Programa Multisectorial Desnutrición Cero

About the program

Executes multi-sectoral action in order to eradicate malnutrition in children under five with an emphasis in children with less than two years of age; it is part of the Social Protection Policy and Comprehensive Community Development. It was implemented in 2006 by the National Council of Food and Nutrition.  In 2011, the Program had a budget of USD$41,750,000.

Country Bolivia
Home 2006
Classification Extension and information on nutrition, Infraestructura sanitaria, Nutritional Health
FNS Dimension Utilización

General objective

To eradicate malnutrition in children under five years of age through the implementation of comprehensive intervention, by strengthening multi-sectorial structure and functionality at departmental and municipal levels, by establishing transparent mechanisms for evaluation and monitoring for multi-sectorial interventions and strengthening  capacity and community involvement.

Specific objectives

  • Expand the population’s access to health services, nutrition, education, water and sanitation, and food availability, strengthening social and productive assets.
  • Contribute to the availability, access and use of adequate nutritious foods to reduce malnutrition through the National Strategic Program on Food Security and Sovereignty.
  • Improve eating habits and consumption practices, as well as health care of children less than 5 years of age, pregnant women and nursing mothers.
  • Contribute to the realization of the Human Right to Adequate Food (HRAF) of the Bolivian population, promoting inter-institutional coordination and the formulation and implementation of legal regulatory instruments.

Expected results

  • Pregnant women, breastfeeding mothers, children under 5 years of age receive quality healthcare and in a timely manner through health facilities belonging to the public system, under a model focused on family, community and intercultural health.
  • Pregnant women and nursing mother, children under 5 years of age, receive and consume the main micronutrients to prevent deficiency and to prevent deficiency diseases prevalent.
  • Family members are literate and know the benefits of proper nutrition.
  • Families have safe water and basic sanitation.
  • Families eat a diverse diet which includes quality food from their own agricultural production.
  • Children under 5 years of age, pregnant women and nursing mothers, consume nutritious, hygienically prepared, varied and timely diet.
  • Children under 5 years of age, pregnant women and nursing mothers, receive adequate care from their family and community.
  • The regulatory and legal framework for the realization of HRAF is known and complemented by public institutions and social organizations.
  • Interagency coordination has been strengthened for the implementation of multi-sectorial actions for this Program.
  • The Program has achieved national consensus to be proposed as Law, which is aimed at eradicating malnutrition in children less than 5 years of age and ensure the Program’s sustainability.
  • The implementation of the National Comprehensive Child Development Policy has been sustained with a focus on gender and intercultural responsibility in collaboration with departmental and municipal governments, parents and community.
  • The Program has contributed to the implementation of the Complementary School Feeding Law, which considers a multi-sectorial approach and national regulation.
  • The National Strategic Program for Food Security and Sovereignty has been formulated.
Components and/or products

Improving dietary practices and food intake

  • Promotion of exclusive breastfeeding until 6 months of age and extended to 24 months; micronutrient supplementation for vulnerable groups with soluble micronutrients, vitamin A, iron supplements in the form of syrup and ferrous sulfate.
  • Distribution of the supplementary food named Nutribebé for children aged 6-23 months.
  • Distribution of supplementary food for malnourished pregnant women and nursing mothers.
  • Quality control for fortified foods (wheat flour, vegetable oil, salt).
  • Nutritional food information, education and communication.
  • Development of a communications strategy on health and nutrition.
  • Mobilization, communication and social marketing for the Zero Malnutrition Program and promotion of comprehensive health and nutrition.
  • Coordination with social organizations and other civil society actors to facilitate the population’s access to education and basic services.
  • Implementation of the new model that focuses on family, community and intercultural health within the Health System.
  • Comprehensive care for the Integrated Management of Childhood Illnesses (IMCI clinical and community levels)
  • Implementation of Comprehensive Nutritional Units (UNI) taking into account a promotional preventive approach.
  • Coordination with entities that train human resources so as to provide postgraduate courses in nutrition for professionals and health technicians.
  • Institutionalization of the National, Departmental and Municipal Councils for Food and Nutrition and a follow up mechanism to monitor their operation.
  • Management at the municipal level to incorporate goal-oriented "Zero Malnutrition" activities.
  • Monitoring the implementation of the Zero Malnutrition Program.
  • Monitoring the municipal budget execution of promised actions.
Target population

Population that is vulnerable, with special emphasis on children under five.



The PMD-C is national in scope; however, 166 municipalities with high and very high vulnerability regarding food insecurity have been prioritized.

Geographical coverage Urbano y rural
Annual budget

2011: USD$41,750,050.43

Responsible organism

Consejo Nacional de Alimentación y Nutrición

Executing organism Consejo Nacional de Alimentación y Nutrición
Related national policies

Política de Protección Social y Desarrollo Integral Comunitario

Financial sources

Ministerio de Salud y Deportes Ministerio de Educación y Cultura Ministerio de Desarrollo Rural, Agropecuaria y Medio Ambiente Ministerio del Agua Ministerio de Producción y Microempresa Ministerio de Justicia Ministerio de la Presidencia Ministerio de Planificación del Desarrollo