Operational Plan of Action for Nutrition 2008 – 2010

8/6/2008 National Nutrition Policy Statement Operational Plan of Action for Nutrition 2008 – 2010 Palestinian National Authority Ministry of Health Nutrition Department With technical support from the Nutrition Technical Committee National Nutrition Policy Statement / Operational Plan of Action for Nutrition / 2008 - 2010 2 NATIONAL NUTRITION POLICY STATEMENT Introduction: This is the first National Nutrition Policy for Palestine. It provides a framework for understanding nutrition within Palestine and underpins the Nutrition strategy and Operational Plan of Action. It aims to contribute to: 1- Consistency and coherence in response to nutritional needs. 2- Quality and effective response in nutrition programming. As nutrition is a multi-faceted discipline, the National Nutrition Policy applies both to a range of different sectors and to a range of organizations that work in the area of nutrition, these include: 1- Ministries of the Palestinian Authority. 2- United Nations agencies. 3- International organisations. 4- Nongovernmental Organizations. 5- Professional bodies. 6- Donors. 7- Relevant Private sector organization. Policy General Goal: The policy goal of the Palestinian National Nutrition Policy is to improve and maintain the nutritional status and well being of the Palestinian people, through: 1- Diet diversification, fortification and supplementation. 2- Meeting the special nutritional and care needs of vulnerable populations: infants and young children, pregnant and lactating women, school-age children, the elderly and groups who are socio-economically or politically vulnerable. 3- Advocating access and consumption of food that is adequate in quantity, quality and diversity. 4- Increase co-ordination among key stakeholders and integration of nutrition-related activities and nutrition across sectors. 5- Enhancing capacity building. 6- Appropriate needed resources. National Nutrition Policy Statement / Operational Plan of Action for Nutrition / 2008 - 2010 3 Guiding Principles: The National Nutrition Policy is based on the following guiding principles: 1- Everyone has the right to adequate health, food and freedom from hunger. 2- Addressing poverty and food insecurity is the key to improve nutritional status. 3- Nutrition is multi-faceted and is influenced by food, care and health as well as factors operating at a basic level in the political, economic and social environment. 4- Interventions to address nutrition problems are only successful where they are based on inter- sectoral and coordinated action. 5- A woman’s nutritional and health status is paramount to ensure the well-being of all family members. 6- Strong social, economic and political commitment is essential to institutional sustainability to ensure the implantation of nutrition policy and strategy. Priority Areas: The National Nutrition Policy focuses on eight priority areas. 1- Identification of nutritional trends (nutritional surveillance) and underlying causes. 2- Prevention and treatment of micronutrient malnutrition (micronutrient supplementation, food fortification and dietary diversification). 3- Prevention and treatment of obesity and dietary-related non-communicable diseases. 4- Protection, promotion and support for exclusive breastfeeding (up to 6 months), appropriate complementary feeding of infants and diet diversity for children. 5- Growth monitoring and promotion among children under 5 year. 6- Management of severe and moderate malnutrition. 7- Promote and ensure appropriate nutrition among school children. 8- Improvement and protection of food quality and safety. National Nutrition Policy Statement / Operational Plan of Action for Nutrition / 2008 - 2010 4 Strategic Approaches for Implementation of the Operational Plan of Action for Nutrition: 1- Strengthen and sustain existing coordination of nutrition capacities, and develop new structures as needed. 2- Strengthen governmental and non-governmental capacity to implement the Operational Plan of Action for Nutrition. 3- Advocate for food and nutrition-related areas. 4- Develop, harmonise and implement nutrition-related protocols, guidelines, legislation and regulations. 5- Identify and support relevant applied research in nutrition-related areas. 6- Address sustainability concerns at all levels of implementation. N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 5 1 P ri o ri ty A re a 1 : Id en ti fi ca ti o n o f n u tr it io n a l tr en d s (n u tr it io n a l su rv ei ll a n ce ) a n d u n d er ly in g c a u se s. G o a l: D ev el o p a u n if ie d n u tr it io n m o n it o ri n g a n d s u rv ei ll an ce s y st em o n n at io n al w id e. N u tr it io n p ro b le m s an d s o m e k ey c au se s ar e ra p id ly i d en ti fi ed a n d a d eq u at e re so u rc es a re m o b il is ed i n r es po n se t o t he n u tr it io n p ro bl em s. In d ic a to r: R eg u la r n u tr it io n s u rv ei ll an ce r ep o rt s ar e av ai la bl e at n at io n al a n d s u b n at io n al l ev el s. O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 1 E x p an d t h e n u tr it io n su rv ei ll an ce s y st em t o in cl u d e N G O s, U N R W A an d p ri v at e se ct o r. M o n th ly r ep o rt s ar e su p p li ed t o n u tr it io n d ep ar tm en t. M o H , N D , M E H E , N G O s, U N R W A , p ri v at e se ct o r, W H O , U N IC E F , W F P , F A O . Q 2 2 0 0 8 2 U n if y t h e n u tr it io n in d ic at o rs t h ro u g h d ra ft in g , an d a d ap ti n g n u tr it io n su rv ei ll an ce p ro to co ls , th ro u g h n ee d ed t ra in in g p ro g ra m s. N u tr it io n s u rv ei ll an ce p ro to co ls a re d ra ft ed , ad ap te d a n d t ra in in g is c o n d u ct ed . M o H , N D , M E H E , N G O s, U N R W A , p ri v at e se ct o r, W H O , U N IC E F , W F P , F A O . Q 2 a n d Q 4 2 0 0 8 3 In tr o d u ci n g n ew n u tr it io n in d ic at o rs t o b e u se d i n n at io n al n u tr it io n su rv ei ll an ce s y st em , fi n d t h e su it ab le t o o ls o f d at a co ll ec ti o n , a n al y si s, re p o rt in g a n d d is se m in at io n . N ew i n d ic at o rs a re in tr o d u ce d t o t h e n at io n al n u tr it io n su rv ei ll an ce s y st em . M o H , N D , M E H E , N G O s, U N R W A , p ri v at e se ct o r, W H O , U N IC E F , W F P , F A O . Q 2 2 0 0 9 1 T o o p er at io n al iz e th e N at io n al N u tr it io n S ur v ei ll an ce S y st em at n at io n al l ev el a n d i n cl u d es : 1 .1 . C h il d re n b et w ee n 6 a n d 5 9 m o n th s. 1 .2 . F ir st a n te n at al v is it s. 1 .3 . S ch o o l ch il d re n ( 1s t , 7 th , 1 0 th g ra d es ). 4 A d v o ca cy a m o n g h ea lt h ca re p ro v id er s an d d ec is io n m ak er s an d l in k in g t h e fe ed b ac k w it h t h e re la te d b o d ie s. R ep o rt d is se m in at io n o n r eg u la r b as is t o d ec is io n m ak er s. M o H , N D , N G O s, U N R W A , p ri v at e se ct o r, W H O , U N IC E F . 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 6 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 5 C o m m u n ic at io n a n d in fo rm at io n s h ar in g . R eg u la r re p o rt in g t o co n ce rn ed a g en ci es li k e U N IC E F a n d W H O . M o H , N D , U N IC E F , an d W H O . 2 0 0 8 2 0 1 0 1 Id en ti fy t h e ty p e, t ar g et p o p u la ti o n , an d r es o u rc es fo r co n d u ct in g t h e n ee d ed st u d ie s. A l is t o f n ee d ed st u d ie s is i de n ti fi ed . 2 P ro cu re m en t o f n ee d ed eq u ip m en t to c o n d u ct t h es e st u d ie s. N ee d ed e q u ip m en t is p ro cu re d . 2 T o c o m p le m en t ex is ti n g d at a th ro u g h r eg u la r h o u se h o ld su rv ey s. 3 C o n d u ct n ee d ed s tu d ie s. S tu d ie s ar e co n d u ct ed . M o H ( N D , M IS , P H C ). C o ll ab o ra ti n g b o d ie s: U N R W A , W H O , U N IC E F , D o n o rs a n d N G O s. 2 0 0 8 2 0 1 0 1 P ro cu re m en t o f n ee d ed eq u ip m en t an d t o o ls , p ri n ti n g o f fo rm s. 2 D is se m in at io n o f eq u ip m en t, to o ls a n d f o rm s to a ll c li n ic s an d s er v ic e d el iv er y p o in ts . 3 T ra in in g o n t h e u se o f to o ls an d e q u ip m en t. 3 T o p ro cu re n ee d ed e q u ip m en t an d t o o ls , an d p ri n t n ee d ed fo rm s. 4 O p er at io n / u se o f th e to o ls an d e q u ip m en t in t h e n at io n al n u tr it io n su rv ei ll an ce s y st em . A ll e q u ip m en t, t o o ls an d p ri n te d f o rm s ar e re ce iv ed a n d d is se m in at ed t o se rv ic e d el iv er y p o in ts . M o H ,N D , U N IC E F , W H O & D o n o rs . Q 2 2 0 0 8 Q 1 2 0 0 9 Q 1 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 7 P ri o ri ty A re a 2 : P re v en ti o n a n d t re a tm en t of m ic ro n u tr ie n t m a ln u tr it io n ( m ic ro n u tr ie n t su p p le m en ta ti o n , fo o d f o rt if ic a ti o n a n d d ie ta ry d iv er si fi ca ti o n ). G o a l: T o i m p ro v e th e m ic ro n u tr ie n ts s ta tu s am o n g P al es ti n ia n P o p u la ti o n . O v er a ll O b je ct iv e: T o r ed u ce m ic ro n u tr ie n ts d ef ic ie n ci es a m o n g v u ln er ab le g ro u p . In d ic a to rs : R ed u ce b y h al f th e m ic ro n u tr ie n t d ef ic ie n cy a m o n g k ey v u ln er ab le g ro u p . O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d ie s E x p ec te d D a te 1 M ai n ta in a n d e x p an d t h e fl o u r fo rt if ic at io n p ro g ra m . F lo u r fo rt if ic at io n p ro ce ss t o re ac h 8 0% o f av ai la b le f lo u r in th e m ar k et s. M o H , N D , M N E , W F P , U N R W A , U N IC E F , P ri v at e se ct o r. 2 0 0 8 – 2 0 1 0 2 M ai n ta in a n d e x p an d t h e sa lt i o d iz at io n p ro g ra m . H o u se h o ld s co n su m p ti o n o f io d iz ed s al t re ac h es 9 0 % . M o H , N D , M N E , W F P , U N R W A , U N IC E F , P ri v at e se ct o r. 2 0 0 8 2 0 1 0 3 S tr en g th en t h e m o n it o ri n g sy st em o n f lo u r fo rt if ic at io n an d s al t io d iz at io n . A ll f lo u r av ai la b le i n t h e P al es ti n ia n m ar k et i s fo rt if ie d an d a ll t ab le s al t is i o d iz ed . M o H , N D , M N E , U N IC E F . 2 0 0 8 2 0 1 0 1 T o i m p le m en t fo o d f o rt if ic at io n p o li cy a n d p ro g ra m s. 4 D ev el o p e d u ca ti o n a n d p ro m o ti o n m at er ia l o n f o o d fo rt if ic at io n . N ee d ed m at er ia ls a re p ro d u ce d an d d is se m in at ed . M o H , N D , M N E , U N IC E F . 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 8 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d ie s E x p ec te d D a te 1 T o u n if y p o li ci es a n d p ro to co ls f o r m ic ro n u tr ie n ts su p p le m en ta ti o n . T h e p o li ci es a n d p ro to co ls f o r m ic ro n u tr ie n ts su p p le m en ta ti o n a re u n if ie d . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 2 2 0 0 8 2 T ra in in g o n u n if ie d p ro to co ls fo r m ic ro n u tr ie n ts su p p le m en ta ti o n . A ll r el at ed h ea lt h p ro v id er s ar e tr ai n ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 2 2 0 0 8 3 T o i m p le m en t th e u ni fi ed p o li ci es a n d p ro to co ls f o r m ic ro n u tr ie n t su p p le m en ta ti o n . A ll u n if ie d p o li ci es a n d p ro to co ls f o r m ic ro n u tr ie n ts su p p le m en ta ti o n a re a p p li ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 2 2 0 0 8 4 T o p ro v id e an d d is se m in at e m ic ro n u tr ie n t su p p le m en ts (t ab le ts a n d s y ru p ) to a ll h ea lt h p ro v is io n c en tr es . M ic ro n u tr ie n t su p p le m en ts (t ab le ts a n d s y ru p ) ar e d is se m in at ed t o h ea lt h p ro v is io n c en tr es . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 – 2 0 1 0 5 T o m o n it o r an d e v al u at e th e d is tr ib u ti o n a n d c o m p li an ce o f m ic ro n u tr ie n t su p p le m en ts . R el at ed c li ni cs / h ea lt h p ro v is io n c en tr es a re m o n it o re d a n d m o n it o ri n g re p o rt s ar e p ro d u ce d . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 – 2 0 1 0 2 T o p ro v id e m ic ro n u tr ie n t su p p le m en ta ti o n t o v u ln er ab le g ro u p . 6 T o c o n d u ct a w ar en es s ra is in g ca m p ai g n s o n t h e im p o rt an ce o f m ic ro n u tr ie n ts su p p le m en ta ti o n a m o n g t ar g et g ro u p s (P re g n an t W o m en a n d C h il d re n ). A w ar en es s ra is in g c am p ai g n ar e re g u la rl y c o n d u ct ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 – 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 9 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d ie s E x p ec te d D a te 1 T o i m p le m en t aw ar en es s ra is in g a ct iv it ie s re g ar d in g : 1 .1 . F o o d s ri ch i n m ic ro n u tr ie n ts . 1 .2 . F o o d s th at i m p ro v e m ic ro n u tr ie n t ab so rp ti o n . 1 .3 . F o o d s th at i n te rf er e/ n eg at iv el y a ff ec t m ic ro n u tr ie n t ab so rp ti o n . In cr ea se n u m b er s o f w o m en w h o h av e ch an g ed t h ei r b eh av io u r re g ar d in g m ic ro n u tr ie n t d ef ic ie n ci es b y th e en d o f 2 0 1 0 . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 2 0 1 0 2 T o p ro d u ce T V , ra d io s p o ts , p am p h le ts a n d t h ea tr ic al p la y s re g ar d in g f o o d d iv er si ty . S p o ts a re b ro ad ca st ed a n d p ri n te d m at er ia l d is se m in at ed to b en ef ic ia ri es . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 2 2 0 0 8 3 T o c o o rd in at e ac ti v it ie s w it h d if fe re n t st ak eh o ld er s o n b eh av io u r ch an g e an d co m m u n ic at io n . In cr ea se t h e n u m b er o f in st it u ti o n s w h o i n te g ra te d a n d ad o p te d b eh av io u r ch an g e ac ti vi ti es i n t h ei r p ro g ra m s b y th e y ea r 2 0 0 8 . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 2 2 0 0 8 4 T o m o n it o r an d e v al u at e im p le m en te d p ro je ct s. A ll r el at ed s er v ic e d el iv er y p o in ts a re m o n it o re d . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 3 2 0 0 8 2 0 1 0 5 T o c o n d u ct i m p ac t as se ss m en t st u d ie s. S tu d ie s ar e co n d u ct ed a n d p u b li sh ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 4 2 0 0 8 3 T o p ro m o te n u tr it io n d ie ta ry d iv er si fi ca ti o n t h ro u g h b eh av io u r ch an g e. 6 T o c o n d u ct b as el in e su rv ey o n t h e ea ti n g h ab it s. T h e b as el in e su rv ey i s co n d u ct ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . Q 4 2 0 0 8 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 0 P ri o ri ty A re a 3 : P re v en ti o n a n d t re a tm en t o f o b es it y a n d d ie ta ry r el a te d n o n c o m m u n ic a b le d is ea se s. G o a l: R ed u ct io n i n p re v al en ce o f o b es it y , an d i n ci d en ce o f d ie t re la te d n o n c o m m u n ic ab le d is ea se s. In d ic a to r: 1 O b es it y r ed u ce d b y 5 % b y 2 0 1 0 . 2 T y p e II d ia b et es i n ci d en ce r ed u ce d b y 4 % b y 2 0 1 0 . 3 C ar d io v as cu la r d is ea se i nc id en ce r ed u ce d b y 1 .5 % b y 2 0 1 0 . O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 1 C ar ry o u t a b as el in e su rv ey t o e st ab li sh t h e p re v al en ce o f o b es it y am o n g a d u lt s. B as el in e su rv ey r ep o rt s fo r W es t B an k a n d G az a ar e ca rr ie d o u t an d p u b li sh ed . M o H , N D W H O . 2 0 0 8 – 2 0 0 9 1 T o e st ab li sh t h e m ag n it u d e o f th e p ro b le m o f o b es it y i n t h e p o p u la ti o n . 2 C o ll at e ex is ti n g d at a o n t h e n u tr it io n al st at u s o f sc h o o l ch il d re n t h ro u g h t h e N N S S . A n n u al r ep o rt s o n o b es it y i n s ch o o l ch il d re n i s p ro d u ce d a n d p u b li sh ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 1 D ev el o p a p p ro p ri at e ‘l if es ty le ’ m es sa g es th ro u g h c ar ry in g o u t n u tr it io n e d u ca ti o n a n d p ro m o te b eh av io u r ch an g e in r el at io n t o fa t an d s u g ar i n ta k e. C o m m u n ic at io n s tr at eg ie s ar e in p la ce v ia r ad io , te le v is io n , p o st er s, et c fo r W es t B an k a n d G az a. M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 2 0 1 0 2 T o r ed u ce t he p re v al en ce o f o b es it y i n t h e P al es ti n ia n p o p u la ti o n . 2 T ra in M C H n u rs es a n d h ea lt h e d u ca to rs o n h ea lt h y n u tr it io n m es sa g es . N u m b er o f M C H n u rs es / h ea lt h ed u ca to rs i n d is tr ic ts o f W es t B an k an d i n G az a is t ra in ed . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 – 2 0 0 9 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 1 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 3 A d v o ca cy a m o n g d ec is io n – m ak er s to a d d re ss o b es it y a n d d ie t re la te d N C D . C o ll at e al l da ta o n d ie t re la te d , n o n co m m u n ic ab le d is ea se s (N C D ) an d p ro d u ce re p o rt a n d d is se m in at io n o f N C D d at a p er io d ic al ly . D ie t re la te d N C D r ep o rt p ro d u ce d . M o H , N D , S ta ti st ic al D ep ar tm en t 2 0 0 8 – 2 0 1 0 4 S tr en g th en a v ai la b le m an ag em en t o f o b es it y an d N C D . S tr en g th en a v ai la b le n u tr it io n al c li n ic s an d tr ai n i ts s ta ff . A ll t h e av ai la b le n u tr it io n al c li n ic s ar e fu n ct io na l w it h t ra in ed s ta ff . M o H , N D . 2 0 0 8 – 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 2 P ri o ri ty A re a 4 : P ro te ct io n , p ro m o ti o n a n d s u p p o rt f o r ex cl u si v e b re a st fe ed in g ( u p t o 6 m o n th s) , a p p ro p ri a te c o m p le m en ta ry fe ed in g o f in fa n ts a n d d ie t d iv er si ty f o r ch il d re n . G o a l: P ro m o ti o n a n d w id es p re ad a d o p ti o n o f ap p ro p ri at e in fa n ts a nd c h il d f ee d in g p ra ct ic es . In d ic a to r: 1 P ro p o rt io n o f ch il d re n b re as t fe d w it h in t h e fi rs t h o u r af te r d el iv er y in cr ea se d b y 5 0 % b y 2 0 1 0 . 2 E x cl u si v e b re as tf ee d in g u p t o 6 m o n th s in cr ea se d b y 5 0 % b y 2 0 1 0 . 3 P ro p o rt io n o f w o m en p ra ct ic in g b re as tf ee d in g u p t o 2 4 m o n th s in cr ea se d b y 3 0 % b y 2 0 1 0 . 4 P ro p o rt io n o f ch il d re n r ec ei v in g a p p ro p ri at e co m p le m en ta ry f o o d a t 6 m o n th s b y 3 0 % b y 2 0 1 0 . O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 1 C o n d u ct r eg u la r se m in ar s an d t ra in in g f o r h ea lt h p ro v id er s. 2 D ev el o p a p p ro p ri at e ed u ca ti o n m at er ia ls . 1 T o e n su re u n iv er sa l ex cl u si v e b re as tf ee d in g u p t o 6 m o n th s o f ag e an d co n ti n u e b re as tf ee d in g ti ll 2 4 m o n th s. 3 P ro v id e n ee d ed m at er ia ls fo r su cc es sf u l im p le m en ta ti o n. 1 E d u ca ti o n al m at er ia l p ro d u ce d a n d d is tr ib u te d to c li n ic s an d t h e p u b li c. 2 P er ce n ta g e o f m o th er s w h o b re as tf ee d ex cl u si v el y i s in cr ea se d b y 5 % . 3 P er ce n ta g e o f ea rl y b re as t fe ed in g i n it ia ti o n i s in cr ea se d b y 5 % . M o H , N G O s, U N R W A , U N IC E F , W H O . 2 0 0 8 2 0 1 0 2 T o i n tr o d u ce ap p ro p ri at e co m p le m en ta ry fe ed in g t o i n fa n ts a t ap p ro p ri at e ag e. 1 D ev el o p a p p ro p ri at e ed u ca ti o n m es sa g es a n d m at er ia ls o n co m p le m en ta ry f ee d in g . M at er ia l o n c o m p le m en ta ry fe ed in g i s p ro d u ce d , b ro ad ca st ed a n d d is se m in at ed . M o H , U N R W A , N G O s. 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 3 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 2 C o n d u ct p ro p er b eh av io u r ch an g e co m m u n ic at io n (B C C ) p ro g ra m s to ed u ca te m o th er s o n ap p ro p ri at e b re as t fe ed in g an d c o m p le m en ta ry fe ed in g . 3 P ro d u ct io n o f ra d io a n d T V s p o ts a n d p ro g ra m m e. Im p ro v in g t h e n u tr it io n s ta tu s o f In fa n ts a n d y o u n g c h il d fe ed in g . 1 A d v o ca te t o k ey st ak eh o ld er s to a d o p t th e n at io n al s tr at eg y . 3 A d o p ti n g a n d im p le m en ti n g t h e n at io n al s tr at eg y f o r in fa n t an d y o u n g c h il d fe ed in g . 2 F o rm l o b b y in g g ro u p s to m o b il is e p ol ic y m ak er s. P o li cy a n d s tr at eg y a re a d o p te d an d e n d o rs ed . M o H , N D M o J u st ic e, M o L ab o u r, M o W o m en , L ab o u r U n io n , U N IC E F . 2 0 0 8 – 2 0 1 0 1 A d v o ca te t o t h e M o H , p ri v at e se ct o r an d N G O s to a p p ly t h e p o li cy . 1 F o u r h o sp it al s ar e as se ss ed , u p g ra d ed a n d a w ar d ed B F H s ta tu s. 2 T ra in in g f o r th e ap p ro p ri at e h o sp it al st af fs . 2 S ta ff i n p ar ti ci p at in g h o sp it al s is t ra in ed . 3 B F H I as se ss m en ts co n d u ct ed a n d B F H I st at u s aw ar d ed . 3 M o n it o ri n g r ep o rt s o f th e h o sp it al s ta tu s b ei n g b ab y fr ie n d ly a re p ro d u ce d . 4 In tr o d u ce t h e B F H in it ia ti v e to M o H a n d p ri v at e h o sp it al s. 4 R eg u la r m o n it o ri n g o f B F H I st at u s. 4 M o n it o ri n g r ep o rt s ar e p ro v id ed . M o H , N D U N IC E F , W H O , P ri v at e, N G O s. 2 0 0 8 – 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 4 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d D a te 1 T o P ro m o te a n d i n it ia te ex cl u si v e b re as tf ee d in g . 1 5 % I n cr ea se i n e x cl u si v e b re as tf ee d in g a m o n g w o m en b y t h e en d o f 2 0 1 0 . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 2 0 1 0 5 In cr ea se a w ar en es s o f th e im p o rt an ce o f b re as tf ee di ng a n d ch il d f ee d in g p ra ct ic es in cl u d in g co m p le m en ta ry fe ed in g . 2 T o i n tr o d u ce t im el y a n d ap p ro p ri at e co m p le m en ta ry f ee d in g . 2 N u m b er o f w o m en in tr o d u ce d t im el y a n d ap p ro p ri at e co m p le m en ta ry fe ed in g b y t h e y ea r 2 0 1 0 . M o H , N D , U N R W A , N G O s, U N IC E F , W H O . 2 0 0 8 2 0 1 0 1 C o n d u ct a d vo ca cy m ee ti n g t o t h e d ec is io n m ak er s fo r ad o p ti o n o f th e IC M B M S . P o li cy d o cu m en t is p ro d u ce d , ad o p te d , en d o rs ed a n d d is se m in at ed . 2 D ra ft in g t h e la w t h e IC M B M S . L aw o f IC M B M S d ra ft i s av ai la b le . 3 A p p ro v ed t he l aw o f IC M B M S . L aw o f IC M B M S i s ap p ro v ed . 4 T ra in in g c o u rs es f o r h ea lt h p ro v id er s re g ar d in g b re as t m il k s u b st it u te s. T ra in in g c o u rs es o n t h e N at io n al c o d e ar e ca rr ie d o u t. 5 L aw o f IC M B M S ap p li ca ti o n . L aw o f IC M B M S i s ap p li ed . 6 P re p ar at io n , a p p ro v al , A d o p ti o n a n d im p le m en ta ti o n o f th e In te rn at io n al C o d e o f M ar k et in g o f B re as t M il k S u b st it u te s (I C M B M S ). 6 E st ab li sh m en t o f p ro p er m o n it o ri n g s y st em t o m o n it o r th e im p le m en ta ti o n . M o n it o ri n g t o o ls a re i n p la ce an d m o n it o ri n g r ep o rt s ar e p ro d u ce d . M o H , N D M o L , M o W A , M o J u st ic e, U N IC E F , W H O . 2 0 0 8 – 2 0 0 9 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 5 P ri o ri ty A re a 5 : G ro w th m o n it o ri n g a n d p ro m o ti o n a m o n g c h il d re n u n d er 5 y ea rs . G o a l: T o e n su re n o rm al g ro w th a m o n g c h il d re n u n d er 5 y ea rs . In d ic a to r: 1 S tu n ti n g p re v al en ce r ed u ce d b y 1 % p er a n n u m b et w ee n 2 0 0 8 – 2 0 1 0 . 2 U n d er w ei g h t p re v al en ce r ed u ce d b y 1 % i n t h e ag e g ro u p o f 9 1 2 m o n th s b et w ee n 2 0 0 8 2 0 1 0 3 P re v al en ce o f lo w b ir th w ei g h t re d u ce d b y 1 % p er a n n u m b et w ee n 2 0 0 8 – 2 0 1 0 . O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te 1 D ev el o p m en t / h ar m o n iz at io n o f tr ai n in g g u id el in es a n d p ro to co ls . G ro w th m o n it o ri n g g u id el in es a re u p d at ed h ar m o n iz ed , d is se m in at ed an d i m p le m en te d . 2 U p g ra d e h ea lt h c en tr es a n d p ro v id e n ee d ed e q u ip m en t, in st ru m en ts a n d l o g is ti ca l su p p o rt . A ll M C H c li n ic s in W B a n d G az a ar e u p g ra d ed . 3 C o n ti n u o u s tr ai n in g o f M C H st af f. S ta ff a t M C H c li n ic s is tr ai n ed o n g ro w th m o n it o ri n g ac ti vi ti es , w it h r eg u la r st af f as se ss m en t. 1 T o e n su re e ff ec ti v e g ro w th m o n it o ri n g s y st em in a ll h ea lt h c ar e fa ci li ti es . 4 S tr en g th en in g t h e ex is ti n g re fe rr al s y st em . In cr ea se t h e n u m b er o f ch il d re n i n cl u d ed i n t h e g ro w th m o n it o ri n g s y st em w h o a re r ef er re d b y 1 0 % co m p ar ed t o t h e in it ia l la u n ch o f th e p ro g ra m (2 0 0 6 ). M o H , M C H , N D ,U N R W A , R el ev an t N G O s, P ri v at e se ct o r. 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 6 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te 5 R eg u la r m o n it o ri n g o f g ro w th m o n it o ri n g a ct iv it ie s al o n g w it h s ta ff p er fo rm an ce . S ta ff s u p er v is io n p la n , su p er v is o ry c h ec k l is ts a n d m o n it o ri n g r ep o rt s ar e av ai la b le . 6 P er io d ic m ai n te n an ce o f g ro w th m ea su re m en t. M o n it o ri n g r ep o rt s o n m ai n ta in ed i n st ru m en ts a n d eq u ip m en t is r eg u la rl y p ro d u ce d . 1 C ar ry o u t aw ar en es s ca m p ai g n s ta rg et in g h o u se h o ld m em b er s. C am p ai g n s ar e ca rr ie d o u t in th e co m m u n it y . 2 D ev el o p m en t an d d is tr ib u ti o n o f ed u ca ti o n al m at er ia l o n p ro p er n u tr it io n al p ra ct ic es . N ee d ed m at er ia l is p ro du ce d an d p ri n te d . 3 C ar ry o u t in d iv id u al a n d g ro u p co u n se ll in g s es si o n s o n ap p ro p ri at e fe ed in g p ra ct ic es a t th e co m m u n it y l ev el . N u m b er o f co u n se ll in g se ss io n s is r ep o rt ed w it h in M C H s et u p . 4 P ro d u ct io n o f T V a n d R ad io sp o ts . T V a n d R ad io s p o ts a re p ro d u ce d a n d b ro ad ca st ed 2 E n h an ce t h e k n o w le d g e an d p ra ct ic e o f g ro w th m o n it o ri n g a t al l le ve ls . 5 E d u ca ti n g n u rs er ie s ca re ta k er s an d k in d er g ar te n s te ac h er s o n p ro p er n u tr it io n al p ra ct ic es . M an y t ra in in g c o u rs es w er e co n d u ct ed . M o H , N D , M C H U N R W A , O th er r el at ed N G O s. 2 0 0 8 2 0 1 0 1 U p d at e ex is ti n g su p p le m en ta ti o n p ro to co ls . P ro to co ls u p d at ed , d is se m in at ed a n d im p le m en te d . 3 T o e n su re t im el y a n d co n ti n u o u s p ro v is io n o f su p p le m en ta ti o n s. 2 C o n ti n u o u s p ro v is io n o f su p p le m en ta ti o n ( Ir o n V it am in A D ) to c h il d re n . R ep o rt s o n s u p p le m en ts su p p ly f lo w t o c li n ic s ar e av ai la b le . 1 M C H , M oH ,N D , U N R W A , N G O s an d d o n o rs . 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 7 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te 3 R ai si n g a w ar en es s o n m o th er s’ co m p li an ce t o w ar d s su p p le m en ts . R ep o rt o n t h e n u m b er o f ch il d re n r ec ei v in g t h e su p p le m en ts N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 8 P ri o ri ty A re a 6 : M a n ag em en t o f se v er e a n d m o d er a te m a ln u tr it io n t h ro u g h h ea lt h f a ci li ti es . G o a l: T o r ed u ce m o rb id it y a n d m o rt al it y r at es a ss o ci at ed w it h s ev er e an d m o d er at e m al n u tr it io n i n P al es ti n e. In d ic a to r: N u m b er o f h ea lt h f ac il it ie s p ro v id in g m an ag em en t o f m o d er at e an d s ev er e m al n u tr it io n a cc o rd in g t o n at io n al s ta n d ar d s an d g u id el in es b y 2 0 1 0 . O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te 1 E q u ip t h e h ea lt h f ac il it ie s w it h t h e n ec es sa ry re q u ir em en ts o f th e m an ag em en t o f m o d er at e an d s ev er e m al n u tr it io n. N o . o f h o sp it al s w it h a d eq u at e eq u ip m en ts a n d f ac il it ie s. 2 A d o p t n u tr it io n p ro to co ls , g u id el in es a n d m an u al s fo r th e m an ag em en t o f m o d er at e an d s ev er e o f m al n u tr it io n . A d o p te d m an u al s an d g u id el in es a re a v ai la bl e at h ea lt h c ar e fa ci li ti es . 3 R es tr u ct u re r el ev an t h ea lt h fa ci li ti es t o p ro v id e m an ag em en t o f m al n u tr it io n in h ea lt h c ar e fa ci li ti es . P er ce n ta g e o f h ea lt h p ra ct it io n er s/ h ea lt h f ac il it ie s tr ai n ed o n t h e m an ag em en t p ro to co ls a n d g u id el in e. 4 Im p le m en t th e av ai la b le a n d ad o p te d g u id el in es f o r th e tr ea tm en t o f m al n u tr it io n. A ll n ee d ed g u id el in es a re av ai la b le , ap p ro v ed a n d ap p li ed . 1 T o p ro v id e ef fe ct iv e n u tr it io n re h ab il it at io n se rv ic es i n h ea lt h fa ci li ti es i n P al es ti n e. 5 Im p le m en t ap p ro p ri at e re fe rr al s y st em . R eg u la r re p o rt in g o n r ef er re d ca se s th at a re m an ag ed . M o H , N D a n d p re v en ti v e m ed ic in e d ep ar tm en t, W H O , N G O s. 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 1 9 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te 6 D es ig n , ad o p t an d im p le m en t ef fe ct iv e m o n it o ri n g a n d e v al u at io n sy st em . M o n it o ri n g s y st em i s ap p li ed an d m o n it o ri n g r ep o rt s ar e av ai la b le . 1 T ra in h ea lt h p ro v id er s o n sk il ls o f d ia g n o si s, m an ag em en t an d r ef er ri n g o f ca se s. A g ro u p o f tr ai n ed p ro fe ss io n al s in m ai n h o sp it al s an d c li ni cs a re i n p la ce . 2 T ra in h ea lt h p ro v id er s o n m o n it o ri n g a n d e v al u at io n o f ca se s. A m o n it o ri n g a n d e v al u at io n sy st em i s fu n ct io n in g , an d a ch ec k li st i s d ev el o p ed a n d u se d . 2 B u il d in g t he ca p ac it y o f h ea lt h ca re p ro v id er s re g ar d in g m an ag em en t o f m o d er at e an d s ev er e m al n u tr it io n . 3 E q u ip h ea lt h p ro v id er s w it h n ee d ed m at er ia l an d h an d o u ts . E q u ip m en ts a n d t o o ls a re i n p la ce . M o H , N D , U N R W A , N G O s, W H O , D o n o rs . O n g o in g ac ti v it y 3 T o r ai se t h e le v el o f co m m u n it y aw ar en es s to w ar d s im p o rt an ce o f ea rl y m an ag em en t o f m al n u tr it io n an d ap p ro p ri at e id en ti fi ca ti on o f m al n u tr it io n . C o n d u ct r el ev an t h ea lt h aw ar en es s ac ti vi ti es i n cl u d in g : In d iv id u al a n d g ro u p co u n se ll in g o n b re as tf ee d in g , co m p le m en ta ry f ee d in g a n d ap p ro p ri at e fe ed in g o f ch il d re n . C o u n se ll in g a n d a w ar en es s se ss io n s ar e co n d u ct ed . N u m b er o f T V p ro g ra m s an d m at er ia ls p ro d u ce d a n d b ro ad ca st ed . M o H , N D , U N R W A , N G O s W H O , D o n o rs . 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 2 0 P ri o ri ty A re a 7 : P re v en ti o n a n d i d en ti fi ca ti o n o f n u tr it io n r el a te d p ro b le m s in s ch o o l ch il d re n . G o a l: I m p ro v em en t o f th e n u tr it io n al s ta tu s am o n g s ch o o l ch il d re n . In d ic a to rs : 1 R ed u ct io n i n t h e p re v al en ce n u tr it io n r el at ed p ro b le m s. 2 P re v al en ce o f an ae m ia i n s ch o o l ch il d re n . 3 P er ce n ta g e o f sc h o o l ch il d re n w it h p o si ti ve h ea lt h / n u tr it io n b eh av io u r. O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te 1 F o rm in g a c o m m it te e to w o rk o n p ro d u ci n g t h e d o cu m en t. 1 T o d ev el o p a n d h ar m o n iz e sc h o o l h ea lt h n u tr it io n re la te d p ro to co ls , re g u la ti o n s an d l eg is la ti o n s. 2 D is se m in at io n a n d im p le m en ta ti o n o f th e d o cu m en t. D o cu m en ts a re p ro d u ce d , d is se m in at ed a n d im p le m en te d . 2 0 0 8 2 0 1 0 1 T o r ev ie w / d ev el o p a n d fi el d t es t ap p ro p ri at e m es sa g es . M es sa g es a re a v ai la b le an d i m p le m en te d . M o E H E , M o H , N D , M o N E , S ch o o l p ar en ts co u n ci ls , U N R W A , N G O , an d In te rn at io n al A g en ci es . 2 D ev el o p a p p ro p ri at e In fo rm at io n , E d u ca ti o n a n d C o m m u n ic at io n i n cl u d in g au d io v is u al a id s. T h e av ai la b il it y o f aw ar en es s ra is in g m at er ia ls . 2 T o r ai se n ut ri ti o n h ea lt h aw ar en es s o f sc h o o l ch il d re n a n d c o m m u n it y . 3 O rg an iz e an d p ro m o te n u tr it io n h ea lt h a w ar en es s p ro g ra m s an d c am p ai g n s ta rg et in g s ch o o l ch il d re n , sc h o o l st af f, m o th er s an d ca re g iv er s. E v al u at io n r ep o rt s o n t h e im p ac t o f th es e ca m p ai g n s. N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 2 1 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te P ar en ts a ss o ci at io n i n sc h o o l ar e es ta b li sh ed a n d ac ti va te d . 4 C o m m u n it y m o b il iz at io n . W o m en c en tr es r u n t h e sc h o o l ca n te en s. M o E H E , M o H , N D , M o N E , S ch o o l p ar en ts co u n ci ls , U N R W A , N G O , an d In te rn at io n al A g en ci es . 2 0 0 8 2 0 1 0 1 T o s ta n d ar di ze t h e an th ro p o m et ri c sc re en in g p ro to co l: ( G ro w th c h ar t, m ea su ri n g t o o ls a n d re p o rt in g fo rm s) . S ta n d ar d iz ed an th ro p o m et ri c sc re en in g p ro to co ls a re a v ai la b le . 2 T o c o n d u ct t ra in in g f o r sc h o o l h ea lt h t ea m s o n u n if ie d p ro to co ls . S ch o o l h ea lt h t ea m s ar e tr ai n ed a n d f u n ct io n al . 3 T o p ro v id e ap p ro p ri at e an d ad eq u at e eq u ip m en t, t o o ls an d s u p p li es f o r an th ro p o m et ri c sc re en in g , re p o rt in g , tr ai n in g a n d d at a m an ag em en t. A ll n ee d ed e q u ip m en ts a re av ai la b le . 3 T o i d en ti fy s ch o o l ch il d re n w h o a re a t ri sk o f m al n u tr it io n ( p o o r g ro w th , st u n ti n g , w as ti n g , g o it re a n d an ae m ia ) ac co rd in g t o st an d ar d iz ed p ro to co ls . 4 T o r ef er a n d f o ll o w u p cr it ic al m o d er at e an d s ev er e ca se s. R eg u la r re p o rt s o n t h e n u m b er o f sc re en ed , re fe rr ed a n d t re at ed ch il d re n . M o E H E , M o H , N D , M o N E , S ch o o l p ar en ts co u n ci ls , U N R W A , N G O , an d In te rn at io n al A g en ci es . 2 0 0 8 2 0 1 0 5 T o p ro v id e ap p ro p ri at e m ic ro n u tr ie n t th ro u g h 1 F in d s u it ab le f o o d i te m s to b e fo rt if ie d a n d m o d al it ie s F o o d i te m s ar e id en ti fi ed fo r fo rt if ic at io n a n d M o E H E , M o H , N D , 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 2 2 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y E x p ec te d d a te fo r d is tr ib u ti o n . d is tr ib u te d . fo rt if ie d i te m s to s ch o o l ch il d re n , fo r fr ee o f ch ar g e. 2 E st ab li sh m o n it o ri n g s y st em to g au g e m ic ro n u tr ie n t st at u s am o n g s ch o o l ch il d re n . T h e sy st em i s es ta b li sh ed . M o N E , S ch o o l p ar en ts co u n ci ls , U N R W A , N G O , an d In te rn at io n al A g en ci es . C o ll ec t in fo rm at io n o n f o o d it em s an d s n ac k s se rv ed i n ca n te en s. A r ev ie w r ep o rt i s p u b li sh ed i n cl u d in g t y p e an d q u al it y o f it em s. 6 T o i m p ro v e th e n u tr it io n al v al u e o f fo o d p ro v id ed i n s ch o o l ca n te en . A p p ly a ll m ea su re s in s ch o o ls i n ca n te en t o i m p ro v e th e fo o d n u tr it io n v al u e. N u tr it io n v al u e o f fo o d se rv ed i n s ch o o l ca n te en s is i m p ro v ed . M o E H E , M o H , N D , M o N E , S ch o o l p ar en ts co u n ci ls , U N R W A , N G O , an d In te rn at io n al A g en ci es . 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 2 3 P ri o ri ty A re a 8 : I m p ro v em en t a n d p ro te ct io n o f fo o d s ec u ri ty , q u a li ty a n d s a fe ty . G o a l: I m p ro v e th e li n k ag e b et w ee n t h e n u tr it io n o u tc o m e an d f o o d s ec u ri ty , q u al it y a n d s af et y . In d ic a to rs : 1 R ed u ct io n i n n u m b er a n d n u tr it io n al i m p ac t o f fo o d i n se cu ri ty c ri se s. 2 R ed u ct io n i n n u m b er a n d n u tr it io n al i m p ac t o f u n s af e an d b el o w q u al it y s ta n d ar d f o o d s. O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y T im e fr a m e 1 M o n it o r (p o te n ti al a n d ac tu al ) n u tr it io n al i m p ac t o f la ck o f fo o d av ai la b il it y . R eg u la r re p o rt s o n f o o d av ai la b il it y a re p u b li sh ed . 2 P re p ar e fo r re sp o n d in g t o su d d en o n se t fo o d c ri se s (c o n ti n g en cy p la n n in g ). E m er g en cy f o o d s ec u ri ty p la n e is a v ai la b le . M N E , M o H , N D , M o A . 2 0 0 8 2 0 1 0 3 A ct iv at e q u ic k r es p o n se in c as e o f su d d en o n se t fo o d c ri se s (e .g ., b lo ck ad es ) to e n su re su p p ly o f n u tr it io u s fo o d s (e .g ., b ab y f o o d , d ai ry p ro d u ct s, m ea ts , fr u it s, v eg et ab le s) . A s y st em o f fo o d d is tr ib u ti o n i s es ta b li sh ed an d i n p la ce , in co o p er at io n w it h W F P . 1 T o m o n it o r an d m it ig at e n u tr it io n r el at ed o u tc o m es o f av ai la b il it y r el at ed f o o d in se cu ri ty . 4 E st ab li sh m en t o f a N at io n al F o o d S ec u ri ty an d F o o d S af et y C o u n ci l. N at io n al F o o d S ec u ri ty an d F o o d S af et y C o u n ci l is e st ab li sh ed . W F P , U N IC E F , M o H , N D , M o N E , N G O s. 2 0 0 8 2 0 1 0 2 T o m o n it o r an d m it ig at e n u tr it io n r el at ed o u tc o m es o f ac ce ss r el at ed f o o d in se cu ri ty . 1 M o n it o r (p o te n ti al a n d ac tu al ) n u tr it io n al im p ac t o f la ck o f fo o d ac ce ss ( ec o n o m ic a cc es s R ep o rt s to l in k t h e im p ac t o f fo o d av ai la b il it y a n d t h e n u tr it io n al s ta tu s o f th e P C B S , M o S A . 2 0 0 8 2 0 1 0 N at io n al N u tr it io n P o li cy S ta te m en t / O p er at io n al P la n o f A ct io n f or N ut ri ti on / 2 0 08 2 0 10 2 4 O b je ct iv es A ct iv it ie s In d ic a to rs R es p o n si b le b o d y T im e fr a m e co n st ra in ed b y p o o r p u rc h as in g p o w er ). v u ln er ab le g ro u p s. 2 A ct iv at e re sp o n se i n t h e fr am ew o rk o f so ci al p ro te ct io n i n te rv en ti o n s: sh o rt t er m ( fo o d a id , ca sh a id , jo b c re at io n ) an d l o n g er t er m (p o v er ty r ed u ct io n ). so ci al p ro te ct io n in te rv en ti o ns a re a p p li ed W F P , U N IC E F , F A O , M o S A , M o H , N D , M o N E , N G O s. 2 0 0 8 2 0 1 0