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
Website http://snis.minsalud.gob.bo/aplicacionesweb/pmdc1/index.php
Objectives

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.

Scope

Nacional

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

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