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Healthy people 2020 objectives nutrition program plan pdf

Health sector policy, strategy or plan with nutrition components. Tabs Goals Les buts, les objectifs ou les cibles de nutrition: Основными healthy people 2020 objectives nutrition program plan pdf СОЗ станут: Источники информации Ответственные за исполнение факт оценка 1 Доля населения, имеющих постоянный доступ к питьевой воде: Lien URL: Charger le fichier: The indicator is the percentage of infants between months of age who start solid, semisolid or soft foods.

It is defined as the proportion of infants aged 6—8 months who receive solid, semisolid or soft foods during the previous day. This is a very vulnerable period, and it is the time when malnutrition often starts, contributing significantly to the high prevalence of malnutrition among children under 5 worldwide. Children aged 6—23 months who receive a minimum dietary diversity. Children aged 6—23 months who receive a minimum acceptable diet.

Proportion of children aged months who receive a minimum acceptable diet is included as a process indicator in the core set of indicators for the Global Nutrition Monitoring Framework. Without adequate diversity and meal frequency, infants and young children are vulnerable to malnutrition, especially stunting and micronutrient deficiencies, and to increased morbidity and mortality.

Source of all infant and young child feeding indicators. Monitoring the Situation of Children and Women. Global Targets to improve maternal, infant and young child nutrition. Global Nutrition Monitoring Framework. Operational guidance for tracking progress in meeting targets for This indicator is the prevalence of children with diarrhoea who receive oral rehydration therapy and continued feeding.

The percentage of children aged under 5 years with diarrhoea receiving oral rehydration therapy ORT and continued feeding during illness is included as an additional healthy people 2020 objectives nutrition program plan pdf in the Global reference list of core health indicators.

This is the proportion of children aged 0—59 months who had diarrhoea in the previous 2 weeks and who received ORT oral rehydration salts, recommended home fluids or increased fluids and continued feeding. Maternal, newborn, child and adolescent health. Documents on diarrhoea http: Health expenditure. Health expenditure includes all expenditures for the provision of health services, family planning activities, nutrition activities and emergency aid designated for health, but it excludes the provision of drinking water and sanitation.

Health financing is a critical component of health systems. National health accounts provide a large set of indicators based on information about expenditure collected within an internationally recognized framework. It is also reflective of SDG 3: General government expenditure on health as a percentage of total government expenditure — This indicator is defined as the level of general government expenditure on health GGHE expressed as a percentage of total government expenditure.

It shows the weight of public spending on health within the total value of public sector operations. This indicator includes not just the resources channelled through government budgets, but also the expenditures channelled through government entities for health by parastatals, extrabudgetary entities and, notably, compulsory health insurance. The indicator refers to resources collected and pooled by public agencies, including all revenue modalities. Total expenditure on health as a percentage of gross domestic product GDP — This indicator is defined as the level of total expenditure on health expressed as a percentage of GDP, where Healthy people 2020 objectives nutrition program plan pdf is the value of all final goods and services produced within a nation in a given year.

The larger the per capita income, the greater the expenditure on health. Some countries, however, spend appreciably more than would be healthy people 2020 objectives nutrition program plan pdf from their income levels, and some appreciably less. When a government attributes proportionately less of its total expenditure on health, healthy people 2020 objectives nutrition program plan pdf may indicate that health, including nutrition, is not regarded as a priority.

Health accounts http: Health expenditure includes that for the provision of health services, family planning activities, nutrition activities and emergency aid designated for health, but excludes the provision of water and sanitation.

healthy people 2020 objectives nutrition program plan pdf

National health accounts provide a large set of indicators based on information on expenditure collected within an internationally recognized framework. National health accounts consist of a synthesis of the financing and spending flows recorded in the operation of a health system, from funding sources and agents to the distribution of funds between providers and functions of health healthy people 2020 objectives nutrition program plan pdf and benefits geographically, demographically, socioeconomically and epidemiologically.

General government expenditure on health as a percentage of total government expenditure is defined as the level of general government expenditure on health GGHE expressed as a percentage of total government expenditure. The indicator contributes to understanding the weight of public spending on health within the total value of public sector operations.

It includes not just the resources channelled through government budgets but also the expenditure on health by parastatals, extrabudgetary entities and notably the compulsory health insurance.

Global Forum on Food Security and Nutrition (FSN Forum)

The indicator refers to resources collected and pooled by public agencies including all the revenue modalities. These indicators reflect government and total expenditure on health resources, access healthy people 2020 objectives nutrition program plan pdf services, including nutrition, in relation to government expenditure, the wealth of the country, and per capita.

When a government attributes less of its total expenditure on health, this may indicate that health, including nutritionare not healthy people 2020 objectives nutrition program plan pdf as priorities. National health accounts. Wealth, health and health expenditure. UNDAFs usually focus on three to five areas in which the country team can make the greatest difference, in addition to activities that are supported by other agencies in response to healthy people 2020 objectives nutrition program plan pdf demands, but fall outside the common UNDAF results matrix.

For each national priority selected for UN country team support, the UNDAF results matrix gives the following outcome s ; the outcomes and outputs of other agencies, working alone or together; the role of partners; resource mobilization targets for each agency outcome; and coordination mechanisms and programme modalities. The nutrition component of the UNDAF reflects the priority attributed to nutrition by the UN agencies in each country, and gives an indication of how much the UN system is committed to helping governments improve their food and nutrition situation.

UNDAF documents follow a predefined format, with a core narrative and a results matrix. The results matrix in the UNDAF document was used to assess commitment to nutrition, because it represents a synthesis of the strategy proposed in the document and is available in the same format in most country documents. The method and scoring are described in detail by Engesveen et al. What are the implications? A weak nutrition component in the UNDAF document does not necessarily imply that no UN agency is working to improve nutrition in the country.

However, unless such efforts are mentioned in strategy documents such as the UNDAF, they may receive inadequate attention from development partners to ensure the necessary sustainability or scale-up to adequately address nutrition problems in that country.

The multisectoral nature of nutrition means that it must be addressed by a wide range of actors. Basing such action within frameworks for overall development ensures the accountability of UN partners. SCN News. Nutrition component of poverty reduction strategy papers.

The PRSP should state the development priorities, and should specify the policies, programmes and resources needed to meet these goals. It is prepared by governments in a participatory process that involves civil society and development partners, including the World Bank and the International Monetary Fund, and should result in a comprehensive, country-based strategy for poverty reduction.

The papers were systematically searched for keywords to identify the sections that concerned nutrition, food security, health outcomes and interventions that would be relevant for the World Bank method. To classify the commitments to nutrition in the PRSPs, a scoring system was developed, which is described in more detail by Engesveen et al.

A weak nutrition component in the document does not necessarily imply that no government department is working to improve nutrition in the country; however, unless such efforts are mentioned in strategy documents such as PRSPs, they may not be sufficiently sustainable or scaled-up to adequately address nutrition problems in that country.

Basing such action within frameworks for overall development ensures the accountability of relevant government departments. Global database on the implementation healthy people 2020 objectives nutrition program plan pdf nutrition action GINA https: International Monetary Fund.

Poverty reduction strategy papers PRSP http: Shekar M, Lee Y-K. Mainstreaming nutrition in all: A review of the early experience. Health, nutrition and population discussion paper. Washington DC: World Bank; http: Global nutrition policy review.

What does it take to scale-up nutrition action? World Health Organization; www. Global nutrition policy review Country progress in creating enabling policy environments for promoting healthy diets and nutrition. Nutrition governance.

Edelman C.L., Mandle C.L., Kudzma E.C. Health Promotion Throughout the Life Span

These elements were identified by countries as key elements for successful development and implementation of national nutrition policies and strategies, during a review of the progress of countries in implementing the World Declaration and Plan of Action for Nutrition. This plan was adopted by the International Conference on Nutrition, the first intergovernmental conference on nutrition Nishida et al.

For instance, a national nutrition plan and policy was healthy people 2020 objectives nutrition program plan pdf to provide the political basis for initiating action.

In many countries, the official government endorsement or adoption of a national nutrition plan or policy facilitated its implementation. The role of an intersectoral coordinating committee in implementing national nutrition plans and policies was also considered to be crucial, although the nature i. Additional important elements were regular surveys and other means of collecting data on nutrition.

A national nutrition information system being updated periodically, and data on food and nutrition being collected routinely, were considered important for evaluating the effectiveness of national nutrition plans and policies, and for identifying subsequent actions. Strategies for effective and sustainable national nutrition plans and policies. Modern aspects of nutrition, present knowledge and future perspectives. Basel, Karger Forum for Nutrition 56 This indicates healthy people 2020 objectives nutrition program plan pdf a government has adopted legislation to monitor and enforce the International Code of Marketing of Breast-milk Substitutes the Code — an international health policy framework that was adopted by the Healthy people 2020 objectives nutrition program plan pdf Health Assembly in — and its subsequent related resolutions.

The number of countries with legislation or regulations that fully implement the Code, and the subsequent relevant resolutions adopted by the Health Assembly, is included as a policy environment and capacity indicator in the Global nutrition monitoring framework. It is also included as an additional indicator in the WHO Global reference list of core health indicators.

This indicator is defined on the basis of whether a government has adopted legislation for the effective national implementation and monitoring healthy people 2020 objectives nutrition program plan pdf the Code, which is a set of recommendations to regulate the marketing of breast-milk substitutes, feeding bottles and teats. The improper marketing and promotion of food products that compete with breastfeeding often negatively affect the choices and ability of a mother to feed her infant optimally, by discouraging the practice of breastfeeding.

The Code was formulated in response to the realization that such marketing resulted in poor infant feeding practices, which in turn negatively affect the growth, health and development of children, and are a major cause of mortality in infants and young children.

The Code seeks to promote the practice of breastfeeding and ensure that substitutes, if necessary, are used safely. Worldwide, breastfeeding practices are not yet optimal, both in developing and developed countries, especially regarding exclusive breastfeeding under 6 months of age. Infant formula is not a sterile product, and it may carry infectious agents that can cause fatal illnesses.

Artificial feeding is expensive, it requires clean water, the ability of the mother or caregiver to read and comply with mixing instructions, and a minimum standard of overall household hygiene. Marketing of breast-milk substitutes: The international code of marketing of breast-milk substitutes: Regulation of marketing breast-milk substitutes.

Maternity protection indicators. These indicators provide information on national policies for legal entitlement to maternity protection, including leave from work during pregnancy and after birth, as well breastfeeding entitlements after return to work. Since the ILO was founded ininternational labour standards have been established to provide maternity protection for women workers. Key elements of maternity protection include the following: Convention No. Recommendation No. A composite indicator on maternity protection is included as a policy environment and capacity indicator in the core set of indicators for the Global nutrition monitoring framework.

healthy people 2020 objectives nutrition program plan pdf

However, an alternative method is under development, taking into account the higher standards stated in Recommendation No. The number of countries with maternity protection laws or regulations in place is also included healthy people 2020 objectives nutrition program plan pdf an additional indicator in the WHO Global reference list of core health indicators.

The ILO periodically publishes information on the above key indicators, including an assessment of compliance with Convention No. The legislative data are collected by the ILO through periodical reviews of national labour and social security legislation, and secondary sources, such as the International Social Security Association and International Network on Leave Policies and Research, as well as consultations with ILO experts in regional and healthy people 2020 objectives nutrition program plan pdf ILO offices worldwide.

Maternity protection is a composite indicator that is included in the Global nutrition monitoring framework ; it is currently defined as whether the country has maternity protection laws or regulations in place that are compliant with the provisions for leave duration, remuneration and source of cash benefits in Convention No.

However, an alternative method is under development, which may use a scale to indicate the degree of compliance. This method will also take into account the higher standards for leave duration and remuneration in Recommendation No.

Pregnancy and maternity are a potentially vulnerable time for working women and their families. Expectant and breastfeeding mothers require special protection to prevent any potential adverse effects for them and their infants. They need adequate time to give birth, to recover from the delivery process and to breastfeed their children.

At the same time, these women require income security and protection, to ensure that they will not suffer from income loss or job loss because of pregnancy and maternity leave. The need to return to work after maternity leave has been identified as a significant cause for never starting breastfeeding, early cessation of breastfeeding and lack of exclusive breastfeeding.

In most low- and middle-income countries, paid maternity leave is either limited to formal sector employment or not always provided in practice. The ILO estimates that more than million women lack economic security around childbirth, with adverse effects on the health, nutrition and well-being of mothers and their children. Working conditions laws database. Maternity protection database http: Maternity and paternity at work: International Labour Organization; http: Maternity cash benefits for workers in the informal economy.

Social protection for all issue brief. International Labour Organization; November http: Why invest, and what it will take to improve breastfeeding practices? Maternity protection http: Degree training in nutrition exists. What does the indicator tell us? This indicator reflects the capacity of a country to train professionals in nutrition.

It is based on the presence of national higher education institutions that offer training in nutrition. This indicator is defined as the existence in the country of higher education institutions that offer training in nutrition. Higher education training institutions include universities and other schools, offering graduate and post-graduate degrees in nutrition or dietetics with focus areas such as public health nutrition, community nutrition, clinical nutrition dieteticsfood and nutrition policy, nutrition science and epidemiology, and nutrition education or counselling skills.

Trained nutrition professionals work at health facilities and at the population and community levels; they may influence nutrition policies, as well as the design and implementation of nutrition intervention programmes at various levels. They also play an important role in training other health and non-health cadres to plan and deliver nutrition interventions in various settings.

The availability of a sufficient workforce with appropriate training in nutrition within a country will lead to better outcomes for country-specific nutrition and health concerns.

A competency framework for global public health nutrition workfore development: World Public Health Nutrition Association; http: Building systemic capacity for nutrition: Proc Nutr Soc. Nutrition is part of medical curricula. This indicator reflects the inclusion of maternal, infant and young child nutrition in the pre-service training of health personnel.

This indicator is defined as the existence of pre-service training in maternal, infant and young child nutrition for health personnel. The second global nutrition policy review survey investigates training in three key areas of maternal, infant and young child nutrition — namely, growth monitoring and promotion, breastfeeding and complementary feeding, and management of severe or moderate acute malnutrition. The first two of these three topics are relevant for all forms of healthy people 2020 objectives nutrition program plan pdf, whereas the third healthy people 2020 objectives nutrition program plan pdf pertains to undernutrition.

Training on other topics e. Adequate training of health professionals healthy people 2020 objectives nutrition program plan pdf essential to ensure that the professionals include nutrition activities in their regular health care activities. Nutrition counseling training changes physician behavior and improves caregiver knowledge acquisition. Nutrition Journal. Public Health.

Density of trained nutrition professionals per population. This indicator reflects the capacity of a country to design and implement nutrition policies and programmes effectively.

healthy people 2020 objectives nutrition program plan pdf

It focuses on individuals who are trained to pursue a professional career in nutrition, described in most countries as dietitians or nutritionists including nutrition scientists, nutritional epidemiologists and public health nutritionists. These individuals are trained sufficiently in nutrition practice to demonstrate defined competencies, and to meet the certification or registration requirements of national or global nutrition or dietetics professional organizations.

This training, at universities or other tertiary or higher education institutions, may occur at bachelor, post-graduate certificate or diploma, masters or doctoral degree levels. Only in some countries do dietitians and nutritionists complete the same training and perform the same functions.

Similarly, professional registration or accreditation of dietitians and nutritionists only occurs in some countries, and where it does occur it may be joint or separate. Countries are encouraged to implement the healthy people 2020 objectives nutrition program plan pdf registration or accreditation of dietitians and nutritionists, to provide a guarantee of appropriate healthy people 2020 objectives nutrition program plan pdf and professional competence.

Trained nutrition professionals work at facilities including health facilities and at population and community levels; they may influence nutrition policies and design as well as the implementation of healthy people 2020 objectives nutrition program plan pdf intervention programmes at various levels.

Validation of the indicator has shown that it can predict several maternal, infant and young child nutrition outcomes. A competency framework for global public health nutrition workforce development: Density of nurses and midwives. Nurse and midwife density indicates whether nurses and midwifery personnel are available to address the health care needs of a given population.

Health worker density is included as an indicator for SDG 3: Health worker density and distribution is included in the WHO Global reference list of core health indicators. This indicator is the number of nursing and midwifery personnel, and their density per population. These personnel include professional nurses and midwives, auxiliary nurses and midwives, enrolled nurses and midwives, and other personnel such as dental nurses and primary care nurses.

Traditional birth attendants are not counted in this number, but are classed as community or traditional health workers. There is no gold standard for what a sufficient health workforce would be to address the health care needs of a given population. It has been estimated, however, that countries with fewer than 25 health care professionals counting only physicians, nurses and midwives per 10 population fail to achieve adequate coverage rates for important primary health care interventions.

Health workforce. Aggregated data. Focus needs to be given not only on quantity but quality of production also. Technical support to better understand the sorting decisions and for first buyers to establish strong and trustful relations with the suppliers of agricultural products.

Keep balance between healthy people 2020 objectives nutrition program plan pdf and influences in the food industry system. Finally, it is important to consider the gender dimension in farming in Tajikistan as there are a significant number of women currently involved in farming beside their other household works.

Empowering women farmers to participate in all levels of decision making is equally important. Once again, agro-ecology agricultural approach can be used to ensure a sustainable and diversified production model.

HealthyPeople -

Diversification of agricultural production is an important component of nutrition-sensitive agriculture. On the other hand introduction of nutritious and healthy crops from outwards should be considered for diversifying productions, if these can adapt to local conditions. Крайне важно, чтобы принимали участие. Какой аналитический и технический потенциал наиболее необходим для того. Это требует хорошего понимания концептуальных рамок ЮНИСЕФ в области недоедания, их направленности и учета различных аспектов недоедания при разработке этой политики.

Понимание вопросов безопасности питания, а не продовольственной безопасности. Понимание потребностей фермеров и потребителей. Знания о биологическом разнообразии, обогащении пищевых продуктов и важности экологических продуктов. Лучшее понимание цели политического документа. Это требует четкого понимания ролей и healthy people 2020 objectives nutrition program plan pdf различных участников, правительственных и донорских учреждений, организаций гражданского общества и других партнеров на протяжении всего процесса.

Увеличение урожайности и диверсификация производства обеспечат альтернативные и местные решения проблем отсутствия продовольственной безопасности, особенно для уязвимого населения. Внимание должно быть уделено не только количеству, но и качеству продукции. Техническая поддержка, позволяющая лучше понять решения сортировки и для первых покупателей установить прочные и доверительные отношения с поставщиками сельскохозяйственной продукции. Правительственные чиновники: Сохранение баланса healthy people 2020 objectives nutrition program plan pdf властью и влиянием в системе пищевой промышленности.

Наконец, важно учитывать гендерное измерение в сельском хозяйстве в Таджикистане, так как в настоящее время значительное число женщин заняты в сельском хозяйстве помимо выполнения других домашних работ.

Предоставление женщинам-фермерам возможности участвовать в принятии решений на всех уровнях также важно. Еще раз, агроэкологический сельскохозяйственный подход может быть использован для обеспечения устойчивой и диверсифицированной модели производства.

Диверсификация сельскохозяйственного производства является важным компонентом сельского хозяйства, учитывающего вопросы питания.

healthy people 2020 objectives nutrition program plan pdf

С другой стороны, для диверсификации производства следует рассматривать введение питательных и полезных культур из внешних источников, если они могут быть адаптированы к местным условиям. Кыргызстан и Таджикистан, несмотря на то, что находятся в Центральной Азии и являются соседними странами в сельском хозяйстве имеются существеннные различия. Но, сейчас речь не об этом, перейдем к вопросам дискуссии. Ну, какие сектора должны быть вовлечены в разработку согласованной политики в области Продовольственной безопасности и питания?

Думаю, аналогичная ситуация и в Таджикистане. Необходимо усилить деятельность Правительственной комиссии по Healthy people 2020 objectives nutrition program plan pdf безопасности. Определить критерии по определению деятельности комиссии. Производителям пищевых продуктов переработчики разработка проектов по строительству современных перерабатывающих предприятий, сертификационные лаборатории Думаю и в Таджикистане аналогичная ситация.

Из-за отсутствия инфраструктуры иhealthy people 2020 objectives nutrition program plan pdf, отсутствия понимания о добавленной стоимости, фермеры, переработчики, реализаторы система торговлив конечном итоге, в целом страна теряют колоссальные прибыли.

И, Кыргыгзстан и Таджикистан при грамотном подходе к проблеме могли бы занять в Глобальной цепи добавленной стоимости свои небольшие нишы и увеличивать доходность всех игроков. Thank you for inviting me to the on-line conference on food security and nutrition in the Republic of Tajikistan. Kyrgyzstan and Tajikistan, despite the fact that both countries are located in Central Asia and are neighboring countries, there are significant differences in agriculture.

Which sectors and actors should be involved in developing coherent food security and nutrition policy and how? Well, which sectors should be involved in developing a coherent food security and nutrition policy?

Topics & Objectives

All these structures should interact under the auspices of the Governmental Agency-the Ministry of Agriculture of the Kyrgyz Republic. I think a similar situation is in Tajikistan. What analytical and technical capacity is most needed in order to allow national experts to develop and design comprehensive and mutually supportive policy? It is necessary to strengthen the activities of the Government Commission on Food Security and determine the criteria for determining the activities of the Commission.

What technical support is needed by such entities as farmers, food producers, distributors and government officials to make an effective contribution to the development of sustainable and healthy national food systems? Farmers need a good information and marketing service, a good consulting service, training and introduction of new technologies of scientific developments in the field of agriculture, processing and others. Food manufacturers processors need the development of projects for the construction of modern processing plants, certification laboratories Which components of nutrition, how and where should be included in the value chain of agricultural products nutrition-sensitive agriculture?

The value chain is the most painful problem in Kyrgyzstan. I think in Tajikistan there is a similar situation. Due to lack of infrastructure and, in general, lack of understanding of the added value, farmers, processors, distributors trading systemultimately, as a whole, the country loses huge profits. Both Kyrgyzstan and Tajikistan, with a competent approach to the issue, could occupy their small niches in the Global Value Chain and increase the profitability of all players.

There are plenty of problems in the field of food supply and nutrition in Kyrgyzstan, Tajikistan and Uzbekistan. Authors of submission: Available at: Street food is a widely accessible and inexpensive source of nutrition worldwide, especially in urban areas of low- and middle-income countries. This project, supported by the WHO — Europe, aims to characterize the street food environment in countries in Central Asia and Eastern Europe, where there is, generally, a gap of data on dietary behaviour and food composition.

The cross-sectional evaluation in Healthy people 2020 objectives nutrition program plan pdf was specifically designed to assess the street food availability and nutritional composition of the most commonly available foods, as well as to characterize the street food customers and their purchasing patterns. Some of our main findings and conclusions: A high availability of beverages These findings indicate that it may be frequently consumed as a substitute for home-cooked meals.

The street foods most commonly available in Dushanbe include a wide range of traditional and westernized foods e. Traditional foods, including savoury pastries such as sambusa, breads such as lepyoshka and main dishes such as plov, were commonly bought, indicating that local and traditional foods remain important for the daily food consumption in this population.

This may indicate a shift to a more occidental dietary pattern. One of the main contributors to the high energy content of these street foods was the fat content. Saturated fatty acids SFA and trans fatty acids TFA were present in high proportions in industrial foods, as expected, but also in homemade cakes and traditional dishes prepared with vegetables, which would be normally considered healthy options, such as soup or plov.

Soft drinks were the most frequently available and purchased beverages. In addition, the median sodium to potassium ratio of the street food meals purchased by the customers observed was 6. The street food purchases with highest values of sodium to potassium ratio were found mainly in customers who bought homemade foods, suggesting that this excess of sodium may come from the addition of salt during cooking. Ultimately, these ingredients seem to be used in inadequate amounts, which, coupled with the large servings of some homemade foods, results in the overcoming of the daily recommendations for such nutrients.

Deriving from these findings, the contribution to the discussion will be mostly oriented to the topics 1. From our perspective, coherent food security and nutrition polices in Tajikistan should be developed and implemented under a multi-sectorial approach, covering different governmental areas and the multiple stakeholders along the food chain, including street food vendors and consumers.

Improving the nutritional value of street foods available in the country, as well as raising awareness of both vendors and customers, is essential for the transition to a healthier urban food environment in this setting. Some of the proposed strategies would affect not only street food but all foods equally, benefitting the population at large. Thus, they would be encouraged not healthy people 2020 objectives nutrition program plan pdf replace TFA with saturated fats but prefer cis-unsaturated fats, healthy people 2020 objectives nutrition program plan pdf are more resistant to high temperatures.

Street vendors and small-scale manufacturers are extremely price conscious, and their choice of cooking fat is likely to be strongly influenced by price.

Thus, increasing the affordability of these fats for use by street vendors and manufacturers e. Quantified targets for the salt content of different product categories might be required, and mandatory maximum limits on the salt content by product category might be considered. The implementation of gradual targets throughout predefined periods would promote a better adherence to this policy measure. After definition of legal limits for each of these nutrients in foods, monitoring is essential.

This approach would apply to all fats and oils used in the manufacture or preparation of foods. The focus on traditional foods would contribute to preserve the local gastronomy, a benefit from cultural and sustainable standpoints. In addition to financial incentives to use healthier ingredients, local governments and institutions healthy people 2020 objectives nutrition program plan pdf promote nutrition education activities, in order to, for example, train healthy people 2020 objectives nutrition program plan pdf vendors to limit the amount of salt in the food they prepare e.

Nutrition education initiatives should also target consumers, aiming to raise awareness for the health hazards associated with excessive intake of ultra-processed food products, namely soft drinks and industrialized juices; as well as the importance of increasing the consumption of healthier food options, such as fruits and water.

Identifying effective food systems solutions for nutrition and noncommunicable diseases: SCN News. Авторы представленного материала: Доступно по адресу: Уличная еда является широко доступным и недорогим источником питания во всем мире, особенно в городских районах стран с низким и средним уровнем дохода.

Этот проект при поддержке ЕРБ ВОЗ направлен на характеристику среды уличной еды в странах Центральной Азии и Восточной Европы, где, как правило, существует пробел в данных о диетическом поведении и составе пищи. Перекрестная оценка в Душанбе была специально разработана для оценки наличия уличной еды и состава питательных веществ наиболее распространенных продуктов питания, а также для характеристики потребителей уличной еды и моделей их покупки.

Некоторые из наших основных выводов: Эти данные указывают на то, что ее могут часто употреблять в качестве замены домашней еды. What are your general comments to help strengthen the presented elements of the first draft work programme of the UN Decade of Action on Nutrition?

We are concerned, however that there is not sufficient emphasis on need for increased resources for nutrition especially DRMnor the need to improve the use of existing resources via integrated multi-sectoral and multi-stakeholder working. The sooner that these resources are invested, the faster, better, and more sustained the economic and human gains.

Increased emphasis on the need for increased resources for nutrition with a focus on domestic resource mobilisation supported by donors, businesses and others, e. This is most clearly demonstrated by the lack of concrete actions. This is particularly worrying given that the assumption of the DoA is that the WHA indicators will need to be met by ; yet there is no explicit indication in the document on how the DoA intends to meet these objectives.

Further, the document mentions a broad range of healthy people 2020 objectives nutrition program plan pdf, but it does not go into a prioritisation, nor does it give an idea of which issue to start with or how to start with it. This might not necessarily be a diktat, but rather advice on how to go about prioritising at the country level, with examples of how other countries have had successes or failures to reinforce that.

Rapid development of healthy people 2020 objectives nutrition program plan pdf, integrated, prioritised action plan, with timescales, to support activities outlined in the work programmes.

Perhaps even more importantly, the world is off-track against its goals because progress has not been inclusive enough. Millions of children miss out on adequate nutrition because of whom they are and where they live. Inequalities in malnutrition are widening between different regions within countries, between the richest and the poorest, and between rural and urban areas. Discrimination and exclusion are helping to healthy people 2020 objectives nutrition program plan pdf and entrench these inequalities.

This should include healthy people 2020 objectives nutrition program plan pdf for governments to: The right to food is a basic human right. Governments have an obligation to ensure all citizens have access to sufficient quantities of food, of sufficient quality and cultural acceptability to meet their needs.

The UN Convention on the Rights of the Child obliges states to do everything they can to prevent children from dying. To meet this commitment, states need to tackle malnutrition. Yet, many countries lack a legal framework that promotes child survival, and those that do often fail to implement it. The definition of terms in the work plan could be improved.

The action areas are welcome in their ambition and structure, but we would propose some changes as per the below:.

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It is quite production focused, but we know most people will still need to purchase most food. Leading on from this, there is not enough attention given to market failure, and its impact on private sector involvement in food systems.

There is also little reference to livestock, the associated environmental challenges and the disease risk and its link to malnutrition. This area would benefit from being more specific about what nutrition actions it refers to. There is no reference for example to the detection, referral and treatment of acute malnutrition — referring to the compendium of action on nutrition would be a good start here.

There is minimal reference to evidence here. While we would be broadly supportive of what is proposed it could go further and reference the need for the size of transfers to enable households to afford nutritious foods and health and water services, the need to ensure households with children under 2 are covered.

It could also go further to talk about the need for shock responsive social protection that can scale up and down in times of need to protect nutrition.

We do not see many successful examples of this occurring. Is there more that could be done to support exclusive breastfeeding in the informal sector? How about in the agricultural sector itself - contract farming healthy people 2020 objectives nutrition program plan pdf example?

We would like to see this area strengthened. A reporting structure to involve civil society would be welcome as a start here — at present the accountability framework is unclear. Question 3: How could this draft work programme be improved to promote collective action to achieve the transformational change called for by the Agenda for Sustainable Development and the ICN2 outcomes? What is missing? For example, will healthy people 2020 objectives nutrition program plan pdf activities be scoped?

Will a joint work plan be developed, under the Decade of Action framework? How will the Decade of Action support healthy people 2020 objectives nutrition program plan pdf strides of these existing efforts? We strongly advise these are healthy people 2020 objectives nutrition program plan pdf action networks, that complement and engage existing mechanisms such as SUN movement.

Resources should be invested in these existing structures to enable them to support the DoA advocacy approach, rather than developing duplicative structures or efforts.

Question 4: Do you feel you can contribute to the success of the Nutrition Decade or align yourself with the proposed range of action areas? We will also continue to be active in the advocacy networks, with efforts focused on:. Question 5: Do you have specific comments on the section on accountability and shared learning? We recommend one database is used to capture all commitments submitted in the DoA, not just those from Member States.

Stunting is the failure to grow both physically and cognitively and is the result of chronic or recurrent malnutrition. The effects of stunting often last a lifetime. Thanks for sharing this first draft work programme and congratulations for the progress to date. Considering where nutrition was ten years ago, the change is most appreciated! Page 5: These conditions poses risks to sustainable food systems.

Additionally, sustainable and resilient food systems should also build on indigenous knowledge system by creating awareness and increasing demand and production of indigenous food crops. Page 8: Action area 5: Business should take the responsibility and held accountable through country legislative frameworks to ensure a safe and supportive food environment.

Page Lack of nationally led coordination and governance can play a role in non-attainment of nutrition actions by The work programme is not mentioning monitoring instruments to measure progress made towards attainment of nutrition commitments in the next decade. GMA appreciates the opportunity to submit comments and respectfully requests you take these comments into consideration. See the attachments: English translation below Уважаемые Модераторы!

Also, I suggest to turn attention to organic cultivation of food products. Attention should be paid to the issue of enrichment of irrigated lands. Best regards, Ekaterina Sakhvaeva, Kyrgyzstan.E Early and Middle Childhood New. Educational and Community-Based Programs. Environmental Health. F Family Planning. Food Safety. G Genomics New. Global Health New. Healthcare-Associated Infections New.

Hearing and Other Sensory or Communication Disorders. Heart Disease and Stroke. I Immunization and Infectious Diseases. Injury and Violence Prevention.

M Maternal, Infant, and Child Health. Medical Product Safety. Mental Health and Mental Disorders. Learn about progress made toward the maternal, infant, and child health Leading Health Indicators.

Use our state-level data maps to see state-specific snapshots for Healthy People objectives. This interactive data tool allows users to explore data and technical information related to the Healthy People objectives. Search Healthy People data. Every decade, the Healthy People initiative develops a new set of objectives to improve the health of all Americans. Learn more and get involved. View Healthy People Infographics. Skip to main content.

Office of Disease Prevention and Health Promotion. Search HealthyPeople. Log in. The Foundation Health Measures address global, cross-cutting summary measures of population health. Such measures have been a cornerstone of Healthy People for decades because they reflect the impact of actions and interventions implemented to achieve the Healthy People objectives and goals.

Department of Health and Human Services and the healthy people 2020 objectives nutrition program plan pdf area workgroup on health promotion data. NCHS conducts research and develops methods for measuring progress toward the objectives and overarching goals of Healthy People, as well as health disparities.

In addition, NCHS provides expertise and technical assistance to healthy people 2020 objectives nutrition program plan pdf, state, and local health monitoring efforts.

For additional background, latest data, and selected infographics data related to the Leading Health Indicators, see: Leading Health Indicators External. For access to the archived slides from HP Progress Reviews, see: Healthy People Progress Review. Skip directly to site content Skip directly to page options Skip directly to A-Z link.