national nutrition program

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National Nutrition Program

Programme overview

Malnutrition is one of the major public health problems in Pakistan. Malnutrition

occurs throughout the lifecycle resulting in low birth weight, wasting and stunting.National Nutritional Survey 2001-2002 shows the alarming situation of Pakistan.Micronutrient deficiency in Pakistan is widespread and reflects a combination of

dietary deficiency, poor maternal health and nutrition, high burden of morbidity andlow micronutrient content of the soil especially for iodine and zinc. Most of these

micronutrients have profound effects on immunity, growth and mental developmentand may underlie the high burden of morbidity and mortality among women and

children in Pakistan.

Nutritional Indicators

The following comparative nutritional status indicators are available to the NationalNutrition Program intargeting specific population groups and prioritizing its related activities:

Sr. IndicatorPC-1/

NNS 85-87

HumanCondition

Report ‘02

NNS2001-02

1.Low Birth Weight %(Less than2500gm)

25% 30%

2. Wasting % (Low Weight for Height) 15.3% 11.7% 11.6%

3. Stunting%(low Height for Age) 46.3% 61.9% 31.%

4.Under Weight%(Low Weight for

Age)51.5% 44.6% 41.5%

5 Anemia (Children) 42% 42% 50.9%

6. Anemia (Women) 45% 60% 29.4%

7. Iron Deficiency Anemia (Children) 35.6%

8. Iron Deficiency Anemia (Women) - 25.5%

9.Vitamin A Def (Children)(SerumRetinol Level)

- 12.5%

10. Vitamin A Def (Mothers)(SerumRetinol Level) 5.9%

Project Objectives

The Primary objective is to improve the nutritional status of the people of Pakistan igeneral, with special emphasis on certain sub-groups: women of child bearing age,



adolescence girls and children.

Reduce Low Birth Weight Babies % from 25 to 20

Reduce malnutrition % (preschool)

o Moderate 38 to 30o Severe 13 to 5

Iron Deficiency Anemia (Hb Level) (%)o Mothers from 25 to 15

o Children < 5 years from 35 to 20

Increase Mass Awareness for:

o Mothers exclusively Breastfeeding (six months) (%) from 59 to 75

o Introducing complementary foods at 6 months (%) from 62 to 80

Maternal nutritional status:

o Under weight mothers (non-pregnant) (%) 12 to 8

o Underweight mothers (lactating) (%) 13 to 9

Household consumption of Iodized salt (%)25 to 50

Mothers getting calories less than recommended allowance (%) 5 to 30

Vitamin A deficiency in (%)

o Women 6 to 4

o Children 12 to 4

Strategies

To carry out situational analysis of the nutrition programmes under

implementation in the past under various auspices and important lessonlearnt for future interventions

To enlist core issues and develop strategic options for action within thehealth sector, especially with a district focus on interventions within

vulnerable groups especially mothers and children. These strategicoptions must be culturally acceptable and sustainable.

To develop a cross sectoral strategy for promotion of nutritionimprovement programs by linkages and delineation of roles and

responsibilities of major partners and stakeholders from the public andprivate sectors.

To build and strengthen the relevant infrastructure, management and

implementation capacity at national, provincial and district levels for

resource allocation/utilization and human resource development.

Way Forward

Based on the strategy the major five targeted interventions need to focus on theneeds of the population at-large target. The interventions need to target:

Maternal Health and Nutrition (including the newborn)



Infant and Child Health and Nutrition

Adolescent Health and Nutrition

Adult Health and Nutrition

Nutrition and Health of the ElderlyThese specific programs are then

supported by the four cross-cutting intervention strategies targeting

specific nutrition and health issues: Behavior Change Communication Strategies

Fortification Strategies and Programs( for vitamin A,iodine,iron/folate an

other micronutrients)

Food Safety and regulatory Issues

Institutionalization of Nutrition and Management Strategies

Major Achievements

The National Plan of Action on Micronutrient Control has been launch an

approved by the Ministry of Health.

The Nutritional Strategic Plan of Action has been approved by the

Nutrition Technical Committee.

Initiation of adaptation of Global Strategy on Infant and Young Child in

Pakistan

Iron Wheat Flour Fortification - GAIN Project implementation Unit starte

in Nutrition Wing, Ministry of Health.

The National TB Control Programme, Ministry of Health required

micronutrient supplementation for the TB patients. Purchase of drugs &

medicine for the 40,000 T.B patients (combination two micronutrient i.eTab Supradyn and Stress Tab 600(a combination of B-Complex, Zinc,

Vitamin C, Folic Acid) that can delay absorption of over dosage and toxiceffects of ionized, was procured .

63 districts are using 60% iodized salt.

Wheat flour fortification is successfully done in 50 flour mills in the

country.

Programme contact details

Deputy Director General (Nutrition Wing)

Ministry of Health1st Floor, Taimur Chambers

10-D West, Fazl-e-Haq Road, Blue AreaIslamabad

Tel: (051) 9202445

national nutrition program

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