au sein de la population générale
Action 1.4.1 : Renforcer la réglementation et la législation MESURE 36 : Formuler des lignes directrices nationales concernant la consommation de sel, de sucre et de graisses.
MESURE 37 : Actualiser les textes réglementaires régissant la teneur en sel, en sucre et en graisse dans les aliments.
MESURE 38 : Formuler et/ou renforcer des mesures réglementaires et législatives strictes quant à la publicité, le marketing et la commercialisation d'aliments riches en sel, sucre et gras.
MESURE 39 : Remplacer les acides gras trans par des matières grasses polyinsaturées dans les produits quotidiens de consommation.
Action 1.4.2 : Sensibiliser la population générale sur les méfaits d'une alimentation riche en sel, en sucre et en graisses
MESURE 40 : Elaborer une stratégie nationale de sensibilisation de la population sur les méfaits d'une alimentation riche en sel, en sucre et en graisses.
MESURE 41 : Mettre en œuvre la stratégie nationale de sensibilisation de la population sur les méfaits d'une alimentation riche en sel, en sucre et en graisses.
...
Objectif 5 - Prévenir l'obésité dans la population générale
Action 1.5.1 : Mettre en œuvre un programme d'information et de communication sur le surpoids et l'obésité
MESURE 42 : Elaborer un programme d'Education pour un Changement de Comportement alimentaire en direction du grand public sur les liens entre l'alimentation, le surpoids et l'obésité.
MESURE 43 : Elaborer un programme d'Education pour un Changement de Comportement sur les lieux de travail pour les employeurs et les employés.
MESURE 44 : Développer des Directives nationales avec des normes pour une alimentation saine dans la restauration collective.
Action 1.5.2 : Développer les offres de prévention et de soins du surpoids et de l'obésité
MESURE 45 : Développer une stratégie d'accompagnement et de prise en charge du surpoids et de l'obésité dans les structures de santé.
MESURE 46 : Renforcer les compétences des professionnels de santé dans le cadre de la prise en charge intégrée du surpoids et de l'obésité.
MESURE 47 : Développer un programme de dépistage et de prise en charge précoce du surpoids et de l'obésité en milieu scolaire et auprès des structures de proximité pour la population générale.
MESURE 48 : Généraliser la disponibilité des outils de mesure auprès de toutes les structures de santé.Cadre et Manuel de S&E du Plan stratégique national
MESURE 49 : Concevoir un «Guide Standard de prévention du surpoids et de l'obésité» pour la conduite des visites médicales systématiques.
MESURE 50 : Concevoir un «Guide standard de prévention et de prise en charge du surpoids et de l'obésité» à l'usage des médecins des Unités de Dépistage et de Suivi (UDS).
...
","","","","","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|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Monitoring of the Code|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School fruit and vegetable scheme|School gardens|Dietary guidelines|Food labelling|Fats|Trans fat|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/DZA_B3_plan%20strat%C3%A9gique_MNT2015-2019.pdf https://extranet.who.int/ncdccs/Data/DZA_B2_s21_Plan%20Suivi%20%20Evaluation%20plan%20MNT.pdf","","WHO NCD Document Repository ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA-2015-2019-NCD%20strategique%20plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA-2015-2019-NCD%20strategique%20plan.pdf" "25908","CIV","Côte d'Ivoire","","Plan stratégique intégré de prévention et de prise en charge des maladies non transmissibles en Côte d’Ivoire 2015-2019","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2019","République de Côte d’Ivoire, Ministère de la Santé et de la Lutte contre le Sida","","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Urban planning|Environment|Information|Justice|Labour","La prévention et le contrôle efficaces des maladies non transmissibles exigent un leadership, l'engagement multipartite coordonné pour la santé, tant au niveau du gouvernement qu’au niveau d'un large éventail d'acteurs avec de tels engagement et action incluant, le cas échéant, les approches de « la santé dans toutes les politiques » et de « l'ensemble du Gouvernement » à travers des secteurs tels que la santé, l'agriculture, la communication, l'éducation, l'emploi, l'énergie, l'environnement, la finance, l’alimentation, des affaires étrangères, du logement, de la justice et de la sécurité, de la législature, la protection sociale, développement social et économique, les sports, recettes fiscales, le commerce et l'industrie, les transports, l'urbanisme, les affaires de la jeunesse et le partenariat avec la société civile et les entités du secteur privé.","","","","","","","","","","","","","","","","","Evolution nationale attendue des indicateurs aux échéances 2019 et 2025 conformément aux cibles mondiales et nationales de réduction
Apport journalier moyen en sel (chlorure de sodium) en grammes dans la population, standardisé selon l’âge chez les personnes âgées de 18 ans ou plus
2019 : Baisse de 15%, 2025 : Baisse de 30%
Prévalence standardisée selon l’âge de la pression sanguine élevée chez les personnes âgées de 18 ans ou plus (tension systolique ≥140 mmHg et/ou une tension diastolique ≥90 mmHg)
2019 : 27,8%, 2025: 23,2%
Prévalence standardisée selon l’âge de l’hyperglycémie modérée à jeun chez les personnes âgées de 18 ans ou plus 10’ Prévalence standardisée selon l’âge du diabète chez les personnes âgées de 18 ans ou plus (définie comme glycémie plasmatique à jeun ≥7,0 mmol/l (126 mg/dl) ou sous traitement pour élévation de la glycémie)
2019: 9.6%, 2025: 9.6%
Prévalence de l’excès pondéral et de l’obésité chez l’adolescent (définis de la manière suivante selon les normes OMS de croissance pour l’enfant d’âge scolaire et l’adolescent : un écart type de l’IMC en fonction de l’âge et du sexe pour l’excès pondéral et deux écarts types de l’IMC en fonction de l’âge et du sexe pour l’obésité)
2019: 0% d’augmentation, 2025: 0% d’augmentation
Prévalence standardisée selon l’âge du surpoids chez les personne âgées de 18 ans ou plus (défini comme un IMC ≥25 kg/m² et 12’) Prévalence standardisée selon l’âge de l’obésité chez les personne âgées de 18 ans ou plus (défini comme un IMC> ou =30 kg/m²)
2019: 26.9%, 2025: 26.9%
Prévalence standardisée selon l’âge des personnes (âgé de 18 ans ou plus) qui consomment moins de cinq portions (400 grammes) de fruits et de légumes par jour
2019: 52.3%, 2025: 49.6%
Prévalence standardisée selon l’âge de l’hyper-cholestérolémie totale chez les personnes âgées de 18 ans ou plus (taux de cholestérol total ≥5,0 mmol/l ou 190 mg/dl)?
2019: 18.9%, 2025: 17.9%
","Objectif général: Réduire l’exposition aux facteurs de risque modifiables des maladies Non Transmissibles et promouvoir un mode de vie sain.
Objectifs spécifiques:
- Réduire l'usage du tabac et protéger les non-fumeurs
- Réduire la consommation de sel, de gras et de sucre dans les habitudes alimentaires chez la population et améliorer les habitudes alimentaires
- Promouvoir l'activité physique
- Ralentir la progression des maladies chroniques
","Les domaines prioritaires...
Réduction de la consommation de sel via les campagnes médiatiques et reduction de la réduction de la teneur en sel des aliments transformés et servis Et remplacement des gras trans par des gras polyinsaturés
...
Programme de sensibilisation du public sur l'alimentation et l'activité physique
Promotion d'un mode de vie sain:
- Nombre de messages produits et diffusés ( TV, radio)
- Nombre d'établissements scolaires et universitaires sensibilisés
- nombre d'hôpitaux ayant organisé des campagnes
- Nombre de manifestations organisées dans les universités
- Nombre d'industriels de l'agroalimentaire sensibilisés
- nombre de textes élaborés sur l'alimentation saine
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR_2015_PAM.pdf" "25893","NRU","Nauru","","Nauru Non Communicable Disease Strategic Action Plan 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","6","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Justice","","","","","","","","","","National NGOs","Nauru National Sustainable Development Strategy 2005-2025 (NNSDS) – Partnership for Quality of Life.","","","","","","","
NCDs and nutrition are addressed under key result area 2 of which the goal is to strengthen and improve community preventive and health care services under the principles and concepts of primary health care and healthy islands.
For nutrition, the Plan emphasizes on supporting and strengthening ongoing school feeding programme; introducing and supporting the Baby Friendly Hospital initiative and promotion of exclusive breast feeding; as well as advocating for good family nutrition through home gardening and healthy food preparation.
","6.2. Strengthen food security
Promote breast feeding:
• Re-establish Baby Friendly Hospital Initiative Programme
• Establish community support groups for breastfeeding
• Conduct strategic health communication activities to:
- Strengthen the awareness on importance of exclusive breastfeeding for the first 6 months
- encourage breastfeeding up to 2 years of life
Table 3: Target prevalence rates by 2020
Risk factor - Men - Women
Sodium intake* - n.a - n.a
Less than 5 serving of fruits and vegetable per day - 84.4% - 84.2%
Overweight (obesity) -82.1% (55.7%) - 82.1% (60.5%)
High blood pressure - 18.5% - 9.2%
Diabetes - 16.1% - 16.3%
* The baseline for sodium intake will be established during the NCD STEPS survey planned for 2014
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Raised blood glucose/diabetes|Raised blood pressure|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Salt reduction|Food safety","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU-2015-2020-NCD%20Strategic%20Plan.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" "25771","TJK","Tajikistan","","Стратегия Питания И Физической Активности [Strategy for Nutrition and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2015","","2024","","","2015","Adopted","12","2014","Government of Tajikistan","Nutrition council|Health|Education and research|Social welfare|Sport|Justice|Other","Inter-Sectoral Committee (ISC); Republican Center for Nutrition","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","Other","Tajikstandart; Medical Institutions","5. ЦЕЛЬ СТРАТЕГИИ
50. Целью Стратегии является охрана здоровья населения республики посредством улучшения их питания и физической активности.
","8. ПРИОРИТЕТНЫЕ МЕРЫ ВМЕЩАТЕЛЬСТВА СТРАТЕГИИ
60. Усиление нормативно-законодательной и методической базы. На межсекторальном уровне (с ведущими специалистами министерств и ведомств) осуществляется работа по внесению изменений и дополнений к действующим законам Республики Таджикистан, относящимся к вопросам питания, повышения уровня физической активности и профилактики НИЗ. Разрабатываются и утверждаются руководства и рекомендации, касающиеся вопросов питания, физической активности и профилактики НИЗ.
61. Развитие науки и кадрового потенциала. На межсекторальном уровне разрабатываются проекты НИР по вопросам питания, физической активности и профилактике НИЗ, осуществляется их реализация. Совместно с ведущими специалистами соответствующих государственных секторов осуществляется подготовка кадров по вопросам питания.
62. Стратегия в конечном итоге - повысить уровень предоставления услуг по профилактике, диагностике и лечению алиментарно-зависимых заболеваний (в первую очередь на уровне ПМСП).
63. Наряду с мерами по укреплению потенциала ответственных лиц, достаточное внимание уделяется на до- и последипломное обучение и повышение квалификации специалистов здравоохранения по вопросам прав человека и гендерным вопросам. Включаются программы обучения по вопросам питания, физической активности и профилактики НИЗ в учебных заведений.
64. Улучшение кормления младенцев и детей раннего возраста. Стратегия направлена на дальнейшее поощрение грудного вскармливания и правильной практики ведения дополнительного питания, которые не только создадут необходимые условия для физического и умственного развития, но и будут способствовать профилактике НИЗ. Для обеспечения участие мужчин в организации правильного питания и профилактики болезней, связанных с нарушением питания у беременных женщин и детей грудного возраста, а также ухода за ними в случае заболеваний планируется консультировать оба родителя по вопросам питания и физической активности.
65. Организация здорового питания детей до- и школьного возрастов. Организация здорового питания школьников на национальном уровне является одним из основных задач различных правительственных секторов. Международные организации также участвуют в улучшении питания, физической активности и профилактики НИЗ, определяющих генофонд нации (важный элемент для укрепления здоровья, развития человеческого капитала и благополучия). Программа школьного питания будет способствовать развитию до- и школьного питания.
66. Включение в школьную программу аспектов питания, повышение уровня активности и профилактики НИЗ является необходимым образовательным компонентом.
67. На межсекторальном уровне разрабатываются национальные руководства, рекомендации по питанию, физической активности и профилактике НИЗ. Также особое внимание уделяется ""Нормам здорового питания, физической активности и правила личной гигиены для детей"".
68. Планируется включение Республики Таджикистан в исследования ВОЗ по мониторингу за статусом питания детей.
69. В рамках подхода ВОЗ по использованию вмешательств с оптимальным соотношением затрат и эффективности осуществляется контроль маркетинга пищевых продуктов, предназначенных для детей, с особым акцентом на борьбу с неэтичной рекламой заменителей грудного молока, ликвидацией транс-жиров и уменьшением потребления соли.
70. Разработка комплекса инициатив по питанию и физической активности. В рамках межсекторальной деятельности разрабатываются информационные материалы на основе доказательной медицины для повышения уровня знаний населения по вопросам питания и физической активности.
71. Указанными структурами осуществляются реализации мероприятий по обеспечению населения качественно йодированной солью, оцениваются уровни потребления соли и транс-жиров.
72. В связи с важностью фактора повышения уровня активности населения в профилактике НИЗ на межсекторальном уровне предусматривается реализация ряда мероприятий, направленных на усиление нормативно правовой базы, подготовки кадров, разработки программ относительно развития физической культуры и спорта и их внедрение в учебные программы до- и школьных, вузов и др. структур.
73. Создается план информационного воздействия и связи в целях реализации Стратегии, которая позволит координировать деятельность различных средств информации и создается синергизм между ними в интересах пропаганды надлежащего питания и физической активности. Осуществляется анализ тезисов для информационного воздействия и санитарно-просветительских материалов на предмет отражения в них гендерных различий, особенно для основных групп риска (таких как беременные и кормящие женщины и девочки-подростки).
74. Укрепление межсекторального сотрудничества. Усиливаются механизмы межсекторального сотрудничества и коммуникации для своевременного реагирования и принятия эффективных мер по организации правильного питания, физической активности и профилактики НИЗ.
75. Контроль над реализацией Стратегии возлагается на ""Межведомственный комитет"" (далее ""МВК""), который создается приказом Министерства здравоохранения и социальной защиты населения Республики Таджикистан из числа высококвалифицированных специалистов соответствующих министерств и ведомств (по согласованию). Представители международных организаций также могут входить в состав МВК.
76. Подготавливается база для разработки национальной политики для организации здорового питания населения Таджикистана.
77. Мониторинг и оценка. Мониторинг будет осуществляться на основе регулярного отслеживания отобранных индикаторов, основываться на международных стандартах и требованиях и предоставлять качественные, надежные и стандартизированные данные. Система надзора должна генерировать и отслеживать информации о питании, физической активности и о наиболее актуальных НИЗ у различных групп населения (в первую очередь детей и женщин, людей пожилого возраста, включая вопросы гендерных различий), определяя их бремя (включая экономия средств).
80. Будут определены индикаторы воздействия и отслеживания;
а) индикаторы воздействия (Стратегии) будут использоваться для определения специфических изменений, тенденций и проблем в области питания, физической активности и профилактики НИЗ. Например: распространенность острой и хронической форм недоедания среди детей в возрасте 6,59 месяцев, ЖДА, ЙДЗ, ожирений среди детей и женщин или среднесуточное потребление овощей и фруктов, сахара, соли, жирных кислот к рекомендованным ВОЗ уровням их потребления;
б) индикаторы отслеживания (программные или мероприятия) будут привязаны к конкретным срокам и действиям реализации мероприятий.
","6. ИНДИКАТОРЫ СТРАТЕГИИ
51. Содействие грудному вскармливанию и своевременному введению надлежащего прикорма:
а) увеличение исключительно грудного вскармливания детей до 6 месяцев на 20%.
52. Существенное сокращение распространенности недостаточности питания, дефицита микроэлементов и ожирения, особенно у женщин и детей, и других алиментарно-зависимых неинфекционных заболеваний к 2024 году:
а) снижение уровня ЖДА среди женщин репродуктивного возраста до 30%;
б) снижение острого недоедания (низкого веса) на 30%;
в) уменьшение избыточной массы тела у детей и женщин;
г) снижение низкорослости среди детей на 20%.
53. Использование наиболее выгодного с экономической точки зрения вмешательства (на межсекторальном уровне) по продвижению здорового питания с помощью финансовых и маркетинговых механизмов:
а) постепенное искоренение из рациона питания населения транс-жиров;
б) снижение количества потребления соли до 5 гр. в сутки;
в) адаптирование правил регулирования реклам и сбыта детских пищевых продуктов.
54. Суточное потребление энергии за счет насыщенных жирных кислот и свободных сахаров менее 10%.
55. Потребление более 400 гр. фруктов и овощей в день населением.
56. Ускорение деятельности (на межсекторальном уровне) в области профилактики и контроля ожирения (особенно у детей) посредством реализации мер, предложенных в Европейской хартии по борьбе с ожирением:
а) организация и реализация системы наблюдения за пищевым статусом населения.
57. Укрепление системы мониторинга фактического питания и пищевого статуса, а также эпиднадзора за НИЗ с акцентом на наиболее уязвимые группы населения:
а) проведение периодических исследований на национальном уровне.
58. Реализация Стратегии в области питания гарантирует всеобщий доступ к пище, социальную справедливость и гендерное равенство в отношении питания населения Таджикистан.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Overweight in children 0-5 yrs|Saturated fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Fruit and vegetable intake|Right to food|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food safety|Vulnerable groups","","","http://webcache.googleusercontent.com/search?q=cache:dyZclwkfwsUJ:filial-nic-mkur.tj/doc/1/2/2/15%2520%25D0%25A1%25D1%2582%25D1%2580%25D0%25B0%25D1%2582%25D0%25B5%25D0%25B3%25D0%25B8%25D1%258F%2520%25D0%25BF%25D0%25B8%25D1%2582%25D0%25B0%25D0%25BD%25D0%25 https://extranet.who.int/ncdccs/Data/TJK_B13_NPA%20strategy%20FINAL_ENG_24%2001%202015.pdf","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf" "24664","BOL","Bolivia (Plurinational State of)","","Ley 775 promocion de la alimentacion saludable","Legislation relevant to nutrition","","Spanish","","2016","","","Asamblea Legislativa Plurinacional","","2016","Adopted","","2016","Asamblea Legislativa Plurinacional","Health|Justice","Ministerio de Salud, Asamblea Legislativa Plurinacional","","","","","","","","","","","","","","","","","","","","","Pourcentage d'adolescents et de jeunes ayant des connaissances sur au moins trois composantes de santé des adolescent(e)s et des jeunes(nutrition, activité physique, santé sexuelle et reproductive, usage d'alcool, tabac et autres substances nuisibles à la santé (psychoactives), accident de la voie publique).
","Process indicators","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202015%20Strategie%20Sante%20des%20Adolescents_0.pdf" "24483","SWZ","Eswatini","","Swaziland United Nations development assistance framework (UNDAF)","Non-national nutrition policy document","","English","","2016","","2020","UN country team of Swaziland","","2016","","","","","Health|Finance, budget and planning|Development|Urban planning|Justice","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNODC","Other","","Other|The World Bank","PEPFAR","European Union","","","","Research/academia","","Private sector","","","","Outcome 2.2
Families and communities’ access to and uptake of integrated, quality health and nutrition services increased by 2020
Output 2.2.2:
Ministry of Health enabling environment for planning and coordination strengthened
Output 2.2.4:
Children under five, pregnant and lactating women have improved access to nutrition interventions
Output 2.3.2:
Health sector capacity to deliver quality HIV treatment care and support services strengthened
","Building on the support provided under the previous UNDAF, the UN system will assist the Ministry of Health (MOH) to strengthen its capacities and those of its partners to deliver essential health and nutrition packages on maternal, child and adolescent health services and continue to support integration of HIV into health programmes. The UN will also focus on strengthening the regulatory environment for nutrition, including strengthening capacities of multi-stakeholder forums using lessons and best practice available via South-South learning.
The capacity of the MOH and its partners to implement the National Health Sector Strategic Plan II and contribute to the attainment of Universal Health Coverage (UHC) will be enhanced. The UN will also work with key Government institutions and partners to develop and deliver a comprehensive package of nutrition interventions, including positive WASH practices and Community-led Total Sanitation, contributing towards Open- Defecation Free (ODF) communities. Particular attention will be paid to vulnerable populations, children under-five years, pregnant and lactating women, with combined efforts to prevent stunting.
","Indicator: Percentage of children 0-6 months old exclusively breastfed
Indicator: % of children aged 6-23 months receiving a minimum meal frequency of complementary foods
Indicator: % of population practicing open defecation (ODF)
Indicator: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator: Key health and nutrition policies and strategies49 developed, approved and operationalized
Indicator: Key health and nutrition acts amended and enacted50
Indicator: Proportion of pregnant and lactating women receiving iron supplementation
Indicator: Proportion of children aged 6 -59 months receiving Vitamin A supplementation
Indicator: # of households oriented in community led total sanitation (CLTS) approach in targeted regions
Indicator: Number of eligible HIV and TB clients accessing nutrition services at health facilities.
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Vitamin A|Iron|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://sz.one.un.org/content/dam/unct/swaziland/docs/Final%20Swaziland%20UNDAF%202016%20-%202020_11_March_2016%20(Electronic%20copy).pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SWZ%202016%20UNDAF.pdf" "24468","ETH","Ethiopia","","United Nations Development Assistance Framework for Ethiopia ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team in Ethiopia","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNCTAD, UNEP, UNCDF,UNODC , UNOPS, UN Women","Other","","","","","","","","Research/academia","","Private sector","","","","Outcome 1: By 2020 Ethiopia will achieve increasingly robust and inclusive growth in agricultural production and productivity and increased commercialisation of the agricultural sector.
Outcome 7: Enhanced appropriate feeding and care practices for improved nutrition status of children under five years,adolescents, pregnant and lactating women.
Output 7.1: National,subnational and partner capacity (multisectoral nutrition technical committees and nutrition coordination bodies at all levels) strengthened for National Nutrition Programme (NNP) implementation, coordination, monitoring and reporting.
Output 7.2: Improved nutrition care practices for infants, young children, adolescents, and pregnant and lactating women (PLW).
Output 7.3: Enhanced capacity of the health system to provide quality preventive and curative nutrition services for infants, young children, adolescents, and pregnant and lactating women.
Outcome 9: By 2020 the Ethiopian population, in particular women, children and vulnerable groups, have increased access to and use affordable, safe and adequate water, sanitation and hygiene (WASH) services.
Output 9.1: Strengthened capacity of WASH sector Ministry (water, health & education) in conducting strategic planning, coordination, leveraging, advocacy and implementation of development and emergency WASH interventions.
Output 9.2: Strengthened sector WASH capacity in knowledge management that informs improvements in service delivery, policies, procedures, monitoring and evaluation at the federal and regional levels.
Output 9.3: Enhanced support for children and families leading to resilient and equitable, access to and use of safe and adequate water and sanitation services and adoption of appropriate hygiene practices in households and institutions in urban and rural areas.
Output 9.4:Populations affected by WASH Emergencies receive WASH services in line with minimum standards.
","Outcome 1. Under this outcome the UN will work with the relevant Government and other partners to strengthen the capacities of farmers and agro-pastoralists to adopt innovative farming techniques and inputs for increased production and productivity. Specific technologies that will be promoted through advocacy and practical training sessions include agricultural technologies and practices that: help increase production and productivity; ensure the reduction of pre and post-harvest losses; improve livestock production; encourage sustainable land management; promote integrated watershed management; and stimulate climate-smart agricultural practices and nutrition-sensitive agriculture. Furthermore emphasis will be placed on crop diversification as well as value added processing and commercialization of
selected commodities through inclusive value chain approaches. On the supply side, the capacity of service providers and local level institutions will be strengthened to deliver quality agricultural extension services, including financial services, further improving the capabilities of farmers, (especially women and youth) to access and control productive resources and have access to markets and agricultural related financial products.
Outcome 7. In the area of nutrition the UN will support the Government to implement and monitor the National Nutrition Programme, including the strengthening of coordination of partners working in the sub-sector at national, regional and zonal levels. At the service delivery level, the capacity of the health, agriculture and education system to provide quality preventative and curative nutrition services for infants, young children, adolescents, pregnant and lactating women, and people living with HIV will be strengthened. At the community level the UN will engage with households to improve nutrition care practices for infants, young children, adolescents and pregnant and lactating women, and provide treatment of moderate and severe acute malnutrition. In addition to this, UN agencies will use their collective capacity and work with other partners to strengthen the capacity of Government to monitor and use nutrition information, and prepare and respond to nutrition needs during emergencies.
Outcome 9. In this area the UN will work with the Government to build the capacity of technical staff in the Ministry of Water, Irrigation and Energy and at subnational level to plan, coordinate and implement both development and emergency related WASH interventions; increasing their capacity of relevant institutions to collect and analyse data to inform evidence-based service delivery. At the community level emphasis will be placed on increasing communitylevel knowledge and awareness to improve hygiene and sanitation practices within the household.
","3.3: Global acute malnutrition rate (GAM)
7.1: Proportion of children 6 to 23 months with minimum acceptable diet
7.2 Proportion of children under 6 months exclusively breastfed (disaggregated by national & refugee population)
7.1.1: Federal and regional coordination bodies and technical committees (NNCB, NNTC, RNCBs, RNTCs) meet as per schedule
7.1.2: NNP monitoring mechanism (scorecard) established at federal and regional level and updated on a regular basis
7.1.3 Number of ministries that have aligned their respective sector plan with NNP
7.1.4 Integrated NNP monitoring tool established at different levels (national and woreda)
7.2.1: Percent of GMP participation for girls and boys under 2 year of age
7.2.2: Number of woredas in developing regions with active Women-to-Women support groups.
7.3.1: Percent of children under 5 receiving vitamin A supplementation
7.3.2:. Percent of health facilities providing SAM treatment
7.3.3: Number of health posts or mobile health and nutrition teams (MHNT) providing MAM treatment
7.3.4: Number of woredas with schools providing nutrition programmes including adolescents
7.3.5: Number of SAM cases treated among refugee populations
9.1: % of populations using safe and adequate WASH services disaggregated by rural and urban areas
9.3.1: % of Ethiopian population and refugee users of safe, adequate and resilient water supply services disaggregated by urban and rural areas
9.3.2: % of Ethiopian population and refugee using safe, adequate and resilient sanitation services disaggregated by urban and rural areas
9.3.4: # of people adopting appropriate hand washing practices
9.4.1: # of people affected by WASH emergencies provided with safe and adequate water supply as per minimum emergency standards
9.4.2: # of people affected by WASH emergencies provided with appropriately designed emergency latrines
9.4.3: # of people affected by WASH emergencies participating in hygiene promotion activities
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Minimum acceptable diet|School-based health and nutrition programmes|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://et.one.un.org/content/unct/ethiopia/en/home/assistance-framework/undaf.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20UNDAF.pdf" "25764","GEO","Georgia","","სურსათში ინდუსტრიული ტრანსიზომერული ცხიმების რეგულირებასთან დაკავშირებული სამოქმედო გეგმა და შესაბამისი ღონისძიებები [Action Plan and Regulating Measures Related to Industrial Trans Fats]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Georgian","1","2016","","","Legal Portal of Georgia","","2015","Adopted","11","2015","Government of Georgia","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Justice|Labour|Sub-national|Other","National Center for Disease Control and Community Health","","","","","","","","","","","","","Private sector","Food Producers","Other","Child Care and Education Institutions","","1.1. მოსახლეობის ინფორმირება სურსათში ინდუსტრიული ტრანსცხიმების ადამიანის ჯანმრთელობაზე მავნე ზეგავლენის და ჯანსაღი კვების პრინციპებთან დაკავშირებით
1.2. ბიზნესოპერატორების ინფორმირება დაგეგმილ ცვლილებებთან ან და მათ მიერ შესაბამისი აქტივობების (ახალი რეცეპტურის დანერგვა, მომწოდებლების მოძიება და ხც.)განხორციელებასთან დაკავშირებით
2.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ნორმირება: სურსათში ინდუსტრიული ტრანსცხიმების ნორმად განისაზღვროს 2 გრ ტრანსიზომერი 100 გრ მცენარეულ ცხიმზე გადაანგარიშებით
2.2. ჩვილ ბავშვთა კვების პროდუქტებსა და ბავშვთა კვების პროდუქტებში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში (სკოლა, საბავშვო ბაღი, სანატორიუმი, ბანაკი, სპორტული სკოლა, ბავშვთა სახლი, ბავშვთა გასართობი ცენტრი სამედიცინო დაწესებულება და ა.შ.) გამოყენებულ სურსათში ინდუსტრიული ტრანსცხიმების არსებობის აკრძალვა
3.3. ბავშვთა კვების პროდუქტებისა და ბავშვთა ორგანიზებულ კვების დაწესებულებებში გამოყენებული სურსათის კონტროლის განხორციელება ინდუსტრიული ტრანსცხიმების შემცველობაზე (როგორც ბაზარზე (მათ შორის საზოგადოებრივი კვების ობიექტში) განთავსებულ, ისე იმპორტირებულ სურსათში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში გამოყენებულ ურსათში)
Outcome 3:All citizens, particularly the most marginalized and vulnerable, have equitable, sustainable access to and will use the services in health, nutrition, HIV/AIDS, water, sanitation and hygiene, education, and protection services.
","The promotion of the right to food and the improvement of governance of food and nutritional security as well as land governance;
The improvement in infant and newborn health through the implementation of the vaccination strategy, the promotion at the community level of knowledge, behaviors, and practices affecting the health of the newborn, infant, and mother, and the reduction in acute and moderate malnutrition in children 6 to 59 months of age, pregnant women, and nursing mothers;
The improvement of the nutritional status of TB and HIV patients under treatment;
In the area of water, sanitation and hygiene, the interventions of the United Nations team will make a contribution to the promotion of the use of improved sanitation facilities, the transition to scale of the washing of hands using soap, the promotion of sustainable, equitable access to potable water in the communities, schools, and health centers, and the development of the capacities of resource managers in potable water.
","Indicator 3.7: Proportion of children under 5 years old suffering from chronic malnutrition
Indicator 3.8: Proportion of children at least 5 years old suffering from acute malnutrition
Indicator 3.12: Rate of defecation in open air
Indicator 3.13: Proportion of people with access to potable water
Indicator 3.16: Nutritional recovery rate
","Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202016%20UNPAF.pdf" "36110","MDA","Republic of Moldova","","National programme on control of Tuberculosis 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|Social welfare|Justice|Other","Other: Ministry of Internal Affairs","","","","","","Global Fund","","","National NGOs","","","","","","Other","National and International NGOs","","","","","","Nutritional care & support for people with TB","","http://lex.justice.md/viewdoc.php?action=view&view=doc&id=367268&lang=2","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202016%20National%20TB%20control%20programme%202016-2020.pdf" "36111","MDA","Republic of Moldova","","National Programme on prevention and control of HIV/AIDS and STI’s 2016-2020","Health sector policy, strategy or plan with nutrition components","","Russian","10","2016","","2020","Monitorul Oficial Nr. 369-378 (Government)","10","2016","Adopted","10","2016","Government of Moldova","Health|Education and research|Sport|Justice|Labour|Sub-national","Other: National HIV/AIDS council","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Other","Global Fund","","","National NGOs","","","","","","","","Outcome 2.2. Health By end 2020, Ugandan population enjoys healthier and productive lives with substantial reductions in mortality and morbidity, especially among children, adolescents, pregnant women and other vulnerable groups; and sustained improvements in population dynamics.
Output 2.2.2. Water, Sanitation and Hygiene (WASH) By end 2020, targeted institutions with adequate technical and operational capacity to deliver cost-effective and sustainable models of community-based safe WASH & environmental preservation systems; and hygiene, sanitation behavior change at household, health facility and school settings.
Output 2.2.3 Nutrition and Household Food Security By end 2020, coordination capacity of OPM and technical and operational capacity of targeted stakeholders strengthened to ensure operationalization and scale-up of proven high-impact, cost-effective, multi-sectoral, integrated and community-based nutrition & Household Food Security interventions that effectively contribute to reducing stunting and other forms of malnutrition and enhanced food security.
Output 2.2.5. Dual burden of communicable and non-communicable diseases (NCD) By end 2020, equitable and increased coverage of effective preventive and care services, particularly for major communicable diseases (malaria, HIV/AIDS, TB) targeting most-at-risk populations; and comprehensive NCD control and management of major risk factors (tobacco, alcohol and substance abuse, physical inactivity and diet) and mental health.
","2.2.2.1. Provide Technical and financial support to MWE for strengthened coordination of the WASH partnerships and improved resource allocation
2.2.2.2. Strengthen national and district functional and financial capacity to increase coverage of water and sanitation services in rural growth centers, health facilities and schools, including in humanitarian situations
2.2.2.3. Support MoH and MoLG Scale-up community-led total sanitation (Hygiene promotion)
2.2.2.5. Support MoLG and private sectors for a sustained, community ownership and maintenance of water and sanitation, infrastructures
2.2.2.6. Support OPM, MoH, MWE, and LGs, MoES, to operationalize an integrated ( communities, schools and Health centers) WASH resilience programme
2.2.3.2 Support advocacy efforts with parliament and relevant ministries for leveraging domestic resources for nutrition
2.2.3.3 Provide technical support to MWE, MoES, MoLG and MoH to scale-up and sustain high-impact child and maternal nutrition interventions with a particular focus on the first 1000 days of life, including in humanitarian situations
2.2.3.4 Support OPM, MoH and other UNAP stakeholders in evidence generation on the burden of all forms of malnutrition; nutrition-sensitive budgeting and equity-focused planning
2.2.3.5 Provide technical and financial support to the OPM and relevant sectors to implement the National Nutrition and Food Security Monitoring and Evaluation Framework
2.2.5.1 Strengthen evidence generation and use for, policy formulation, programming, advocacy for multisectoral collaboration, enhanced partnerships, increased financing for accelerated scale up of service coverage for communicable and non-communicable diseases
2.2.5.2 Provide technical and financial support to MoH to develop/review policies, strategies, guidelines and plans for communicable and non- communicable diseases
2.2.5.3 Support capacity building at all levels for sustainable prevention and control of communicable and non-communicable diseases
","Percentage of rural and urban people with access to improved sanitation, by rural/urban
Percentage of people with access to (and using) hand washing facilities (households and schools)
Existence of national Integrated Food and Nutrition M&E System
Number of districts with a functional comprehensive community- based nutrition model
National Food consumption score
Prevalence of major NCD risk factors
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202016%20UNDAF.pdf" "24491","ZMB","Zambia","","Zambia- United Nations Sustainable Development Partnership Framework (2016-2021)","Non-national nutrition policy document","","English","","2016","","2021","UN country team in Zambia","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Justice|Sub-national|Other","Community, Mines, Disaster management, Tourism","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UNECA","Other","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","African Development Bank, Government of Sweden, Embassy of Finland","European Union","","National NGOs","","","","Private sector","","","","Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "39474","BEL","Belgium","","Plan Prévention et Promotion de la Santé en Wallonie","Health sector policy, strategy or plan with nutrition components","","French","1","2017","","2030","Gouvernement Wallon, Agence pour une Vie de Qualité (AViQ)","","2016","Adopted","","2016","Gouvernement Wallon","Health|Education and research|Social welfare|Development|Transport|Urban planning|Environment|Justice|Other","emploi, logement","","","","","","","","","","","","","","","","","
II. Objectifs stratégiques thématiques:
1. La promotion des modes de vie et des milieux de vie favorables à la santé :
3. La prévention des maladies chroniques… Il s’agit :
","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://extranet.who.int/ncdccs/Data/BEL_B11_AVIQ plan-prévention-janvier 2017-final-2.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202017%20plan%20pr%C3%A9vention%20sant%C3%A91.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202017%20plan%20pr%C3%A9vention%20sant%C3%A91.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202017%20plan%20pr%C3%A9vention%20sant%C3%A91.pdf" "25915","EGY","Egypt","","Egypt National Multisectoral Action Plan for Prevention and Control of Noncommunicable Diseases (EgyptMAP-NCD)","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health and Population","","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Industry|Justice","Ministry of Health and Population, Ministry of Education, Ministry of Youth and sports, Ministry of Supply and internal trade, Ministry of Trade and industry, Ministry of Finance, Ministry of Justice","","","","","","","","","","","","","","","","","
I. Vispārīgie jautājumi
1. Noteikumi nosaka:
1.1. zaļā publiskā iepirkuma (turpmāk – zaļais iepirkums) principus, prasības un to piemērošanas kārtību, preču, pakalpojumu un būvdarbu grupas, kurām piemēro zaļā iepirkuma prasības, piedāvājuma izvērtēšanas kritērijus, iepirkuma līguma izpildes noteikumus un kontroles kārtību;
1.2. zaļā iepirkuma prasības un kritērijus, kurus izmanto to preču un pakalpojumu publiskajā iepirkumā, kam zaļais iepirkums piemērojams obligāti (1. pielikums);
1.3. zaļā iepirkuma prasības un kritērijus, kurus var izmantot būvdarbu, kā arī citu prioritāru preču un pakalpojumu grupu publiskajā iepirkumā (2. pielikums);
1.4. aprites cikla izmaksu metodiku enerģiju patērējošām precēm (3. pielikums).
2. Zaļā iepirkuma prasības un kritērijus, ko iekļauj publiskā iepirkuma dokumentācijā, piemēro konkrētai preču un pakalpojumu grupai vai būvdarbiem izvirzītajām vides prasībām un kritērijiem, lai nodrošinātu publiskā iepirkuma atbilstību zaļā iepirkuma principiem.
3. Zaļā iepirkuma veicināšanas mērķis ir samazināt publiskajos iepirkumos iegādāto preču, pakalpojumu un būvdarbu ietekmi uz vidi visā to aprites ciklā, vienlaikus sekmējot videi draudzīgu preču un pakalpojumu tirgus attīstību un vietējās ekonomikas konkurētspējas paaugstināšanu.
4. Atbildīgā iestāde par zaļā iepirkuma piemērošanas kārtību, īstenošanu, uzraudzību un novērtēšanu ir Vides aizsardzības un reģionālās attīstības ministrija (turpmāk – atbildīgā iestāde).
II. Zaļā iepirkuma piemērošanas kārtība
5. Preču, pakalpojumu vai būvdarbu iepirkumā ievēro šādus zaļā iepirkuma principus:
5.1. videi draudzīgāks iepirkums – vides un cilvēku veselības aizsardzības apsvērumiem jābūt vispārpieņemtai publisko iepirkumu prakses sastāvdaļai līdzās preces, pakalpojuma vai būvdarbu drošībai, cenai, darbības rādītājiem un pieejamībai;
5.2. kaitējuma novēršana – vides aizsardzības apsvērumi jāievēro no iepirkuma procesa sākuma, cenšoties laikus novērst vai samazināt potenciālo apdraudējumu videi un cilvēku veselībai;
5.3. aprites cikla skatījums – preces, pakalpojuma vai būvdarbu ietekme uz vidi jāskata to aprites ciklā, sākot ar izejvielu izcelsmi, ražošanu, piegādi un lietošanu un beidzot ar preču nokļūšanu atkritumos un to utilizāciju. Izmaksas jāvērtē, sākot ar preču iegādes izmaksām, bet ņemot vērā arī to lietošanas, apkopes un aprites cikla beigu izmaksas;
5.4. ietekmju uz vidi salīdzinājums – jāņem vērā būtiskākās ietekmes, vadoties no videi un cilvēku veselībai nodarītā kaitējuma lieluma, atgriezeniskuma, ģeogrāfiskā mēroga un citiem faktoriem;
5.5. informācija par vides aizsardzības pasākumiem – prasībām un kritērijiem, kurus publiskajā iepirkumā izmanto preču, pakalpojumu vai būvdarbu ietekmes uz vidi samazināšanai, jābūt precīzi formulētiem un objektīvi izmērāmiem, norādot atbilstošas atbilstības pārbaudes metodes.
6. Preču un pakalpojumu grupas, kurām publiskajā iepirkumā obligāti jāpiemēro zaļais iepirkums, un piemērojamās zaļā iepirkuma prasības un kritēriji noteikti šo noteikumu 1. pielikumā. Zaļā iepirkuma prasības un kritērijus brīvprātīgi piemēro būvdarbiem, kā arī citu prioritāru preču un pakalpojumu grupām publiskajā iepirkumā (2. pielikums), pasūtītājam vai sabiedrisko pakalpojumu sniedzējam iepriekš izvērtējot savas iespējas un videi draudzīgu alternatīvu pieejamību tirgū.
…
1. pielikums
Ministru kabineta
2017. gada 20. jūnija
noteikumiem Nr. 353
Preču un pakalpojumu grupas, kurām obligāti piemērojams zaļais publiskais iepirkums. (ZPI)
…
4. Pārtika un ēdināšanas pakalpojumi.
…
1. PĀRTIKAS PRODUKTU ATBILSTĪBA
Pasūtītājs papildus cenas vai izmaksu kritērijam paredz vismaz vienu prasību no katras no zemāk uzskaitītajām 3 ZPI prasību grupām:
1.1. PĀRTIKAS PRODUKTU KVALITĀTE
[X] procenti no [vai nu noteikta produktu grupa, piemēram, piena produkti, gaļas produkti, dārzeņi, vai konkrētu produktu saraksts, piemēram, kartupeļi, liellopu gaļa, olas] jābūt ražotiem atbilstoši bioloģiskās lauksaimniecības metodēm saskaņā ar Padomes 2007. gada 28. jūnija Regulu (EK) Nr.834/2007 par bioloģisko ražošanu un bioloģisko produktu marķēšanu un par Regulas (EEK) Nr.2092/91 atcelšanu;
vai
[X] procentiem no [vai nu noteikta produktu grupa, piemēram, augļi, dārzeņi, vai konkrētu produktu saraksts, piemēram, kartupeļi, burkāni, āboli] jābūt ražotiem saskaņā ar integrētās ražošanas kritērijiem;
vai
[X] procentiem no [vai nu noteikta produktu grupa, piemēram, piena produkti, gaļas produkti, dārzeņi, vai konkrētu produktu saraksts, piemēram, kartupeļi, liellopu gaļa, olas] jāatbilst nacionālās pārtikas kvalitātes shēmas vai tās produktu kvalitātes rādītāju prasībām.
1.2. BEZ ĢENĒTISKI MODIFICĒTIEM ORGANISMIEM
Pārtikas produkti nesatur ģenētiski modificētos organismus, nesastāv no tiem un nav ražoti no tiem.
1.3. IEPAKOJUMS, VIDEI DRAUDZĪGA PIEGĀDE UN SEZONĀLI PĀRTIKAS PRODUKTI
[X] procenti no pārtikas produktiem jābūt piegādātiem atkārtoti izmantojamā primārajā iepakojumā;
vai
[X] procenti no pārtikas produktiem jābūt piegādātiem sekundārajā un/vai transporta iepakojumā, kas satur vairāk nekā 45 procenti pārstrādātu materiālu;
vai
[X] procenti no pārtikas produktiem nedrīkst būt iepakoti atsevišķās porcijās (vienas vienības iepakojumos);
vai
transportlīdzekļiem, ko paredzēts izmantot produktu piegādei no pārtikas produktu izcelsmes (audzēšanas/ražošanas) vietas, jāatbilst vismaz EURO 5 vai V atgāzu emisijas standartiem saskaņā ar Eiropas Parlamenta un Padomes 2007. gada 20. jūnija Regulas (EK) Nr. 715/2007 par tipa apstiprinājumu mehāniskiem transportlīdzekļiem attiecībā uz emisijām no vieglajiem pasažieru un komerciālajiem transportlīdzekļiem (Euro 5 un Euro 6) un par piekļuvi transportlīdzekļa remonta un tehniskās apkopes informācijai I pielikuma 1. tabulā noteiktajām """"Euro 5"""" emisijas robežvērtībām vai saskaņā ar Ministru kabineta 2009. gada 22. decembra noteikumiem noteikumu Nr.1494 """"Mopēdu, mehānisko transportlīdzekļu, to piekabju un sastāvdaļu atbilstības novērtēšanas noteikumi"""" 11. pielikuma 41. iedaļā noteiktajām """"EURO V"""" emisiju robežvērtībām;
vai
pārtikas produktu piegāde tiks veikta noteiktā pasūtītāja paredzēta attāluma ietvaros no pārtikas produktu izcelsmes (audzēšanas/ražošanas) vietas līdz pasūtītāja norādītajai vietai (piemēram, 100 km ietvaros);
vai
augļu, ogu un dārzeņu piegādes tiks veiktas, ievērojot sezonalitāti.
","Mandatory standards|All food procured by the government (standards)|Employ environmentally friendly cooking and handling|Objective to reduce climate impact of food|Procure from local sources|Purchase from quality farms|Use less resource-intensive food|Use recyclable food packaging|Use seasonal produce","","https://likumi.lv/ta/id/291867-prasibas-zalajam-publiskajam-iepirkumam-un-to-piemerosanas-kartiba","","","" "40056","LBR","Liberia","","National Non-Communicable Disease Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health","","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Industry|Information|Justice|Other","Ministry of Internal Affairs, Ministry of Gender and Development","","","","","","","","","National NGOs","Faith, Community Based, Non-Governmental Organizations and Other Collaborating Health Partners","","","","","Other","Civil societies","","Ministry of Education: Promote a healthy diet in the School Feeding Program
Ministry of Agriculture:
Encourage communities to grow and consume fruits and vegetables.
Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
Promote healthy eating and balance diet
Ministry of Commerce and Industry:
Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
Enforce food labeling on all foods being sold to the public.
A1.5 Renforcer la législation (lois sur la santé mentale, commercialisation des aliments, allaitement maternel, personnes handicapées, utilisation du sel, protection des consommateurs
S 2 Réduction de l’exposition aux FdR modifiables et environnementaux (écologiques) des MNT et des Handicaps en créant des environnements favorables à la santé
","
By 2025, reduce the burden of preventable mortality (before the age of 70) due to heart diseases, diabetes, cancer, and stroke by 25%
AND In five years, reduce the prevalence of:
i. High blood pressure by 20%;
ii. High cholesterol by 20%;
iii. High blood sugar by 20%;
iv. Adult overweight/obesity by 10%;
v. Adolescent overweight/obesity (ages 13 – 15 years) by 12%;
vi. Child overweight/obesity by 15%;
• Increase by 50% the proportion of persons who are aware of their disease status with regards to hypertension, diabetes dyslipidaemia and cervical cancer; and
1.3 Increase availability, accessibility, and consumption of healthy foods and promote physical activity
1.3.1 Development of policies on marketing of high fat, high sugar, high salt foods, and sugar sweetened non-alcoholic beverages in keeping with WHO guidelines, and policies on access to health nutrition for children along the life course.
1.3.2 Establish baseline for population sodium and Trans fat intake.
1.3.3 Implement Workplace Health Promotion policy promoting physical activity and access to healthy foods in public sector Ministries
1.3.4 Develop health education and social marketing campaigns promoting healthy eating and active living in collaboration with public, private, and civil society stakeholders.
","","","","Breastfeeding|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Sugar intake|Growth monitoring and promotion|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/TTO_B3_TTO%20National-Strategic-Plan-%20for%20Prevention%20and%20Control%20of%20NCDs-2017-2021.pdf","WHO NCD Document Repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TTO-2017-2021-NCD.pdf" "40327","MRT","Mauritania","","Plan Stratégique National intégré et multisectoriel de prévention et de lutte contre les Maladies Non Transmissibles 2018-2022","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Ministère de la Santé","","2018","Adopted","","2018","Ministre de la santé","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Urban planning|Trade|Environment|Industry|Justice|Other","Ministère de l'énergie","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","
…
5. NATIONAL STRATEGIC AGENDA FOR NCDS
5.1. Vision
A healthy Nigerian population with reduced burden of non-communicable diseases and enhanced quality of life for socio-economic development.
5.2. Mission
To provide a framework for strengthening multi-sectoral response to NCDs
Goal
To significantly reduce the burden of non-communicable diseases in Nigeria in line with global non-communicable diseases prevention and control targets.
5.3. Specific National Targets
5.3.1. Target Statements
The implementation of the MSAP aims to achieve these specific national targets as adapted from global NCD goals and SDGs are to achieve;
…
…
…
…
6. STRATEGIC FRAMEWORK FOR NMSAP
","
Promotion de l’allaitement exclusif puis complété.
Promouvoir une alimentation saine et équilibrée.
Promouvoir la consommation du sel suffisamment iodé.
4. The 2nd National Reproductive Health Development Policy and Strategy (2017-2026): Promotion of Healthy Birth and Child Development
...
5. Target group
5.1 Women and men of reproductive age
5.2 Pregnant women
5.3 Children aged 0-5 years
6. Goals
...
6.3 Promote safe motherhood, postpartum care, and childrearing in an environment that is suitable for healthy growth and appropriate development, one which will provide optimal learning and education opportunities for the child.
7. Indicators
...
7.3 Healthy newborns and child development
...
7.3.3 Percentage of low birth weight infants
7.3.4 Percentage of children aged 0-5 years who have an appropriate level of growth and development for their age
7.3.5 Percentage of children aged 0-5 years who have an appropriate height for their age.
8. Strategies, measures, indicators, goals, and responsible agencies
...
Sub-strategy 1: Improving the relevant legislation, policies, and strategies
...
Sub-strategy 2: Improving the health service system and establishing equal access to services
...
2.1 Pre-marriage and pre-pregnancy
Indicators
...
5. Percentage of women of reproductive age who want to have a child and who receive iron supplement tablets and folic acid 12 weeks before their pregnancy
6. Percentage of women of reproductive age who have anemia
7. Percentage of women of reproductive age who have an appropriate body mass index (BMI)
...
Measures
...
2. Advocate for a policy to provide iron and folic acid supplement tablets to pregnant women of reproductive age and for those who want to have a child.
...
2.2 During pregnancy
Indicators
...
4. Percentage of pregnant women who have anemia
5. Percentage of pregnant women who receive iodine, iron, and folic acid supplements
6. Pregnant women with less than 150 microgram/litres of median urine iodine
concentration
7. Percentage of pregnant women who are underweight
8. Percentage of pregnant women with a tendency to gain significant weight
Measures
...
2.3 During delivery
Indicators
...
...
2.4 Postpartum period
Indicators
...
...
Measures
...
3. Promote exclusive breastfeeding for 6 months followed by breastfeeding in combination with age-appropriate food until the child is 2 years of age or older.
4. Promote the importance of an age-appropriate diet at home, at their child care center, and at school among children aged 6 months to 5 years.
5. Provide children aged 6 months to 5 years with liquid iron supplement once a week. In the case of newborns with low birth weight, liquid iron supplement is given daily from 2 to 6 months and then the dosage is reduced to once a week.
6. Provide required immunization for children.
7.Conduct surveillance on child nutrition, oral health, and development by parents or child care givers using the Maternal and Child Health Handbook as guidance.
...
Sub-strategy 3: Improving the social welfare system
...
2.4 Postpartum period
...
4. Promote working families who want/have children.
...
","","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Maternity protection|Complementary feeding promotion/counselling|Iodine|Iron and folic acid|Family planning (including birth spacing)|Vaccination","","https://rh.anamai.moph.go.th/th/download-03/download?id=39713&filename=2nd_RH_Policy_FINALVERSION.pdf&type=pdf&url=%2Fweb-upload%2F7x027006c2abe84e89b5c85b44a692da94%2Fm_document%2F31985%2F13761%2Ffile_download%2Fa0a97d2c74aac44e3b19d99971016bbe.pdf&mid=3","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documentshttps://rh.anamai.moph.go.th/th/download-03","https://extranet.who.int/nutrition/gina/sites/default/filesstore/THA%202017%20The%202nd%20National%20Reproductive%20Health%20Development%20Policy%20and%20Strategy.pdf" "40696","LSO","Lesotho","","National Adolescent Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","","The Government of Lesotho","11","2006","Not adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Justice|Labour|Other","the National AIDS Commission","","","","","","","","","","","","","","","","","4.0 Non-Communicable Diseases Strategic Plan
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
Ministry of Education
...2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...5. Conduct community outreach screening on hypertension, Diabetes and BMI
...4.5.1.3: Increase Coordination and collaboration
...6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...8.Develop regulations for marketing of foods and non-alcoholic beverages to children
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
..
Annex 1 NCD Results Framework
Overordnet mål
Et sunt og variert kosthold i hele befolkningen uavhengig av kjønn, alder, geografi, sosioøkonomisk status, kulturell bakgrunn, funksjonsevne, religion og livssyn.
Delmål
1. Legge til rette for å endre kostholdet i tråd med helsemyndighetenes råd
2. Redusere sosiale forskjeller i kosthold
3. Styrke kunnskap om og synliggjøre sammenhenger mellom kosthold og fysisk og psykisk helse
4. Fremme utvikling av sunne og trygge matvarer og tilstrebe en helse- og miljøvennlig praksis i produksjon og forbruk av mat 5. Styrke og kvalitetssikre mat-, måltids- og ernæringsarbeid i helse-, omsorgs- og sosialtjenesten.
","1 Måltidsglede og sunt kosthold
1.1 Fremme gode mat- og måltidsvaner i barnehagen
1.2 Fremme gode måltider og matordninger i skole og skolefritidsordning
1.3 Bidra til at helsemyndighetenes anbefaling om 20 minutters spisetid følges opp i skolen
1.4 Mobilisere barn for matglede og et sunt og bærekraftig kosthold
1.5 Tiltak for å styrke praktiske ferdigheter
1.6 Motivere til matglede og bedre matomsorg for eldre
1.7 Inkludere mat og måltider i tiltak for å fremme sosialt fellesskap og forebygge ensomhet
1.8 Sunne tilbud på arbeidsplassen og andre serveringssteder
2 Gode og enkle valg
2.1 En helhetlig og langsiktig intensjonsavtale med matvarebransjen
2.2 Videreføre og videreutvikle saltpartnerskapet
2.3 Redusere inntaket av mettet fett og sukker
2.4 Videreføre og videreutvikle Nøkkelhullet som merkeordning
2.5 Følge opp arbeidet relatert til markedsføring av mat og drikke til barn
2.6 Fremme forbruk av grønnsaker og andre plantebaserte matvarer
2.7 Fremme forbruk av fisk og sjømat i kostholdet
2.8 Sikre at befolkningen har et tilfredsstillende inntak av jod og vitamin D
2.9 Ernæringshensyn i anbud i helseforetakene og andre offentlige instanser
2.10 Matproduksjon, produktutvikling og innovasjon
2.11 Bærekraftig og miljøvennlig praksis
3 Kommunikasjon og kunnskap
3.1 Utvikle verktøy og ressurser til faget mat og helse i grunnskolen og bidra til bedre kompetanse hos dem som underviser i faget
3.2 Videreføre og videreutvikle Små grep, stor forskjell
3.3 Kommunikasjon som understøtter arbeid med å gjøre sunne valg enkle
3.4 Opplæringsprogram for ansatte i barneverninstitusjoner, omsorgssentre og eventuelt fosterforeldre
3.5 Innføre selvforpleining og utarbeide kokebok som støtte til sunnere mat i fengsler
3.6 Informasjonsmateriell som asylmottak og kommuner kan bruke i sitt arbeid med flyktninger og innvandrere
4 Mat, måltider og ernæring i helse- omsorgstjenesten
4.1 Kompetanse om mat, måltider og ernæring i helse- og omsorgstjenesten
4.2 Følge opp arbeidet med gode verktøy, faglige retningslinjer og kvalitets-indikatorer
4.3 Implementere Nasjonal faglig retningslinje for spedbarnsernæring
4.4 Fremme, støtte og beskytte amming
4.5 Helhetlig ernæringsstrategi i helseforetakene
4.6 Fremme godt arbeid med kosthold og ernæring i den kommunale helse-og omsorgstjenesten
4.7 Følge opp ernæringsarbeidet i tjenesten rettet mot mennesker med utviklingshemming
4.8 Ivareta ernæringshensyn i helse- og omsorgstjenester innen rus og psykisk helse
4.9 Tannhelsetjenestens bidrag i kostholds- og ernæringsarbeidet
5 Forskning, utvikling og innovasjon
5.1 Følge og beskrive utviklingen i norsk kosthold
5.2 Utvikle og følge opp kostholds-, måltids- og helseindikatorer
5.3 Fremme forskning om mat, ernæring og helse
5.4 Følge opp mat- og helseområdet i regjeringens handlingsplan for oppfølging av HelseOmsorg21 (HO21)
5.5 Skaffe økt kunnskap og synliggjøre sammenheng mellom psykisk helse og kosthold
5.6 Bygge opp kompetanse om effekter av tiltak og atferdsøkonomi
5.7 Videreutvikle matvaretabellen og tilpasse til nøkkelgruppers behov
5.8 System for å følge endringer i næringsinnhold, volum og omsetning over tid
","