C. Strategic Actions
359. The priority of the BPRS in health coincides with the main objective of Health
Reform: to reduce maternal-child mortality rates and control the major endemic diseases.
Five courses of action were identified to achieve this objective: (a) efficient management of human resources; (b) expansion of the health insurance system; (c) control of transmissible diseases and strengthening of the epidemiological surveillance system; (d) improvement of nutritional quality and status of the population; and (e) development of the cross-cultural approach in health.0
(d) Improving the population’s nutritional status
369. MSPS leadership will be promoted in the design, implementation, evaluation and follow-up of nutritional policies, in coordination with other sectors involved, so as to fill the institutional vacuum in this area. This coordinating action will include NGOs that have made a cost-effective allocation of resources in providing nutritional benefits to the community.49
370. In order to improve the population’s nutritional status, micronutrient programs (iodized salt, iron and vitamin A) carried out by the MSPS, which have had significant results such as the eradication of goiter, will be continued.
371. Literacy campaigns with nutritional components will be implemented in coordination with the MECyD for mothers and women of child-bearing age. In addition, nutritional subject matter designed to redirect family nutritional behavior will be incorporated in the primary and secondary curriculum. Education, information and communications programs will also be carried out for both health personnel and the general population in order to improve the diet of Bolivians, as well as the nutrition indexes (weight for age, height for age, weight for height).
372. Sexual and reproductive health programs will be continued to ensure longer birth spacing, so as to avoid frequent pregnancies that increase the likelihood of a mother’s having low birth weight babies.
373. Given how important water is to the population’s nutritional status and considering that a sizable share of sanitation systems are frequently infected, regulatory measures will be implemented by the Basic Sanitation Superintendency to guarantee the consumption of clean and healthy water.
374. The Nutritional Vigilance System (SVEN) will be improved by strengthening SBS nutritional services for children under the age of five, e.g., by promoting and monitoring growth and by providing anemia treatment and oil supplements. Benefits to ensure adequate nutrition for pregnant women will be included to prevent low birth weight with iron sulphate supplements.