"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" "43866","BEL","Belgium","","Koninklijk besluit betreffende brood en andere bakkerijprodukten [Royal Decree on bread and other bakery products]","Legislation relevant to nutrition","","Dutch","12","1986","","","Belgian Official Gazette","9","1985","Adopted","","","Volksgezondheid en Gezin Economische Zaken","Health|Women, children, families|Finance, budget and planning|Social welfare|Environment","Volksgezondheid en Gezin Economische Zaken","","","","","","","","","National NGOs","","","","","","","","","","","","
Volksgezondheid en Gezin Economische Zaken
...
Art. 3. De in dit besluit bedoelde waren moeten aan de volgende samenstellingseisen voldoen :
1° wat de in artikel 1 bedoelde waren betreft :
a) uitsluitend verkregen of gefabriceerd zijn uit meel, dat voldoet aan de bepalingen van de reglementering betreffende meel;
b) uitsluitend verkregen of gefabriceerd zijn vanaf grondstoffen of voedingsmiddelen bepaald in artikel 1;
2° wat de in artikel 1, 1° tot 3° bedoelde waren betreft : het gehalte aan keukenzout, uitgedrukt in natriumchloride, berekend op de droge stof, mag niet hoger zijn dan 2,0 pct.;
3° wat de in artikel 1, 1° bedoelde waren betreft :
_ mag de minieme hoeveelheid vetstoffen, gebruikt om het vóórsnijden mogelijk te maken, niet hoger zijn dan 0,5 pct., berekend op het gebruikte meel;
_ mag de hoeveelheid suikers, moutmeel of moutextrakt, gebruikt om de gisting te bevorderen, niet hoger zijn dan 1 pct., berekend op het gebruikte meel;
4° wat de in artikel 1, 2° bedoelde waren betreft : de hoeveelheid bijkomende ingrediënten bedoeld in artikel 1, 2° mag niet meer bedragen dan 6 pct. noch minder dan 2 pct. berekend op het gebruikte meel, met dien verstande dat de hoeveelheid vetstoffen niet meer dan 3 pct. berekend op het gebruikte meel, mag bedragen;
","Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Reformulation of foods and beverages|Mandatory reformulation|Measures to limit sodium content|Measures to limit sugars content|Measures to limit total fat content|Bread, bread products and crisp breads (Reformulation sodium)|Bread, bread products and crisp breads (Reformulation sugars)|Bread, bread products and crisp breads (Reformulation total fat)","","http://www.ejustice.just.fgov.be/eli/besluit/1985/09/02/1985013286/justel","","","" "17848","YEM","Yemen","","قانون ٣٢ بشان اضافة اليود الى ملح الطعام [Law No. 32 regarding adding iodine to table salt]","Legislation relevant to nutrition","","Arabic","","1996","","","Government of Yemen","","1996","Adopted","","1996","President of the Republic","Cabinet/Presidency|Health|Urban planning|Trade|Environment","","","","","","","","","","","","","","","","","","","","","","مادة(٣) يحظر على المنتجين آو المستوردين بيع الملح الغذائي للافعتهلاك الآدمي والحيواني إذا لم يكن مششلا على مادة اليود في مستوى ا| ٠ ٤ ا جزء من المليون ٠ن بودات البوتاسيوم عند نقطة الإنتاج ٠ع ضمان دوفر مادة اليود في الأسواق .
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://www.yemen.gov.ye/portal/moh/%D8%A7%D9%84%D9%82%D9%88%D8%A7%D9%86%D9%8A%D9%86%D9%88%D8%A7%D9%84%D9%82%D8%B1%D8%A7%D8%B1%D8%A7%D8%AA/tabid/476/Default.aspx","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%201996%20%20Salt%20Iodization%20Law.pdf" "26173","COL","Colombia","","Ley 1355 de 2009. Por medio de la cual se define la obesidad y las enfermedades crónicas no transmisibles asociadas a esta como una prioridad de salud pública y se adoptan medidas para su control, atención y prevención","Legislation relevant to nutrition","","Spanish","","2009","","","Congreso de la República","10","2009","Adopted","10","2009","Diario Oficial No. 47.502","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Transport|Environment","Ministerios de la Protección Social, Cultura, Educación, Transporte, Ambiente y Vivienda y Desarrollo Territorial y Agricultura y Desarrollo Rural; Entidades Nacionales Públicas de orden nacional Coldeportes, el ICBF y Departamento Nacional de Planeación","","","","","","","","","National NGOs","","","","","","","","","","","","1. Abschnitt
Allgemeine Bestimmungen
Anwendungsbereich
§ 1.
...
(2) Diese Verordnung regelt die Beihilfe für
1. die Abgabe von Obst und Gemüse,
2. die Abgabe von Milch und Milcherzeugnissen,
3. flankierende pädagogische Maßnahmen,
4. Kommunikationsmaßnahmen und
5. Evaluierungen
im Rahmen des Programms zur Abgabe von Milch und Milcherzeugnissen, Obst und Gemüse an die Begünstigten gemäß § 3 (im Folgenden: Schulprogramm).
...
2. Abschnitt
Abgabe von landwirtschaftlichen Erzeugnissen
Abgabe von Obst und Gemüse
§ 4. (1) Eine Beihilfe wird für die Abgabe der in Anlage 1 angeführten Erzeugnisse gewährt, jeweils ganz oder zerteilt und verpackt. Vorzugsweise sind regionale und saisonale Produkte anzubieten.
(2) Beihilfefähig sind ausschließlich Erzeugnisse gemäß Abs. 1, hinsichtlich dessen keine weitere Zubereitung (ausgenommen waschen, schälen oder zerteilen) erfolgt und das keine Produkte der üblichen Schulmahlzeiten ersetzt. In begründeten Ausnahmefällen kann die AMA eine bestimmte Art der Zubereitung zulassen, wenn damit weder ein erhöhter Konsum von Zucker noch von Salz oder Fett je Portion einhergeht. Als Vergleich dient eine Portion des unverarbeiteten Vergleichsprodukts.
Abgabe von Milch und Milcherzeugnissen
§ 5. (1) Eine Beihilfe wird für die Abgabe folgender Erzeugnisse gewährt:
1. Kategorie 0:
a) Konsummilch und laktosefreie Konsummilch ohne Zusätze und
b) Joghurt, Buttermilch und Sauermilch ohne Zusätze.
2. Kategorie I:
a) Fermentierte Milcherzeugnisse ohne Fruchtsaft, natürlich aromatisiert,
b) Fermentierte Milcherzeugnisse mit Fruchtsaft, natürlich aromatisiert oder nicht aromatisiert und
c) Getränke auf Milchbasis mit Kakao, Fruchtsaft oder natürlich aromatisiert.
3. Kategorie II: Fermentierte oder nicht fermentierte Milcherzeugnisse mit Fruchtzusatz, natürlich aromatisiert oder nicht aromatisiert.
(2) Der Milchbestandteil, für dessen Berechnung ausschließlich Erzeugnisse der Kategorie 0 gemäß Abs. 1 Z 1 heranzuziehen sind, muss bei Erzeugnissen gemäß Abs. 1 Z 2 mindestens 90 „Gewichtshundertteile“ (GHT) und bei Erzeugnissen gemäß Z 3 mindestens 75 GHT betragen. Den Erzeugnissen gemäß Abs. 1 dürfen weder Salz, Fett, koffeinhältiger und koffeinfreier Kaffee oder Kaffeeauszug, Süßungsmittel oder Zusätze der Geschmacksverstärker E 620 bis E 650 zugesetzt werden.
(3) Den Erzeugnissen gemäß Abs. 1 Z 1 darf kein Zucker oder Honig zugesetzt sein.
...
3. Abschnitt
Sonstige Maßnahmen im Rahmen des Schulprogramms
Sonstige Maßnahmen
§ 11.
...
3. flankierende pädagogische Maßnahmen gemäß Art. 4 Abs. 1 lit. b der Verordnung (EU) Nr. 2017/40 für bereits am Schulprogramm des 2. Abschnitts dieser Verordnung teilnehmende schulische Einrichtungen gemäß Art. 22 der Verordnung (EU) Nr. 1308/2013:
a) Veranstaltung von Verkostungen in der Schule,
b) Exkursion auf einen landwirtschaftlichen Produktionsbetrieb oder
c) Erstellung von Unterrichtsmaterialien zur allgemeinen Verwendung zur Aufklärung von Kindern über Landwirtschaft, gesunde Essgewohnheiten, Bekämpfung der Lebensmittelverschwendung und Umweltthemen, die mit der Produktion, der Abgabe und dem Verzehr von Milch und Milcherzeugnissen sowie Obst- und Gemüseerzeugnissen im Zusammenhang stehen.
...
Anlage 1
zu § 4
Beihilfefähige landwirtschaftliche Erzeugnisse gemäß § 4:
1. Äpfel,
2. Birnen,
3. Brombeeren,
4. Erdbeeren,
5. Grapefruit, ausschließlich im Lieferzeitraum November bis Februar,
6. Heidelbeeren,
7. Himbeeren,
8. Ribisel (schwarze, weiße und rote),
9. Kirschen,
10. Kiwi,
11. Mandarinen und Clementinen, ausschließlich im Lieferzeitraum November bis Februar,
12. Marillen,
13. Melonen,
14. Nektarinen,
15. Orangen, ausschließlich im Lieferzeitraum November bis Februar,
16. Pfirsiche,
17. Physalis,
18. Satsumas, ausschließlich im Lieferzeitraum November bis Februar,
19. Stachelbeeren,
20. Walnüsse,
21. Weintrauben,
22. Zwetschken,
23. Erbsenschoten,
24. Karotten (Gelbrüben),
25. Gurken,
26. Kohlrabi,
27. Paprika,
28. Radieschen,
29. Rettich,
30. Rüben,
31. Paradeiser und
32. Sellerie.
Anlage 2
zu § 12
1. Im Rahmen der flankierenden Maßnahmen beihilfefähige Erzeugnisse:
a) Obst und Gemüse gemäß Anlage 1 zuzüglich Lauch, Zwiebel, Erbsen, Linsen, Bohnen, Wurzelgemüse, Kräuter, Blattsalat und Kraut sowie Orangen, Mandarinen, Clementinen, Satsumas und Grapefruits ohne zeitliche Einschränkung,
b) Milch- und Milcherzeugnisse gemäß § 5 sowie
c) Honig.
2. Im Rahmen der flankierenden Maßnahmen beihilfefähige Verarbeitungserzeugnisse:
Topfen, Käse, Frischkäse und Butter.
3. Die Erzeugnisse gemäß Z 1 und 2 dürfen folgendermaßen vorzugsweise vor Ort verarbeitet werden:
a) eingekocht bzw. durch Erhitzen haltbar gemacht, beispielsweise Kompott,
b) durch Einsäuerung oder Gärung haltbar gemacht, mit maximal 10 g Salz pro 1 kg im Endprodukt, beispielsweise Gewürzgurken und Sauerkraut,
c) direkt gepresst oder püriert,
d) getrocknet, beispielsweise Trockenobst oder -gemüse,
e) zubereitet als Salat, auch mariniert mit Pflanzenöl und Speiseessig,
f) zubereitet als Aufstrich sowie
g) zubereitet als Suppe.
Den beihilfefähigen verarbeiteten Erzeugnissen dürfen weder Salz, sofern in dieser Verordnung nicht anders geregelt, Zucker, koffeinhältiger und koffeinfreier Kaffee oder Kaffeeauszüge, Aromastoffe, ausgenommen natürliche Aromastoffe, Fett, Süßungsmittel oder Geschmacksverstärker E 620 bis E 650 zugesetzt werden. In Erzeugnissen gemäß Z 3 lit. e bis g darf Salz maximal im unbedingt erforderlichen Ausmaß, bei Käse im Ausmaß von maximal 1,8%, enthalten sein. Bei direkt gepressten Säften sind die Vorgaben der Richtlinie 2001/112/EG zu beachten.
","Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School fruit and vegetable scheme|School milk scheme|Mandatory standards|School food subsidized|Schools (standards)|Procure from local sources|Use seasonal produce|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Sugar-sweetened beverages (standards)|Ready-to-drink tea or coffee (standards)","","https://www.ris.bka.gv.at/eli/bgbl/II/2017/219","","","" "126213","HTI","Haiti","","Décret Etablissant le Budget Général de la République d'Haïti, Exercice 2020-2021","Legislation relevant to nutrition","","French","","2020","","","LE MONITEUR Spécial No 30 - Lundi 5 Octobre 2020","10","2020","Adopted","9","2020","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 27.- L’article 13 du Budget Général 2019-2020 est ainsi modifié :
…
Les droits d’accises à l’importation sur les boissons non alcoolisées, sauf eau, eau minérale, glace, neige, sont calculés au taux de 10% sur la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes.
Article 28.- Les droits d’accises sur la pâte concentrée de concentrée de tomate conditionnée ou non pour la vente au détail, le ketchup et autre sauce de tomates des positions tarifaires 20029011, 20029019, 2103200 sont fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "36135","URY","Uruguay","","Decreto Nº 272/018 relativo al etiquetado de alimentos","Legislation relevant to nutrition","","Spanish","2","2020","","","Ministerio de Salud Pública","8","2018","Adopted","8","2018","Poder Ejecutivo","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Transport|Environment|Industry|Labour","","","","","","","","","","National NGOs","","","","","","","","","","","","Artículo 2
Article 28.- L’Article 27 du Budget Général 2020-2021 est ainsi modifié :
«…
Les droits d’accises sur les boissons énergisantes de la position tarifaire 22021011, sont calculés au taux de 30% de la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes pour les produits importés.
Les droits d’accises sur les boissons énergisantes fabriquées localement sont calculés au taux de 15% sur le prix ex-usine».
Article 29.- Les droits d’accises sur la pâte concentrée de tomate conditionnée ou non pour la vente au détail,
le ketchup et autres sauces de tomates des positions tarifaires 20029011, 20029019, 2103200 sont
fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Energy drinks (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "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" "8639","COG","Congo","","Plan d'Action National pour la Nutrition du Congo","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","2001","Direction de la Santé Familiale","6","1996","Adopted","","1996","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Other","législationtravaux publics","Food and Agriculture Organisation (FAO)","","Other","Organismes multilatéraux","","","","","National NGOs","ONG Associations","","","Private sector","","Other","collectivités locales","III. Objectifs
IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Activités
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Activités
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Activités
Lutte contre les troubles dus à la carence en iode
- Objectif
- Activités
Lutte contre la carence en vitamine A
- Objectifs
- Activités
THE OVERALL OBJECTIVE
By the year 2010, this strategy aims to ensure the significant improvement of nutritional status of the country’s population; it will focus on nutrition and care improvement for all families, primarily children and mothers; it will also concentrate on giving access to all ethnic minority groups in the country to adequate dietary intake (quantitatively sufficient, qualitatively balanced, hygienic and safe). It will also attempt to minimize emerging nutrition-related health problems.
SPECIFIC OBJECTIVES
","
I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
1.2 Nutrition education and communication
1.3 Staff training and research
2. Ensured household food security
This is a very important approach, mainly for the regions prone to food shortages, poor areas and low-income populations. Based on specific situation, VAC development should be introduced and promoted so that every family will have their own VAC system, providing an available food source. The production and consumption of nutritive foods such as beans, peanuts, sesame and soybeans should be promoted. Providing loans to poor households is also needed in order to create more jobs to improve their income. Agricultural services need to be improved, e.g. providing new seeds and seedlings with higher yield, minimizing the use of chemical fertilizers and increasing the use of organic or microbiological fertilizers, improving local food processing and preservation at community and household level, finding or creating new markets, etc. Ensuring equal access to food for every household members is also a key intervention.
3. Control of protein energy malnutrition among children and mothers
4. Control of micro-nutrient deficiencies
5. Prevention of non-communicable nutrition-related chronic diseases
6. Integration of nutrition activities into Primary Health Care
Along with the implementation of the Expanded Program of Immunization, the prevention of infectious diseases (ARI and diarrhea), the promotion of exclusive breastfeeding in the first 4 months and improved complementary feeding practices thereafter, the Integrated Management of Childhood Illnesses (IMCI) be strengthened. The implementation of Reproductive Health Care has to go hand in hand with nutrition and healthy lifestyle education, especially for vulnerable groups.
7. Ensuring Food quality and food safety
Food safety is an important aspect supported by the Government in a separated program. There is a close relation between food hygiene and safety, and nutrition. The main proposed approaches focus on the following points:
8. Monitoring, evaluation and surveillance of nutrition
9. Piloting of Nutrition Models
II. NUTRITION-RELATED AREAS
1. Ensuring National Food Security: The Government needs to have appropriate policies and solutions to diversify agriculture production, increase productivity and decrease manufacturing price. Proper farming patterns should adjust to actual situations of different areas to meet their food demand. Production plans need to be based on actual requirements to ensure food security in parallel with the regulation given by the market and reasonable price policies. Investments in processing and storage of agricultural products and the promotion of safe food production should be paid more attention.
2. Promotion of Hunger Eradication and Poverty Alleviation: This is one of the important policies of the party and government affecting nutrition. It is considered necessary to give prioritized support to the infrastructure of food production in the areas at risk of food insecurity, with high prevalence of malnutrition. For urban areas, support is given to employment in order to increaseincome, which will result in increased food accessibility for the poor and high-risk groups. Nutrition objectives should be incorporated into the program’s objectives.
3. Improved infrastructure and basic service for maternal and child care.
III. SUPPORTIVE POLICIES TO NUTRITION
Based on the national objectives of this strategy, each of the different sectors, social agencies and mass organizations needs to develop practical and specific implementation plans to achieve both their own specific objectives as well as the objectives of this nutrition strategy. Quarterly review meetings will be called by the MOH to review the implementation of this strategy with the participation of related ministries/branches. Semi-annual reports from all provinces/major cities must be sent to the MOH, who will be responsible for reporting the progress to the Prime Minister. A multidisciplinary approach should be strengthened at all levels. Local and central steering committees need to closely communicate.
1. To improve the population's appropriate nutrition knowledge and practices.
2. To reduce maternal and child malnutrition prevalence
3. To reduce micro-nutrient deficiencies
4. To reduce proportion of household with low energy intake
5. To improve food quality and food safety
Anhang (p. 12)D
ies unterstreicht die Notwendigkeit der Entwicklung einer adäquaten Lebensmittel- und Ernährungspolitik über den bestehenden Standard hinaus, sowohl zum Schutz und zur Förderung der menschlichen Gesundheit als auch zur Reduktion der durch ernährungsabhängige Krankheiten entstehenden Kosten. Lebensmittelsicherheit, Ernährungsverhalten und Sicherstellung eines nachhaltigen Nahrungsmittelangebotes sind die zentralen Anliegen dieser Politik. Ein wesentlicher Schritt in diese Richtung ist die Gründung der Agentur für Gesundheit und Ernährungssicherheit.
Objectif No.1: Assurer un environnement politique, social et économique favorable à l'instauration de conditions permettant de réduire la pauvreté et au maintien permanent de la paix en faisant participer équitablement toutes les couches de la population (les hommes, les femmes et les jeunes).
Objectif No2.: Améliorer de façon permanente l'accessibilité physique et économique de tous à une alimentation suffisante, nutritive et saine.
Objectif No3.: Mettre en place des mécanismes d'approvisionnement alimentaires aux ménages de façon durable en développant la production aliementaire et le secteur rural par des méthodes participatives et durables, en veillant à maintenir en état les ressources naturelles.
Objectif No.4: Instaurer des politiques concernant le commerce des denrées alimentaires et agricoles et les échanges en général de manière à renforcer la sécurité alimentaire pour tous grâce à un systéme commercial à la fois juste et axé sur le marché.
Objectif No.5: Mettre en place des mécanismes de réponses rapides aux catastrophes naturelles et aux crises provoquées par l'homme, notamment en s'y préparant et répondant aux besoins alimentaires provisoires d'urgence d'une façon qui renforce la capacité de satisfaire les besoins futurs.
Objectif No.6: Affecter et utiliser de façon optimale l'investissement public et privé pour faire progresser les ressources humaines, le système alimentaire et agricole durables et le développement rural dans youtes les régions du pays.
","Stratégie en Matière de Nutrition
Axe stratégique No.1: Renforcer le système de surveillance nutritionnelle
Axe stratégique No. 2: Renforcer le système d'intégration des activités de nutrition dans les services de santé.
Axe stratégique No.3: Optimiser la prévention de la malnutrition.
Axe stratégique No.4: Créer un cadre adéquat de coordination, suivi et exécution des activités.
Axe stratégique No.5: Faire un plaidoyer pour la mise en place des programmes de nutrition à assise communautaire.
Stratégie pour Améliorer la Sécurité Alimentaire des Ménages au Burundi
Axe stratégique No1.: Améliorer la disponibilité alimentaire par l'augmentation de la production agricole.
Axe stratégique No.2: Améliorer l'accesibilité physique et économique des produits alimentaires.
Axe stratégique No.3: Amélioer la stabilité des approvisionnemnts alimentaires.
Axe stratégique No.4: Assurer la sécurité sanitaire des aliments.
Axe stratégique No.5: Coordonner les actions des divers intervenants dans le domaine de ola sécurité alimentaire pour une m,ailleure synergie des actions.
Axe stratégique No.6: Intégrer la femme au processus de déveleoppement
Axe stratégique No.7: Intégrer les jeunes au processus de développement
Axe stratégique No.8: Renforcer la capacité nationale de gestion, de recherche et de planification des programmes de sécurité alimentaire.
Stratégie en Matiére d'Education Nutritionnelle
Axe stratégique No.1: Réalisation des enquêtes nationales régulières sur les problèmes alimentaires et nutritionnels.
Axe stratégique No.2: Choisir les méthodes et les techniques d'éducation nutritionnelle.
Axe stratégique No.3: Améliorer la communication multimédia en Nutrition
Axe stratégique No.4: Renfocer les capacités des animateurs et éducateurs nutritionnels.
Axe stratégique No.5: Former les élèves en Nutrition et introduire le cours de diététique dans les écoles paramédicales.
Axe stratégique No.6: Renforcer le contrôle de la qualité des produits alimentaires destinés à être vendus sur la voie publique.
","
A. Les indicateurs d'impacts (sécurité alimentaire, nutritionnelle)
Les principaux indicateurs d'impacts sont:
B. Les indicateurs de résulats
Ils correspondent aux indicateurs spécifiques de chaque programme et sont développés dans les fiches de projets.
C. Les indicateurs d'activités
Ils sont spécifiques à chaque programme et sont également contenus dans les fiches de projets.
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202003%20Plan%20National%20d%27Action%20pour%20l%27Alimentation%20et%20la%20Nutrition%20au%20Burundi.pdf" "8381","RWA","Rwanda","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2005","","","Ministry of Health","10","2005","Adopted","","","Government of Rwanda","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Sport|Sub-national|Transport|Women, children, families|Trade|Industry","Ministry of Education, Science and Technology, Ministry of Land and Environment, Ministry of Finances and Economic Planning, Ministry of Agriculture and Livestock, Ministry of Health, Ministry of Vocational Training and Labor; Rwanda Bureau of Standards, Ministry of Youth, Ministry of Local Government, Ministry of Infrastructure, Ministry of Gender and Family Promotion, Ministry of Trade, Commerce and Industry","","","","","","","","","","","","","Private sector","Private Sector Federation","Other","Rwandan Consumers Association; Nutrition Working Group","General objective: The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people.
Specific objectives:
- Promote practices favorable to the improvement of the nutritional status
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses
- Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices
- Assure adequate treatment of malnutrition due to nutritional deficiencies and excesses
- Provide nutritional care and support for people living with HIV/AIDS
Expected outcomes and the link to the Millennium Development Goals:
Goal 1: Reduce poverty and hungry
• The prevalence rate of protein-energy malnutrition in under five of age children is reduced from 45% to 30% for stunting, 22% to 15% for underweight, 4% to 2% for wasting.
Goal 2: Ensure primary education
• The prevalence rate of anemia is reduced by from 56% to 37% in children and from 33% to 22% in women.
• Iodine Deficiency Disorders are eliminated from 26% to less than 5% of total goiter.
Goal 3: Reduce Infant Mortality
• Increase the proportion of women exclusively breastfeeding for the first 6 months with optimal complementary feeding up to 24 months from 17,4% to 60%.
• Reduce Vitamin A deficiency in children under five from 25% to 5% in children under five years.
Goal 4: Reduce Maternal Mortality
• Reduce Vitamin A deficiency (night blindness) in pregnant women from 7% to less than 1%.
• Reduce the prevalence of anemia in pregnant women from 33% to 22%.
Goal 5: Combat HIV/AIDS and other diseases
• Nutritional support is provided to PLWA and other vulnerable people.
• Nutrition related chronic diseases are prevented.
Strategies for nutrition iprovement:
1. Reinforcement of the political commitment
2. Promotion of optimal infant and young child feeding
3. Scaling up of community-based nutrition programs
4. Food Fortification
5. Promotion of household food security
6. Prevention and management of malnutrition and related diseases
7. Nutritional support to PLWHA and their families
8. Communication for behavior change
Monitoring and evaluation:
To ensure effective implementation of planned activities, monitoring and evaluation is essential in all development programs. In addition, periodic evaluations are necessary for establishing level of objective achievement.
In order to follow up implementation of nutrition programs, data will be collected regularly at the health center and community level, In addition, other opportunities for nationwide surveys will be identified and utilized (MICS, EDST, EICV, etc…)
Nutritional surveys and epidemiologic surveillance will be conducted regularly, with appropriate indicators, to evaluate the progress and impact of nutritional interventions.
Operational research will also be carried out to address specific problems identified during the implementation of nutritional activities.
To prevent nutritional emergencies, nutrition unit will reinforce collaboration with all existing structures that collect and analyze bioclimatic, environmental, demographic and agricultural data for early warning and timely intervention measures against disasters that can negatively affect the nutrition.
I. Food safety field
In this area, the National Food and Nutrition Policy Programme aims to accomplish the following goals:
GOALS
II. Field of healthy nutrition
In the field of healthy nutrition, the following goals should be achieved:
GOALS
III. Field of sustainable local supply of health-beneficial food in the Republic of Slovenia
Key opportunities in the field of local sustainable supply in Slovenia:
GOALS
I. Food safety field
TASKS AND ACTIVITIES
II. Field of healthy nutrition
TASKS AND ACTIVITIES
III. Field of sustainable local supply of health-beneficial food in the Republic of Slovenia
Food and Nutrition goal: To achieve sustainable food and nutrition security.
Agriculture goal: To promote increased and sustainable agricultural production, productivity and competitiveness in order to ensure food security; income generation; creation of employment opportunities; and reduction in poverty levels.
Health goal: To improve the health status of the people in Zambia in order to contribute to socioeconomic development in line with the Millennium Development Goals (MDGs).
Water and Sanitation goal: To promote sustainable water resources development and sanitation with a view to facilitating an equitable provision of adequate quantity and quality for all users at acceptable costs and ensuring security of supply under varying conditions.
HIV/AIDS goal: To halt and begin to reverse the spread of HIV and AIDS.
Environment goal: To reverse environmental damage, maintain essential environmental and biological processes and ensure sustainable use of natural resources for the benefit of the people.
Objectives included in the matrix of the attached PDF
","Strategies included in the matrix of the attached PDF
","","","","Wasting in children 0-5 years|Underweight in women|Diet-related NCDs|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202006_PRSP%28Dec2006%29.pdf" "14876","ALB","Albania","","National Strategy for Development and Integration 2007-2013","Multisectoral development plan with nutrition components","","English","","2007","","2013","COUNCIL OF MINISTERS","3","2008","Adopted","3","2008","Government of Albania","Environment|Food and agriculture|Health|Other|Transport","Ministry of Environment, Forests and Water Administration, Ministry of Agriculture, Food and Consumer Protection, Institute of Public Health, Ministry of Health, Monitoring and Benchmarking Unit of General Department of Water and Sanitation, Institute of Statistics (INSTAT), Ministry of Public Works, Transport and Telecommunications","","","","","","","","","","","","","","","","","The strategic goals include key Millennium Development Goals related to poverty reduction, infant mortality, and access to water and sanitation:
Ensure high productivity and competitiveness of the agricultural and agro-processing sectors both domestically and abroad:
","
Water and Sanitation: Improve the quality of life in rural areas, through village renewal and development (local roads, water and sanitation) and support the conservation of the rural heritage
Agriculture
Provide consumers with modern and transparent market surveillance, establishing the foundations for the development of safe markets through:
To protect consumers in an effective way from risks and threats which they cannot confront and resolve individually:
The public programmes that support agricultural and rural development will be consolidated in accordance with EU practices, with the aim to support sustainable development in this area, and the Payments Agency will be established in the long term. Modern systems of food safety will be introduced gradually and the institutions that guarantee its standards will be consolidated.
","Water supply and sanitation: In the period 2011-2013, the average level of capital expenditure will be Lek 11 billion. The level of subsidies for water utilities will fall by 10% each year in real terms after 2010.
Access: Proportion of households reporting that they have running water and sanitation inside the dwelling
Quality: Proportion of samples obtained within a year for all 54 water utilities that tested negative for coliform and chlorine residual
","Outcome indicators","","Food safety|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Albania-PRSP(August2008).pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB%202008%20%20Albania-PRSP.pdf" "8326","MLT","Malta","","Healthy Eating Lifestyle Plan (HELP)","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Education, Youth and Employment","","2007","Adopted","","2007","Ministry of Education, Youth and Employment","Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Labour|Other","Healthy Eating Lifestyle Plan - HELP working group","","","","","","","","","National NGOs","Federation of Industry;","Research/academia","Faculty of Education","","","Other","Healthy School Nutrition Audit Board; Home Economics Seminar Centre [HESC]; Chamber of Commerce","Education Division is outlining the following as its main goals for its Healthy Eating Lifestyle Plan:
The Education Division is proposing a multifaceted approach which touches different aspects of school life, through the following three objectives:
","
Goal:
Ensure a dependable sustained food security for all people at all times
Core Objective 1: Adequate and stable supply of safe and nutritious food
Specific Objectives:
1. Sustained increase in food production
2. Efficient food markets
3. Non-distortionary food grain market intervention for price stabilization
Targets:
Core Objective 2: Increased purchasing power and access to food of the people
Specific objectives:
1. (Effective) Transitory shock management
2. Effective implementation of targeted programmes to improve food security
3. Employment generating income growth
Targets:
Core Objective 3: Adequate nutrition for all individuals, especially women and children
Specific Objectives:
1. Long-term national plan for ensuring balanced food in building a healthy nation
2. Supply of sufficient nutritious food for vulnerable groups
3. Balanced diet containing adequate micronutrients
4. Safe drinking water and improved sanitation
5. Safe quality and food supply
6. Adequate health status
Targets:
Key areas of intervention/Program areas:
1.1: Agricultural Research and Extension
1.2: Use and Management of Water Resources
1.3: Adequate Supply and Sustainable Use of Agricultural Inputs
1.4: Agricultural Diversification
1.5: Agricultural Credit and Insurance
1.6: Physical Market Infrastructure Development
1.7: Agricultural Marketing and Trade
1.8: Policy and Regulatory Environment
1.9: Early Warning System Development
1.10: Producer Price Support
1.11: Public Stock Management / Price Stabilization
2.1: Agricultural Disaster Management
2.2: Emergency Distribution from Public Stock
2.3: Enabling Environment for Private Food Trade and Stock
2.4: Effectiveness of Targeted Food Security Programs and Other Safety Nets
2.5: Income Generation for Women and the Disabled
2.6: Promotion of Agro-based/Agro-processing and Micro/Small Rural Enterprises
2.7: Market-driven Skill Development
3.1: Long-term Planning for Balanced Nutrition
3.2: Balanced and Nutritious Food at Minimal Costs for Vulnerable Groups
3.3: Nutrition Education for Dietary Diversification
3.4: Supplementation and Fortification for Balanced Nutrition
3.5: Safe Drinking Water and Improved Sanitation
3.6: Safe, Quality Food Supply
3.7: Women and Children’s Health
3.8: Promotion and Protection of Breastfeeding and Complementary Feeding
","Goal - Outcome-target indicators:
WFS (number of undernourished people) – Target: reduced from 39.3 million (1990-1992) to 19.65 by 2015
MDG (prevalence of undernourished) – Target: reduced from 35% (1990-2002) to 17.5 % by 2015
Objective 1 - Outcome/impact indicators:
Availability/Adequacy of supply: Agricultural GDP; food supply (domestic production, net imports, variation in stocks) compared to national requirements, food production and consumption requirements disaggregated by regions
Stability of supply: Variability of food production; food import dependency ratio, variability of food prices
Objective 2 - Outcome/Impact Indicators:
Proportion of people below the poverty line – MDG1 Target: Reduced proportion of people below US$1 per day (PPP) from 58.8% in 1991 to 29.4% by 2015
Proportion of people in extreme poverty – MDG1 Target: Proportion of people in extreme poverty reduced from 28% in 1991 to 14% by 2015
% increase in average HH cash income from on-farm and off-farm income generating activities
# HH with no food gap – have sufficient food to meet HH needs in all 12months of the year
# income sources per HH
% of HH income spent on food
Food price index; variability in food price
Objective 3 - Related Outcome/Impact indicators/Targets:
Low Birth Weight (Birth wt. <2.5 kg) – Target: reduced from 36% (2004) to 30% by 2010 and < 20% by 2015
Weight gain during pregnancy – Target: increased from 6.7 kg (2004) to 9-10 kg by 2010 and 11-12 kg by 2015
U-5 underweight (weight for age <-2SD) – Target: reduced from 51% (2000) to 38% by 2010 and 33% by 2015
U-5 stunting (height for age <-2SD) – Target: reduced from 49% (2000) to 37% by 2010 and 33% by 2015
U-5 wasting (Weight for height <-2SD) – Target: reduced from 12% (2000) to 10% by 2010and 7% by 2015
Rural-urban difference in U-5 (PEM) – Target: reduced from 10-12% point (2000) to 7-8% points by 2010 and 5-6% points by 2015
Chronic Energy Deficiency (CED) (Body Mass Index (BMI) <18.5 kg/m2) in women (including adolescent girls) – Target: reduced from 45% (2000) to 20% by 2010 and <20% by 2015
Vitamin A deficiency among children and women – Target: reduced from 30% (2000) to 15% by 2010 and to <10% by 2015
Iodine deficiency in children (6-12 years) and women (15-44 years) – Target: reduced from 34-38% (2005) to 25% by 2010 and to <10% by 2015
Iron deficiency anaemia (IDA) – Target: in infants (6-11 months), reduced from 77% (2003) to 60% by 2010 and to 40% by 2015; in adolescent girls (13-19 years) from 30% (2003) to 25% by 2010 and <20% by 2015; in pregnant women from 46% (2003) to 35% by 2010 and to 25% by 2015
Anthropometric indicators: height and weight of under-5 children – Target: increased to at least 80% of WHO standards by 2015
Others:
Per capita calorie intake – Target: Increased from 2238 (BBS, 2006) to 2400 (kcal/person/day)(provisional) by 2015
Dietary energy supply (DES) from cereals (%) – Target: decreased from the current 70% to 60% by 2015
Prevalence of food contamination and food adulteration (physical, chemical, microbiological) (%)
Incidence of food-borne illnesses (number of cases reported)
Goals:
Programs:
General objective:
The National Nutrition Policy serves as a legally binding document to substantially reduce levels of malnutrition, especially of vulnerable groups, and to mainstream nutrition in National Socio-Economic Development Plans (NSEDPs) in line with the implementation of the National Growth and Poverty Eradication Strategy (NGPES).
Specific objectives:
The National Nutrition Policy formulates ten specific objectives as follows:
1) Improve nutrient intake;
2) Prevent and reduce food and vector borne diseases;
3) Improve food access and food availability;
4) Improve mother and child care and education in nutrition and health;
5) Improve environmental health;
6) Improve nutrition programming with participatory management and M+E;
7) Make nutrition central in socio-economic development;
8) Priority investment in nutrition;
9) Strengthen the nutritional capacity within all levels and sectors of the GoL;
10) Facilitate action-oriented research and information systems.
Strategic principles
For the successful implementation of the policy the following strategic principles will be applied:
• Decentralization: bottom-up planning supported by increased implementation at provincial and district level;
• Prioritized targeting: focus on immediate needs and vulnerabilities
- Rural: Those groups living in remote upland areas with high levels of stunting
- Urban: Those groups with low educational status
- In transition: Those groups who have recently been resettled, who have been relocated from the uplands to the lowlands, and/or whose wild food resources have been destroyed
- Women of reproductive age: Women of reproductive age (focus will be women experiencing pregnancy, puerperium, and lactation) and children (focus will be children under 2 years, children under five years, and school age children)
• Integration and effective cooperation: integrating nutrition interventions into all relevant sectors;
• Institutionalizing nutrition within GoL: establishing coordination mechanisms for planning, implementation, management and M+E of the nutrition program;
• Capacity building and cultural sensitivity: providing technical skills and acknowledging cultural identity;
• Empowerment of women and vulnerable groups: ensure that women and vulnerable groups play an active decision-making role in the planning and implementation of nutrition interventions;
• Sustainability and resilience: sustainable production, harvest and consumption of nutritive plant and animal foods;
• Prevention and treatment: provide continued sufficient and adequate support for preventive and curative interventions;
• Principle of ‘no-harm’: control of adverse impacts on nutrition from other development sectors;
• Accountability for nutrition: ensure the signing of agreements between national or foreign investors and the GoL - particularly in the fields of agro-based industries, hydropower and mining - are in line with the recommendations of environmental and social impact assessments (EIA, SIA);
• Nutrition surveillance: establishing and strengthening participatory monitoring and evaluation systems.
Roles and responsibilities of Ministries and equivalent organizations accountable for nutrition
Health Sector
• MoH as the lead agency for the GOL on nutrition in coordination with National Science Council/Prime Minister’s Office;
• Develop a National Nutrition Strategy and National Plan of Action on Nutrition;
• Establish a Nutrition Centre or Nutrition Institute;
• Facilitate and coordinate the implementation of nutrition activities;
• Mobilize national and international funds to implement the nutrition program;
• Build and upgrade capacity in nutrition for technical staff at all administrative levels;
• Advocate for nutrition and increase public awareness of nutrition;
• Increase public awareness of the adverse impact on nutrition of tobacco and alcohol consumption;
• Focus on food quality control and food safety;
• Conduct surveys and operational research with appropriate indicators and dissemination of findings;
• Establish an inter-sectoral nutrition surveillance system together with other GoL key stakeholders;
• Report to the GoL (through NCMC) on the implementation of the nutrition program;
• Develop nutrition legislation in cooperation with the Ministry of Justice.
National Science Council at the Prime Minister’s Office
• Supervise and establish a National Nutrition Council with the Ministry of Health and in cooperation with other relevant sectors;
• Incorporate findings of scientific research into GoL actions plans leading to the improvement of the national nutrition status;
• Facilitate the coordination of the technical cooperation of all relevant Ministries and equivalent organizations on nutrition;
• Promote, coordinate, and monitor nutrition-related interdisciplinary scientific research activities;
• Supervise and facilitate the establishment of a Nutrition Information Unit in the Nutrition Center in cooperation with other relevant sectors.
Planning and Investment Sector
• Review and approve nutrition and related development strategies and plans to be incorporated into national socio-economic development plans;
• Advocate for nutrition and fundraise from the national budget, international donors and the private sector to implement the nutrition program;
• Manage, monitor and evaluate the nutrition program in collaboration with MoH and other key GoL stakeholders;
• Develop directions for the nutrition program by forecasting development trends;
• In cooperation with the Ministry of Justice, enforce State laws and regulations to ensure national or foreign direct investments (especially in the fields of mining, hydropower and agro-based industries) and other development programs or projects will not have adverse impacts on nutrition.
Agriculture and Forestry Sector and associated Research Institutes (NAFRI, NAFES)
• Expand the concept of and strategies for food security to encompass also nutrition security (with focus on dietary diversity);
• Plan and ensure food production at national level according to nutritional needs,
• Increase support for stable food security at household level;
• Encourage sustainable planning, usage and management of biodiversity resources for increased household food security;
• Facilitate the implementation of operational research in agriculture and forestry related to nutrition;
• Manage and promote safe food production (e.g. usage of pesticides and other chemicals);
• Build capacity in nutrition for technical staff at all administrative levels;
• Monitoring and evaluation of activities related to food security in cooperation with other key GoL stakeholders.
National Land Management Authority: Promote and implement the Law on Land and related regulations and expand to full coverage the correct allocation and titling (registration) of land to mitigate adverse impacts on nutrition.
Water Resource and Environment Agency, Committee for Forest Conservation and Committee for Water and Natural Resources
• Manage natural resource exploitation while focusing on the reduction of environmental contamination and mitigating adverse effects on nutrition;
• Promote and enforce environmental regulations for stable household food security (e.g. arresting illegal wildlife trade).
Energy and Mining Sector, National Energy Committee and Lao National Mekong Committee
• Develop social safeguard procedures under the “user pays” principle for mining and hydropower schemes with regard to adverse impacts on nutrition;
• Expand environmental and social impact assessment procedures with regard to long-term effects on nutrition;
• Prevent adverse impacts on nutrition due to mining and hydropower development.
Educational Sector
• Develop and incorporate nutrition into existing formal school curricula and into the non-formal education system;
• Improve teachers’ knowledge on nutrition;
• Increase nutrition awareness, campaigning and advocacy for the mobilization and propagation of nutritional messages (at all administrative level as well as for all staff members of MoE);
• Monitor and evaluate teaching skills and materials in nutrition;
• Assess the nutritional status of school children in collaboration with relevant agencies.
Industrial and Commercial Sector
• Manage and promote the production, transfer and distribution of food products to all regions;
• Manage the import and export of food products and maintain food stocks according to national regulations and needs;
• Build capacity in nutrition comprehension for technical staff at all administrative levels;
• Monitor and evaluate food quality, hygiene, and safety according to international standards in cooperation with MoH and other relevant institutions.
Information and Cultural Sector
• Manage and support of the mass media with the aim of disseminating information on nutrition and its relation to other development sectors and policies;
• Facilitate research on the different food cultures of the various ethnic groups in cooperation with the Lao Front for National Construction.
Labor and Social Welfare Sector
• Develop a National Natural Disaster Preparedness Plan in cooperation with the Ministry of Defense;
• Mobilize funds and allocate budget for the implementation of charitable activities to provide food.
Financial Sector
• Allocate the necessary budget to ensure that the implementation of the National Nutrition Policy will reach its targets;
• Ensure financial management in compliance with State laws and regulations in the financial sector;
• Enable the reinvestment of economic revenues into the nutrition program (in cooperation with MPI).
Mass organizations (Lao Women’s Union, Lao People’s Revolutionary Youth Union, Lao Federation of Trade Unions and Lao Front for National Construction)
• Include nutrition in their action plans;
• Mobilize the dissemination of nutrition information to villages (with special focus on non Lao-Tai ethnic groups).
Ministry of Foreign Affairs
• Coordinate and facilitate international and national multi-sectoral cooperation;
• Advocate for nutrition and mobilize national and international funds.
National Commission for Mother and Child
• Establish a National Committee on Nutrition;
• Support MoH in leading the nutritional activities in all relevant sectors;
• Support the implementation of the nutrition program at both central and local level;
• Mobilize national and international funds to implement the nutrition program;
• Manage, monitor and evaluate the nutrition program together with MoH.
","Targets by 2020
Stunting (CU5): 28%
Wasting (CU5): 2%
Underweight (CU5): 15%
Anemia (CU5): 20%
Anemia (WRA): 15%
Iodine deficiency (SAC): 10%
Iodine deficiency (WRA): 5%
Vitamin A deficiency (CU5): 20%
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in schools|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition","","http://www.moh.gov.la/index.php?option=com_phocadownload&view=category&id=8%3Apolices-and-strategies&download=47%3Afinal-version-of-nnp-in-english-30122008.pdf&Itemid=59&lang=en","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202008%20National%20Nutrition%20Policy.pdf" "14901","NIC","Nicaragua","","Política de Seguridad Alimentaria y Nutricional desde el sector agropecuario y rural","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2009","","","Ministerio Agropecuario y Forestal","","2009","","","","","Cabinet/Presidency|Nutrition council|Food and agriculture|Environment","","","FAO","","","","AECID","","","","","","","","","","","Objetivo General
Lograr la seguridad y soberanía alimentaria nutricional de la pobalación, mediante el suministro de servicios adecuados a lo largo de las cadenas de valor agroalimentarias -asistencia técnica, crédito e incentivo a la producción, post cosecha y agroindustria, acopio, tratamiento, almacenamiento, apoyo a la comercialización, información, educación, capacitación, comunicación -que garanticen el uso sostenible de los recursos naturales: tierra, agua, bosques- y se sometan procedimientos, normas y regulaciones que estimulen la produccciónl y productividad de alimentos, priorizando los de consumo básico, -arroz, frijol, maíz, sorgo, carne, leche y derivados, en un esfuerzo articulado que dinamice en el sector rural a los pequeños y medianos productores (as), particularmente a las mujeres.
","Líneas de Política
Atendiendo los cuatro pilares -Disponibilidad de Alimentos, Acceso, Consumo y Aprovechamiento Biológico de los Alimentos-, en que se fundamenta la Seguridadd Alimentaria y Nutricional, se plantean los siguientes Medidas, Lineamientos Estratégicos y Acciones prioritarias, que deberán guiar la Política Sectorial de Seguridad y Soberanía Alimentaria y Nutricional.
Disponibilidad de Alimentos
Medida. Garantizar un suministro suficiente y oportuno de alimentos sanos, nutritivos y asequibles para la población, a partir de las propias capacidades de producción, almacenamiento y distribución a precios justos, dentro de las prioridades nacionales respetando la diversidad productiva y alimentaria nacional y la conservación del ambiente.
Lineamiento Estratégico: Incrementar la producción y diversificación nacional de alimentos inocuos, de origen agrícola, forestal, pecucario y acuícola, priorizando alimentos como - frijol, arroz, maíz, carne, leche y sus derivados- privilegiando la productividad, la diversificación, el procesamiento y la articulación agroalimentarias y de valor.
Acciones Prioritarias:
- Facilitar los medios de producción para que las familias puedan explotar sus tierras en el campo y la pequeña industria en la ciudad.
- Actualizar la regulación de la tenencia de la tierra, su catastro físico, la demarcación, titulación y ordenamiento territorial.
- Aumentar los rendimiento en:
- Identificar, promover y consolidar los sistemas de financiamiento sostenible, destinados al proceso de producción y comercialización.
- Reactivar la micro, pequeña y mediana producción agropecuaria, forestal, pesquera, industrial y artesanal democratizando el crédito, la asistencia técnica, las redes de acopio, distribución, comercialización, apoyo con semillas, fertilizantes y otros insumos.
- Impulsar los procesos de innovación tecnológica, investigación, intercambio y recuperación de experiencias para incrementar la productividad.
- Incentivar la asociatividad de los micros, pequeños, medianos productores y el sector formal y vincularlos con los procesos de reactivación económica.
- Ampliar y rehabilitar la infraestructura básica para la producción de bienes y servicios del sector rural, particularmente caminos y puentes para mejorar la productividad y acceso a los mercados.
- Estimular la capitalización y financiamiento a las familias, los pequeños y medianos productores empobrecidos -urbanos y rurales-, para aumentar la producción para consumo interno y la exportación.
- Producción de insumos -semillas, abono orgánico, pies de cría- ejecutado por organizaciones de productores, mujeres y jóvenes emprendedores.
- Promover proyectos productivos que integren a las familias en actividades productivas.
- Aplicar procedimientos, normas y mecanismos que estimulen la producción de alimentos en tierras ociosas y de producción extensiva.
- Promover la organización y participación de mujeres y jóvenes, como impulsores del desarrollo tecnificado y rentable, en actividades agropecuarias, forestales, acuícolas y piscícolas.
- Promover la biofortificación de alimentos, la utilización de insumos orgánicos y cultivos nativos de alto valor nutricional, así como tecnologías que conserven la humedad del suelo, optimice el uso del agua y preserve los recursos naturales y la biodiversidad.
- Aplicar tecnologías sencillas con materiales locales, para la captación y distribución de agua para riego, acompañado de información, educación y capacitación para la gestión sostenible de los sistemas.
- Aplicar el pago de servicios ambientales y otros mecanismos financieros que fomenten la conservación y calidad de fuentes de agua.
- Promover la producción y manejo de bosques de leña, con especies de rápido crecimiento.
- Establecer un marco normativo institucional y operativo para el manejo de contingentes y donaciones de alimentos, acorde a la producción y disponibilidad en mercado nacional.
- Suministrar incentivos económicos e instrumentos de financiamiento en condiciones preferenciales, complementando con mecanismos de manejo de riesgos, sobre garantías no convencionales (mobiliarias, remesas).
- Reducir las condiciones que porpicien la competencia desleal entre productos nacionales e importados.
- Fortalecer la infraestructura para la reducción de pérdidas post cosecha, centros de acopio intermedios y almacenaje familiar de productos básicos conservando su inocuidad.
- Etablecer redes comunitarias que desarrollen actividades de patio para que las familias del área urbana y rural dispongan de alimentos de su propia producción.
- Mercados forestales.
Acceso
Medida: Asegurar la inclusión social y económica de los más pobres y el derecho a la alimentación de todos los nicaragüenses, mediante asistencia alimentaria, abastecimiento local de alimentos básicos a bajo precio, generación de empleo, diversificación de las fuentes de ingresos, y acceso a activos productivos.
Lineamiento Estratégico: Orientar acciones para que la población disponga de los alimentos que requiere, se generen los ingresos necesarios para adquirirlos o producirlos y en situaciones de crisis económicas o desastres naturales tengan acceso a ellos.
Acciones Prioritarias:
- Facilitar el acceso a tierras productivas y activos complementarios orientados a crear empresas familiares rentables.
- Estimular y facilitar la inversión productiva de mediano y largo plzao que genere empleos y utilice materia prima nacional.
- Hacer transferencias de alimentos a la población vulnerable como medio para la creación de capacidades -conservación de suelos, capacitación etc.-
- Crear condiciones mediante el acercamiento entre oferta y demanda para que en los mercados se estabilicen los precios de los alimentos básicos -sistema de apoyo a la comercicalización de alimentos vía ENABAS.-
- Fortalecer las redes de comercialización local mediante la acción acopiadora, almacenadora y distribuidora de ENABAS, de manera que se facilite la definición de precios de referencia accesibles al consumidor.
- Propiciar la inversión y crecimiento de empresas agroindustriales, productoras de alimentos que utilicen preferentemente insumos nacionales.
- Establecer normativas físicas y monetarias para la compra, acopio, secado, limpieza, empacado y almacenamiento de alimentos, que garanticen las reservas y establezcan mecanismos para la distribución y comercialización.
- Negociar con la producción comercial, la agroindustria y los importadores, el abastecimiento a precios razonables especialmente en el sector arrocero, lácteos, carne de pollo, carne bovina y pesca.
Consumo
Medida: Desarrollar capacidades en la población, para que decida adecuadamente sobre la selección, adquisición, almacenamiento, preparación y distribución intrafamiliar de alimentos sanos y nutritivos, mediante la educación nutricional que promueva hábitos alimentarios saludables y revalorice los patrones de consumo local con alto valor nutritivo.
Lineamiento Estratético: Mejorar las prácticas de consumo de alimentos energéticos y proteicos y el rescate de la cultura alimentaria de la población y la inocuidad de los alimentos en coordinación con el sector social.
Acciones Prioritarias:
- Incoprorar en las acciones, programas y proyectos del sector contenidos educativos orientados a mejorar las prácticas y patrones de alimentación, nutrición, salud e higiene.
- Promover hábitos alimentarios saludables y revalorar el consumo de alimentos locales/nacionales con alto valor nutricional.
Aprovechamiento Biológico
Medida: Asegurar el mejoramiento en la calidad e inocuidad de los alimentos disponibles, sobre la base del conocimiento, así como de las condiciones del ambiente familiar y comunitario.
Lineamiento Estratégico: Promover prácticas higiénicas, agrícolas, de manufactura y ambientales que favorezcan el bienestar físico y biológico en la población para el aprovechamiento eficiente de los alimentos ingeridos.
Acciones Prioritarias:
- Mejoarar la producción y el abastecimiento de productos agropecuarios sanos, tanto para el consumo nacional como para la exportación mediante el cumplimiento de los estándares de sanidad.
- Mejorar el valor nutricional de los cultivos más importantes de consumo a nivel nacional (arroz, maíz, frijol).
- Fortalecer la Vigilancia para el control de plagas y enfermedades, mediante la aplicación de normas de certificación fitosanitarias, zoosanitarias y de manejo de insumos para asegurar la incocuidad de los alimentos tanto de producción nacional como importada y donada.
- Asegurar el acceso del saneamiento básico y servicios de salud y educación de la población en los programas que ejecuta el sector.
- Fortalecer la vigilancia de la calidad del agua y saneamiento ambiental.
- Impulsar la educación agropecuaria y ambiental con éfansis en la protección de la salud humana y el medio ambiente.
","
El documento no los incluye.
","","","Stunting in children 0-5 yrs|Nutrition in the school curriculum|Nutrition education|Biofortifcation|Food security and agriculture","","https://extranet.who.int/nutrition/gina/sites/default/files/NIC%20Pol%C3%ADtica%20SSAN%20Sector%20Agropec.pdf","El Ministerio Agropecuario y Forestal (MAGFOR) como rector, deben alinear las instancia que integran el Sector Público Agropecuario y Rural (SPAR), para focalizar de manera conjunta y complementar esfuerzos y recursos, así como, para establecer responsabilidades y metas sectoriales e institucionales.Coordinar con otras instituciones, sectores vinculados a la seguridad y soberanía alimentaria y nutricional, la definición conjunta de áreas geográficas y población objetivo prioritarias, así como, los requerimientos y aportes del MAGFOR hacia ellas y viceversa: Ministerio de Salud (MINSA), Ministerio de Educación (MINED), Ministerio de Ambiente y Recursos Naturales (MARENA), Ministerio de Fomento Industria y Comercio (MIFIC), Ministerio de Hacienda y Crédito Público (MHCP), Instituto Nicaragüense de Pesca y Acuicultura (INPESCA), Ministerio de la Familia, Adolescencia y Niñez (MIFAMILIA), Instituto Nicaragüense de Fomento Cooperativo (INFOCOOP), Ministerio de Trabajo (MITRAB), Sistema Nacional para la Prevención, Mitigación y Atención de Desastres (SINAPRED), Ministerio de Transporte e Infraestructura (MTI), Instituto Nicaragüense de Estudios Territoriales (INETER), Instituto Nicaragüense de Energía (INE), Autoridad Nacional del Agua (ANA).","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIC%20Pol%C3%ADtica%20SSAN%20Sector%20Agropec.pdf" "14881","NIC","Nicaragua","","Ley de Soberanía y Seguridad Alimentaria y Nutricional","Legislation relevant to nutrition","","Spanish","","2009","","","Diario Oficial La Gaceta No. 133 del 16 de julio de 2009.","","2009","","","","","Cabinet/Presidency|Nutrition council|Food and agriculture|Education and research|Finance, budget and planning|Environment","","","FAO","","","","","","","National NGOs","","","","Private sector","","","","","","","","Se consideran importantes para nutrición los siguientes artículos que se transcriben total o parcialmente:
Artículo 1. Objeto de la Ley. La presente Ley es de orden público y de interés social, tiene por objeto garantizar el derecho de todas y todos los nicaragüenses de contar con los alimentos suficientes, inocuos y nutritivos acordes a sus necesidades vitales; que estos sean accesibles física, económica, social y culturalmente de forma oportuna y permanente asegurando la disponibilidad, estabilidad y suficiencia de los mismos a través del desarrollo y rectoría por parte del Estado, de políticas públicas vinculadas a la soberanía y seguridad alimentaria y nutricional, para su implementación.
Art. 4. Objetivos de la Ley de Soberanía y Seguridad Alimentaria y Nutricional. Son objetivos de la Ley de Soberanía y Seguridad Alimentaria y Nutricional los siguientes:
a. Propiciar las condiciones que incidan en el mejorameinto de la producción interna de alimentos para facilitar la disponibilidad a la población nicaragüense, impulsando programas de corto, mediano y largo plazo que mejoren los niveles de productividad de alimentos que armonicen las políticas sectoriales a cargo de las distintas instituciones y la promoción de la pequeña y mediana producción nacional frente a la introducción de productos por políticas de libre mercado.
b. Aliviar la pobreza, el hambre, la marginación, el abandono y la exclusión de la población que sufre inseguridad alimentaria y nutricional, mejorando las condiciones para acceder a un empleo, a los recursos productivos, tierra, agua, crédito, entre otros.
c. Facilitar el acceso permanente de las personas a los alimentos inocuos y culturalmente aceptables, para una alimentación nutricionalmente adecuada en cantidad y calidad.
d. Establecer una educación basada en la aplicación de prácticas saludables de alimentación sana y nutritiva, recreación y cuido del mendio ambiente.
e. Disminuir los índices de deficiencias de micro-nutrientes y la desnutrición proteínica-energética en los niños menores de cinco años.
f. Garantizar la calidad del control higiénico sanitario y nutricional de los alimentos.
g. Ordenar y coordinar los esfuerzos que realizan tanto las insituciones estatales dentro de las asignaciones presupuestarias, como las instituciones privadas nacionales e internacionales hacia la soberanía y seguridad alimentaria y nutricional.
Art. 5. Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional. Para el cumplimiento del objeto de la presente Ley, se crea el Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional para implementar el derecho a la alimentación como un derecho humano y fundamental que incluye el derecho a no padecer hambre y a estar protegido contra el hambre, a una alimentación adecucada y a la soberanía alimentaria y nutricional, estableciéndose las regulaciones del sistema en la presente Ley.
Art. 10. Creación del Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional. Créase el Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional, en adelante SINASSAN, para promover, proteger y cumplir el derecho a la alimentación como un derecho humano y fundamental. Este sistema es integrado por el conjunto de instituciones públicas, privadas y organismos no gubernamentales nacionales con competencia e incidencia en la soberanía y seguridad alimentaria y nutricional de Nicaragua.
Art. 11. Estructura del SINASSAN. La estructura del SINASSAN será organizada a nivel sectorial y territorialmente en los niveles nacional, regional, departemental y municipal, creando y fortaleciendo instancias de coordinación, articulación y concertación que garanticen la soberanía y seguridad alimentaria y nutricional, quedanto integrada por:
a. La Comisión Nacional de Soberanía y Seguridad Alimentaria y Nutricional (CONASSAN);
b. La Secretaría Ejecutiva de Soberanía y Seguridad Alimentaria y Nutricional (SESSAN);
c. Los Consejos Técnicos Sectoriales para la Soberanía y la Seguridad alimentaria y Nutricional (COTESSAN);
d. Las Comisiones Regionales en las Regiones Autónomas del Atlántico Norte y Sur para la Soberanía y Seguridad Alimentaria y Nutricional (CORESSAN);
e. Las Comisiones Departamentales para la Soberanía y Seguridad Alimentaria y Nutricional (CODESSAN);
f. Las Comisiones Municipales para la Soberanía y Seguridad Alimentaria y Nutricional (COMUSSAN);
Art. 12. Comisión Nacional de Soberanía y Seguridad Alimentaria y Nutricional. La Comisión Nacional de Soberanía y Seguridad Alimentaria y Nutricional, en adelante CONASSAN, es la instancia máxima de toma de decisiones y coorinación intersectrial e intergubernamental a nivel nacional. La preside el Presidene de la República. Para el cumplimiento de sus funciones, la CONASSAN se apoyará en la Secretaría Ejecutiva de Soberanía y Seguridad Alimentaria y Nutricional (SESSAN) adscrita a la Dirección de Planificación del Poder Ejecutivo de la Secretaría de la Presidencia.
Art. 13. Conformación de la CONASSAN.
Art. 14. Funciones de la CONASSAN.
Art. 15. Estructura de la Secretaría Ejecutiva de Soberanía y Seguridad Alimentaria y Nutricional.
Art. 16. Secretaría Ejecutiva de la SESSAN. La Secretaría Ejecutiva de la SESSAN es el ente encargado de operativizar las decisiones de la CONASSAN y tendrá la responsabilidad de llevar a efecto la coordinación intersectorial, así como la articulación de los programas y proyectos de las distintas instituciones nacionales e internacionales vinculados con la seguridad alimentaria y nutricional del país.
Este artículo incluye sus funciones.
Art. 17. Unidad de Planificación de la SESSAN. Se definen las funciones responsabilidad de la Unidad de Planificación de la SESSAN en coordinación con los Consejos Técnicos Sectoriales.
Art. 18. Unidad de Evaluación y Seguimiento de la SESSAN. Se definen las funciones responsabilidad de la Unidad, en coordinación con los Consejos Técnicos Sectoriales.
Art. 19. Consejos Técnicos Sectoriales para la Soberanía y Seguridad Alimentaria y Nutricional (COTESSAN). Los Consejos Técnicos Sectoriales para la Soberanía y Seguridad Alimentaria estarán coordinados por el Ministro que coordina el sector.
El artículo define la conformación de los Consejos Técnicos Sectoriales por los actores vinculados a la Soberanía y Seguridad Alimentaria y Nutricional.
Art. 20. Funciones de los Consejos Técnicos Sectoriales para la Soberanía y la Seguridad Alimentaria y Nutricional.
Art. 21. Comisiones Regionales en las Regiones Autónomas del Atlántico Norte y Sur para la Soberanía y Seguridad Alimentaria y Nutricional (CORESSAN). Las Comisiones Regionales en las Regiones del Atlántico Norte y Sur para la Soberanía y Seguridad Alimentaria y Nutricional (CORESSAN), son las máximas instancias de toma de decisiones y de coordinación intersectorial a nivel regional. Están adscritas al Consejo Regional de Planificación Económica y Social (CORPES). El Consejo Regional en cada una de las dos Regiones Autónomas de la Costa Atlántica, mediante resolución deberá crear la CORESSAN de conformidad a lo dispuesto en el Reglamento de la presente Ley. El artículo define las instituciones que integran las Comisiones de las Regiones Autónomas del Atlántico por medio de un(a) delegado(a).
Art. 22. Comisiones Departamentales para la Soberanía y Seguridad Alimentaria y Nutricional (CODESSAN). Las Comisiones Departamentales para la Soberanía y Seguridad Alimentaria y Nutricional (CODESSAN), adscritas a los Consejos Departamentales de Desarrollo, son las instancias máximas de toma de decisiones y coordinación intersectiral a nivel departamental, y de seguimiento y evaluación de planes y proyectos dirigidos al desarrollo de la soberanía y seguridad alimentaria y nutricional. El artículo define la integración de las comisiones departamentales.
Art. 23. Comisiones Municipales para la Soberanía y la Seguridad Alimentaria y Nutricional (COMUSSAN). Las Comisiones Municipales para la Soberanía y Seguridad Alimentaria y Nutricional (COMUSSAN), son las instancias máximas de toma de decisiones y coordinación intersectorial a nivel municipal, están adscritas a los Consejos Municipales de Desarrollo y son presididas por el Alcalde o Alcaldesa. La COMUSSAN será integrada y convocada por el Concejo Municipal a través del secretario del Concejo Municipal en un plazo no mayor de noventa días a la entrada en vigencia de la presente Ley. El artículo define la integración de estas Comisiones.
Art. 25. Funciones de las Comisiones de las Regiones Autónomas del Atlántico Norte y Sur, Departamentales y Municipales de Soberanía y Seguridad Alimentaria y Nutricional.
Art. 29. Fondo Nacional de emergencia de Soberanía y Seguridad Alimentaria y Nutricional. Se crea el Fondo Nacional de emergencia de Soberanía y Seguridad Alimentaria y Nutricional, denominado FONASSAN, con el objetivo de enfrentar situaciones de emergencia alimentaria ocasionadas por deastres naturales, crisis económica o sociales.
Art. 30. De los Objetivos Sectoriales del SINASSAN. Las instituciones públicas del SINASSAN deben fortalecer el Sistema de Soberanía y Seguridad Alimentaria y Nutricional a través de:
a. Un Sistema Alimentario capaz de proveer, de manera sostenible, alimentos nutritivos e inocuos, culturalmente aceptable enmarcado en nuestro patrimonio cultural y ambiental, y en nuestra capacidad de producción nacional de alimentos y su transformación priorizando la pequeña y mediana producción, con un sistema de acopio y gestión de precios que de manera equitativa asegure la disponiblidad, el acceso, el consumo y el aprovechamiento biológico de los alimentos de todas y todos los nicaragüenses y como oportunidad del desarrollo. Siendo responsable de la Coordinación el Ministerio Agropecuario y Forestal, en el marco de su Consejo Técnico Sectorial.
b. Un Sistema Nutricional, que llene las necesidades energéticas, nutricionales y culturales, y que garanticen la salud y el bienestar de nuestras comunidades, la eliminación de la mal nutrición, priorizando la atención a mujeres embarazadas y lactantes y la erradicación de la desnutrición crónica infantil. El responsable de coordinación es el Ministerio de Salud a través de su Consejo Técnico Sectorial.
c. Un Sistema Educativo que forme recursos humanos emprendedores, desarollando actitudes, habilidades, capacidades y conocimiento de la población estudiantil y la comunidad escolar que les permita un mejor aprovechamiento sostenible de los recursos locales, fortalezca la cultura de producción y consumo basada en la diversidad cultural nacional y promueva cambios de comportamiento para mejorar el estado alimentario y nutricional de las familias nicaragüenses. El responsable de Coordinación es el Ministerio de Educación, en el marco de su Consejo Técnico Sectorial.
d. Un Sistema Ambiental Natural que asegure la calidad del agua, suelo y biodiversidad, en el marco de la conservación y un manejo sostenible de los recursos naturales, que garantice la alimentación y nutrición, la salud, la cultura y la riqueza de nuestras comunidades. El responsable de Coordinación es el Ministerio del Medio Ambiente y Recursos Naturales, en el marco de su Consejo Técnico Sectorial.
e. Un Ambiente Institucional donde cada Ministerio representante de Sector tiene la responsabilidad de coordinación, articulación y armonización de su competencia sectorial a lo interno de su sector y con otros sectores.
f. El Estado de Nicaragua es responsable de crear un Ambiente Político, Económico y Social que garantice la institucionalidad y la sosteniblidad del quehacer de los sectores en el marco de una distribución justa de la riqueza que asegure la Soberanía y la Seguridad Alimentaria y Nutricional y mejore la calidad de vida de las y los nicaragüenses.
Art. 31. De las Políticas de Equidad de Género y Étnica para la Soberanía Alimentaria. La CONASSAN, es la autoridad competente para garantizar las siguientes medidas de políticas y estrategias con equidad de género, orientado a lograr un modelo de desarrollo sostenible a través de:
a. La promoción de cambios sustantivos en los modos y medios de producción del sistema alimentario, en armonia con el medio ambiente, priorizando la pequeña y mediana producción, para el aumento de la productividad y diversificación en el marco de un mercado incluyente y justo, orientado a alcanzar la autonomía alimentaria nacional basada en la Cultura Alimentaria Nacional.
b. La mejora de la distribución y acopio de alimentos inocuos y nutritivos, culturalmente aceptables, con equidad social, en coordinación entre los sectores públicos y privados.
c. El respeto del derecho de diversidad cultural alimentaria de la población nicaragüense.
Art. 38. Defensa de los Derechos Humanos relacionados con esta Ley. La Procuraduría para la Defensa de los Derechos Humanos, con el objetivo de garantizar el derecho de las personas, con equidad de género, a la Soberanía y Seguridad Alimentaria y Nutricional deberá:
a. Designar un Procurador o Procuradora Especial en materia de Soberanía, Seguridad Alimentaria y Nutricional;
b. Incluir en su Informe Ordinario Anual ante la Asamblea Nacional, la situación del Derecho a la Soberanía y Seguridad Alimentaria y Nutricional y sobre el cumplimiento progresivo del derecho a la alimentación.
","Stunting in children 0-5 yrs|Vitamin A deficiency|Food fortification|Nutrition education|Food security and agriculture","","http://legislacion.asamblea.gob.ni/normaweb.nsf/($All)/B58490A0C8DAB2AD06257657006A573D?OpenDocument","http://plataformacelac.org/ley/4http://base.socioeco.org/docs/ley-ssan.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIC%20Ley%20SSAN%20693.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.
","Overall goal: Health status of Yemeni people is improved through strengthening nutritional intervention by 2020.
Targets: Serious nutritional problems to be solved in this moment are malnutrition/under nutrition; including anemia, vitamin A deficiency, iodine deficiency, rickets, zinc deficiency and household insecurity.
","Conduct the following nutrition interventions:
Control of child undernutrition
- Reduce of the prevalence rate of undernutrition among infant and young children
- Improve infant and young child feeding
- Improve dietary habit affecting nutritional status of infant and children
- Contribute improving household food security
- Improve dietary habit affecting nutritional status of infant and children
- Reduce the risk of infectious diseases
- Reduce the prevalence of LBW
- Prevent the deterioration of malnutrition cases at early stage
Control of low birth weight
- Reduce the prevalence of low birth weight
- Reduce the prevalence of malnourished pregnant women
- Reduce cases of early and frequent pregnancies
- Reduce number of pregnant women having habit of smoking cigarette /shisha and chewing qat
- Improve the services of nutrition screening and counseling for pregnant women
- Increase the access rate of monitoring and providing special care for low-birth weight babies
Control of maternal undernutrition
- Reduce the prevalence of undernutrition among women of reproductive age
- Improve dietary diversity and modification for pregnant and lactating mothers
- Detect under-nutrition of pregnant mothers at early stage and provide appropriate counseling
- Prevent early pregnancy and frequent pregnancy
- Improve the life custom of women which can be a risk factor of maternal health and nutrition such as heavy work load, smoking and chewing qat
Control of rickets
- Eliminate the prevalence of rickets among children under five
- Increase the rate of children exposure to sunlight for children and pregnant mother
- Increase the consumption of foods rich with vitamin D and calcium in children and pregnant mothers
- Increase the rate of detection and treatment cases for children with rickets symptoms at early stage
Control of iron deficiency anemia
- Reduce the prevalence of anemia among children under five and women of reproductive age
- Improve the quality and diversity of diet to increase the intake and bioavailability of iron
- Promote the use of iron fortified food
- Increase the access of iron/folate tablets among pregnant and lactating women
- Reduce the risk factor of parasitic infestation (Malaria, Schistosomiasis, Helminthes)
Control of vitamin A deficiency
- Decrease the prevalence rate of vitamin A deficiency disorder among children under five and mothers
- Increase the consumption of vitamin A rich food
- Increase the covering of foods fortified with vitamin A
- Increase the coverage of vitamin A capsule for children and mothers
Control of iodine deficiency
- To eliminate Iodine Deficiency Disorders in Yemen
- To ensure all the people can access iodized salt
Control of zinc deficiency
- Reduce of the prevalence of zinc deficiency
- Clarify the severity and the target group/area of zinc deficiency
- Increase the zinc intake among people with high risk of zinc deficiency
- Reduce the risk factor of high excretion of zinc
School nutrition
- Reduce the prevalence of undernutrition among school children aged from 6 to 15 years
- Improve food intake of school children quantitatively and qualitatively
- Decrease the incidence of infectious diseases which interrupt the nutritional status of school children
- Reduce the prevalence of malnutrition at early stage
Nutrition for emergency situation
- Reduce the critical risk of death and malnutrition during emergency situation
- Improve the situation of food shortage in the people who suffer from natural or man-made disasters (flood, drought, earthquake, war, food price crisis, etc)
- Prevent death cases from malnutrition under emergency situation
","VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
Mission: Establish effective overall mechanisms through which policies, strategies, programmes, and activities can be identified, prioritized, coordinated, implemented, monitored, and evaluated for the attainment of nutrition and food security in Lao PDR.
Overall Goal: Since there is no single measure of nutritional status and food security, the overall goal has been translated into a number discrete, empirically observable and measurable targets by the Year 2015 (attainment year of MDGs) and the Year 2020 (year for exiting Less Developed Country status and entering Medium Income Country status). See indicator tab for list of goal indicators.
","
Strategic Direction I: Address Immediate Causes
SO1: Improve Nutrient Intake
SO2: Prevent and Reduce Food-, Water-, Vector-borne, and Infectious Diseases
Strategic Direction II: Address Underlying Causes
SO3: Increase and Diversify Domestic Food Production
SO4: Improve Access to Nutritious Food
SO5: Improve Mother and Child Care Practices
SO6: Improve Environmental Health and Access to Nutrition and Health Services
Strategic Direction III: Address Basic Causes
SO7: Improve Institutions and Coordination
SO8: Improve Human Capacity
SO9: Increase Quantity and Quality of Information
SO10: Increase Investments in Nutrition and Food Security
Overall Goal Indicators
Indicator (2006 Baseline, 2015 Target, 2020 Target)
Malnutrition
Rate of stunting among CU5 (NCHS standard) (40, 34, 28)
Rate of wasting among under CU5 (NCHS standard) (6, 4, 2)
Rate of underweight among CU5 (NCHS standard)* (37, 22, 15)
Rate of thinness of women among reproductive aged (WRA) (BMI<18.5kgm-2) (14, 12, 10)
Rate of anemia among CU5 (Hemoglobin < 11g/dL) (41, 30, 20)
Rate of Anemia among women of reproductive age (WRA) (Hemoglobin < 12 g/dL) (36, 25, 15)
Iodine deficiency among school age children (urinary iodine excretion < 100µg/L) (27, 17, 10)
Iodine deficiency among women of reproductive age (WRA) (13, 9, 5)
Vitamin A deficiency among CU5 (serum retinol < 0.7) (45, 30, 20)
Percentage of households with low < 1800 KC energy intake* (TBD, 10, 5)
Health
Infant mortality rate (IMR) (70/1,000, 49/1,000, 30/1,000)
Under 5-years old child mortality rate (CU5 MR) (98/1,000, 80/1,000, 40/1,000)
Maternal mortality rate (MMR) (405/100,000, 260/100,000, 100/100,000)
Poverty
Poverty Head Count Ration (HCR) (TBD, 24%, 8%)
* MDG Goal indicators. MDG Goal Indicators will be used as key proxy indicators to measure progress towards MDG 1
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Counselling on infant feeding in the context HIV|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Other B-vitamins|Iodine|Iron|Zinc|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","National Nutrition Policy (2008) https://extranet.who.int/nutrition/gina/en/node/8022","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202010%20National%20Nutrition%20Strategy%20and%20Plan%20of%20Action.pdf" "14791","UGA","Uganda","","Health Sector Strategic & Investment Plan","Health sector policy, strategy or plan with nutrition components","","English","","2010","","2015","Ministry of Health","","2010","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Sub-national","Ministry of Public Service, Ministry of Gender, Labour and Social Development","","","","","","","","","","","","","","","","","","5.2.1.2 Contribute to the attainment of a significant reduction of morbidity and mortality due to environmental health and unhygienic practices and other environmental health related conditions.
o Disseminate the food hygiene and safety, safe water chain and hand washing guidelines.
o Support local governments to enforce food hygiene and safety, safe water chain and hand washing standards.
o Establish early warning systems on environmental health related risk factors e.g water quality, food safety and sanitation and hygiene related disease out breaks.
5.2.1.4 Improve the health status of the school children, their families and teachers and to inculcate appropriate health seeking behaviour among this population.
• Expand the coverage of the school health and nutrition programme to include more schools
• Strengthen the policy and legal environment for provision of school health services.
o Develop the missing health standards (e.g. nutrition and screening) and operationalise all standards
• Expand the provision of clean water and improved sanitation to schools, with special emphasis on primary schools
5.2.1.7 Scale up delivery of nutrition services:
Strategy 1: To reduce the incidence and prevalence macro- and micro-nutrient deficiencies and associated mortality among vulnerable groups.
• Strengthen maternal nutrition interventions to ensure optimal pregnancy outcomes and healthy infancy:
o Provide micronutrient supplements (iron, folic acid, vitamin A and other relevant) to target groups.
o Encourage and support antenatal care services through health and nutrition education.
o Promote the consumption of high nutrient density local foods
• Integrate infant and young child nutrition interventions into maternal, infant and young child services to ensure growth and development:
o Provide infant and young child feeding counselling services during ante-natal and post-natal care.
o Strengthen growth monitoring and promotion services at facility and community levels.
o Support infant and young child feeding in the context of HIV.
o Provide bi-annual Vitamin A supplementation and deworming to targeted groups.
• Scale up micronutrient initiatives:
o Develop a comprehensive policy framework for micronutrient deficiency control.
o Provide support for implementation of a consolidated policy on micronutrient deficiency control.
o Promote food fortification by working with relevant public and private stakeholders.
o Promote food supplementation
• Promote good quality diets through diet diversification:
o Conduct nutrition education and counselling at facility, family and community levels.
o Promote consumption of locally produced fortified foods.
o Encourage the production and preparation of a variety of locally available nutritious foods.
• Integrate the management of malnutrition into the health delivery system:
o Integrate identification, screening, referral and management of acute malnurished children into routine service delivery at facility level and community levels using national IMAM protocols.
o Support and promote national procurement of therapeutic feeds and supplies.
o Promote local production of therapeutic feeds.
• Integrate nutrition into the treatment and management of HIV/AIDS, TB and malaria:
o Incorporate nutrition support into the management and treatment of HIV/AIDS, TB and malaria interventions.
o Establish coordination mechanisms among partners involved in food and nutrition and HIV, TB and malaria interventions.
o Support community involvement in provision of nutrition support to HIV/AIDS and TB patients.
Strategy 2: To improve access and quality of nutrition services at facility and community levels.
• Support institutional feeding:
o Procure equipment for nutrition management like weighing scales, MUAC tapes, height meters, demonstration meters and food preparation equipment.
o Conduct pre- and in-service training for service providers to promote nutrition interventions.
o Develop curricula and training manuals for nutrition training.
o Determine the human resource needs for nutrition services.
o Train trainers and equip the VHTs, community resource persons and other community based organizations with nutrition knowledge and skills.
o Provide technical support supervision and mentoring of health workers.
o Support nutrition response in emergency
Strategy 3: To review, formulate, enforce and coordinate nutrition related policies, regulations, standards and programmes in consultation with other relevant sector stakeholders.
• Develop and disseminate nutrition policy and implementation guidelines:
o Initiate the review and up-date of the 2002 Uganda National Food and Nutrition Policy.
o Develop implementation guidelines for the reviewed Uganda National Food and Nutrition Policy and other related nutrition policies.
o Orient stakeholders on the revised Uganda National Food and Nutrition Policy.
• Strengthen nutrition related standards and regulations:
o Review the regulations on salt iodization.
o Review regulations on maternity protection.
o Support the development of the Codex on complementary foods and food supplements.
o Develop a regulatory framework for food fortification.
• Strengthening inter-sectoral collaboration and public-private partnership in the designing and implementation of nutrition programs:
o Operationalise the National Food and Nutrition Council and its secretariat.
o Conduct national, regional and district coordination and planning meetings.
Strategy 4: To strengthen advocacy and social mobilization for behavioural change.
• Strengthen advocacy, social mobilization and communication at all levels:
o Develop a comprehensive nutrition communication strategy.
o Develop and disseminate nutrition IEC materials using mass media including audio, visual and print media.
o Promote nutrition campaign initiatives.
Strategy 5: Strengthen nutrition information management systems for monitoring and evaluating nutrition interventions programs.
• Strengthen the regular collection of nutrition indicators in HMIS and other systems:
o Operationalise the Uganda Nutrition Information System.
o Establish nutrition sentinel sites to assess nutrition trends.
o Conduct basic and operational nutrition research.
o Collaborating with UBOS in collection of nutrition indicators during annual food consumption surveys.
o Conduct periodic nutrition surveys.
","5.2.1.2:
Percentage of households with access to safe water.
5.2.1.4:
The % of schools in Uganda that provide basic health and nutrition services increased to 25 % by 2015.
The % of primary and secondary schools with safe water source within 0.5 km radius of the school increased from 61% and 75% resp. to 80% by 2015.
5.2.1.7:
The proportion of underweight in under five year children reduced from 16% to 10%.
Vitamin A deficiency among children 6-59 months reduced from 20% to 10% and women of reproductive age from 19% to 9%.
The proportion of stunted children below 5 years reduced from 38% to 32%.
Vitamin A supplementation coverage increased for children aged 6-59 months from 60% to 80%.
Deworming coverage for children 1-14 years increased from 60% to 80%.
Iodine deficiency eliminated.
The proportion of the households consuming iodised salt increased from 95% to 100%.
The prevalence of anaemia among children decreased from 73% to 60%, women from 49% to 30% and men from 28% to 15%.
The proportion of underweight women of reproductive age decreased from 12% to 6%
Exclusive breastfeeding at 6 months increased from 60% to 80%.
Timely complementary feeding increased from 73% to 80%
Accessibility to appropriate and gender sensitive nutrition information and knowledge increased to 100%
Nutrition services to health units and the community scaled up to 100%.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/HSSIP_Final.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202010%20Health%20Sector%20Strategic%20%26%20Investment%20Plan.pdf" "23562","UZB","Uzbekistan","","Public Health Strategy of the Republic of Uzbekistan for the period 2010-2020","Health sector policy, strategy or plan with nutrition components","","Russian","","2010","","2020","Ministry of Health. Republic of Uzbekistan","","2010","","","","","Health|Food and agriculture|Education and research|Environment|Labour|Other","","","","","","","","","","","","Research/academia","Institute of Health and Medical Statistics; Center for Anemia under the Research Institute for Hematology and Blood Transfusion; National Center for Endocrinology; Tashkent Institute of Post-graduate Medical Training; School of Public Health","Private sector","Food processing, agricultural, industrial and catering enterprises","Other","Centres of the Sanitary Epidemiological Service","Objectives
5. Mortality due to cardiovascular disease in people under 65 years should be reduced by at least 20% between 2010 and 2020.
6. Between 2009 and 2020, improved nutrition should lead to a measurable decrease in anaemia, thyroid dysfunction, malnutrition and over-nutrition.
9. MDG 4 is the reduction of the under-five mortality rate by two-thirds between 1990 and 2015. This rate was 47.8 per 1,000 live births in 1990 and 20.6 per 1,000 in 2005 (source: Health in Uzbekistan - facts and figures, 2006). Therefore the Uzbek rate should be below 16.0‰ in 2015. An additional indicator for MDG 4 in Uzbekistan is the infant mortality rate.
10. The international MDG 5 is the reduction of the maternal mortality rate by three-quarters between 1990 and 2015. The maternal mortality rate was 65.3 per 100,000 live births in 1991, 34.1/100,000 in 2001, and 31.4/100,000 in 2004 (source: Ministry of Health of the RUz). The objective is a maternal mortality rate of below 163./100,000 in 2015
Existing short to medium term programmes (control of tobacco, tuberculosis and HIV/AIDS, and the nutrition programme) will be evaluated before they expire, to be replaced by new programmes in the framework of the overall public health strategy.
Health promotion will receive more emphasis, especially regarding cardiovascular diseases, but also on nutrition and on the prevention of accidents and communicable diseases. Examples are the increased availability of healthy food (e.g. in canteens), the creation of sport facilities, the establishment of smoke-free zones, and decreasing the access to harmful substances.
Present health protection activities, such as sanitation, environmental control, food safety measures, and occupational safety & health measures will to a large extent continue as before. Examples are improved possibilities for physical exercise to combat cardiovascular disease, flour fortification, protection against passive smoking, and traffic and other safety measures.
","Activities CVD
Objective 6 - Nutrition: Between 2010 and 2020, improved nutrition should lead to a measurable decrease in anaemia, thyroid dysfunction, malnutrition and over-nutrition.
Activities
Community based nutrition programmes and services:
1. Community based nutrition programmes, building on and linking to the National Nutrition Services (NNS)
2. Support community based efforts of homestead gardening, rearing small livestock, aquaculture and awareness building for improved nutrition
3. Link long term strategies with immediate treatment of acute malnutrition, in particular through therapeutic & supplementary feeding
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" "8561","BFA","Burkina Faso","","Stratégie de croissance accélérée et de développement durable","Multisectoral development plan with nutrition components","","French","","2011","","2015","","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Environment|Industry","","","","","","","","","","","","","","","","","","Objectif général
Réaliser une croissance économique forte, soutenue et de qualité, génératrice d'effets multiplicateurs sur le niveau d'amélioration des revenus, la qualité de vie de la population et soucieuse du respect du principe de développement durable.
Objectifs spécifiques
Pages 37-39
","Outcome indicators","","Food security and agriculture|Food sovereignty|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202011%20SCADD_1.pdf" "22852","MMR","Myanmar","","National Plan of Action for Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","National Nutrition Centre, Department of Health, Ministry of Health","","2013","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare","National Nutrition Centre, Department of Health, Ministry of Health Education and research, Environment, Food and agriculture, Health, Nutrition council, Social welfare: Food and Nutrition Working Group","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), United Nations Industrial Development Organization (UNIDO), United Nations Population Fund (UNFPA), World Food Programme (WFP), World Health Organization (WHO),","","","Australian Agency for International Development (AUSAID)|Department of International Development (DFID)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: Australian Agency for International Development (AUSAID), Department of International Development (DFID), Japan International Co-operation Agency (JICA), US Agency for International Development (USAID),","European Union","","","","","","","","","","Goal
The goal of the NPAFN is to ensure adequate access to, and utilization of food that is safe, adequate and well-balanced on a long term basis in order to enhance the physical and mental development of the people of Myanmar
Strategic Objectives (SOs)
Selected targets by 2016:
4.2 proportion of stunted of children < 5 (≤2 SD of WHO CGS median), Current: 35.1%, 2016: 30%
2.4 Proportion of Non-pregnant women with < Hb 12g/dL, Current: 45%, 2016: 30%
2.5 Prevalence of anemia for pregnant women, Current: 71%, 2016: 60%
4.1 incidence of LBW, Current: 8.6%, 2016: 8%
4.4 proportion of OW children below age five (<2 years and 2-5 years), Current: 2.6%, 2016: 2.2%
1.1 % of exclusively breastfed < 6 months olds, Current: 23.6%, 2016: 50%
4.3 proportion of wasted children <5 (wt-for ht ≤ 2SD of WHO CGS median), Current: 22.6%, 2016: 20%
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","Extract from the NPAFN log frames specifying the Action Areas linked to the ten strategic objectives (SOs). Each action area contains several interventions illustrated in the log frames.
SO1: Promote consumption of healthy foods and Improve Nutrient Intake
SO2: Prevent and reduce food, water, vector–borne and infectious diseases
SO3: Increase and diversify domestic food production
SO4: Improve access to food
SO5: Improve mother and child care practices
SO6: Improve environmental health and food safety
SO7: Improve institutional capacity and coordination
SO8: Improve Human capacity
SO9: Improve quality and quantity of information
SO10: Increase investments in nutrition and food security
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","The Plan of Action for Food and Nutrition compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|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|Infant feeding in emergencies|Monitoring of the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Rice|Staple 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|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy ReviewACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202011%20National%20Plan%20of%20Action%20for%20Nutrition.pdf" "17862","QAT","Qatar","","National Nutrition and Physical Activity Action Plan","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2016","Ministry of Public Health","","2016","Adopted","","2011","Ministry of Public Health","Education and research|Environment|Health|Nutrition council|Urban planning","Ministry of Public Health","","","","","","","","","","","Research/academia","Research/academia: Qatar University","","Weill Cornell Medical College Qatar, AlMerra Consumer Goods, Private Bakeries,","Other","ASPETAR (Qatar Orthopedic and Sports Medicine Hospital), Hamad Medical Corporation, Qatar Media Corporation, Qatar Museum Authority, Qatar Olympic Committee, Qatar Women’s Sports Committee","GOAL of the Action Plan
To reduce morbidity and mortality attributable to chronic non-communicable diseases (such as diabetes, cardiovascular disease and certain types of cancer) in the State of Qatar.
OBJECTIVES of the National Health Strategy Part 3.2 Nutrition and Physical Activity
- Set up a comprehensive nutrition and physical activity program with initiatives targeted at various stakeholders and with impact on the prevalence of obesity:
o Reduction in the prevalence of obesity and overweight
o Increase in the rate of physical activity
o Enhanced nutritional status
OBJECTIVES of the Action Plan
1. To reduce the diet and inactivity-related risk factors of chronic non-communicable diseases (NCDs);
2. To increase the overall public awareness on the positive health effects of eating a healthy diet and engaging in regular physical activity;
3. To develop and promote culturally sensitive and sustainable policies and legislations aimed at promoting food diversity, healthy eating habits and increasing physical activity in the population;
4. To stimulate the practice of regular physical activity in the population, with special emphasis on schools, workplaces and communities;
5. To facilitate the collaboration with the private sector to promote import, production and distribution of food products which contribute to a healthier and more balanced diet;
6. To strengthen the capacity of human resources involved in the implementation of the Action Plan;
7. To monitor scientific data related to diet and physical activity in relation to NCDs and to support research in relevant areas.
EXPECTED OUTCOMES of the National Health Strategy Part 3.2
Nutrition and Physical Activity 1. Decrease the prevalence of obesity by 3 percentage points, from 32% to 29% for all residents and from 40% to 37% for Qataris; 2. Achieve a 10% weight reduction for people enrolled in dietary services programs.
EXPECTED OUTCOMES of the Action Plan
1. The rates of obesity and overweight are reduced by 1% yearly (i.e. 5% within 5 years);
2. The rates of physical activities are increased by 1% yearly (i.e. 5% within 5 years);
3. The proportion of the population consuming five servings of fruits and vegetables daily is increased by 10% in 5 years;
4. The proportion of the population suffering from high blood pressure levels is decreased in both men and women by 2.5% in 5 years;
5. The proportion of the population suffering from high blood cholesterol levels is decreased by 2.5% in men and 0.5% in women in 5 years;
6. The level of public awareness on nutrition and physical activity is increased by 25% in 5 years.
","Action areas are:
Area 1: National policies and legislations
- Objective. To formulate and promote national policies and legislation to improve dietary patterns and encourage physical activity.
Area 2: National coordination mechanism
- Objective. To establish national coordinating mechanisms that address nutrition and physical activity within the context of the Action Plan.
- Objective. To facilitate the establishment of mechanisms to promote the participation of non-governmental organizations, the academia, civil society, the private sector and the media in activities related to nutrition and physical activity.
Area 3: National nutrition programs
- Objective. To promote optimal maternal health care.
- Objective. To promote optimal infant and young child development.
- Objective. To promote optimal nutrition for school-aged children.
- Objective. To promote optimal nutrition for adults.
Area 4: National physical activity programs
- Objective. To review the existing national guidelines for health-enhancing physical activity in schools.
- Objective. To review the existing national guidelines for health-enhancing physical activity at the workplace.
Area 5: Promotion and advocacy
- Objective. To raise public awareness through all means of communications about the benefits of good nutrition and physical activity as protective factors against the development of NCDs.
Area 6: Surveillance, monitoring and evaluation
- Objective. To assess the progress and implementation of the Action Plan.
- Objective. To evaluate the impact of the Action Plan.
- Objective. To assess the quality of national programs in terms of coverage and efficiency
Area 7: Capacity building
- Objective. To strengthen the capacities of human resources involved in the planning, implementation and evaluation of the Action Plan.
- Objective. To ensure sufficient nutritionists are available at PHC centers for support of the programs specified in the Action Plan.
Area 8: Partnership with academic institutions and the private sector
- Objective. To strengthen the partnership with academic institutions in the development, implementation and evaluation of the Action Plan.
- Objective. To strengthen the partnership with the private sector in the development and implementation of the Action Plan.
Indicators:
- Number of national policies, regulations and legislations developed or updated out of the total number planned.
- Number of policies and legislations implemented out of the total developed and updated.
- Number of sub-committees established with clear terms of reference.
- Number of meetings held out of the total number planned.
- Number of partners involved in the Action Plan.
- Number of nutritionists available per primary health care center out of total targeted.
- Number of health sectors applying breastfeeding programs out of total targeted.
- Percent of mothers achieving recommended weight gain during pregnancy.
- Percent of mothers referred to nutrition counseling during pregnancy.
- Percent of infants exclusively breastfed for the first 6 months of life.
- Percent of children with continued breastfeeding for up to 1 year.
- Number of schools participating in the national school snack program out of the total number targeted.
- Number of workplaces implementing the guidelines for healthy eating at the workplace out of total targeted.
- Number of indoors facilities for physical activities established on school premises out of total targeted.
- Percent of students involved in the school physical activity program.
- Number of indoors facilities for physical activities established on the premise of the workplace out of total targeted.
- Number of physical activities facilities (indoors/outdoors) in the community out of total targeted.
- Number of health promotion activities conducted in each workplace out of total targeted.
- Formative research on public knowledge about the importance of healthy eating and physical activity conducted.
- Social marketing campaign conducted.
- Number of media channels involved in the campaign out of total available.
- STEPwise survey conducted.
- National nutrition surveillance system established.
- Number of recruited nutritionists in PHC out of total number targeted.
- Number of recruited specialist nutritionists in the NCD section of SCH out of total planned.
- Number of trainings on growth monitoring and basic nutrition conducted.
- Number of trainings on data collection and results-based management conducted
- Number of joint collaborations with academic institutions.
- Number of private companies adhering to the recommendations of the Action Plan.
- The national nutrition survey is conducted.
","","","Overweight, obesity and diet-related NCDs|Dietary practice|Fruit and vegetable intake|Fruits|Vegetables|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in schools|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Nutrition%20and%20Physical%20Activity%20Action%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Nutrition%20and%20Physical%20Activity%20Action%20Plan.pdf" "14808","UGA","Uganda","","National Strategic Programme Plan of Interventions for Orphans and other Vulnerable Children (NSPPI-2)","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2011","","2016","Ministry of Gender, Labour and Social Development","","2011","Adopted","","","All major stakeholders from all line government sectors, civil society, UN bodies and development partners","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Sub-national","Ministry of Gender, Labor and Social Development","United Nations Children's Fund (UNICEF)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","- Food and Nutrition Security: 70% of households are food secure and have proper nutrition
- Health, Water, Sanitation and Shelter: Increased access to and utilization of safe water and sanitation facilities for OVC at household, community and institutional levels especially in schools, children’s and remand homes.
Objective 2: Expand access to essential services for orphans and other vulnerable children, their caregivers and families/households.
Interventions:
2.1 Provide social assistance to OVC households to address hunger and malnutrition
a) Implement a national cash transfer programme to increase access to and utilization of food
b) Provide food aid to critically vulnerable OVC and their households
1.2 Promote increased agricultural production and livelihood diversification for OVC households to strengthen their food security
d) Promote commercial agriculture for OVC households to enable them generate income and meet their diversified dietary needs
2.3 Promote proper nutrition for OVC in homes, schools, and other institutions
a) Promote diet diversification, supplementation and fortification for children in households and institutions (children’s homes, schools)
b) Support Community education and sensitization programs on proper nutrition for children including training in food handling, preparation and storage
c) Train communities, VHT and other duty bearers in nutrition monitoring and basic health care practices
d) Promote breast feeding among lactating mothers except where it is not medically recommended
Indicator: Number of OVC/ OVC households who receive food support. Target: 95% of all OVC fully nourished
Indicator: Number of OVC caregivers trained in food security and nutrition. Target: 400 000 (baseline not available)
Increase number of OVC households receiving emergency food aid from 34,334 OVC households with emergy food aid (baseline) to 211, 718 (target)
NSPPIS-2 does not speciy when targets are to be met (or when baseline values were predicted)
","Outcome indicators","","Breastfeeding|Underweight in children 0-5 years|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/Final_Printed_OVC_Strategic_Plan_Uganda_-NSPPI_2.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20National%20Strategic%20Programme%20Plan%20of%20Interventions%20for%20Orphans%20and%20Other%20Vulnerable%20Children.pdf" "23489","AGO","Angola","","Plano Nacional De Desenvolvimento Sanitário","Health sector policy, strategy or plan with nutrition components","","Portuguese","","2012","","2025","Ministério da Saúde","","2012","Adopted","","","","Cabinet/Presidency|Education and research|Environment|Food and agriculture|Health|Industry|Other","See document for complete list of other ministries involved.","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","The World Bank","","","","","","","","","","","","Metas:
1. Até 2013, estabelecer uma política de fortificação dos alimentos básicos em ferro;
2. A partir de 2015 promover o processo de fortificação dos alimentos básicos em ferro;
3. Até 2015, integrar a vigilância nutricional no sistema de informação sanitária (SIS);
4. Até 2017, dotar as 18 províncias e todos os municípios com técnicos capacitados em nutrição;
5. Até 2021, reduzir para menos de 5% a taxa de Malnutrição Aguda em Crianças menores de 5 anos;
6. Até 2021, reduzir para menos de 5% a taxa de Malnutrição Crónica (Nanismo) em Crianças menores de 5 anos;
7. Até 2021, aumentar para 85% a práctica de Aleitamento Materno logo após ao nascimento e exclusivo até aos 6 meses;
8. Até 2021, aumentar para 95% a cobertura de Vitamina A, em Crianças dos 6 aos 59 meses;
9. Até 2021, aumentar para 95% a cobertura de administração de Ferro e Ácido Fólico em mulheres grávidas;
10. Até 2021, reduzir para menos de 10% a taxa de prevalência de Baixo Peso nas crianças menores de cinco anos;
11. Até 2021, consagrar 50% das unidades sanitárias de atendimento à Mãe e à Criança, como “Unidade de Saúde Amiga da Criança”;
12. Até 2021, aumentar para 90% a cobertura do consumo de sal adequadamente iodizado (mais de 15 PPM) no agregado familiar;
13. Até 2021, reduzir os distúrbios devidos à carência de iodo no seio da população mais vulnerável;
14. Até 2025, expandir para a todos os municípios a gestão e o manuseamento integrado do programa da Malnutrição Severa ao nível da Comunidade e das unidades sanitárias.
","Estratégias operacionais:
1. Integração dos serviços de Nutrição, nos Cuidados Primários de Saúde como prioridade absoluta;
2. Reforço da distribuição de micronutrientes e desparasitação como o albendazol, em crianças menores de 5 anos;
3. Estabelecimento de um sistema de vigilância de doenças devidas a carências alimentares e de micronutrientes de base institucional e comunitário;
4. Reforço de vigilância epidemiológica da malnutrição;
5. Promoção do aleitamento materno logo após o nascimento, exclusivo até aos 6 meses e de prácticas adequadas de alimentação após os 6 meses de idade;
6. Promoção de hábitos alimentares e estilos de vida saudáveis;
7. Fortificação em ferro dos alimentos básicos para a população em geral;
8. Intensificação dos Esforços para Criação de Capacidade e Oportunidades de Formação, na área de Nutrição;
9. Reforço da participação comunitária e da capacitação das famílias, através das competências familiares chaves;
10. Mobilização de parcerias estratégicas para uma resposta multissectorial.
Actividades e intervenções:
1. Realizar o estudo nutricional de dois em dois anos;
2. Dotar as unidades sanitárias de meios e recursos para o diagnóstico e tratamento da malnutrição;
3. Manter a distribuição de sais ferrosos, ácido fólico e vitamina A para grupos populacionais específicos, particularmente mulheres grávidas e crianças;
4. Reforçar a implementação da administração sistemática de suplementos de micronutrientes e desparasitantes nas unidades sanitárias a todas as crianças menores de cinco anos;
5. Integrar outras campanhas nacionais para reforçar a administração de micronutrientes;
6. Rever e divulgar protocolos de diagnóstico e tratamento da malnutrição;
7. Elaborar e divulgar material de IEC;
8. Realizar campanhas nacionais de promoção de prácticas alimentares e estilos de vida saudáveis de forma a contribuirmos para o controlo e prevenção da HTA, da Diabetes Mellitus, da Obesidade, da Cárie Dentária, entre outras doenças crónicas não transmissíveis;
9. Realizar campanhas nacionais de promoção do aleitamento materno logo após o nascimento e exclusivo até aos 6 meses;
10. Reforçar as capacidades de inspecção, fiscalização e controlo da qualidade do sal iodizado;
11. Incluir a vigilância nutricional no SIS;
12. Continuar a implementação da iniciativa “Unidade de Saúde Amiga da Criança”;
13. Divulgar activamente o Código de Comercialização dos Substitutos do Leite Materno;
14. Iniciar o processo de fortificação dos alimentos básicos em ferro.
","Indicadores de avaliação:
1. Resultados de estudos antropométricos;
2. Taxas de prevalência de sintomas/doença por défice de macro e micronutrientes;
3. Percentagem de população específica suplementada com comprimidos de ferro, ácido fólico, e vitamina A;
4. Volume de população específica que receberam albendazol
5. Número de famílias que utilizam sal iodizado;
6. Número de grávidas com suplementação de ferro e ácido fólico;
7. Número de mulheres que praticam o aleitamento materno exclusivo até aos 6 meses;
8. Número de campanhas de promoção de prácticas alimentares e estilos de vida saudáveis realizadas.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Overweight and obesity in adults|Diet-related NCDs|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Deworming","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Angola/angola_pnds_2012_2025_vol_22.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202012%20PNDS.pdf" "39419","BDI","Burundi","","Plan National d'investissement agricole","Food security or agriculture sector national policy, strategy or plan with nutrition components","","French","","2012","","2017","Ministere de l'Agriculture et de l'Elevage","","2011","Adopted","","2011","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Transport|Trade|Environment","Ministères ( agriculture, environnement, santé, finances)","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","Objectifs
pages 61-64
","Outcome indicators|Process indicators","","Underweight in children 0-5 years|Nutrition counselling on healthy diets|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202012%20Plan%20National%20D%27Investissement%20Agricole.pdf" "23791","KIR","Kiribati","","Health Strategic Plan 2012-2015","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2015","Ministry of Health","","2012","","","","","Health|Food and agriculture|Education and research|Environment|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","Strategic objective 2: Improve maternal, newborn and child health
2.5.2 Strengthen care of newborns and children though implementing the Baby Friendly Hospital Initiative and designing and implementing standard treatment protocols for management of common paediatric and neonatal conditions
2.5.3 Promote and support exclusive breastfeeding up to 6 months of age, and adequate and safe complementary feeding from 6 months
2.5.4 Improve the detection and treatment of children with malnutrition and provide nutritional counselling and IEC materials to parents
2.5.5 Implement the EPI multi-year plan within stated timeframes, including for Vitamin A and deworming
2.6.5 Investigate feasibility and value of consolidating community support groups (eg, in IMCI and breastfeeding/nutrition), or at ways to promote joint working
Strategic objective 4: Strengthen initiatives to reduce the prevalence of risk factors for NCDs, and to reduce morbidity, disability and mortality from NCDs
4.3.1 Promote food and nutrition guidelines supported by other communication methods and messages about healthy eating, including messages about the link between diet, obesity and disease
4.3.2 Strengthen and extend outreach activities around community gardening and cooking demonstrations
4.3.3 In collaboration with the Ministry of Commerce, Industry and Cooperatives, investigate the feasibility and value of introducing requirements for food fortification
4.3.4 In collaboration with the Ministry of Commerce, Industry and Cooperatives, investigate the public health value of greater disclosure of food ingredients and nutritional information
4.5 Strengthen initiatives around prevention and management of diabetes
4.6 Promote prevention, early diagnosis and early intervention in relation to cancer, hypertension, heart disease and chronic lung disease
","Improve maternal, newborn and child health
Strengthen initiatives to reduce the prevalence of risk factors for NCDs, and to reduce morbidity, disability and mortality from NCDs
Maternal, newborn and child health related indicator
NCD related indicators
L’objectif général de la Politique Nationale de Nutrition (PNN) est de contribuer à assurer à chaque malien un statut nutritionnel satisfaisant pour son bien-être et pour le développement national.
Les objectifs spécifiques, ci-après listés, sont ciblés d’ici 2021:-
4.1. Stratégies
4.1.1. Surveillance de la croissance et du développement de l’enfant
4.1.2. Alimentation du nourrisson et du jeune Enfant
4.1.3. Lutte contre les carences en micronutriments
4.1.4. Prévention des maladies chroniques liées à l’alimentation
4.1.5. Nutrition scolaire
4.1.6. Production alimentaire familiale à petite échelle et transferts sociaux
4.1.7. Communication pour le Développement (CPD)
4.1.8. Renforcement de la participation communautaire en faveur de la nutrition
4.1.9. Systèmes d’Information en matière de nutrition (SIN)
4.1.10. Recherche Appliquée et formation en nutrition
4.1.11. Promotion de la sécurité sanitaire des aliments
4.1.12. Préparation et réponse aux situations d’urgence
4.1.13. Intégration Systématique des objectifs de Nutrition dans les politiques et programmes de développement et de protection sociale
4.1.14. Renforcement du cadre institutionnel
","
Indicateurs (Unités, Situation initiale 2010, Objectifs en 2015, Objectifs en 2017)
Autres indicateurs de suivi et d’évaluation de la politique nationale de nutrition
Impact
Indicateurs (Périodicité de collecte, Sources)
Pratiques alimentaires
Indicateurs (Périodicité de collecte, Sources)
Couvertures
Indicateurs (Périodicité de collecte, Sources)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Conditional cash transfer programmes","","","https://extranet.who.int/ncdccs/Data/MLI_B14_POLITIQUE%20NATIONALE%20DE%20NUTRITION_version%20finale%20du%2019%20FEV%202013%20%20avec%20Preface%2006%20SEPT%202013.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","" "14838","MLT","Malta","","A Healthy Weight for Life: A National Strategy for Malta","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2020","Superintendence of Public Health (MOH)","","2012","Adopted","","2012","Superintendance of Public Health (MOH)","Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Environment|Labour","","","","","","","","","","","","","","","","Other","Representatives of Catering Industry; Representatives of Media","
The overall aim of the Healthy Weight for Life Strategy is to curb and reverse the growing proportion of overweight and obese children and adults in the population in order to reduce the health, social and economic consequences of excess body weight.
","The Public Health Case for Action
Economic Evaluation of Overweight and Obesity
Promoting Healthy Eating
Promoting Physical Activity
Healthcare Services
In order to measure the effectiveness of this Strategy, we aim to demonstrate the following improvements in children and adults by 2020:
• Reduction in the self-reported proportion of the adult population who are overweight from 36% to at least 33%.
• Reduction in the self-reported proportion of the adult population who are obese from 22% to at least 18%.
• Reduction in the proportion (measured by anthropometric studies) of 7 year olds who are overweight and obese from 32% to 27%.
• Maintenance of the proportion of 13 year olds above the 95% weight centile (obese) below 15%.
Monitoring of the targets will take place on a triennial basis (in 2015 and 2018) followed by an end of plan evaluation. The Healthy Weight for Life Implementation Group will be responsible for ensuring that the actions within the different settings are achieved according to the timeframe set and within the allocated budget.
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Capacity building for the Code|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Vulnerable groups","","https://health.gov.mt/en/Documents/National-Health-Strategies/hwl_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202012%20Healthy%20Weight%20for%20Life.pdf" "23734","MRT","Mauritania","","Plan National de Developpement Sanitaire","Health sector policy, strategy or plan with nutrition components","","French","","2012","","2020","Ministry of Health","","2011","Adopted","","2005","Ministère de la santé","Health|Environment","Ministry of Health, collectivités locales","","","","","","","","","","","","","","","","","
L'amélioration durable de la santé des populations ainsi que l'atténuation de l'impact de la pauvreté sur les groupes les plus vulnérables.
","- la réduction de la mortalité maternelle et néonatale
- la réduction de la mortalité infanto-juvénile
- le contrôle des principales maladies transmissibles, y compris les maladies tropicales négligées
- la lutte contre les maladies non transmissibles, y compris les accidents de la voie publique
","
- nouveaux nés allaités au sein dans l'heure aui suit la naissance
- % des femmes enceintes anémiques recevant une supplémentation de fer
- Enfants de 0-5 mois allaités exclusivement au sein
- % d'enfants bénéficiant d'une diversité alimentaire minimale
- Prévalence de l‟HTA chez les 16-64 ans
- Prévalence du diabète chez les 16-64 ans
- Prévalence du surpoids/obésité
- % d'adultes consommant quotidiennement les 5 portions de fruits et légumes
- % d'adultes pratiquant une activité physique modérée à intense
- Supplémentation en fer des femmes enceintes et allaitantes dans le cadre du suivi prénatal
","","","Wasting in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Fruit and vegetable intake|Minimum dietary diversity of women|Breastfeeding promotion/counselling|Micronutrient supplementation|HIV/AIDS and nutrition|Vaccination","","http://www.sante.gov.mr/?wpfb_dl=5","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MRT-2012-PNDS.pdf" "22867","SLE","Sierra Leone","","Sierra Leone Food and Nutrition Security Policy Implementation Plan 2012-2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Government of Sierra Leone","9","2012","","","","","Health|Food and agriculture|Education and research|Social welfare|Trade|Environment|Industry|Justice|Other","Standards Buerau, Decentralization Secretariat (DECSEC), Ministry of Energy and Water Resources, Ministry of Information, Ministry of Local Government, National Commission for Social Action (NaCSA), Sierra Leone Agricultural Research Institute (SLARI), Sierra Leone Roads Authority (SLRA)","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","Network of HIV Positives (NETHIPS)","","","Private sector","Banks/ Micro-finance Institutions","","","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
Overall Goal:
· To reduce the maternal mortality ratio and neonatal, infant and child mortality rates by at least 10% by 2016
· To empower women, and to ensure universal access to reproductive health services
· To improve the nutritional status of all mothers and children.
Strategy 1: Address inequity and social determinants of health
Strategy 2: Develop a comprehensive and coordinated framework for MNCWH & Nutrition service delivery
Strategy 3: Strengthen community-based MNCWH & Nutrition interventions
Strategy 4: Strengthen provision of MNCWH & Nutrition services at PHC and district levels
Strategy 5: Strengthen delivery of MNCWH & Nutrition services at district hospital level
Strategy 6: Strengthen the capacity of the health system to support the provision of MNCWH & Nutrition services
Strategy 7: Strengthen human resource capacity for delivery of MNCWH & Nutrition services
Strategy 8: Strengthen systems for monitoring and evaluation of MNCWH & Nutrition interventions and outcomes
","M & E indicators included on page 44 of the Strategic Plan.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Maize flours|Staple foods|Management of severe acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20MNCWHstratplan.pdf" "14872","YEM","Yemen","","National Agriculture Sector Strategy 2012- 2016","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2012","","2016","Ministry of Agriculture and Irrigation","","2012","","","","","Education and research|Environment|Food and agriculture|Other|Sub-national|Trade","Ministry of Agriculture and Irrigation Ministry of Agriculture and Irrigation","United Nations Development Programme (UNDP)","UNDP","","","","","","","National NGOs","","","","Private sector","","","","Vision Statement: The agriculture sector in Yemen will play the primary role in raising rural incomes and creating jobs, and increasing food security, while protecting the environment and natural resources.
Objectives
The overall objective of the agriculture sector is to increase growth, sustainability, and equity by raising agricultural output, and to increase rural incomes, particularly for the poor. More specifically, the objectives in the agriculture sector are to:
","
To achieve these overall objectives, it is important that development of the agriculture sector include the following strategic elements:
Policy Commitments
1. Policy Advice and Analysis:
The government of Zimbabwe is committed to ensuring that policy instruments that protect and enhance food and nutrition security particularly amongst the most vulnerable, are formulated and inform Government and non-Government decision-making and action.
2. Agriculture and Food Security:
The Government of Zimbabwe is committed to ensuring food security for all, including access to adequate, diverse and nutritious food by all people at all times
3. Social Assistance and Social Protection:
The government of Zimbabwe is committed to ensuring that where social protection including social assistance programmes are implemented , these must contribute and enhance food and nutrition security of the most vulnerable in the short and medium term.
4. Food Safety and Standards:
The government of Zimbabwe is committed to the provision of safe and wholesome food to all. Consequently, all food whether imported or locally produced shall meet national Public Health legislation and international standards for quality and safety.
5. Nutrition Security:
The government of Zimbabwe is committed to ensuring nutrition security for all through the implementation of evidence-based nutrition interventions that are integrated within a broad public health framework including health services, water and sanitation.
6. Food and Nutrition Security Information:
The Government of Zimbabwe is committed to ensuring a national integrated food and nutrition security information system that provides timely, reliable information on the food and nutrition security situation, effectiveness of programmes and informs decision-making.
7. Enhancing and strengthening national capacity for food and nutrition security:
The Government of Zimbabwe is committed to enhancing and strengthening national capacity in food and nutrition security primarily through supporting and reinforcing local community capacity and responsibility for food and nutrition security, applied context-specific research and learning and multi-sectoral professional training in food and nutrition security
","","Activity and Output (Quartely):
Outcome (Annually):
Impact (Every 3-4 years):
Trois objectifs généraux sont retenus en vue d’une résilience optimum :
OG1- Assurer aux Tchadiens l’accès aux denrées alimentaires en quantité et en qualité suffisantes et de façon pérenne, en particulier les plus pauvres,
OG2- Réduire de façon significative et durable la mortalité et la morbidité liées aux problèmes de nutrition et d’alimentation, en particulier par la prévention et la prise en charge correcte de la malnutrition et à l’échelle,
OG3- Promouvoir des comportements alimentaires et nutritionnels adéquats à mieux de garantir un développement du capital humain
","La Politique Nationale de Nutrition et d’Alimentation (PNNA) s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en oeuvre, ces 5 axes stratégiques seront appuyés par 6 axes transversaux :
Strategic Objective 1: Improve the nutritional status of women (15-49 years) and adolescents (10-19 years)
Strategic Objective 2: Improve the nutritional status of infants (0-6 months), young children (6-24 months) and children under 5 years
Strategic objective 3: Improve the nutrition service delivery for communicable and non-communicable/lifestyle related diseases (all age groups)
Strategic objective 4: Strengthen implementation of nutrition sensitive across sectors
Strategic objective 5: Improve multisectoral coordination and capacity to ensure implementation of the NNP
Impact Objectives: Improve Nutritional status of women and children
(Additional outcome, output, process and input indicators from Accountability and results matrix in relation to the strategic objectives, results and initiatives.)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.moh.gov.et/English/Resources/Documents/NNP.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202013%20National%20Nutrition%20Programme.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" "36057","MHL","Marshall Islands","","Republic of the Marshall Islands Food Security Policy","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2013","","","Ministry of Resources and Development","","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Environment|Other","Nitijela, Local Government,Council of Iroij, Office of the Chief Secretary (OCS), Internal Affairs (MIA), Marshall Islands Marine Resources Authority (MIMRA)Economic Policy, Planning and Statistics (EPPSO), Ministry of Finance (MOF), Ministry of Resources and Development (MRD - Agriculture, Energy and Trade), Ministry of Health (MOH),Ministry of Education[MOH -including National Training Council (NTC)], Environment [including Office of Environmental Policy and Planning Coordination (OEPPC) and Environmental Protection Authority(EPA)]","","","","","","RMI Regional, Bilateral and Multilateral Development Partners.","","","National NGOs","","Research/academia","College of Marshall Islands (CMI), University of South Pacific (USP)","Private sector","Private sector and including Chamber of Commerce(COC) and Farmer and Fisher Organizations, Marshall Islands Shipping Company (MISC), Tobolar","Other","Civil Society Organizations (including Church-based Organizations)","Goal:
To ensure access to nutritious, quality, safe and affordable food for all Marshallese people at all times
","Five Priority Strategic Action Areas:
1. Stimulating sustainable local food3 production and preparation and better linking producers to consumers.
2. Strengthening access to nutritious food for vulnerable households and individuals.
3. Educating the public about food security and nutrition and encouraging home gardening.
4. Facilitating efficient national food distribution channels.
5. Building safety, quality and resilience into food supply and production systems.
","M&E matrix on p. 20
","","","Low birth weight|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fruit and vegetable intake|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Removal of subsidies on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MHL%202013%20Food%20Security%20Policy.pdf" "11531","NPL","Nepal","","Multi-sectoral Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","GOVERNMENT OF NEPAL National Planning Commission","4","2012","","","","","Development|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Sub-national|Urban planning|Women, children, families","Secretary Ministry of Local Development, Secretary Ministry of Education, Ministry of Environment, Secretary Ministry of Finance, Secretary Ministry of Agriculture and Cooperatives, Secretary Ministry of Health and Population, Secretary Ministry of Commerce and Supplies, Nutrition and Food Security Steering Committee - District Level, VDC Level and Municipal Level, Secretary Ministry of Physical Planning and Works, Secretary Ministry of Women Children and Social Welfare","","","","","","","","","","","","","","","","","Goal:
The longer-term vision of the multi-sectoral nutrition plan, over the next ten years, is to embark the country towards significantly reducing chronic malnutrition to ensure that it no longer becomes an impeding factor to enhance human capital and for overall socio-economic development. The goal over the next five years is to improve maternal and child nutrition, which will result in the reduction of MIYC under-nutrition, in terms of maternal Body Mass Index (BMI) and child stunting, by one third.
Outcomes:
Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local levels.
Outcome 2: Practices that promote optimal use of nutrition ‘specific’ and nutrition ‘sensitive’ services improved, leading to enhanced maternal and child nutritional status.
Outcome 3: Strengthened capacity of central and local governments on nutrition to provide basic services in an inclusive and equitable manner.
Activities:
1.1. Raise nutrition profile among ministries
1.2 Advocate with Ministries for prioritizing nutrition in their plans, and for including core nutrition specific and sensitive indicators
1.3 Incorporate nutrition in the national and sectoral plans, and include nutrition specific and sensitive monitoring and evaluation framework
1.4 Update National Nutrition Policy and Strategy, including M&E framework in line with the MSNP
1.5 Incorporate nutrition aspects in local plans and planning process, including nutrition specific and sensitive M&E framework
2.1 Establish/ strengthen secretariat for supporting the nutrition and food security initiatives within the NPC
2.2 Establish effective communication to improve coordination
2.3 Form multi-sectoral steering committees at local level
3.1 Implement/scale up maternal infant and young child feeding through a comprehensive approach
3.2 Maintain/expand programmes to improve maternal infant and young child micronutrient status
3.3 Scale up and manage infant and child severe acute malnutrition
3.4 Update health sector nutrition related acts, regulations, policies, strategies, standards, guidelines and nutrition training packages (including establishment of National Nutrition Centre)
3.5 Institutional strengthening of the health sector
4.1 Nutrition integration with life-skills education to adolescent girls, with a focus on improving maternal and child nutrition and on reducing chronic malnutrition (create an enabling environment)
4.2 Raise adolescent girls’ knowledge and skills on reduction of chronic malnutrition
4.3 Prepare/update resource materials on parenting education for improved child care and feeding practices
4.4 Organize programmes to enhance parental knowledge on maternal and child care and feeding practices
4.5 Develop mid-day meal to adolescent girls (grades 5 to 8) to enhance their school performance and participation
4.6 Provide nutritional support to adolescent girls (IFA with deworming to all and schools meals in the targeted areas) to increase their educational participation and performance (grades 5-8)
5.1 Organise promotional campaigns to increase practices on hand washing with soap at critical times, especially among adolescents, mothers with infants and young children
5.2 Conduct Open Defecation Free campaigns, with a particular focus among the most affected districts
5.3 Raise awareness on water safety plan and use of safe water at the point of use, with a particular focus on the most affected areas
6.1 Provide targeted support to make MN rich food available, including animal source foods, at households and community levels
6.2 Recipe development and promotion of MN rich minor/indigenous crops.
6.3 Link up programs to increase income and MNrich foods consumption among adolescent girls, pregnant and lactating mothers and children less than 2 years age from lowest quintile
6.4 Provide support for clean and cheap energy to reduce Women’s workload
6.5 Revise existing child cash grants mechanism (from pregnancy to U2 years children) based on review of the existing evidence to reduce maternal malnutrition and child stunting
7.1Build/facilitate for staff capacity development at central and local level
7.2 Carry out organisation and management assessment of the sectors for organisational strengthening
7.3 Establish uniform and results based reporting system
7.4 Review indicators in PMAS and DPMAS to incorporate MSNP key indicators
7.5 Carry out routine and joint sectoral monitoring of implementation
7.6 Establish monitoring framework and mechanisms at local levels (DDC and other line agencies)
7.7 Allocate institutional responsibilities for nutrition at all levels
8.1 Link/Update nutrition information at central level (PMAS, HMIS, EMIS, WASH, Agriculture and Local Development)
8.2 Link/Update nutrition information in DPMAS at local levels DDC, municipality; and health, education, WASH, agriculture and NGOs
","
M & E Indicators included in the Action Plan
","Outcome indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Fat reduction (total, saturated, trans)|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf" "24487","RWA","Rwanda","","Rwanda United Nations Development Assistance Plan 2013-2018","Non-national nutrition policy document","","English","","2013","","2018","UN country team in Rwanda","","2013","Adopted","7","2013","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Disaster management and refugee affairs, defense, foreign affairs, infrastructure, internal security, east African community","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNECA, IOM, UN Women, UNEP, UN Habitat, UNV, UNCTAD, ITC, UNCDF, OHCHR","Other","","","","","","National NGOs","","","","","","","","Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "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" "38208","VEN","Venezuela (Bolivarian Republic of)","","Plan de la Patria Segundo Plan Socialista de Desarrollo Economico y Social de la Nacion","Multisectoral development plan with nutrition components","","Spanish","","2013","","2019","Asamblea Nacional","","2013","Adopted","","2013","Asamblea Nacional","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Environment|Industry|Labour","","","","","","","","","","","","","","","","","","Objetivo Nacional
1.4 Lograr la soberanía alimentaria para garantizar el sagrado derecho a la alimentación de nuestro pueblo.
...
Objetivo Nacional
2.2 Construir una sociedad igualitaria y justa
...
","","","","","Breastfeeding|Right to food|Food security and agriculture","","http://ucs.gob.ve/descargas/Plan_de_la_Patria.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VEN%202013%20Plan_de_la_Patria.pdf" "24446","BEN","Benin","","Plan cadre des Nation Unies pour l'Assistance au Développement UNDAF ","Non-national nutrition policy document","","French","","2014","","2018","United Nations System in Benin","3","2014","","","","","Nutrition council|Health|Food and agriculture|Women, children, families|Environment|Justice|Sub-national","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Fonds d’Equipement des Nations Unies (UNCDF), Agence internationale de l'énergie atomique(AIEA)","","","The World Bank","","","","","","","","","","","","
UNDAF effet 1:D’ici à fin 2018, les populations rurales et périurbaines, notamment les jeunes et les femmes dans les communes d’intervention accroissent leur revenu et améliorent leur sécurité alimentaire
1.4 Les populations pauvres et les groupes vulnérables disposent de capacités accrues (filets de protection sociale ; transfert des revenus, techniques et technologiques appropriés) pour assurer leur sécurité alimentaire et nutritionnelle ainsi que l’accès aux marchés.
Effet 2: D’ici à fin 2018, les enfants de moins de 5 ans, les adolescents (es), les femmes en âge de procréer et les ménages bénéficient de façon équitable d’interventions à haut impact de qualité en santé y compris le VIH/SIDA, les MNT, la nutrition, la planification familiale, l’assainissement de base et les communautés adoptent des practiques favorable à la sante.
2.1 Les institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes)ont des capacités accrues pour laplanification, la coordination et le suivide la mise en oeuvre des paquets d’intervention àhautLes institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes) ont des capacités accrues pour la planification, la coordination et le suivi de la mise en oeuvre des paquets d’intervention à haut impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.
2.2 Les Zones Sanitaires et les communes retenues ont des capacités accrues pour offrir des paquets d’intervention à haut impact de qualité en nutrition, planification familiale, VIH/ Sida, MNT et sasainiessement de base.
","UNDAF effet 1
1.4 activités
Implications de tous les acteurs ; Bon ciblage des populations et zones vulnérables.
UNDAF effet 2
Engagement et appropriation des partenaires
2.2
Accessibilité aux services de santé en terme de coût des prestations et de la disponibilité des infrastructures améliorées
","UNDAF effet 1
1.4
• Nombre de ménages pauvres et vulnérables ayant bénéficié d’un appui pour la mise en place d’une AGR
• Existence d’un socle de protection sociale
UNDAF effet 2
• Taux d’accouchements assistés par du personnel qualifié (médecins, infirmiers, sage femmes) (R : 84% ; C : 90%)
• Proportion des femmes enceintes séropositives mises sous -prophylaxie ARV
• Proportion d’enfants de 6 à 59 mois présentant la malnutrition aigue
• Proportion de populations utilisant les latrines améliorées
2.1
• Existence d’un document politique/stratégie pour le financement du secteur de la santé
• Existence d’un document de coordination et de suivi de la mise en oeuvre des PIHI (paquet d'interventions à haut impact)
• Nombre de documents de politique et stratégie en santé de la mère et de l’enfant intégrant les PIHI
• Proportion d’acteurs clés formés pour faire une planification basée sur les résultats
2.2
• % de formations sanitaires des zones sanitaires retenues disposant du plateau technique adéquat (ressources humaines,matérielles, infrastructures) pour offrir: des services de prise en charge de qualité des enfants malnutris
","","","Wasting in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Vaccination","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/documents/publication/wcms_461896.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202014%20UNDAF.pdf" "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:
Objetivo geral
Orientar e estimular, por meio de estratégias intersetoriais, ações para a prevenção e controle da obesidade na população brasileira, promovendo a alimentação
adequada e saudável e a prática habitual de atividade física.
Objetivos específicos
A Estratégia Intersetorial de Prevenção e Controle da Obesidade: promovendo modos de vida e alimentação adequada e saudável para a população brasileira
será implementada considerando as seguintes diretrizes:
Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "36093","CZE","Czechia","","Food safety and nutrition strategy for 2014-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2014","","2020","Ministry of Agriculture","","2014","Adopted","1","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Environment|Industry|Other","State Office for Nuclear Safety","","","","","","","","European Food Safety Authority (EFSA)","National NGOs","","Research/academia","","","","Other","Czech Agriculture and Food Inspection Authority; State Veterinary Administration; Central Institute for Supervising and Testing in Agriculture","The fundamental objectives of the CR in the field of food safety is to facilitate the production and marketing of only safe food, to provide verified information on food safety and quality, and thus to improve consumer protection and rightful interests of consumers.
4.1. Priorities in the field of food safety
4.1.1 Risk assessment
4.1.2 Risk management
4.1.3 Communication and education
4.1.4 Cooperation with the EFSA
4.2 Priorities in the field of nutrition
4.2.1 Health risk assessment
4.2.2 Risk management
4.2.3 Communication and education
","","","","School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Reformulation of foods and beverages|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food safety|Food security and agriculture|Vulnerable groups","","http://www.bezpecnostpotravin.cz/UserFiles/Koubova/StrategieBP_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CZE%202014%20Food%20Safety%20and%20Nutrition%20Strategy.pdf" "23501","GHA","Ghana","","National Nutrition Policy 2014-2017","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2017","Government of Ghana","","2013","","","","no","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Labour|Sub-national|Other","Government of Ghana, Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Labour and employment, Environment, Gender and Social protection, Informationa and media Relations, Trade, Local Government, M. of Water and Housing","Other","SUN + unspecified 'traditional devlopment partners'.","","CSO's, NGOs","","","","","National NGOs","","Research/academia","","Private sector","food producers","Other","Cross Sectoral Planning Group, Ghana Statistical Service","3.1 Policy Goal
The goal of the NNP is to ensure optimal nutrition of all people living in Ghana throughout their lifecycle.
3.2 Policy Objectives
The NNP has three objectives:
1. To increase coverage of high-impact nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout their lifecycle, with special reference to maternal health and child survival
2. To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
3. To reposition nutrition as a priority multi-sectoral development issue in Ghana.
","3.3 Policy Measures
3.3.1 Policy Objective 1: To increase coverage of high impact
nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout the lifecycle with specific reference to maternal health and child survival
Policy Measures
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-Age Children and Adolescents
4. Nutrition in the General Population
5. Prevent and Manage Obesity and Diet-Related Non-Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
3.3.2 Policy Objective 2: To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
Policy Measures
1. Health, Water, Hygiene, and Sanitation Services
2. Agriculture and Food Security
3. Social Protection and Safety Nets
4. Education
3.3.3 Policy Objective 3: To Reposition Nutrition as a Priority Multi-Sectoral Development Issue in Ghana
Policy Measures
1. Advocacy and Communication
2. Nutrition as a Priority
3. Integration and Coordination
4. Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Dietary guidelines|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://ndpc.gov.gh/downloads/Policy%20Almanac/Nutrition%20Policy_September%202013%20(Draft).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202013%20National%20Nutrition%20Policy.pdf" "23523","GIN","Guinea","","Plan Stratégique Multisectoriel d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","5","2014","","2016","Ministère de la Santé et de l'Hygiène Publique","5","2014","Adopted","5","2014","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Environment|Industry|Information|Sub-national","Comité national de suivi de la CINAlliance guinéenne pour la fortification des aliments Conseil national de sécurité alimentaire Agence nationale de développement agricole et de sécurité alimentaire, Division alimentation et nutrition)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)|Terre des Hommes","","Other|Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","3.2 Objectifs du plan stratégique national de nutrition et alimentation
Le but de ce plan est de faire reculer la sous-alimentation et la malnutrition ainsi que leurs conséquences socio-sanitaires.
Les objectifs spécifiques d’ici à fin 2016 sont de:
3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
12. Supplémentation alimentaire aux groupes vulnérables – enfants de 24 à 59 mois, personnes âgées, malades, population carcérale, enfants dans la rue, réfugiés, soudure rigoureuse, PVVIH
15. Supplémentation en micronutriments (Fer Acide folique, Vit A, Zinc, Calcium…) des femmes enceintes et allaitantes, femmes de 15 à 45 ans, enfants scolarisés et non scolarisés de 1 à 14 ans
3.4.3 Approche stratégique 3 : L’Accès universel à la prise en charge holistique des cas de malnutrition
3.4.4 Approche stratégique 4 : La Formation, la recherche et le développement pour la sécurité alimentaire et nutritionnelle
Further detail on activities per strategies can be found in tables P20-25
","
3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","
4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
Outcome 2.2–WASH Environmental preservation / food availability – nutrition / health: By 2018 morbidity and mortality in Kenya are sustainablyreduced, with improved maternal, neonatal and childsurvival, reduced malnutrition & incidence of major endemicdiseases (malaria, tuberculosis) and stabilized populationgrowth underpinned by a universally accessible, quality and responsive health system
Output 2.2.2 – WASH-Env preservation/food availability/nutrition: MoH, MEW&NR,MOE, pilot counties and partners haveadequate technical and financial capacity todesign, implement, monitor and evaluatemodels of (i) community-based safe WASH& Environmental preservation systems;(ii) hygiene sanitation behavior changeat household, health facility and schoolsettings; and (iii) county Government-ownedand community driven food availability &nutrition interventions; all of the abovedesigned to inform policies, strategies,standard setting and guide county leveldevelopment planning
Output 2.2.3 – RMNCAH: By 2018 MoH & selected county Governments & partners have adequate institutional & technical capacities, including through south-south cooperation & use of emerging technologies & tools to design, implement & evaluate county-based models of innovative, quality, equitable & integrated maternal, new-born, child & adolescent health services (including sexual & reproductive health)
Output 2.2.4 – Communicable and noncommunicable conditions: By 2018,MoH, selected county health managementteams & their partners have improvedleadership and technical capacity to develop& implement strategies to prevent, control,eliminate or eradicate communicable & NCD’sfocusing on malaria TB, selected neglectedtropical diseases, vaccine-preventablediseases, injuries & mental health
","For Health, WASH and Environmental Preservation, Food Availability and Nutrition, the UN will support innovative programming, influence national policies and strategies and leverage donor resources to ensure that by 2018, morbidity and mortality in Kenya are substantially reduced, with improved maternal, neonatal and child survival, reduced malnutrition and incidence of communicable and noncommunicable diseases and stabilized population growth, underpinned by a universally accessible, quality and responsive health system. Emphasis will be placed on supporting the country to address its rising burden of Noncommunicable Diseases (NCD) and conditions in line with the Political Declaration of high level meeting of UN General Assembly 2011 and Kenya’s own priority. The UN focus will primarily be on mitigating the NCD’s key risk factors.
In the area of WASH and Environmental Preservation the UN will foster strategic and multi-sectoral partnerships to support the design of countybased intervention models that ensure community ownership of strategies and promote the use of appropriate technologies for improved access to and utilization of sustainable water and sanitation services, safe hygiene practices and solid and liquid waste management. All interventions will be underpinned by effective and integrated management of water resources (surface and ground) and the introduction of green technologies, such as ECOSAN, to provide affordable sustainable energy and bio-fertilizers at the community level. For Food Availability and Nutrition, the focus will be on promoting strategic and cross cutting partnerships to support county-based interventions that ensure improved nutrition practices and the production and availability of quality food at the household level.
","Under five mortality rate.
Proportion of the central Government and (b) county health sector budget allocated to Nutrition and WASH.
№ of select counties that have sustainablecommunity based water supply and sanitation system.
% of populationconsuming an adequate diet.
% of households with improved (not shared) toilet/latrine facilities.
% of new outpatient patients with high blood pressure.
% of under 5’s treated for diarrhoea.
% Of ART clients reached with nutrition supplements.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Raised blood pressure|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.ke.undp.org/content/kenya/en/home/library/government-reports/united-nations-development-assistance-framework-2014-2018.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202014%20UNDAF.pdf" "39460","MAR","Morocco","","Plan d’action multisectoriel de promotion du mode de vie sain 2014-2020","NCD policy, strategy or plan with healthy diet components","","French","","2014","","2020","Ministry of Health","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Other","Ministère des Habous et des Affaires Islamiques","","","","","","","","","","o Fondation LALLA SALMA de Prévention et de Traitement des Cancers,o Association Marocaine de la Prévention et de l’Education pour la Santé,o Association ANFAS,o Association de lutte contre le tabagisme et les drogues.","","","","","","","Objectif général
La promotion d’un mode de vie sain vise à améliorer la qualité de vie de la
population marocaine en réduisant les facteurs de risque qui contribuent aux
maladies chroniques et à diminuer à long terme la prévalence de ces maladies.
Objectifs spécifiques
- Réduire l’usage du tabac et protéger les non-fumeurs ;
- Améliorer les habitudes alimentaires ;
- Réduire la sédentarité ;
- Enrichir la capacité de promotion de la santé ;
- Ralentir la progression des maladies chroniques.
","Domaine d’intervention 1 : Prestation de prévention primaire
Action1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
Mesure 1 : Elaboration d’une stratégie de communication sur le mode de vie sain (méfaits du tabagisme, alimentation saine et équilibrée, activité physique
Mesure 2 : Sensibilisation de la population sur le mode de vie sain VS
Mesure 3 : Sensibilisation du milieu préscolaire, scolaire et universitaire et des jeunes non scolarisé sur le MVS
Mesure 4 : Sensibilisation dans les lieux de travail sur le MVS
Mesure 5 : Elargissement de l’initiative « milieu de travail sans Tabac » à d’autres secteurs
Mesure 6 : Célébration de la journée mondiale sans tabac, de l’alimentation saine, équilibrée et de l’activité physique.
Mesure 7 : Sensibilisation des laboratoires pharmaceutiques pour introduire les substituts nicotiniques dans la liste des médicaments remboursable
Mesure 8 : Organisation de manifestations événementielles pour la promotion du mode de vie sain
Mesure 9 : Elaborer un plan d’action de réduction du sel, gras trans et sucre
Mesure 10 : Sensibilisation des industriels de l’agroalimentaire, sur l’intérêt de promouvoir une alimentation saine et équilibrée
Mesure11 : Renforcement des espaces propices à l’activité physique
Domaine d’intervention 2 : Développement des compétences et des ressources humaines
Action 2 : Développement des compétences en matière de mode de vie sain
Mesure 12: Formation des professionnels de la santé, de l’éducation nationale et les cadres du ministère des affaires islamiques sur le MVS
Mesure 13 : Développement de la composante mode vie sain dans la formation de base scolaire universitaire et des instituts de formations des professionnels de santé et programme d’analphabétisme
Domaine d’intervention 3: Gouvernance générale et coordination
Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
Mesure 14 : Déclinaison du plan d’action multisectoriel pour la promotion du mode de vie sain au niveau des régions
Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
Mesure 15 : Officialisation du comité interministériel de promotion du mode de vie sain
Action 5: Développement du partenariat en matière du mode de vie sain
Mesure 16 : Développement des partenariats internationaux pour la promotion du MVS
Mesure 17 : Développement des Partenariat public-ONG pour la promotion du MVS
Action 6 : Mise en Place une réglementation relative à la promotion du mode de vie sain
Mesure 18 : Mettre en Place une réglementation anti-Tabac
Mesure 19 : Renforcer le cadre réglementaire et législatif concernant la production et la consommation d’aliments sains et équilibré
Mesure 20 : Renforcement de la disponibilité et de l’accessibilité aux aliments sûrs et sains
Domaine d’intervention 4 : Marketing et communication
Action 7 : Diffusion du plan d’action multisectoriel de promotion de mode vie sain
Mesure 21 : Organisation d’une journée de diffusion du PA multisectoriel
Domaine d’intervention 5 : Surveillance épidémiologique
Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
Mesure 22 : Réalisation des études sur les facteurs de risques des MNT
Domaine d’intervention 6 : Monitoring, évaluation
Action 9 : Assurer le suivi, évaluation des actions multisectorielles de promotion du mode de vie sain
Mesure 23 : Mettre en place un système de monitoring et d’évaluation du PA multisectoriel au niveau national et régional
","Outcome 6: Namibia has accountable and well coordinated multi-sectoral mechanisms to reduce the burden of priority diseases and conditions, address social, economic and environmental determinants of health, and improve health outcomes.
Outcome 11: Namibia has reviewed, and is implementing, policies and strategies which ensure that severely poor and vulnerable households have access to and are utilizing productive resources and services for food and nutrition security and sustainable income generation.
","","Indicator 6.3
Proportion of population practicing open defecation
Indicator 11.1
Number of food and nutrition policies and strategies which incorporate the ‘twin track’ approach
","Outcome indicators","","Water and sanitation","","http://www.unfpa.org/undaf-namibia-2014-2018","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202014%20UNPAF.pdf" "23737","NPL","Nepal","","Multisectoral Action Plan for the Prevention and Control of Non Communicable Diseases (2014-2020)","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Government of Nepal","","2014","","","","","Health|Education and research|Development|Transport|Urban planning|Environment","","","","","","","","","","","","","","","","","","Goal
The goal of the multisectoral action plan is to reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in Nepal.
Targets
","
Adopt breast feeding promotion and protection regulation
","
Indicator 1: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator 6: Age-standardized mean population intake of salt(sodium chloride) per day in grams in persons aged 18+years
Indicator 7: Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure > 140 mmHg and/or diastolic blood pressure >90 mmHg) and mean systolic blood pressure
Indicator 8: Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (defined as fasting plasma glucose concentration > 7.0 mmol/l (126 mg/dl) or on medication for raised blood glucose)
Indicator 16: Adoption of national policies that limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, as appropriate, within the national context and national program
Indicator 17: Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit and vegetables per day
Indicator 18: Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol >5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration
","Outcome indicators","","International Code of Marketing of Breast-milk Substitutes|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|Taxation on unhealthy foods|Subsidies on healthy foods|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|Physical activity and healthy lifestyle","","http://www.searo.who.int/nepal/mediacentre/ncd_multisectoral_action_plan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202014%20NCD%20Multisectoral%20Action%20Plan.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" "40743","PER","Peru","","Plan Nacional para la reduccion de anemia y desnutricion 2014-2016","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2014","","2016","Ministerio de Salud","","2014","","","","","Nutrition council|Health|Environment|Information","","","","","","","","","","National NGOs","","","","","","","","OBJETIVOS
Objetivo general
Contribuir con la reducción de la desnutrición crónica infantil al 10% y la anemia en menores de 3 años al 20%, al año 2016, a través del fortalecimiento de intervenciones efectivas en el ámbito intrasectorial e intersectorial. Objetivos específi cos:
1. Incrementar la proporción de niños menores de 3 años con control de crecimiento y desarrollo (CRED) oportuno, de acuerdo a edad, y suplementados con hierro (multimicronutrientes).
2. Incrementar la proporción de niños menores de 6 meses con lactancia materna exclusiva.
3. Incrementar la proporción de niños menores de 3 años con vacunas completas de acuerdo a la edad.
4. Disminuir la prevalencia de niños con bajo peso al nacer.
5. Disminuir las enfermedades prevalentes de la infancia: infecciones respiratorias agudas, enfermedades diarreicas agudas y parasitosis.
6. Incrementar la calidad de la atención prenatal y el parto institucional.
7. Incrementar el número de hogares con agua tratada.
","ESTRATEGIAS
1. IMPULSAR LAS INTERVENCIONES EFECTIVAS PARA LA REDUCCIÓN DE LA DCI Y ANEMIA EN BASE A LA EVIDENCIA CIENTÍFICA E IMPLEMENTARLAS DE MANERA INTEGRAL
2. INTENSIFICAR LAS INTERVENCIONES EN LOS DISTRITOS DE ALTA PREVALENCIA DE DCI Y ANEMIA EN NIÑAS Y NIÑOS DE 06 A 35 MESES Y EN LAS ZONAS DE ALTA CONCENTRACIÓN DE NIÑAS Y NIÑOS MENORES DE 3 AÑOS
3. UNIVERSALIZAR LA SUPLEMENTACIÓN CON MULTIMICRONUTRIENTES PARA LA PREVENCIÓN DE ANEMIA EN NIÑAS Y NIÑOS DE 06 A 35 MESES
4. SEGUIMIENTO NOMINAL DE NIÑAS Y NIÑOS MENORES DE 3 AÑOS A PARTIR DE LA IDENTIFICACIÓN EN LÍNEA DEL RECIÉN NACIDO
5. ENFOQUE TRANSVERSAL DE INTERCULTURALIDAD Y GENERO
6. CONVENIOS DE GESTIÓN CON GOBIERNOS REGIONALES
","
MONITOREO Y EVALUACION
El monitoreo y evaluación del Plan Nacional para la Reducción de la Desnutrición Crónica Infantil y la Prevención de la Anemia en el País, estará a cargo de la Dirección General de Salud de las Personas y el Centro Nacional de Alimentación y Nutrición del Instituto Nacional de Salud considerando el modelo lógico establecido y detallado previamente (en la sección V), que incluye los productos y procesos necesarios para el logro de los resultados relacionados con la disminución de la DCI y la anemia en niñas y niños menores de tres años. Las fuentes de información de donde procederán los indicadores son encuestas nacionales (ENDES, ENAHO), además de aquellas basadas en registros administrativos y emitidas como reportes a nivel de las direcciones regionales de salud (SIEN, HIS, SIS, SIP, SISMED) en relación a la prestación de los servicios de salud dirigidos a las madres gestantes y a las niñas y niños menores de 5 años, con énfasis en los menores de 3 años, en el marco de la atención integral en salud.
Indicadores de resultado Para efectos de medir el alcance del Plan Nacional para la Reducción de la Desnutrición Crónica Infantil y la Prevención de la Anemia en el País, se han establecido los siguientes indicadores:
IR1 Prevalencia de desnutrición crónica en niñas y niños menores de 5 años de edad.
IR2 Prevalencia de anemia en niñas y niños de 6 a 35 meses de edad.
IR3 Porcentaje de recién nacidos con bajo peso al nacer.
IR4 Porcentaje de recién nacidos con prematuridad.
IR5 Prevalencia de infecciones respiratorias agudas en niñas y niños menores de 3 años de edad.
IR6 Prevalencia de enfermedad diarreica aguda en niñas y niños menores de 36 meses de edad.
IR7 Porcentaje de niñas y niños menores de 6 meses con lactancia materna exclusiva.
IR8 Porcentaje de madres de niña y niños menores de 36 meses que practican lavado de manos en momentos clave.
IR9 Porcentaje de niñas y niños menores de 36 meses con CRED completo de acuerdo a su edad.
IR10 Porcentaje de niñas y niños menores de 36 meses con vacunas básicas completas para su edad.
IR11 Porcentaje de recién nacido con corte oportuno del cordón umbilical. Indicadores de productos y procesos
Los indicadores de productos y procesos están orientados a medir la implementación de las intervenciones dirigidas a las madres gestantes, niñas y niños menores de 5 años, con énfasis en los menores de 3 años, además de los productos obtenidos luego de su ejecución.
Los indicadores de productos identificados se detallan a continuación:
IP1 Porcentaje de gestantes con control prenatal en el primer trimestre de gestación.
IP2 Porcentaje de gestantes con seis o más controles prenatales.
IP3 Porcentaje de gestantes con suplementación completa.
IP4 Porcentaje de gestantes con parto institucional.
IP5 Porcentaje de niñas y niños de 6 a 35 meses con suplemento de hierro (MMN).
IP6 Porcentaje de niñas y niños menores de 24 meses con vacuna contra rotavirus y neumococo de acuerdo a la edad.
IP7 Porcentaje de hogares con acceso a agua segura.
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Nutrition education","","http://www.minsa.gob.pe/portada/especiales/2015/nutriwawa/directivas/005_Plan_Reduccion.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PER%202014%20Plan%20Nacional%20para%20la%20reduccion%20de%20anemia%20y%20desnutricion%202014-2016.pdf" "24484","TGO","Togo","","Plan cadre des Nations Unies pour l’aide au développement (UNDAF) 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","UN country team of Togo","11","2013","","","","","Health|Education and research|Women, children, families|Social welfare|Environment","","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)","OHCHR","Other","PLAN et PSI, HI, Aide et Action, EAA","Other|The World Bank","AFD, GIZ, GFTAM, Coopération Française, Allemande, US, BAD","European Union","","National NGOs","","","","","","","GAVI","Effet UNDAF 1 : La sécurité alimentaire, la résilience des communautés aux changements climatiques et l’accès des jeunes et des femmes à l’emploi sont améliorés
Effet UNDAF 2 : Les populations notamment les plus vulnérables ont un accès équitable aux services sociaux de base de qualité
Produit 2.2 : L’offre des services de prévention, de traitement, de soins et d’appui en matière de maladies transmissibles et non transmissibles est améliorée
Produit 2.3 : La nourriture, l’eau, l’hygiène et l’assainissement sont rendus disponibles dans les écoles, les formations sanitaires et dans les communautés.
","La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
Pour en savoir plus, consulter VII. Résultats indicatifs.
","Taux de couverture des besoins alimentaires.
Pourcentage d’enfant de moins de 5 ans souffrant de malnutrition chronique.
Pourcentage d’enfants bénéficiant d’un allaitement maternel exclusif.
Nombre de personnes vivant dans des communautés ayant atteint le statut FIDAL (fin de la défécation à l’air libre).
Nombre d’école primaire publique et de structures sanitaires bénéficiant d’un point d’eau potable, et de latrines améliorées.
Nombre d’écoles publiques bénéficiant de repas scolaires pendant les jours ouvrables.
Nombre d’enfants scolarisés des écoles publiques des zones défavorisées recevant au moins un repas équilibré par jour.
Nombre de cadre de concertation, pour une alimentation saine et suffisante et une nutrition équilibrée, fonctionnels.
Nombre d’établissements scolaires disposant de jardins et des cantines scolaires fonctionnels
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TGO%202014%20UNDAF.pdf" "24452","AGO","Angola","","Partnership framework between the government of Angola and the UN system (UNPAF)","Non-national nutrition policy document","","English","","2015","","2019","Ministry of Planning and Regional Development","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Environment|Industry|Labour|Sub-national|Other","Ministry of Energy and Water","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNCHR, UNEP, UN Habitat, IOM, IAEA, UNISDR, UNCTAD","","","Other|Bill and Melinda Gates Foundation|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","Global Fund, Rotary","European Union|Other","Portuguese bilateral cooperation, cooperation with the German Embassy","National NGOs","ADPP, PIN, AAEA","","","Private sector","","","","Result 1.1: Health. By 2019 Angola reduced maternal and child morbidity and mortality, the mortality rate of its population, the risk factors for the health of adolescents and non- communicable diseases
Result 3.1 Inclusive growth, economic diversification, production and job creation. By 2019, Angola possesses and is implementing policies and strategies for the promotion of inclusive and sustainable growth to enable Angola to leave the group of Less Advanced countries
","Result 1.1. Adequate support from the central level of the Ministry of Health for capacity building of provincial and municipal staff to better implement actions in the field of health.
Recruitment of additional health personnel for the different levels of the health pyramid.
Coordination of the activities of all the actors in the health sector.
Information system on water and sanitation (SISAS) & Model for community management of water (MOGECA) launched and implemented as planned
Surveys and evaluations
Baseline Survey on Mothers and care givers awareness of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Qualitative study on Mothers and care givers awareness and behaviors of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Study on the Impact of the school feeding programme(UNICEF) (2016)
Rapid Assessment study on Mothers and care givers awareness and behavior regarding essential practices in health, nutrition and WASH (UNICEF) (2017)
Final evaluation on parents and caregivers’ awareness of essential practices in health, nutrition and WASH (UNICEF). (2019
","Result 1.1.
Indicator 1: Development and implementation of policies: Number of policies/national plans updated/produced and budgeted with the support of the UN to promote and strengthen health in line with the 9 priority programmes of the PNDS 2012 -2025.
Baseline: 4 plans produced.
Goal: 9 plans produced (1. National Strategic Plan for the Aged; 2 .National Strategic Plan for Maternal, Neonatal and Infant Health (including vaccinations); 3. Strategic Plan for Infant Nutrition; 4. National strategic Plan for the control and prevention of malaria; 5. National Plan for Water and Sanitation; 6 .National Policy for Community Interventions; 7. Multiannual Integrated Plan for Vaccination; 8. National Plan for the Elimination of Mother to child HIV; 9. Plan for Management, Procurement and Logistics )
Indicator 2: Capacity building and training. Number of teams of the government and civil society trained in health matters (sexual and reproductive health, including maternal and newborn health, family planning, HIV/AIDS, DNT, etc.).
Baseline: Not available
Goal: 1000 individuals trained in sexual reproductive health and HIV/AIDS by 2019.
Indicator 3: Supply of services. Number of provinces to implement the policy of re- vitalisation of the municipal health services, including integrated services for health, nutrition, water and sanitation and HIV/AIDS.
Baseline: 5 provinces Goal: 10 provinces by 2019.
Result 3.1
Indicator 5: Increase in the number and improvement in the quality of research on hunger, poverty and national inequalities carried out by Angolan universities.
Baseline: At the moment, few national institutions produce research in a systematic way.
Goal: At least four national institutions produce periodic studies which help in decision making.
","Process indicators","","HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.undp.org/content/dam/angola/docs/legalframework/UNDP_AO_UNPAF2015-2019_EN.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202015%20UNPAF.pdf" "23722","COK","Cook Islands","","Cook Islands National Strategy and Action Plan for Non-communicable diseases 2015 - 2019","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","Ministry of Health","","2015","Adopted","","2015","Ministry of Health, Cook Islands","Cabinet/Presidency|Health|Food and agriculture|Education and research|Environment|Other","Ministry of Health Prime Minister's Office, Health, Agriculture, Education, Infrastructure, National Environment Services, Police Department, Internal Affairs","","","","","","","","","National NGOs","National Council of Women, Disability Council, Creative Centre, Te Ipukarea, Youth Council","","","","","Other","Civil Society","Goals
The Global Goal for NCD is to reduce NCD related premature deaths by 25% by 2025 (25 by 25). To align with this, the Cook Islands goal is to reduce the incidence of NCD by 2% per year by 2019.
Food and nutrition objectives
1. Reduce dependency of imported food and increase availability, consumption and access to local nutritious food.
2. Increase the proportion of adults (≥18 years old) eating 5 or more servings of vegetables per day to 30%.
3. Reduce the proportion of overweight and obese children in the population by 10%.
4. Reduce the proportion of overweight and obese adults in the population by 10%.
5. To reduce salt intake in peoples diet to the recommended daily standard of less than 5grams per day (200mgs of sodium).
","Increase availability and access to healthy food
1. Explore options on making healthier food more affordable
2. Introducing higher levies on salty and sugary foods/drinks
3. Increasing range of healthier food options available and its production for sale (prepacked and freshly prepared meals) by working with wholesalers to increase range of healthier products.
4. Promotion of home / school gardens
5. Advocating and lobbying to reduce or remove levies on fruits and vegetables to encourage purchase and consumption.
Increase awareness and knowledge of healthy food
1. Develop and introduce a Nutrition Training course for nurses, teachers, community health workers, agriculture staff and allied health workers
2. Conduct workshops/sessions with members of the community and other stakeholders using the Nutrition Training course outline developed
3. Encourage Doctors to refer complicated patients for lifestyle counselling to Dietician or Nutritionist
4. Increase of human resource in Lifestyle Clinic to allow for NCD patients education
Social Marketing
1. Promotion of healthy eating via different media channels
2. Public awareness through mass media on diet and
3. physical activity
4. Promote collaboration with BTIB “Go Local” campaign encouraging production and consumption of nutritious local food
5. Promote in collaboration with National Environment Services the use of biodegradable containers
6. Strengthen 5+ a day campaign including food preparation, cooking, community workshops on healthy food preparation, short TV programs on healthy cooking with some demonstrations in community settings Number of promotions
7. Production/reprinting of food/healthy eating leaflets and other IEC materials Number of IEC produced and present in workplaces, churches, meeting houses.
8. Encourage use of produce from school gardens in health llessons
Improving Household food security
1. Expansion of World Food Day to include participation from more outer islands and other stakeholders
Strengthening healthy food initiatives in schools
1. Strengthening and encouraging school healthy food policies in school (mandated by Cabinet)
2. Developing and implementing and award system where schools who abide by the school health food policy are recognised for their efforts
3. Strengthening education and awareness of healthy eating by including nutrition in other curriculum subjects (eg. Maori, Maths, English)
4. Encourage schools to have a vegetable garden and promoting of school gardens as a means of fundraising
5. Developing and implementing an award system to recognise schools who are applying the local food day and fruit breaks in their schools
Capacity building and training of the community on healthy food preparation and consumption
1. Encouraging and assisting development of food policies for faith-based and community organizations/events
2. Training of community members to assist in delivering healthy eating programs
3. Development of Food Standards
Encouraging healthy eating in the workplace
1. Advocating for healthy food policies in all workplaces starting with government ministries
2. Policies to include local food days and fruit breaks
3. Encourage and support workplaces to establish their own healthy lifestyle programs.
4.Implementing healthy food policies to encourage local food days and Fruit breaks in the workplace
5. Developing and implementing an award system to recognise workplaces who are applying the local food day and fruit breaks in their workplace
Develop and implement salt reduction strategies
1. Advocate for people to limit their intake of products high in salt and reduce the amount of salt used for cooking;
2. Integrate salt reduction into the training curriculum of food handlers;
3. Consumer empowerment and awareness through social marketing
4. Completion of Salt Survey;
5. Private sector engagement to improve the availability and accessibility of low salt products
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Nutrition in the school curriculum|School gardens|Reformulation of foods and beverages|Salt/sodium|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","http://www.health.gov.ck/index.php/component/docman/doc_download/484-cook-islands-national-strategy-and-action-plan-for-ncd","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COK%202015%20National%20Strategy%20and%20Action%20Plan%20for%20NCD.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%
","Nacionalni program „Živjeti zdravo“ razvijen je kao program promicanja i unapređenja zdravlja stanovnika Republike Hrvatske promicanjem pravilne prehrane i tjelesne aktivnosti u cilju prevencije prekomjerne tjelesne mase i debljine te očuvanja mentalnog i spolnog zdravlja u različitim okruženjima.
MISIJA: unapređenje zdravlja stanovništva Republike Hrvatske smanjenjem utjecaja rizičnih čimbenika na zdravlje provođenjem učinkovitih mjera promicanja zdravlja i primarne prevencije bolesti.
VIZIJA: smanjenje negativnog učinka bihevioralnih, biomedicinskih i sociomedicinskih rizičnih čimbenika te kreiranje okruženja u kojima je svim osobama u Republici Hrvatskoj omogućena najviša razina zdravlja i kvalitete života.
CILJEVI: povećati svijest o rizičnim ponašanjima za razvoj kroničnih nezaraznih bolesti i utjecati na odrednice zdravlja, spriječiti razvoj bolesti te poboljšati kvalitetu života osoba u Republici Hrvatskoj.
OPĆI CILJ:
Povećati svijest i educirati stanovništvo o ponašanjima rizičnima za razvoj kroničnih nezaraznih bolesti i drugih negativnih posljedica na zdravlje i načinima zaštite zdravlja te utjecati na odrednice zdravlja u svrhu povećanja očekivanoga trajanja života, smanjenja smrtnosti, povećanja broja godina života bez bolesti i/ili invalidnosti i postizanja najviše moguće razine tjelesnog i entalnog zdravlja, uključujući poboljšanje kvalitete života očuvanjem zdravlja i funkcionalne sposobnosti.
SPECIFIČNI CILJEVI:
1. razvoj specifičnog preventivnog panela za promicanje zdravlja
2. unapređenje životnih navika populacije Republike Hrvatske
3. povećanje svijesti i znanja o zdravim stilovima života u populaciji Republike Hrvatske
4. zaustavljanje porasta broja osoba s prekomjernom tjelesnom masom i debljinom
5. zaustavljanje porasta broja tjelesno nedovoljno aktivnih osoba
6. smanjenje učestalosti bihevioralnih i biomedicinskih rizičnih čimbenika za razvoj KNB-a.
7. smanjenje specifične stope smrtnosti od kroničnih nezaraznih bolesti za dob do 65. godina života
Tri prioritetna područja djelovanja Nacionalnog programa „Živjeti zdravo“ usmjerena su na:
1. pravilnu prehranu, tjelesnu aktivnost i prevenciju debljine - podrazumijeva promicanje pravilne prehrane kroz edukaciju, informiranje i kampanje te poticanje na izgradnju infrastrukture u vrtićima, školama i na radnim mjestima, poticanje donošenja legislativnih okvira koji reguliraju ovo područje u
svim okruženjima, poticanje proizvođača hrane na istaknuto označavanje i proizvodnju zdravijih prehrambenih proizvoda, praćenje i nadzor prekomjerne tjelesne mase i debljine, provođenje kampanja i inicijativa koje promiču dojenje i dr.
Nacionalni program „Živjeti zdravo“ djeluje na razvoju navedenih prioriteta predlaganjem legislativnih okvira koji reguliraju područje promicanja zdravlja u svim okruženjima, kontinuiranom medijskom promidžbom te potporom implementaciji učinkovitih intervencija na lokalnoj razini s posebnim naglaskom na vulnerabilne skupine.
2&3...
Aktivnosti
Aktivnosti Nacionalnog programa osmišljene su kroz pet komponenti koje se sastoje od niza pojedinačnih projekata, a sadržajno odgovaraju gore navedenim područjima i provode se u zajednici uz aktivno sudjelovanje djece i mladih, odraslih, radno sposobnih i starijeg stanovništva Republike Hrvatske:
U okviru zdravstvenog obrazovanja u školama kroz Nacionalni program “Živjeti zdravo“ planirano je:
1. Promicanje pravilne prehrane i tjelesne aktivnosti u cilju prevencije prekomjerne tjelesne mase i debljine
Uz edukaciju učitelja i učenika o temeljima pravilne prehrane, ista će se učiniti dostupnom u skladu s donesenim Nacionalnim smjernicama za prehranu učenika u osnovnim školama sa skupinom normativa i jelovnika koji su izbalansirani ovisno o nutritivnim i energetskim potrebama učenika te ovisno o godišnjem dobu i sezonskoj dostupnosti namirnica. Uz dodatnu edukaciju učitelja i učenika o važnosti tjelesne aktivnosti u očuvanju zdravlja, tjelesna aktivnost poticat će se putem dva dodatna programa, svakodnevnim 10-minutnim tjelesnim vježbanjem i poligonima za tjelesnu aktivnost školske djece....
Zdravlje i prehrana
Obilježavanjem hrane jamstvenim žigom „Živjeti zdravo“, koji se dodjeljuje za razdoblje od tri godine, želi se dodatno informirati potrošače i pružiti im mogućnost olakšanog izbora hrane čiji je sastav preporučljiv za pravilnu prehranu. Također, isticanjem jamstvenog žiga „Živjeti zdravo“ na prehrambenim proizvodima želi se potaknuti proizvođače da razvijaju ili reformuliraju proizvode prema preporučenim kriterijima za unos energije i pojedinih hranjivih tvari prema Aneksu XIII B Uredbe EU Br.1169/2011.
Proizvode za dodjelu žiga prehrambena industrija i distributeri hrane prijavljuju Hrvatskom zavodu za javno zdravstvo u kojem se obavljaju provjere zadovoljavanja kriterija koji se temelje na pojedinim elementima nutritivne deklaracije. Proizvodi se mogu analizirati u bilo kojem akreditiranom laboratoriju sukladno normi 17025, dok provjeru istih provodi Hrvatski zavod za javno zdravstvo prilikom evaluacije prijave. Ukoliko proizvod zadovoljava kriterije, dodjeljuje mu se jamstveni žig „Živjeti zdravo“. Hrvatski zavod za javno zdravstvo na nacionalnoj je razini nositelj aktivnosti vezanih uz nacionalne mjere o dodatnim oblicima izražavanja i prezentiranja hrane prema Uredbi 1169/2011 Europskog parlamenta i Vijeća Europe o informiranju potrošača o hrani, a u cilju zaštite potrošača.
Jamstveni žig „Živjeti zdravo“ dodjeljuje se na vremensko razdoblje od tri godine. Nakon dodjele jamstvenog žiga, Hrvatski zavod za javno zdravstvo jednom godišnje provodi monitoring nad prehrambenim proizvodima kojima je dodijeljen jamstveni žig kako bi se provjerilo zadovoljavaju li proizvodi i dalje propisane kriterije. Ukoliko se analizom utvrdi da proizvod više ne zadovoljava kriterije, pravo korištenja istog se oduzima.
Ovaj projekt nadovezuje se i na Strateški plan za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015.–2019. godine za 16% u navedenom razdoblju. Naime, stanovnici Hrvatske dnevno u prosjeku unose više od 11 grama soli, gotovo dvostruko više od preporuke SZO-a, što uzrokuje značajne javnozdravstvene posljedice.
Dodjeljivanjem jamstvenog žiga „Živjeti zdravo“ bit će dostupnija informacija o nutritivno povoljnijoj hrani kako bi se svima mogla osigurati pravilna prehrana. Jamstveni žig upečatljivog je dizajna koji će potrošačima pružati jednostavan uvid u proizvode koji su nutritivno povoljniji. Na taj način olakšava se odabir nutritivno povoljnijih proizvoda bez potrebnog dodatnog znanja čitanja nutritivnih deklaracija.
U Republici Hrvatskoj sve je više obiteljskih poljoprivrednih gospodarstava i malih proizvodnih pogona (mini mljekare, sirane, mesna industrija, proizvođači meda, čajeva, proizvoda od voća i povrća) koji nude nutritivno povoljne proizvode. To se dodatno želi iskazati jamstvenim žigom „Živjeti zdravo“, a na taj način će se poticati i domaća proizvodnja i suradnja s civilnim društvom i udrugama.
Zdravlje i radno mjesto
Radno mjesto je, uz obitelj i školu, jedna od tri primarne društvene zajednice te time i jedna od najvažnijih socijalnih determinanti zdravlja. Zdravo radno okruženje preduvjet je socijalnog, mentalnog i fizičkog zdravlja, a zdrav radno aktivan čovjek je preduvjet društvenog opstanka. Imajući u vidu potrebu promicanja zdravlja na radnome mjestu Hrvatski zavod za javno zdravstvo je u okviru nacionalnog programa „Živjeti zdravo“ osmislio projekt promicanja zdravlja na radnom mjestu.
Projekt „Tvrtka prijatelj zdravlja“ usmjeren je zaposlenicima i potiče uvođenje posebnih oznaka za radna okruženja koja zaposlenicima omogućuju usvajanje zdravih životnih navika, promiču zdravlje na radnom mjestu te iskazuju pozitivnu brigu o zdravlju djelatnika. Kako bi utvrdili ispunjava li tvrtka potrebne uvjete, tim stručnjaka Hrvatskog zavoda za javno zdravstvo (HZJZ) dolazi u nadzorni posjet tvrtki, a predviđena su i predavanja za djelatnike tvrtke prema definiranim temama: pravilna prehrana, tjelesna aktivnost, zdravstvena ispravnost namirnica, zlostavljanje na radnom mjestu i upravljanje stresom, pušenje, alkohol, zlouporaba droga i kockanje, okoliš i zdravlje....
","Ovaj projekt nadovezuje se i na Strateški plan za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015.–2019. godine za 16% u navedenom razdoblju
","Outcome indicators","","Sodium/salt intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food sovereignty|Vulnerable groups","","https://zdravstvo.gov.hr/","Includes aims to introduce National Healthy Nutrition Claim (FOP logo that stands for healthy choices). Criteria for the logo still have to be developed.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202015%20National%20Programme%20Living%20Healthy.pdf" "23606","MLT","Malta","","Food and Nutrition Policy and Action Plan for Malta 2015-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2015","","2020","Health Promotion and Disease Prevention Directorate, Parliamentary Secretariat for Health","9","2014","Adopted","9","2014","Health Promotion and Disease Prevention Directorate, Parliamentary Secretariat for Health","Nutrition council|Health|Social welfare|Finance, budget and planning|Development|Sport|Environment|Other","Health Promotion and Disease Prevention Directorate","","","","","","","","","","","Research/academia","","","","","","4.3. Goals
4.4. Objectives
These identified five priority action areas were:
5.1. Priority Action Areas On the basis of a situation analysis carried out, the following areas for action have been identified:
Desafio 1 - Promover o acesso universal à alimentação adequada e saudável, com prioridade para as famílias e pessoas em situação de insegurança alimentar e nutricional.
Desafio 2 - Combater a Insegurança Alimentar e Nutricional e promover a inclusão produtiva rural em grupos populacionais específicos, com ênfase em Povos e Comunidades Tradicionais e outros grupos sociais vulneráveis no meio rural.
Desafio 3 - Promover a produção de alimentos saudáveis e sustentáveis, a estruturação da agricultura familiar e o fortalecimento de sistemas de produção de base agroecológica.
Desafio 4 - Promover o abastecimento e o acesso regular e permanente da população brasileira à alimentação adequada e saudável.
Desafio 5 – Promover e proteger a Alimentação Adequada e Saudável da População Brasileira, com estratégias de educação alimentar e nutricional e medidas regulatórias.
Desafio 6 - Controlar e Prevenir os Agravos decorrentes da má alimentação.
Desafio 7 - Ampliar a disponibilidade hídrica e o acesso à agua para a população, em especial a população pobre no meio rural.
Desafio 8 - Consolidar a implementação do Sistema Nacional de Segurança Alimentar e Nutricional (SISAN), aperfeiçoando a gestão federativa, a intersetorialidade e a participação social.
Desafio 9 - Apoio a iniciativas de promoção da soberania, segurança alimentar e nutricional, do direito humano à alimentação adequada e de sistemas alimentares democráticos, saudáveis e sustentáveis em âmbito internacional, por meio do diálogo e da cooperação internacional.
","De acordo com o artigo 21 do Decreto 7.272/2010, o monitoramento e avaliação da PNSAN será feito por sistema constituído de instrumentos, metodologias e recursos capazes de aferir a realização progressiva do direito humano à alimentação adequada, o grau de implementação daquela Política e o atendimento dos objetivos e metas estabelecidas e pactuadas no Plano Nacional de Segurança Alimentar e Nutricional. O sistema terá como princípios a participação social, equidade, transparência, publicidade e facilidade de acesso às informações. Deverá organizar, de forma integrada, os indicadores existentes nos diversos setores e contemplar as seguintes dimensões de análise:
I - produção de alimentos;
II - disponibilidade de alimentos;
III - renda e condições de vida;
IV - acesso à alimentação adequada e saudável, incluindo água;
V - saúde, nutrição e acesso a serviços relacionados;
VI - educação; e
VII - programas e ações relacionadas à segurança alimentar e nutricional.
O sistema de monitoramento e avaliação ainda deverá identificar os grupos populacionais mais vulneráveis à violação do direito humano à alimentação adequada, consolidando dados sobre desigualdades sociais, étnico-raciais e de gênero. Dessa forma, o monitoramento do PLANSAN objetiva acompanhar a execução das ações governamentais voltadas para a promoção da SAN e aferir o desempenho da atuação governamental nessa temática, possibilitando intervenções que visem o aprimoramento da gestão pública. O conjunto de informações gerado nas atividades de monitoramento também é fundamental para a prestação de contas da ação governamental à sociedade. A CAISAN é a instância responsável por tornar públicas as informações relativas à SAN da população brasileira (§3o, art. 21, decreto 7.272/2010). Para isso, instituiu um Comitê Técnico permanente cuja atribuição é definir instrumentos e metodologia para monitorar, avaliar e divulgar as análises a respeito dos determinantes da SAN e da implementação dos objetivos e metas do PLANSAN. A seguir, são apresentados os indicadores de SAN para cada desafio do Plano e as dimensões de análise a eles associadas. Importante ressaltar que os dados serão desagregados por urbano/rural, raça/cor, etnia e gênero sempre quando houver informação disponível. Os indicadores constantes no quadro não se esgotam aqui e serão objeto de discussão posterior em um seminário técnico a ser organizado pela CAISAN.
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight in adolescents|Sugar intake|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Media campaigns on healthy diets and nutrition|Sugar reduction|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Food sovereignty|Conditional cash transfer programmes|Vulnerable groups","","http://www4.planalto.gov.br/consea/eventos/plenarias/documentos/2016/plano-nacional-de-seguranca-alimentar-e-nutricional-plansan-2016-2019-metodologia-e-estrutura/view","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202016%20PLANSAN.pdf" "40061","BDI","Burundi","","Politique nationale de santé 2016 – 2025","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2025","Ministère de la Santé Publique et de Lutte contre le Sida","1","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Environment|Information|Other","Défense et SécuritéÉnergie et Mines","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "39451","CIV","Côte d'Ivoire","","Plan National de Development Sanitaire 2016-2020","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2020","","","2016","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Environment","ministère de la promotion de la femme, de la famille et de la protection de l’enfant","","","","","","","","","National NGOs","","","","","","","","","AXE 4 : LUTTE CONTRE LA MALADIE
EFFET 4: La morbidité et la mortalité liées aux principales maladies sont réduites d'ici 2020 de 50%
Effet intermédiaire 4.3 : La proportion de la population présentant une malnutrition est réduite de 25%. Deux (2) extrants concourent à l’atteinte de cet effet intermédiaire. Ce sont : (i) la sous nutrition est réduit de 20% chez les enfants ; (ii) la surnutrition est réduite de 30% au niveau de la population générale ;
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years","","http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/cote_divoire/pnds_2016-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202016%20Plan%20national%20de%20developpement%20sanitaire_0.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" "23588","GTM","Guatemala","","Plan Estratégico de Seguridad Alimentaria y Nutricional - PESAN - 2016 – 2020","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2016","","2020","CONASAN /SESAN","","2016","","","2016","Food security and nutritional ministry","Nutrition council|Food and agriculture|Education and research|Finance, budget and planning|Environment","","","","","","","","","","","","","","","","","","Los Pilares de la SAN y Coordinación y su vinculación con los Objetivos Estratégicos del PESAN 2012 – 2016.
1. DISPONIBILIDAD NACIONAL DE ALIMENTOS
Facilitar la producción de alimentos a nivel nacional, la importación,
procesamiento, comercialización y que lleguen a toda la población, en
suficiente cantidad y que se obtengan reservas por concepto de donaciones
de ayuda alimentaria.
2. ACCESO A LOS ALIMENTOS
Promover el acceso de la población a los alimentos necesarios para cubrir
las necesidades y requerimiento nutricionales que garanticen su desarrollo
humano.
3. CONSUMO DE ALIMENTOS
Propiciar que toda la población adopte y fortalezca hábitos alimentarios
que le permitan tomar decisiones adecuadas en cuanto al consumo diario de
alimentos nutritivos, inocuos, culturalmente aceptados y ambientalmente
compatibles, considerando su ciclo de vida.
4. APROVECHAMIENTO BIOLÓGICO DE LOS ALIMENTOS
Incrementar la resiliencia de las personas y las comunidades mediante el
mejoramiento sostenido de las condiciones ambientales y de salud y el
acceso a servicios básicos que garanticen a toda la población condiciones
necesarias para una óptima utilización biológica de los alimentos de la
población.
5. COORDINACIÓN
Impulsar la consolidación, el fortalecimiento y el desarrollo del SINASAN,
considerando los ejes transversales y promover la planificación, ejecución y el
análisis de la información requerida para la evaluación y gestión del
conocimiento de la SAN y sus factores determinantes
","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Total carbohydrate|Added sugars|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|Nutrition in the school curriculum|School milk scheme|School gardens|Dietary guidelines|Nutrition counselling on healthy diets|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Maize flours|Refined sugar|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.sesan.gob.gt/index.php/descargas/10-pesan-2012-2016/file","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GUA%202012%20PESAN2012-1016.pdf" "24473","GNB","Guinea-Bissau","","Partnership framework between Guinea-Bissau and the United Nations ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team of Guinea-Bissau","4","2016","Adopted","10","2016","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Justice|Other","Foreign Affairs, Defense, Security","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 Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC, UNOPS, UN Women","","","The World Bank","","European Union|Other","African Union, IMF","National NGOs","","Research/academia","","Private sector","","","","
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" "36118","NLD","Netherlands","","Landelijke nota gezondheidsbeleid [National Health Policy Note]","Health sector policy, strategy or plan with nutrition components","","Dutch","","2016","","2019","Ministry of Health, Welfare and Sport","12","2015","Adopted","12","2015","Council of Ministers","Health|Finance, budget and planning|Sport|Transport|Environment|Sub-national|Other","Ministry of foreign affairs","","","","","","","","","National NGOs","","","","","","Other","Gezondheidsraad (National Health Council)","De meeste gezondheidswinst is nog steeds te behalen met verbetering van de trends voor de speerpunten: roken, overmatig alcoholgebruik, (ernstig) overgewicht, bewegen, depressie en diabetes. Onze ambitie is om voor elk van deze speerpunten in 2030 een substantiële verbetering te realiseren ten opzichte van de trends zoals die zijn gerapporteerd in de VTV-2014. Hiervoor blijft het kabinet stevig inzetten op het stimuleren van een gezonde leefstijl. Aanbod van gezond voedsel en gezonde (groene) leefomgeving passen daarbij. De integrale aanpak via onderwijs, werk, wijk/omgeving en zorg staat centraal.
","But de la Politique
La présente politique vise à permettre au Niger d’atteindre les Objectifs de Développement Durable (ODD), particulièrement l’ODD2: éliminer la faim, assurer la sécurité alimentaire, améliorer la nutrition et promouvoir une agriculture durable.
Objectif général
La politique nationale sur la sécurité nutritionnelle, qui exprime l'engagement pris par le Gouvernement de la République du Niger, vise à éliminer toutes les formes de malnutrition au travers d’une large mobilisation multisectorielle de ressources institutionnelles, humaines, et financières.
Objectifs spécifiques
Engagement 1: Le Niger s’engage à assurer que les politiques et instruments qui protègent et améliorent la sécurité nutritionnelle et le cadre de vie des Nigériennes et des Nigériens, particulièrement au niveau des groupes vulnérables, soient formulés et guident les décisions et actions du Gouvernement et de ses partenaires.
Engagement 2: Le Niger s’engage à assurer une nutrition et un développement optimal pour chaque enfant, une nutrition adéquate durant l’adolescence en particulier pour les jeunes filles, et un apport nutritionnel approprié pendant la grossesse et l’allaitement.
Engagement 3: Le Niger s’engage à créer les conditions d’une disponibilité accrue de l’approvisionnement et de la consommation d’aliments diversifiés, pour garantir une alimentation quantitativement et qualitativement adéquate aux enfants de moins de cinq ans, aux adolescentes et adolescents, aux femmes enceintes et allaitantes et ceci durant les différentes périodes de l’année y compris la période de soudure.
Engagement 4: Le Niger s’engage à assurer le développement et la mise à l’échelle de stratégies permettant un accès à l’eau potable, et aux infrastructures d’hygiène et d’assainissement pour les enfants, les femmes et les hommes.
Engagement 5: Le Niger s’engage à ce qu’un socle de protection sociale ou des programmes de protection sociale contribuent directement ou indirectement à la promotion de la sécurité nutritionnelle en particulier pour les catégories les plus vulnérables.
Engagement 6: Le Niger s’engage pour une éducation formelle et non formelle qui promeut la sécurité nutritionnelle.
Engagement 7: Le Niger s’engage à lutter contre le surpoids et l’obésité, y compris la surnutrition des enfants, et à réduire l’incidence des maladies non transmissibles (prévenir et contrôler les maladies liées à la mauvaise alimentation et ses conséquences).
Engagement 8: Le Niger s’engage à développer et mettre à l’échelle des stratégies de communication cohérentes et multisectorielles assurant un support politique, des changements sociaux et de comportements favorisant une meilleure nutrition.
Note: for each commitment, stratgies are listed in document pages 15-21
","","","","Maternity protection|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202016%20PNSN_0.pdf" "36188","SYC","Seychelles","","Seychelles Strategy for the Prevention and Control of Noncommunicable Diseases, 2016-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Ministry of Health","","2016","Adopted","6","2016","The Strategy was presented at Cabinet and approved on the 30th of June 2016 (C16/D/MEM/154). The Strategy was subsequently presented by the Minister of Health at the National Assembly with no objection (Nation 28 July 2016).","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Urban planning|Trade|Environment|Industry|Information|Labour","Health, agriculture, communication, education, employment, energy, environment, finance, food, foreign affairs,housing, justice and security, legislature, social welfare, social and economic development, sports,tax and revenue, trade and industry, transport, urban planning and youth affairs and partnershipwith relevant civil society and private sector entities","","","","","","","","","National NGOs","","","","","","","","1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf" "24485","UGA","Uganda","","United Nations Development Assistance Framework for Uganda","Non-national nutrition policy document","","English","","2016","","2020","","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Environment|Industry|Justice|Other","Foreign affairs","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)","UNCDF, UN Habitat, UNEP, UN Women, OHCHR","Other","","","","","","National NGOs","","","","Private sector","","","","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" "36034","TZA","United Republic of Tanzania","","National Multi-sectoral Nutrition Action Plan (NMNAP)","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","Prime Ministers Office: United Republic of Tanzania","10","2016","Adopted","10","2016","Prime Ministers Office: United Republic of Tanzania. High Level Steering Committee on Nutrition (HLSCN)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Information|Labour|Sub-national","Prime Ministers Office: United Republic of TanzaniaTNFC","","UNICEF, WHO, UN-REACH, WFP, FAO","Helen Keller International (HKI)","PANITA, HKI, COUNSENUT","","Fhi360, Irish Aid, DFID, USAID","","","National NGOs","","","academia (SUA, MUHAS); institutions (Ifakara Health Institute), Tanzania Public Health Association - TPHA, Tanzania Diabetic Association – TDA, Tanzania NCD Alliance)","","unspecified","","","The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "24490","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan","Non-national nutrition policy document","","English","","2016","","2021","UN country team of Tanzania","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry|Sub-national|Other","","International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, ITC, OHCHR, UN Habitat, UNCTAD; UNEP, UNODC, UNV, UN Women, UNCDF, IOM","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome statement: Increased coverage of equitable, quality and effective nutrition services among women and children under five
Output: Improved nutrition specific services for women and children under five available
Output: Relevant MDAs and select LGAs are better able to realize a multi-sectoral nutrition response at national, regional and district level
Output statement: Vulnerable groups have increased access to safe and affordable water supply sanitation and hygiene
Output: Select MDAs are better able to formulate policies, plans and guidelines for the sustainable management of water, sanitation and hygiene
Output: Select LGAs have enhanced capacity to plan and implement sustainable water, sanitation and hygiene services
","Tanzanians’ consistently poor nutritional status demands action. UN Tanzania will therefore support duty bearers to realize a multi-sectoral nutrition response at national, regional and district levels for those living on both the mainland and Zanzibar, supported by an effective nutrition information and surveillance system. The quality and coverage of services for those most at risk of poor nutritional outcomes, namely women and children under five, will also be enhanced.Key government institutions and select LGAs will be supported to effectively integrate nutrition in their planning and budgeting processes, with emphasis given to a multi-sectoral approach with concomitant resources for coordination. It is anticipated that >80% of all LGAs on the mainland will implement nutrition plans and budget that include at least five nutrition specific or sensitive interventions integrated in their MTEFs by 2021. Regional and district nutrition officers plus health workers will be given regular technical and supervisory training to ensure they meet the highest professional standards whilst agricultural extension workers will be afforded supplies and technical expertise to mainstream nutrition in their food security interventions.
Nutrition services for women and children under five will receive a boost with service providers enabled to promote appropriate Maternal, Infant and Young Child Feeding methods through counselling and supplies provision, including use of iron-folic acid supplements during pregnancy, exclusive breastfeeding for infants under five months and provision of vitamin A supplements and deworming for those between 6-59 and 12-59 months respectively. Additional support will be afforded for the treatment of Moderate and Severe Acute Malnutrition (SAM) by health workers, including those operating at the community level. It is anticipated that the numbers of children with Moderate Acute Malnutrition treated in UN supported districts will rise from 5,000 in 2014 to 30,000 by 2021, whilst those treated for SAM will increase from 7,000 to 80,000 over the same five year period. Moreover, small and medium scale producers will be facilitated to provide food fortified with micronutrients specifically Vitamin A, Iron and Iodine.
Implementation of the national Nutrition Action Plan will be monitored through regular sector reviews and remedial action effected where required. Furthermore, regular nutrition surveys at national, regional and district levels will provide timely, quality and disaggregated data for decisionmaking, resource mobilization and effective programming, with accountability improved through the use of nutrition scorecards across mainland and Zanzibar.
Further, the MoHSW will be supported to develop and disseminate the national strategy and guidelines for WASH in health facilities which includes the promotion of sound WASH behaviours and management of medical waste. As a complement, technical and financial assistance will be afforded for the implementation of WASH in priority health facilities alongside schools and communities, with compliance to national guidelines assured. In addition, a National Behaviour Change Communication Strategy for the promotion of sanitation and hygiene will be developed and disseminated.
","% of girls and boys age 6-59 months who receive vitamin A supplement during the previous 6 months
% of pregnant women who receive iron-folic acid supplement for at least 90 days
% of infants 0-5 months (girls and boys) who are exclusively breastfed
% of children aged 0-59 months with Severe Acute Malnutrition (SAM) appropriately treated
% if targeted districts with at least 90% of children aged 6-59 months covered with two annual doses of vitamin A supplement
% of small and medium scale miller fortifying flour in UN supported Districts in mainland
% of mothers/caregivers of children 0-23 months who participate in counselling sessions on IYCF in UN Supported Distrcits
# of SAM children treated according to WHO guidelines in UN Supported Districts
# of MAM children treated according to WHO guidelines in UN Supported Districts
% of children 6-23 months participating in supplementary feeding programme in UN Supported Districts in mainland
% of districts on the mainland with nutrition plan and budget that includes at least five nutrition specific or sensitive interventions integrated in MTEF
% of LGA budgets on the mainland allocated to nutrition activities
% of population using improved safe drinking water source
Status if national WASH behaviour change communication (BCC) strategies
% of LGAs implementing activities based on a comprehensive MIS- informed local plan for WASH
% of schools with a functional WASH package meeting national guidelines in UN supported districts
% of health care facilities complying with national WASH guidelines in UN supported districts
% of water points which are functional
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/---ilo-dar_es_salaam/documents/publication/wcms_549240.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20UNDAP.pdf" "24491","ZMB","Zambia","","Zambia- United Nations Sustainable Development Partnership Framework (2016-2021)","Non-national nutrition policy document","","English","","2016","","2021","UN country team in Zambia","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Justice|Sub-national|Other","Community, Mines, Disaster management, Tourism","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UNECA","Other","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","African Development Bank, Government of Sweden, Embassy of Finland","European Union","","National NGOs","","","","Private sector","","","","Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "25898","ALB","Albania","","National Program on Prevention and Control of NCDs in Albania 2016-2020 (Programi Kombëtar për Parandalimin dhe Kontrollin e Sëmundjeve Joinfektive në Shqipëri)","NCD policy, strategy or plan with healthy diet components","","English","","2017","","","","","2017","","","","","Health|Food and agriculture|Education and research|Sport|Transport|Environment","Program has been developed with the input of line ministries: Ministry of Health, Ministry of Agriculture, Rural Development and Water Administration, Ministry of Education and Sports, Ministry of Environment, Ministry of Transport and Infrastructure, the respective local and national institutions and nongovernment organization.","","","","","","","","","National NGOs","","","","","","","","
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" "24467","ERI","Eritrea","","The strategic partnership cooperation framework (SPCF) between the government of the state of Eritrea and the United Nations","Non-national nutrition policy document","","English","","2017","","2021","Eritrea UN country team","1","2017","","","","","Health|Food and agriculture|Education and research|Development|Environment|Labour|Other","National Union of Eritrean Women (NUEW)","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IAEA, UNEP, UNODC","","","","","","","","","","","","","","","
Outcome 1. Health and Nutrition. By 2021, children under five, youth, women and other vulnerable groups including refugees, have improved access to and utilization of quality, integrated health and nutrition services for the achievement of universal health coverage (UHC) to safeguard healthy lives and promote well-being for all.
Outcome 2. Water, Sanitation and Hygiene (WASH). By 2021, all people, including refugees, benefit from available and sustainable water, sanitation and hygiene services.
Outcome 6. Food Security and Livelihoods. By 2021, smallholder households have improved access to, and utilisation of quality food and enhanced livelihood opportunities.
","Outcome 1. (iii) Strengthen the capacity of community health workers to implement integrated community case management, promote appropriate childcare and care seeking practices at household and community levels, and to make timely referrals to the next level of care. There will be a strong focus on integrated nutrition security, infant and young child feeding practices.
Outcome 2. (i) Involving communities in strengthening their capacity to operate and maintain rural water supplies and to develop and implement sanitation action plans.
(ii) Capacity building support to develop implementation protocols and guidelines on WASH in Institutions, rural water supply and sanitation and hygiene through the Community-Led Total Sanitation (CLTS) approach.
(iii) Evidence generation through support to the GoSE to conduct necessary assessments, surveys, and formative research such as the Eritrea Population and Health Survey (EPHS) and Knowledge, Attitude and Practice (KAP) surveys, as well as formative studies on community based approaches.
(iv) Policy dialogue and advocacy to promote balance between upstream policy and institutional development and the downstream work of capacity building, monitoring, and service delivery in the critical areas of child survival and development through equity-focused programming.
(v) Provision of service delivery assistance in the form of supplies, cash and services to facilitate the government, as implementing partners, to continue to provide WASH services. Service delivery assistance will also assist the GoSE sustain the service delivery gains as well as provide models of best practice to scale-up critical child survival and developmental WASH interventions.
Outcome 6. (i) Continue to support the GoSE expand, diversify and make more sustainable the productive base and engage the international community.
(ii) Continue to provide upstream support by engaging partners in a dialogue to identify capacity and policy gaps and to unlock potential development resources in the agriculture sector.
(iii) Identify diversified productive sectors that could provide sustainable livelihood opportunities for the population. The experience with the mining sector could be replicated in other sectors with higher job intensity, such as manufacturing, food processing and tourism.
(iv) Continue to work with communities to increase food and nutrition capacity, productivity and livelihoods with a special focus on youth and women.
(v) Provide technical assistance to the GoSE in the areas of institutional and human capacity development, quality seed production; improvement of crop and animal production; improved water management through the introduction and installation of new irrigation systems; provision of agricultural inputs; food processing for export and value addition of agricultural products to further increase employment and incomes in the agricultural sector
","1.8: Proportion of infants under 6 months exclusively breastfed
1.9: Proportion of children 6-59 months receiving two doses of vitamin A supplementation per year
1.11: Proportion of children 6-59 months with SAM enrolled in therapeutic feeding programme
2.1: Proportion of the population using an improved source of drinking water
2.3: Percentage of people who wash their hands with soap after defecation.
6.1: % of smallholder households using nutritious foods
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of severe acute malnutrition|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","http://reporting.unhcr.org/sites/default/files/UNDP%20ERITREA_SPCF%202016%20Low%20res%20fa.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ERI%202017%20SPCF.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
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","","","" "25932","QAT","Qatar","","Qatar Public Health Strategy 2017-2022","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2022","Ministry of Public Health","","2018","","","","","Health|Development|Trade|Environment","","","","","","","","","","","","","","","","","","Healthy Lifestyle Objectives
HL1 Reduce risk factors of chronic noncommunicable diseases (unhealthy nutrition and physical inactivity)
HL2 Increase overall public awareness on the positive health effects of healthy nutrition and engaging in regular physical activity
HL3 Formulate and promote culturally appropriate and sustainable policies and legislations aimed at food diversity, healthy eating habits and increasing physical activity in the population
HL4 Stimulate/increase the practice of regular physical activity across the population, with particular emphasis on schools, workplaces and targeted communities
HL5 Establish wellness services and health coaches in primary healthcare centers focused on patients at risk of one of the four major risk factors (obesity, smoking, physical inactivity and malnutrition)
HL6 Enhance collaboration with the private sector to promote the importation, production and distribution of food products which contribute to a healthier and more balanced diet
Cardiovascular Disease
CVD1 Reduce the prevalence and burden associated with cardiovascular disease through promotion of healthy behaviors including education programs at primary care centers
Maternal and Child Health Objectives
MC4 Implement initiatives to encourage and promote breastfeeding through education and counselling within primary care
","","","","","Raised blood glucose/diabetes|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://extranet.who.int/ncdccs/Data/QAT_B3_QPHS%202017-2022.pdf","WHO NCD repository ","","" "39772","VCT","Saint Vincent and the Grenadines","","National Action Plan for the Prevention and Control of Non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2025","Ministry of Health, Wellness & the Environment","","2017","","","","","Health|Food and agriculture|Education and research|Trade|Environment","","","","","","","","","","National NGOs","","","","","","","","See goals.
","","","Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Front 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 hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Salt reduction","","https://extranet.who.int/ncdccs/Data/VCT_B3_NATIONAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NCDS 2017-2025.doc","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VCT%202017%20NATIONAL%20ACTION%20PLAN%20FOR%20THE%20PREVENTION%20AND%20CONTROL%20OF%20NCDS%202017-2025.pdf" "40332","SEN","Senegal","","Plan stratégique lutte contre les maladies non transmissibles 2017-2020","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2020","Ministère de la Santé et de l’Action sociale","7","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Transport|Trade|Environment|Other","Douanes","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Objectifs strategiques 3
Améliorer les compétences individuelles en matière de santé et de lutte contre les MNT
Objectifs Spécifiques
3.1. Amener au moins à 80% le nombre de personnes qui connaissent les 4 principaux facteurs de risque associés aux MNT (alimentation trop grasse, trop huilée, trop sucrée, trop salée, insuffisance de la consommation de légumes et fruits, obésité et manque d’activités physiques, tabagisme et alcoolisme);
3.2. Amener au moins à 80% le nombre de personnes qui sont au courant de l’existence de lois protégeant contre certains facteurs de risque des MNT (tabac, alcool, composition des aliments, produits de dépigmentation, environnement…);
3.3. Amener au moins à 50% le nombre de personnes qui affirment avoir réduit leur consommation de sel;
","
Ainsi, en plus des programmes de sensibilisation et d’éducation des populations sur les facteurs de risques, la mise en place de législations et de politiques fiscales (telles que l’application des sanctions (verbalisation), la taxation sur le tabac, l’alcool, les boissons sucrées, la lutte contre la publicité du tabac et des produits de dépigmentation) de même que la subvention pour soutenir l’accès à des aliments sains (fruit, légumes…) seront encouragés.
D’autres actions seront aussi encouragées notamment en organisant des lieux de vie propices à la santé (pistes cyclables, installations sportives et de loisirs attrayants, préservation des espaces naturels et de détente, préparation de repas sains dans les cantines au travail, à l’école ou dans les niches socio-économiques défavorisées (gares routières), etc.…).
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food safety","","https://extranet.who.int/ncdccs/Data/SEN_B3_Plan Stratégique MNT VF Juillet 2017.pdf","","WHO NCD Document Repository","" "25901","TTO","Trinidad and Tobago","","National Strategic Plan for the Prevention and Control of Non Communicable Diseases: Trinidad and Tobago 2017 - 2021","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","The Ministry of Health, Trinidad and Tobago","","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Transport|Urban planning|Trade|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","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" "40048","DJI","Djibouti","","Stratégie Nationale de prévention des différentes formes de la malnutrition à Djibouti","Comprehensive national nutrition policy, strategy or plan","","French","","2018","","2022","Ministère de la santé","","2018","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Trade|Environment|Information","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","GAVI","The World Bank|US Agency for International Development (USAID)","Agence Française de DéveloppementBanque Islamique Fonds Saoudien Fondation Roi Salmane","European Commission|European Union","","","","","","","","","","7. Objectifs
Contribuer à la réduction de toutes les formes de la malnutrition chez les couches le plus vulnérables et assurer particulièrement aux enfants de Djibouti d’atteindre leur potentiel de croissance et de développement harmonieux.
De manière spécifique, il vise à :
11. Paquets d’interventions
11.2. Intervention pour les adolescentes
Elles doivent à cet effet être sensibilisées à une meilleure utilisation des aliments disponibles localement. Des aliments diversifiés avec les différents groupes d’aliments : constructeurs, énergétiques et protecteurs. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés et dans les écoles (collège et lycée).
Les micronutriments, notamment le Fer et l’Acide Folique sont très importants pour les adolescentes à cause des menstruations. A ce titre, elles doivent avoir accès aux aliments enrichis incluant l’iodation du sel. La supplémentation en micronutriments et le déparasitage sont fortement recommandés.
Le programme scolaire doit être renforcé en module de nutrition
Les cantines scolaires en zone rurale et périurbaine qui intègrent la supplémentation en poudre de micronutriment sont également importantes
11.3. Intervention pour les femmes enceintes
Il est impératif pour les femmes enceintes, d’assurer le suivi de la grossesse lors des consultations prénatales et prendre (…) le Fer et l’Acide Folique. La supplémentation en micronutriments, le déparasitage et les aliments enrichis incluant l’iodation du sel sont fortement recommandés. Elles doivent aussi être sensibilisées particulièrement sur l’utilisation des aliments disponibles
Localement. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés avec les différents aliments disponibles sur le marché.
11.4. Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE)
11.5. Le suivi de la croissance
11.6. Réduction des carences en micronutriment
11.9. Promotion de pratiques familiales essentielles/actions essentielles de Nutrition
11.10. Prévention contre le surpoids et les maladies métaboliques
","
Objetivo general
Alcanzar una adecuada nutrición y desarrollo de la población ecuatoriana durante todo el curso de vida, brindando atención integral y, generando mecanismos de corresponsabilidad entre todos los niveles de gobierno, ciudadanía y sector privado; en el marco de intervenciones intersectoriales que incidan sobre los determinantes sociales de la salud.
Objetivos específicos
1. Fortalecer el rol del Estado, la coordinación intersectorial y la participación ciudadana en la aplicación de este plan.
2. Brindar atención integral de salud durante todo el ciclo de vida, con énfasis en los 1000 primeros días, la etapa escolar, así como, el fomento y protección de la lactancia materna.
3. Fortalecer y generar intervenciones que incidan sobre los determinantes de la salud, enfocados en la promoción de la salud, la protección social, la seguridad y soberanía alimentaria y agua-saneamiento.
","Lineamiento estratégico 1. Dinamizar la coordinación intersectorial entre todos los actores públicos y privados con el fin de generar mecanismos de corresponsabilidad.
Lineamiento estratégico 2. Asegurar el monitoreo continuo y evaluación periódica de las políticas de alimentación y nutrición.
Lineamiento estratégico 3. Asegurar la atención integral en salud y nutrición de los grupos prioritarios en todo el curso de vida en todos los niveles de atención.
Lineamiento estratégico 4. Fomentar y proteger la práctica de la lactancia materna y la alimentación complementaria adecuada.
Lineamiento estratégico 5. Fomentar espacios y prácticas saludables durante todo el ciclo de vida.
Lineamiento estratégico 6. Incrementar el acceso a agua segura y servicios de saneamiento adecuados.
Lineamiento estratégico 7. Contribuir a la autosuficiencia y diversidad de alimentos sanos, nutritivos y culturalmente apropiados de forma permanente.
Lineamiento estratégico 8. Fortalecer la protección e inclusión social a través de estrategias de fomento del ejercicio de derechos de los ciudadanos en todo su ciclo de vida
","En el marco de la implementación del Plan Intersectorial de Alimentación y Nutrición es evidente la necesidad de fortalecer el monitoreo de las acciones propuestas, así como la evaluación del Plan en sí mismo. Para esto, el mejoramiento continuo de los sistemas de información, así como los registros administrativos, y la implementación periódica de encuestas, es indispensable para la generación de insumos a nivel intersectorial, para la toma de decisiones. Líneas de acción 2.1 Articulación y mejoramiento continuo de los sistemas de información. 2.2 Levantamiento y generación de información periódica de alimentación y nutrición. 2.3 Monitoreo y evaluación permanente de los planes, programas, proyectos, iniciativas e intervenciones de nutrición y alimentación saludable.
Indicadores
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
","
وزير البلدية والبيئة،
بعد الاطلاع على القانون رقم (4) لسنة 1990م، بشأن نظام المواصفات والمقاييس، المعدل بالقانون رقم (2) لسنة 1992م،
وعلى القرار الأميري رقم (29) لسنة 1996م، بشأن قرارات مجلس الوزراء التي ترفع للأمير للتصديق عليها وإصدارها،
وعلى القرار الأميري رقم (44) لسنة 2014م، بإنشاء الهيئة العامة القطرية للمواصفات والتقييس،
وعلى القرار الأميري رقم (5) لسنة 2016 بالهيكل التنظيمي لوزارة البلدية والبيئة،
وعلى اعتماد مجلس الوزراء لمشروع القرار في اجتماعه العادي (40)، لعام 2016 المنعقد بتاريخ 21/12/2016،
قررنا ما يلي:
تُعتمد اللوائح الفنية الخليجية، المبينة رقم وعنوان كل منها بالجدول المرفق بهذا القرار، كلوائح فنية قطرية، وفقاً للبيانات المحددة قرين كل منها.
على جميع الجهات المختصة، كلاً فيما يخصه، تنفيذ هذا القرار. ويعمل به من اليوم التالي لتاريخ نشره في الجريدة الرسمية.
QS GSO 9:2013 بطاقات المواد الغذائية المعبأة
QS GSO 2333:2013 اشتراطات الأغذية ذات الإدعاءات التغذوية والصحية
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Mandatory for pre-packaged foods with a health claim|Amount of available carbohydrate|Amount of dietary fibre|Amount of protein|Amount of salt/sodium|Amount of saturated fatty acids|Amount of total fat|Amount of total sugars|Energy value (ND)|Claim must be substantiated|Specific nutrition criteria","","https://www.almeezan.qa/LawPage.aspx?id=7795&language=ar https://www.almeezan.qa/ClarificationsNoteDetails.aspx?id=16656&language=ar","GSO 2333:2013 Requirements For Nutrition And Health Claim In The FoodGSO 9:2013 Labeling Of Prepackaged Food Stuffs","https://www.gso.org.sa/store/standards/GSO:615511/GSO%202333:2013https://www.gso.org.sa/store/standards/GSO:615544/GSO%209:2013","https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%20_2018_Decision%20of%20the%20Minister%20of%20Municipality%20and%20Environment%20No.%20%28255%29%20of%202018%20adopting%20Gulf%20technical%20regulations%20as%20Qatari%20technical%20regulations_0.pdf" "25923","SEN","Senegal","","Plan Stratégique Multisectoriel de la Nutrition du Sénégal","Comprehensive national nutrition policy, strategy or plan","","French","","2018","","2022","Cellule de Lutte Contre la Malnutrition","8","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Environment|Industry","","","","","","","","","","","","","","","","","","
Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "39424","TUN","Tunisia","","Stratégie Nationale Multisectorielle de Prévention et Contrôle des Maladies Non Transmissibles (MNT)","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Environment|Industry|Information","","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","National NGOs","ONGs, associations, société civile","","","","","","","2.1.2. Principes directeurs et résultats attendus (impact) de la stratégie MNT
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
2.2. Axes Stratégiques de la Prévention et Contrôle des MNT
AXE 1 : LA GOUVERNANCE NATIONALE DE LA PREVENTION ET CONTROLE DES MNT, BASEE SUR LA MISE EN PLACE DE MECANISMES DE COORDINATION INTRA ET INTER SECTORIELS EST ASSUREE
- Créer (ou identifier) une structure au sein du ministère de la santé (comité, unité,…), qui sera chargée de la coordination, ainsi que du suivi et évaluation des activités du plan.
- Mettre en place au sein du gouvernement, un comité multisectoriel de pilotage, qui aura la mission de coordonner l’élaboration des plans d’action des différents secteurs, de faciliter l’octroi des ressources nécessaires, d’assurer le suivi et évaluation de la mise en oeuvre du plan. Ce comité qui devrait s’intégrer dans le cadre de l’Objectif 3 des ODD, devra avoir un rôle décisionnel, et le ministère de la santé assurera le rôle de leadership de ce comité.
- Mettre en place des comités multisectoriels régionaux pour faciliter la mise en oeuvre de la mise en oeuvre des activités dans chaque région et en assurer le suivi
- Proposer au sein de ce comité les aspects concernant les financements innovants (taxation sur les produits néfastes à la santé) qui pourraient servir à financer en partie les investissements dans la prévention des MNT
- Développer au sein de ce comité la revue des aspects législatifs concernant le renforcement des mesures de prévention et de contrôle des MNT en Tunisie
AXE 2 : LES FACTEURS DE RISQUE (FR) MODIFIABLES DES MNT SONT REDUITS EN TENANT COMPTE DES CIBLES NATIONALES PAR RAPPORT AUX CIBLES VOLONTAIRES DE L’OMS
Axe 2.4.1 : réduction de la consommation de l’alcool
AXE 4: UN PLAN DE COMMUNICATION POUR LA PREVENTION ET LE CONTÔLE DES MNT EST ELABORE ET MIS EN ŒUVRE
AXE 5 : UN SYSTEME DE SUIVI ET EVALUATION (S&E) DES MNT ET DE LEURS FACTEURS DE RISQUE EST MIS EN PLACE ET EST FONCTIONNEL ET EFFICACE
","Dans le domaine de la Gouvernance
1) Stratégie nationale multisectorielle MNT élaborée
2) Mécanisme de coordination intra et intersectoriel mis en place
Dans le domaine de la Prévention et de la réduction des Facteurs de Risque
2) Campagnes de sensibilisation sur les facteurs de risque des MNT réalisées
3) La réduction du sel dans le pain est adoptée par d’autres boulangeries dans les autres gouvernorats
4) Au moins un nouveau produit agroalimentaire favorable à la santé est fabriqué et mis sur le marché
5) Plaidoyer sur l’étiquetage des produits agroalimentaires réalisé
Dans le domaine de la surveillance et du Suivi & Evaluation
1) Enquête STEPS réalisée et résultats publiés
2) Des réunions de coordination entre les registres du cancer du nord, centre et sud sont organisées
3) Des réunions avec les responsables du système national d’information sanitaire (SNIS) sont organisées sur les MNT et leurs facteurs de risque
","Process indicators","","Overweight in adolescents|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/TUN_B11_Stratégie Nationale MNT 18-25_Finale (dernière version juin 2018).pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202018%20Strat%C3%A9gie%20Nationale%20MNT.pdf" "96698","MLI","Mali","","Plan stratégique intègre de lutte contre les maladies non transmissibles (MNT) 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé et des Affaires Sociales","2","2018","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Environment","","","","","","","","","","National NGOs","","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
Objetivo general
Lograr el efectivo análisis, diseño, ejecución y evaluación de la política de soberanía y seguridad alimentaria y nutricional en las acciones de políticas públicas del país, tendentes a la erradicación del hambre y de las condiciones de malnutrición de la población dominicana, especialmente aquella que vive en condiciones de vulnerabilidad.
Objetivos específicos
Conformar las instancias y el esquema de gobernanza para garantizar una eficaz implementación del Plan a nivel nacional y en los territorios locales. Establecer estrategias coordinadas, integrales y coherentes de seguridad alimentaria y nutricional a través de la formulación y dirección de políticas públicas nacionales y regionales, para afrontar estos desafíos con enfoque transformador, incorporando las perspectivas de género, de ciclos de vida y de derechos humanos, en particular los derechos a la alimentación y a la salud. Establecer los mecanismos de articulación / coordinación entre todas las instancias y los actores vinculados a la SSAN, así como entre los diferentes niveles de planificación, ejecución, seguimiento y evaluación, garantizando una efectiva integración de las dimensiones para la ejecución del Plan. Promover el fortalecimiento de capacidades y garantizar la dotación de recursos para la implementación de políticas públicas de SSAN en los niveles locales. Fomentar la generación de evidencia periódica y actualizada, desagregada a nivel territorial, por género y ciclos de vida, con el fin de orientar el diseño de políticas públicas focalizadas y la toma de decisiones bien fundamentada.
","Intervenciones estratégicas de la Gobernanza Área de intervención estratégica
Plan nacional para la soberanía y seguridad alimentaria y nutricional 2019-2022
Promover el intercambio técnico y las iniciativas de cooperación entre los socios estratégicos a nivel nacional e internacional, para impulsar el desarrollo de buenas prácticas y de proyectos autosostenibles de la soberanía y seguridad alimentaria y nutricional en los territorios, y apoyar aquellos programas exitosos con miras a replicarse y/o ampliar su cobertura.
Definir y priorizar los territorios que serán focos de las intervenciones y planes consensuados en torno a la soberanía y seguridad alimentaria y nutricional en el país, en cada periodo del Plan. Área de intervención estratégica
Articulación y coordinación intra e interinstitucional
Promover espacios de coordinación en el ámbito local organizados en Mesas Técnicas que permitan el diálogo, consenso, intercambio de conocimientos, inversiones y toma de decisiones en torno a la problemática de SSAN en cada territorio, fortaleciendo los roles de los gobiernos municipales, representados en la autoridad de la Alcaldía Municipal, y la fortaleza de los Consejos de Desarrollo. Desarrollar acciones coordinadas, articuladas y contextualizadas entre instituciones del Estado, la sociedad civil, la academia, y el sector privado, las tareas de diagnóstico, planificación, monitoreo y evaluación de acciones SSAN en el país, con un enfoque integral, para potencializar el impacto de las intervenciones en el fomento de la soberanía y la seguridad alimentaria nutricional. Fortalecimiento de los Gobiernos locales, alcaldías y Consejos de Desarrollo en torno al monitoreo y evaluación efectiva y articulada de los objetivos del Plan Nacional SSAN. Articular los objetivos del Plan Nacional SSAN con las estrategias y acciones a nivel territorial (regional, provincial, municipal y comunitario), facilitando una mejora en la gobernanza inclusiva y la transparencia de todos los esfuerzos comunes para la erradicación del hambre y la pobreza, con énfasis en zonas y estratos vulnerables definidos en el Plan.
","Área de intervención estratégica
Monitoreo y evaluación
Implementación del sistema de información y de alerta oportuna sobre seguridad alimentaria y nutricional, a través del diseño y puesta en marcha de los instrumentos metodológicos de programación, coordinación, seguimiento, evaluación y de toma de decisión en torno a las acciones relacionadas a la soberanía y seguridad alimentaria y nutricional; la coordinación y articulación de políticas públicas, de la participación social, así como de las inversiones requeridas y la cooperación recibida. Incorporación al Sistema Nacional de Información de Seguridad Alimentaria y Nutricional de los resultados, indicadores y metas, que permitan el análisis cualitativo y cuantitativo del impacto de las acciones SSAN a nivel nacional y local, incorporando el enfoque de género y el ciclo de vida. Fortalecimiento de las capacidades de la Secretaria Técnica del CONASSAN para el desarrollo de los procesos de seguimiento, monitoreo y evaluación de las acciones SSAN a nivel territorial. Generación de informes de rendición de cuentas y transparencia a nivel nacional y local que enfoquen el análisis del avance, problemática, contexto, recursos, entorno social, político y cultural, para la toma de decisiones oportunas en materia de SSAN en el país. Socialización de los resultados y las experiencias exitosas, buenas prácticas en materia de SSAN, tanto a nivel nacional como a nivel de cada territorio.
Resultados estratégicos y líneas de acción
Indicadores
Reducida prevalencia en malnutrición en niños y niñas menores de 5 años, Porcentaje de apego precoz para niños y niñas 53.0%, Porcentaje de niños y niñas menores de 6 meses alimentados con lactancia materna exclusiva 12.6%, Porcentaje de niños y niñas de 6 a 24 meses alimentados con lactancia materna y alimentación complementaria adecuada a su edad 64.0%, Tasa de desnutrición global en menores de 5 años (peso/edad) (I.END 2.28) 3.7, Tasa de desnutrición aguda en menores de 5 años (peso/talla) (I. END 2.29) 2.0 Tasa de desnutrición crónica en menores de 5 años (talla/edad) (I. END 2.30) 6.7 Tasa de sobrepeso y obesidad en menores de 5 años (peso/edad) 7.3, Prevalencia de anemia en menores de 5 años 27.0%, Prevalencia de deficiencia de Vitamina A en menores de 5 años 12.0%.
","Process indicators","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A deficiency|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Iodine|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food safety|Food security and agriculture|Household food security|Food sovereignty|Water and sanitation|Vulnerable groups","","https://minpre.gob.do/wp-content/uploads/2018/10/Plan-SSAN-2019-2022-VF-WEB-1.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DOM%202019%20Plan-SSAN-2019-2022-VF-WEB-1.pdf" "40698","DOM","Dominican Republic","","Plan intersectorial para la prevención y control del sobrepeso y la obesidad en la niñez y adolescencia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2021","","","2017","Not adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sport|Environment","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","OBJETIVO GENERAL
Detener el aumento de la epidemia de la obesidad en la niñez y la adolescencia, en el país, a través de un enfoque multisectorial que abarque la totalidad del ciclo de vida, y con ello reducir sustancialmente la morbilidad y mortalidad atribuible a las enfermedades crónicas.
OBJETIVOS ESPECIFICOS
1. Promover las guias alimentarias nacionales basadas en los alimentos, asi como otras actividades relacionadas con la prevención del sobrepeso y la obesidad. 2. Fortalecer los esfuerzos para aplicar la Estrategia mundial de la alimentación del lactante y del niño pequeño. 3. Promover y fortalecer las políticas y los programas escolares y de educación temprana que aumenten la actividad física y promuevan el consumo de alimentos saludables y de agua, y restrinjan la disponibilidad de bebidas azucaradas y productos de alto contenido calórico y bajo valor nutricional. 4. Elaborar y establecer normas para el etiquetado frontal del envase que promuevan las elecciones saludables al permitir identificar los alimentos de alto contenido calórico y bajo valor nutricional de manera rápida y sencilla. 5. Mejorar el acceso a los espacios recreativos urbanos como los programas de ciclovías recreativas. 6. Sensibilizar a los profesionales del Sistema Nacional de Salud para impulsar la detección sistemática de la obesidad y el sobrepeso en la población. 7. Fortalecer el sistema de información del país para que los datos sobre las tendencias y los determinantes de la obesidad, estén disponibles para la adopción de decisiones de políticas.
","LÍNEAS DE ACCIÓN
1: Atención primaria de salud y promoción de lactancia materna y la alimentación saludable.
2: Mejoramiento del entorno escolar con respecto a la nutrición y la actividad física.
3: Políticas fiscales y reglamentación de la publicidad y etiquetado de alimentos.
4: Disponibilidad, acceso y consumo de alimentos frescos, nutritivos e inocuos.
5: Promoción de la actividad física.
6: Vigilancia epidemiológica, monitoreo y evaluación de programas.
","Monitoreo y evaluación
El Plan de prevención de obesidad 2017-2021, establece como soporte en la toma de decisiones un sistema de indicadores que permitirá conocer la repercusión que su implementación tendría sobre la población, así como en los resultados en coberturas de servicios, aplicación de medidas de protección y promoción de la salud, de los resultados en términos de salud y en las aportaciones que los órganos de decisión y participación intersectorial puedan realizar. Dichos indicadores han de facilitar una evaluación periódica de la efectividad del plan por provincias y en los centros de salud en particular que implementen acciones. Cada línea de acción dentro de cada área de impacto cuenta con actividades a desarrollar se detallan las características de los indicadores y las metas específicas a cada unidad o donde la segregación de la información lo permita, han de ser analizados al menos por cada línea de acción, para identificar condiciones de salud o de riesgo para la salud específicas que puedan apoyar la toma de decisiones diferenciada
Indicadores
","
Promotion de l’allaitement exclusif puis complété.
Promouvoir une alimentation saine et équilibrée.
Promouvoir la consommation du sel suffisamment iodé.
In het NPP spreken wij met onze partners af dat wij voor elk van de speerpunten -roken, overgewicht, overmatig alcoholgebruik, bewegen, diabetes en depressie- een substantiële verbetering willen t.o.v. waar de huidige trends ons in 2030 zouden brengen.
Zo is de Gezonde School Aanpak van het RIVM Centrum Gezond Leven een methode voor scholen en professionals om structureel aan de slag te gaan met een gezonde leefstijl. Ook op rijksniveau nemen we daarbij, passend bij onze rol, onze verantwoordelijkheid. In deel twee staat een groot aantal nauwkeurig uitgewerkte activiteiten. Zo gaan we er bijvoorbeeld samen voor zorgen dat in 2030 alle scholen gezonde scholen zijn, op basis van een bewuste inzet van scholen zelf. In 2016 moeten 850 (van de 8000) scholen een Vignet Gezonde School hebben als uiting van aandacht en beleid voor een gezonde leefstijl. Daarmee krijgen ca 180.000 leerlingen een gezonde leeromgeving.
Doel In 2015 hebben alle scholen in het voortgezet onderwijs en MBO een gezonde schoolkantine.
Gezond gewicht Doel: Minimaal 75 JOGG-gemeenten in 2015. Op termijn is de ambitie dat álle 408 gemeenten zich aansluiten.
Doel Er is een verbinding tot stand gebracht tussen gezondheid en natuur, en gezondheid is structureel onderdeel van het ontwerp van de publieke ruimte.
Doel Een actief gezondheidsbeleid in MKB-bedrijven stimuleren
Doel Bijdragen aan een gezonde voeding van werknemers via de bedrijfscatering. Reduceren van verzuim- en/of zorgkosten.
Doel De gezonde keuze makkelijker maken door de samenstelling van producten te verbeteren waar het gaat om zout, verzadigd vet en suiker, en door een gezond aanbod in school- en sportkantines en bedrijfsrestaurants.
Doel Het hoge niveau van voedselveiligheid behouden, de ervaren voedselveiligheid (voedselvertrouwen) vergroten, waakzaam blijven voor nieuwe risico’s, slagvaardig handhaven en effectief reageren bij eventuele incidenten
Doel Het hoge niveau van productveiligheid behouden.
","8.1.1 Ondersteunen van ouders, jeugd en (voor)scholen Bewustwording en gezondheidsinformatie voorschoolse opvang en peuterspeelzalen
8.1.2 Gezonde schoolomgeving
Gezonde schoolkantines: Inzet, middelen en betrokken partijen Deze ambitie van het Convenant Gezond Gewicht wordt in opdracht van het ministerie van VWS ondersteund door Het Voedingscentrum. In 2013 is voor de uitvoering van het programma de Gezonde Schoolkantine € 1.300.000 beschikbaar. Dit wordt onder andere ingezet voor de Schoolkantinebrigade, die scholen advies op maat geeft. In 2014 wordt de ondersteuning in vergelijkbare mate voortgezet. Ook private partijen zoals cateraars, de automatenbranche en leveranciers, zetten zich in voor een gezonder assortiment op scholen op basis van het Handvest Gezonder Voedingsaanbod op Scholen. Dit Handvest is inmiddels door 40 partijen ondertekend.
8.2 Wonen en leven in een gezonde wijk en omgeving
8.3 Werken is gezond en gezond werken kan nog beter
9. Preventie een prominente plek in de zorg
10.2 Gezond voedingsaanbod, voedsel- en productveiligheid
Inzet op deze activiteiten levert op dat:
4.4. Objectif général
Réduire la morbidité, les incapacités et la mortalité prématurée, liées aux MNT et leurs facteurs de risques selon une approche intégrée et multisectorielle.
4.5. Objectifs spécifiques
• Objectif spécifique 1 : Renforcer la promotion des modes de vie sains et la prévention des MNT.
• Objectifs spécifique 2 : Assurer une prise en charge de qualité des MNT.
• Objectif spécifique 3 : Améliorer la gouvernance à tous les niveaux de compétence et de responsabilité.
• Objectif spécifique 4 : Développer un système de suivi-évaluation des MNT et de leurs facteurs de risque.
Cibles fixées par le Maroc pour les MNT d’ici 2029
Domaine Stratégique 1 : Promotion des modes de vie sains et prévention des MNT
Action 1.1 : Renforcer la sensibilisation et la communication en matière des MNT et leurs FR
Mesure 1 : Organiser des campagnes annuelles de sensibilisation sur les MNT et leurs FR ;
Mesure 2 : Organiser des campagnes annuelles pour la promotion des modes de vie sains ;
Mesure 3 : Développer une stratégie de plaidoyer, de communication et de mobilisation sociale en matière de prévention des MNT et leurs FR ;
Mesure 4 : Elaborer un plan de formation auprès des professionnels de santé sur la promotion des modes de vie sains et la lutte contre les FR des MNT ;
Action 1.2 : Consolider les services sanitaires de prévention
Mesure 7 : Encourager et soutenir l’abandon des habitudes alcooliques ;
Action 1.3 : Créer des environnements favorables pour la promotion des modes de vie sains
Mesure 10 : Créer des environnements favorables pour la promotion d’une alimentation saine ;
Mesure 11 : Elaborer et implanter un plan d’action de réduction du sel sucre gras ;
Mesure 12 : Créer des environnements favorables pour la promotion de l’activité physique ;
Domaine Stratégique 2 : Renforcement de la prise en charge des MNT et développement de nouveaux programmes
Action 2.1 : Améliorer de la prise en charge des Maladies Non Transmissible
Mesure 16 : Institutionnaliser les filières de soins spécifiques pour les MNT et les intégrer dans les schémas régionaux de l’offre de soins ;
Mesure 17 : Créer des centres de référence pour les MNT ;
Mesure 18 : Créer des pôles d’excellence pour la PEC des MNT ;
Mesure 19 : Créer une « maison des jeunes diabétiques » par région ;
Mesure 21 : Implanter l’approche d’évaluation du risque cardio-vasculaire au niveau des ESSP ;
Mesure 29 : Elaborer un plan de formation au profit des professionnels de santé pour les programmes des MNT ;
Action 2.2 : Développer de nouveaux programmes de prévention et de contrôle des MNT
Mesure 38 : Développer un programme de prévention et de contrôle des maladies cardio- vasculaires ;
Domaine stratégique 3 : Amélioration de la gouvernance des MNT et de leurs FR
Action 3.1 : Renforcer la coordination des actions de promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT
Mesure 40 : Créer une structure pour la gestion et la coordination des actions relatives à la promotion des modes de vie sains et la prévention des MNT ;
Mesure 41 : Mettre en place d’un comité national multisectoriel de pilotage pour la coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT et le décliner à l’échelle régionale et provinciale ;
Mesure 42 : Mettre en place un comité technique multisectoriel des actions relatives à la promotion de modes de vie sains et de lutte contre les facteurs de risque des MNT ;
Mesure 43 : Institutionnaliser les comités de coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT ;
Mesure 44 : Redynamiser et institutionnaliser les comités spécifiques des programmes MNT ;
Mesure 45 : Elaborer des plans stratégiques de prévention et de contrôle du cancer, du diabète et de l’HTA pour la période 2020-2029 ;
Mesure 46 : Elaborer des plans stratégiques des nouveaux programmes pour la période 2020-2029 ;
Action 3.2 : Renforcer le financement en matière des MNT
Mesure 48 : Plaidoyer pour le renforcement de la couverture médicale de base ;
Mesure 49 : Rationaliser le budget alloué aux MNT ;
Mesure 50 : Renforcer la mobilisation de fonds additionnels.
Action 3.3 : Développer le partenariat pour les MNT et leur FR
Mesure 51 : Développer le partenariat public-privé dans le domaine de la promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT et de prise en charge des MNT ;
Mesure 52 : Renforcer la collaboration avec la société civile, les sociétés savantes et les organisations nationales et internationales en matière de prévention et de contrôle des MNT ;
Mesure 53 : Améliorer le partenariat avec les autres départements publics en matière de prévention et de contrôle des MNT.
Action 3.4 : Renforcer l’arsenal juridique pour les MNT et leurs FR
Mesure 54 : Renforcer la législation relative à la normalisation des FR des MNT ;
Mesure 57 : Plaidoyer pour l’augmentation des taxes sur les prix du tabac, de l’alcool, des boissons sucrées et sur tous les produits nocifs à la santé ;
Domaine stratégique 4 : Renforcement de la surveillance, du suivi évaluation et développement de la recherche en matière des MNT et leurs FR
Action 4.1: Renforcer le système de surveillance des MNT et leurs FR
Mesure 63 : Actualiser les données épidémiologiques relatives aux MNT et à leurs FR par des enquêtes épidémiologiques régulières (STEPS …) ;
Mesure 64 : Mettre en place des registres pour les MNT (cancers, maladies rares…) ;
Action 4.2 : Mettre en place un mécanisme de suivi-évaluation des MNT et leurs FR
Mesure 67 : Mettre en place un tableau de bord pour les programmes des MNT et leurs FR à tous les niveaux ;
Mesure 68 : Révision des systèmes d’information des MNT ;
Mesure 69 : Informatiser le système d’information des MNT à tous les niveaux de soins.
Action 4.3 : Développer la recherche en matière de MNT
Mesure 70 : Réaliser des études d’impact socio-économique des MNT et leurs FR sur la santé ;
Mesure 71 : Réaliser des études sur les connaissances, attitudes, pratiques des MNT et leurs FR ;
Mesure 72 : Renforcer la recherche en matière des MNT et leurs complications ;
Mesure 73 : Réaliser des études d’évaluation des actions menées pour prévenir et contrôler les MNT ;
","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
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