SMART commitment: 
Commitment 2 - Pillar 2 - Aligned health systems providing universal coverage of essential nutrition actions
SMART commitment details: 

The second Pillar highlights the importance of health systems effectively incorporating nutrition actions, promoting universal access by the population to health programmes and actions that have impact on nutritional aspects. This Pillar also supports the implementation of health targets and strategies related to this theme, such as the World Health Organization’s (WHO) Global Strategy for Infant and Young Child Feeding and the WHO Global Action Plan for the Prevention and Control of Noncommunicable Diseases (2013-2020). In the case of the 2nd PLANSAN, it is Challenge 5: Promote and protect Adequate and Healthy Eating for the Brazilian Population, through food and nutrition education strategies and regulatory measures and Challenge 6: Control and prevent adverse health conditions arising from poor nourishment which address aspects related to this theme. Inadequate food and overweight are risk factors for Chronic Noncommunicable Diseases (CNCD) such as hypertension, diabetes and cancer. Addressing this situation demands joint action by the different government levels, through intersectoral actions and social participation.

Brazil’s commitments to promoting and protecting Adequate and Healthy Eating and to controlling and preventing adverse health conditions arising from poor nourishment:

16. Reduce regular consumption of soft drinks and artificial fruit juices by at least 30% in the adult population (current rate is 16.5%).

17. Increase by at least 17.8% the percentage of adults who regularly consume fruit and vegetables (current rate is 35.2%).

18. Stem the growth of obesity in the adult population (current rate is 20.8%).

19. Implement the Intersectoral Strategy on Obesity Prevention and Control.

20. Agree and monitor targets for reducing sodium in processed foods in Brazil.

21. Make an agreement to reduce sugar in priority category products, based on ample discussion with society. 

 

Other SMART Commitments related to the broader commitment "16. Reduce regular consumption of soft drinks and artificial fruit juices by at least 30% in the adult population (current rate is 16.5%)" as announced at the 70th World Health Assembly:

  • By 2019, the Brazilian Government will establish Commitments on Healthy and Adequate Diet Promotion with all Brazilian states.
  • By 2019, the Brazilian Government will implement the Food Guide for the Brazilian Population and develop other educational and informative materials based on the food guide for the population, teachers, health professionals and other key social actors.
  • By 20 19, the Brazilian Government will support food and nutrition education in 100 thousand primary schools.
  • By 2019, the Brazilian Government will increase the students covered by the School Health Program from 18 to 20.7 million.
  • By 2019, the Brazilian Government will include information on food and nutrition education on the covers of school books of 120 thousand primary schools.
  • By 2019, the Brazilian Government will have regulated the commerce, advertisement and publicity of processed foods in all public and private health and educational facilities, social protection facilities and all public agencies.
  • By 2019, the Brazilian Government will implement the National Intersectoral Strategy for the Control and Prevention of Obesity and will support and incentive state and municipal obesity strategies.
  • By 2019, the Brazilian Government will strengthen the regulation of publicity of foods and beverages, particularly that directed to children.
  • By 2019, the Brazilian Government will propose fiscal measures (subsidies, tax reduction  etc.) in order to reduce the price of healthy foods, as fruits and vegetables .
  • By 2019, the Brazilian Government will have included the revision of regulation on food labelling in the national regulatory agenda and in Mercosur, including the mandatory declaration of added sugars and front of pack labelling.

Other SMART Commitments related to the broader commitment "17. Increase by at least 17.8% the percentage of adults who regularly consume fruit and vegetables (current rate is 35.2%)" as announced at the 70th World Health Assembly:

  • By 2019, the Brazilian Government will establish Commitments on Healthy and Adequate Diet Promotion with all Brazilian states.
  • By 2019, the Brazilian Government will implement the Food Guide for the Brazilian Population and develop other educational and informative materials based on the food guide for the population, teachers, health professionals and other key social actors.
  • By 2019, the Brazilian Government will support food and nutrition education in 100 thousand primary schools.
  • By 2019, the Brazilian Government will increase the students covered by the School Health Program from 18 to 20.7 million.
  • By 2019, the Brazilian Government will offer school meals to 40 million students of public schools every year.
  • By 2019, the Brazilian Government will assist 350 thousand families in situation of poverty in rural productive inclusion strategies.
  • By 2019, the Brazilian Government will provide continued technical support and rural extension to 700,000 families from agrarian reform and forest extractive activities.
  • By 2019, the Brazilian Government will provide 1.8 million microcredit loans to family farmers.
  • By 2019, the Brazilian Government will increase public procurement of foods from family farmers to
  • 2.5 billion reals.
  • By 2019, the Brazilian Government will offer school meals to 40 million students of public schools every year.
  • By 2019, at least 30% of all food purchases for the National School Meal Program (PNAE) must be from provided by local family fanners.
  • By 2019, the Brazilian Government will increase the expenditures for the National School Meal Program by 2.5% every year.
  • By 2019, the Brazilian Government will increase the storage capacity of the National Food Supply Company (CONAB, responsible for national crop management and strategic storage) in 700,000 tons.
  • By 2019, the Brazilian Government, along with states and municipalities,  will promote and develop urban and peri-urban agriculture based on agroecological models.
  • By 2019, the Brazilian Government will strengthen the regulation of publicity of foods and beverages, particularly that directed to children.
  • By 2019,  the Brazilian  Government  will  propose  fiscal  measures  (subsidies,  tax  reduction  etc.)  in order to reduce the price of healthy foods, as fruits and vegetables.
  • By 2019, the Brazilian Government will have included the revision of regulation on food labelling in the national regulatory agenda and in Mercosur, including the mandatory declaration of added sugars and front of pack labelling.

Other SMART Commitments related to the broader commitment "18. Stem the growth of obesity in the adult population (current rate is 20.8%)" as announced at the 70th World Health Assembly:

  • By 2019, the Brazilian  Government will transfer income to families in situation of poverty which attend the eligibility criteria of the national conditional cash transfer program  (Bolsa Familia). The program's budget for 2015 reached 27.6 million reals and benefited almost 14 million families.
  • By 2019, the Brazilian Government will offer school meals to 40 million students of public schools every year.
  • By 2019, the Brazilian Government will implant the National Strategy for the Promotion of Breastfeeding and Adequate Complementary Feeding in over 2,000 primary health units.
  • By 2019, the Brazilian Government will establish Commitments on Healthy and Adequate Diet Promotion with all Brazilian states.
  • By 2019, the Brazilian Government will implement the Food Guide for the Brazilian Population and develop other educational and informative materials based on. the food guide for the population, teachers, health professionals and other key social actors.
  • By 2019, the Brazilian Government will support food and nutrition education in 100 thousand primary schools.
  • By 2019, the Brazilian Government will increase the students covered by the School Health Program from 18 to 20.7 million.
  • By 2019, the Brazilian Government will include information on food and nutrition education on the covers of school books of 120 thousand primary schools.
  • By 2019, the Brazilian Government will have set reduction targets for sodium and sugar in processed foods.
  • By 2019, the Brazilian Government will have included the revision of regulation on food labelling in the national regulatory agenda and in Mercosur.
  • By 2019, the Brazilian Government will have regulated the commerce, advertisement and publicity of processed foods in all public and private health and educational facilities, social protection facilities and all public agencies.
  • By 2019, the Brazilian Government will implement the National Intersectoral Strategy for the Control and Prevention of Obesity and will support and incentive state and municipal obesity strategies.
  • By 2019, the Brazilian Government will implant overweight and obesity care in at least 70% of the Brazilian states.
  • By 2019, the Brazilian Government will implant 3,500 facilities for physical activities (Health Academy Program) in municipalities.
Resource allocation:
The 1st National Food and Nutrition Security Plan (PLANSAN 2012-2015) enabled Brazil to be taken off the Hunger Map in 2014. The 2nd National Food and Nutrition Security Plan (PLANSAN 2016-2019) is currently in force and is the fruit of a process of intersectoral and participatory discussion. It brings together in an organized manner a set of policies, programmes and actions, having 121 targets, involving actions by 14 Ministries and an annual estimated budget of almost BRL 100 billion.
Further notes:
More information available at: http://www.who.int/nutrition/decade-of-action/brazil-commitment-22may2017/en/ http://www.fao.org/cfs/cfs44/en/