ࡱ> [ 0bjbjYY *;p\;p\k0llz302222222$4`72Q2432222222225922J30z32J8m2J82J82 2222z3J8l> : B Y T -------CNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc ---------------S: 718/Q-BYTH Ni, ngy 29 thng 01 nm 2018 QUYT NH  HYPERLINK "https://tailieuluat.com/quyet-dinh-718-qd-byt-bo-y-te-vb4794.html" PH DUYT K HOCH HNH NG QUC GIA V DINH DNG N NM 2020 B TRNG B Y T Cn c Ngh nh s 75/2017/N-CP ngy 20/6/2017 ca Chnh ph v vic quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Y t; Cn c Quyt nh s 226/Q-TTg ngy 22/02/2012 ca Th tng Chnh ph ph duyt Chin lc quc gia v Dinh dng giai on 2011 - 2020 v tm nhn n 2030; Xt  ngh ca Cc trng Cc Y t d phng, QUYT NH: iu 1. Ph duyt K hoch hnh ng quc gia v Dinh dng n nm 2020 (km theo Quyt nh). iu 2. Quyt nh ny c hiu lc k t ngy k ban hnh. iu 3. Cc ng, b: Chnh Vn phng B, Chnh Thanh tra B, V trng, Tng Cc trng, Cc trng thuc B Y t; Th trng cc n v trc thuc B Y t; Gim c S Y t cc tnh, thnh ph trc thuc trung ng; Th trng cc c quan, n v c lin quan chu trch nhim thi hnh Quyt nh ny. Ni nhn: - Nh iu 3; - Cc Th trng; - Cng TTT B Y t; - Lu: VT, DP.B TRNG Nguyn Th Kim Tin K HOCH HNH NG QUC GIA V DINH DNG N NM 2020 (Ban hnh km theo Quyt nh s 718/Q-BYT ngy 29 thng 01 nm 2018) MC LC PHN I. C S XY DNG K HOCH I. CN C PHP L II. NH GI THC HIN CHIN LC QUC GIA V DINH DNG GIAI ON 2011-2015 III. QUAN IM XY DNG K HOCH PHN II. NI DUNG K HOCH HNH NG QUC GIA V DINH DNG N NM 2020 I. MC TIU II. GII PHP III. NI DUNG HOT NG 1. Tng cng xy dng chnh sch v phi hp lin ngnh nhm thc y v h tr hot ng dinh dng 2. Ci thin tnh trng dinh dng ca b m v tr em 3. Ci thin tnh trng thiu vi cht dinh dng 4. Ci thin v s lng, nng cao cht lng ba n ca ngi dn 5. Kim sot tnh trng tha cn - bo ph v yu t nguy c ca mt s bnh mn tnh khng ly nhim lin quan n dinh dng 6. Theo di, gim st v nh gi IV. GIM ST V NH GI V. T CHC THC HIN VI. NGUN KINH PH HOT NG PH LC 1. TNG KT CC CH TIU CA K HOCH GIAI ON 2011- 2015 PH LC 2. CC CH BO KIM NH CC CH TIU CA K HOCH N 2020 PH LC 3. D KIN NGN SCH  TRIN KHAI KHHQG V DINH DNG THEO HP PHN K HOCH HNH NG QUC GIA V DINH DNG N NM 2020 (Ban hnh km theo Quyt nh s /Q-BYT ngy thng 01 nm 2018 ca B trng B Y t) PHN I. C S XY DNG K HOCH I. CN C PHP L 1. Ngh quyt s 73/NQ-CP ngy 26/8/2016 ca Chnh ph ph duyt Ch trng u t cc chng trnh mc tiu giai on 2016 - 2020. 2. Ngh nh s 63/2012/N-CP ngy 31/8/2012 ca Th tng Chnh ph quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Y t. 3. Quyt nh s 122/Q-TTg ngy 10/01/2013 ca Th tng Chnh ph ph duyt Chin lc quc gia bo v, chm sc v nng cao sc khe nhn dn giai on 2011 - 2020, tm nhn n nm 2030. 4. Quyt nh s 226/Q-TTg ngy 22/02/2012 ca Th tng Chnh ph ph duyt Chin lc quc gia v dinh dng giai on 2011 - 2020 v tm nhn n nm 2030 5. Quyt nh s 376/Q-TTg ngy 20/3/2015 ca Th tng Chnh ph ph duyt Chin lc quc gia phng, chng bnh ung th, tim mch, i tho ng, bnh phi tc nghn mn tnh, hen ph qun v cc bnh khng ly nhim khc, giai on 2015 - 2025 6. Quyt nh 641/Q-TTg ngy 28/4/2011 ca Th tng Chnh ph ph duyt  n tng th pht trin th lc, tm vc ngi Vit Nam giai on 2011- 2030. 7. Quyt nh s 1980/Q-TTg ca Th tng Chnh ph ph duyt cc ch tiu quc gia v x nng thn mi giai on 2016 - 2020. 8. Quyt nh s 2013/Q-TTg ngy 14/11/2011 ca Th tng Chnh ph ph duyt Chin lc dn s v sc khe sinh sn Vit Nam giai on 2011 - 2020. 9. Quyt nh s 1340/Q-TTg ngy 08/7/2016 ca Th tng Chnh ph ph duyt Chng trnh sa hc ng ci thin tnh trng dinh dng gp phn nng cao tm vc tr em mu gio v tiu hc n nm 2020. 10. Ngh quyt s 20-NQ/TW Ngy 25 thng 10 nm 2017 ca Hi ngh ln th su Ban Chp hnh Trung ng kha XII v tng cng cng tc bo v, chm sc v nng cao sc khe nhn dn trong tnh hnh mi. 11. Ch th s 46/CT-TTg ngy 21 thng 12 nm 2017 ca Th tng Chnh ph v vic tng cng cng tc dinh dng trong tnh hnh mi. II. NH GI THC HIN CHIN LC QUC GIA V DINH DNG GIAI ON 2011 - 2015. ng v Chnh ph  ht sc quan tm ti yu t con ngi trong chin lc pht trin x hi, coi con ngi va l ch th sng to, va l mc tiu phn u cao nht.  xy dng ngun nhn lc p ng cc yu cu ca s nghip cng nghip ha, hin i ha t nc, vic nng cao sc khe, trong  yu t nn tng l ci thin dinh dng l cn thit v cp bch. Nhm tip tc phn u t cc ch tiu c bn v sc khe ca nhn dn ta, ngy 22 thng 02 nm 2012, Th tng Chnh ph  ph duyt bn Chin lc quc gia v dinh dng giai on 2011 - 2020 v tm nhn n 2030. Chin lc quc gia v dinh dng l mt vn kin v ng li dinh dng  nc ta, khng nh cc n lc v cam kt mnh m ca Chnh ph i vi cng tc ci thin tnh trng dinh dng ca nhn dn trong chin lc con ngi, nng cao cht lng ging ni v pht trin x hi. 1. nh gi nhng kt qu t c v cng tc dinh dng: Trong nhng nm qua, Vit Nam  t c nhiu thnh tu v ci thin tnh trng dinh dng cho nhn dn. Ngnh Y t  tch cc phi hp vi cc ngnh lin quan trin khai hiu qu vic ci thin tnh trng dinh dng, chm sc sc khe ngi dn v  t c nhng kt qu quan trng. Ti k hp thng nin ln th 35 ca Lin hip quc, Vit Nam c nh gi l mt trong s t cc quc gia trn th gii  t c mc gim t l suy dinh dng tr em gn vi Mc tiu Thin nin k. Vit Nam cing l nc th 2 trn th gii k Cng c Quyn tr em nhm bo m cho tr em c  cc iu kin cn thit  pht trin th cht v tinh thn tng ng vi  tui v mc  trng thnh, trong  chm sc dinh dng giai on 1000 ngy u i, tin dy th v dy th c vai tr quyt nh n s pht trin tm vc, th lc v cht lng cuc sng ca ngi dn. Chin lc quc gia v dinh dng  c ph bin v qun trit y  t cp trung ng ti a phng v cc b, ban, ngnh ng c nc. Cc mc tiu ca CLQGDD  c a vo vn kin i hi ng ln th XI, XII v tr thnh mc tiu phn u trong chng trnh pht trin kinh t - x hi ca cc cp chnh quyn cing nh chng trnh hnh ng ca cc on th x hi. Nhiu chng trnh, d n v dinh dng  c Nh nc trc tip u t, d n hp tc quc t c m rng. iu   thc y ci thin tnh trng dinh dng ca nhn dn mt cch r rt. Ban ch o v ban iu hnh ca cc tnh  c nhiu c gng trong cng tc ch o v xy dng k hoch hnh ng tng tnh v c lng ghp trong hot ng ca ban ngnh. Cng tc gim st  c thc hin, nhng gim st ca cc b ngnh cha c thc hin thng xuyn. Cng tc xy dng k hoch, tng kt hng nm  vo n np  trung ng v tt c cc a phng, nhng cn thiu kt ni v thiu thng tin chia s. Cng tc theo di, nh gi hot ng c trin khai c h thng, ng b v khch quan hiu qu. Vit Nam c c b s liu nh gi dinh dng hng nm c T chc Y t th gii (WHO) nh gi cao.  xy dng c mt s chnh sch lin quan nhm ci thin tnh trng dinh dng b m v tr em. Tuy nhin cn thiu cc chnh sch dinh dng cho la tui hc sinh v ngi cao tui, cing nh cha xy dng y  cc chnh sch nhm kim sot yu t nguy c bnh khng ly nhim.  tng cng c ngun lc thng qua cc d n trong nc v hp tc quc t,  c hot ng cng tc x hi ha v dinh dng, c bit l c s tham gia ch ng ca cc a phng. Cc b, ban ngnh  tham mu cho chnh ph, cho lnh o b, ban ngnh xy dng v ban hnh nhiu vn bn ng li chnh sch h tr cho dinh dng ti cc cp. Tuy nhin, cng tc vn ng chnh sch v hot ng phi hp lin ngnh v hot ng dinh dng cha c pht huy hiu qu. 2. Cc kh khn, thch thc: Bn cnh nhng kt qu  t c, qu trnh trin khai thc hin Chin lc quc gia v Dinh dng giai on 2011 - 2020 v tm nhn n 2030 ti Quyt nh s 226/Q-TTg ngy 22/02/2012 ca Th tng Chnh ph cn c nhng kh khn, thch thc v cha t c mt s ch tiu   ra, c th: - T l suy dinh dng thp ci (chiu cao theo tui)  tr em di 5 tui tnh chung c nc mi nm ch gim c 1,0%; hin vn cn  mc cao chim 24,6% nm 2015 v c s chnh lch nhiu gia cc vng min. T l suy dinh dng thp ci ca tr di 5 tui  khu vc min ni pha Bc l 30,3% v Ty Nguyn l 34,2%. Bn cnh , tnh trng thiu vi cht dinh dng cha c ci thin nh mong i. T l thiu vitamin A tin lm sng  tr em di 5 tui l 13%, thiu mu l 27,8% v thiu km c t l rt cao ti 69,4%. T l thiu mu  ph n c thai l 32,8% v thiu km ti 80,3%. Suy dinh dng  tr em c bit l suy dinh dng thp ci cng vi thiu vi cht dinh dng  nh hng ln n pht trin chiu cao, tm vc ca ngi Vit Nam. - Tnh trng tha cn - bo ph, ri lon chuyn ha v cc yu t nguy c sc khe lin quan n dinh dng ang gia tng nhanh  c tr em v ngi trng thnh, c bit l  khu vc thnh th v cc thnh ph ln. Nhng yu t nguy c ny l nguyn nhn quan trng lm gia tng gnh nng bnh tt do cc bnh khng ly nhim. c tnh nm 2013 c 70% s t vong trn ton cu c lin quan n dinh dng trong  11,3 triu ca t vong lin quan n ch  n, 10,4 triu ca do tng huyt p, 4,4 triu ca do tha cn - bo ph. i vi Vit Nam, nm 2015, t l tha cn - bo ph  tr em trn ton quc l 5,3%, c bit t l tha cn - bo ph  tr em di 5 tui  thnh ph H Ch Minh  tng gp 3 ln trong hn 10 nm qua t 3,7% ln 11,5%; t l ny  hc sinh ph thng cing tng gp i t 11,6% ln 21,9%. Hin ti nc ta c khong 1/3 dn s thiu hot ng th lc; hn mt na s ngi trng thnh n thiu rau/tri cy v ngi dn n mui nhiu gp hai ln so vi khuyn ngh ca T chc Y t th gii. c tnh Vit Nam hin c ti 12 triu ngi b mc tng huyt p v khong 3 triu ngi ang mc bnh i tho ng, trn 2 triu ngi mc bnh h hp mn tnh v mi nm c trn 125.000 ca c pht hin mc ung th. - Dinh dng hc ng, dinh dng cho ngi lao ng, dinh dng cho ngi bnh, dinh dng cho ngi cao tui...cha c quan tm ng mc. Ba n hc ng ca tr em, hc sinh, ba n ca ca ngi lao ng cha p ng c yu cu v nng lng v thnh phn dinh dng. - Nguy c thiu lng thc, thc phm do thin tai, bo li, hn hn vn xy ra thng xuyn  nhiu vng, nhiu khu vc. Kh nng cung cp lng thc theo u ngi/nm tng t 445 kg ln 513 kg song vn c tnh trng i theo ma do thiu ngun lc sn xut, thin tai, tc ng ca bin i kh hu  nh ln n kinh t, x hi ca nhiu a phng trong c nc. - Th lc v tm vc ca ngi Vit Nam cn hn ch: C nhiu yu t nh hng n pht trin chiu cao  tr em, trong  trn 50% l do vai tr ca bo m dinh dng v rn luyn th lc, ngoi ra l cc yu t khc nh di truyn, tm l, sc khe...Chiu cao ca c nam gii v n gii Vit Nam tng rt t trong nhiu nm qua v hin nay ang thp hn chiu cao trung bnh cng nhm tui ca a s cc nc trong khu vc Chu . T nm 1993 n nay, chiu cao trung bnh ca thanh nin Vit Nam ch tng thm c 3 cm v hin t 164 cm  nam v 153 cm  n, cn cch rt xa so vi mc tiu  t ra.  ci thin chiu cao ca ngi Vit Nam th cn phi c nhng gii php can thip mnh m, c bit l v dinh dng trong nhng nm u i ca tr, dinh dng v vn ng th lc cho la tui tin dy th v dy th. 3. Nguyn nhn ca cc hn ch nu trn l do: - Cp y ng v chnh quyn  nhiu ni cha nhn thc y  v tm quan trng ca vn  dinh dng, cha quan tm u t cho cng tc dinh dng, cha coi y l nhim v chnh tr u tin trong pht trin kinh t x hi ca tng a phng. Cng tc phi hp lin ngnh trong cng tc bo m dinh dng cho ngi dn cn nhiu bt cp, cha lng ghp c hiu qu cc hot ng, ngun lc ca cc ban, ngnh, on th, nht l  a phng. - Ngun lc cho cng tc dinh dng cha p ng c yu cu, ch yu ch mi chi tp trung cho cng tc phng chng suy dinh dng th nh cn  tr em di 5 tui. Nhiu vn  dinh dng quan trng quyt nh n pht trin tm vc v th lc ca ngi dn nh chm sc dinh dng cho 1000 ngy u i, dinh dng cho b m c thai v cho con b, phng chng suy dinh dng thp ci, phng chng thiu vi cht dinh dng, ba n bo m dinh dng ti cc h gia nh...cha c ch trng. - Cng tc tuyn truyn, vn ng, nng cao nhn thc v thay i hnh vi v dinh dng cn hn ch. a s ngi dn cha c nhn thc y  v dinh dng, dinh dng ph hp cho tng nhm i tng, thiu kin thc v chm sc tr trong nhng nm u i, cha bo m ba n dinh dng hp l trong cc h gia nh, ba n hc ng, ba n ca cho ngi lao ng. - Nng lc ca mng li dinh dng cn nhiu hn ch, thiu nhng kin thc, phng tin cn thit  tuyn truyn, vn ng, hng dn ngi dn thay i cc hnh vi khng c li v dinh dng. Bn cnh nhng nguyn nhn nu trn, nc ta cng ang phi i mt vi nhiu vn  nh ton cu ha,  th ha c bit l tc ng bt li ca bin i kh hu v gi ha dn s nhanh gp phn lm tng thm phn ha giu ngho, gy khc bit ln v iu kin sng v tnh trng dinh dng gia cc vng, min. Mc d tnh trng an ninh lng thc v ba n ca ngi dn c c ci thin, song mt an ninh thc phm vn cn hin hu, e da cc vng kh khn, vng ngho v nhng ni xy ra thin tai bt thng. Trong khi  mt s vng, c bit vng su, vng xa ba n cn thiu v s lng, mt cn i v cht lng th ti cc vng  th, tnh trng n ung bt hp l ang tr ln ph bin  mt s nhm dn c. Ngi dn, c bit l gii tr c xu hng n nhiu cht bo bo ha, cht ng v cc loi thc phm ch bin sn. Thay i li sng v ba n mt cn i  nhiu h gia nh lm gia tng gnh nng kp v dinh dng bao gm thiu dinh dng, tha cn - bo ph v cc bnh khng ly nhim. 4. Mc tiu ton cu v dinh dng v cam kt ca Vit Nam: Ti k hp ln th 70 ca i hi ng Lin hip quc, Vit Nam l mt trong 154 quc gia thnh vin  thng qua chng trnh ngh s v mc tiu pht trin bn vng ti nm 2030 trong  c mc tiu  chm dt i ngho, m bo an ninh lng thc, ci thin tnh trng dinh dng v thc y nng nghip bn vng . Vit Nam cing l mt trong 59 quc gia thnh vin ca Phong tro y mnh dinh dng ton cu (Scaling Up Nutrition - The SUN). y l mt phong tro ln, quan trng kt ni cc chnh ph, cc t chc Lin hip quc, cc t chc x hi, cc doanh nghip, cc nh ti tr nhm chm dt cc th suy dinh dng trn ton cu. The SUN  c cc t chc Lin hip quc do UNICEF ng u pht ng t nm 2010 v Vit Nam  chnh thc gia nhp The SUN t thng 01 nm 2014. Ngy 16/02/2017, ti bui gp mt cp cao gia Chnh ph Vit Nam vi tr l Tng th k Lin hip quc, iu phi vin Phong tro y mnh dinh dng ton cu, Ph Th tng Vi c am  ch o tng cng cc hot ng dinh dng v pht ng Phong tro y mnh dinh dng ton cu ti Vit Nam. Vit Nam cing  k kt tuyn b chung ca cc nc ASEAN v chm dt cc th suy dinh dng trong  c cc cam kt thc hin cc mc tiu v k hoch hnh ng ca ASEAN v dinh dng v sc khe vo thng 11 nm 2017 ti Philippines. Ngh quyt s 20/NQ-TW ngy 25 thng 10 nm 2017 ca Hi ngh ln th 6 Ban chp hnh Trung ng kha XII v tng cng cng tc bo v, chm sc v nng cao sc khe nhn dn trong tnh hnh mi   ra mc tiu c th n nm 2030 l tui th trung bnh ca ngi dn Vit Nam t 75 tui, s nm sng khe mnh t 68 nm; t l suy dinh dng thp ci  tr em di 5 tui di 15%; khng ch t l bo ph  ngi trng thnh  mc di 10%; chiu cao trung bnh thanh nin 18 tui i vi nam t 168,5cm, n 157,5cm. Ngh quyt  ch o cc cp y ng, chnh quyn tp trung lnh o, ch o cng tc bo v, chm sc v nng cao sc khe nhn dn, coi y l nhim v chnh tr quan trng v cn phn cng, giao nhim v c th cho cc ngnh, cc cp thc hin. i vi cng tc dinh dng cn tp trung nng cao nhn thc, thay i hnh vi,  cao trch nhim ca c h thng chnh tr, ton x hi v ca mi ngi dn; xy dng v t chc thc hin ng b cc  n, chng trnh v nng cao sc khe v tm vc ngi Vit Nam c bit l  vng nng thn, min ni, hi o; a ra cc khuyn ngh, ph bin cc ch  dinh dng, khu phn n ph hp cho tng nhm i tng, ngun nguyn liu, khu v ca ngi Vit. Trin khai cc chng trnh b sung vi cht cn thit cho ph n c thai, ph n cho con b, tr em, ngi cao tui. Trin khai ng b cc hot ng phng chng cc bnh khng ly nhim lin quan n dinh dng.  thc hin c cc ch tiu v dinh dng ca Ngh quyt s 20-NQ/TW, Hi ngh ln th su Ban Chp hnh Trung ng kha XII v tng cng cng tc bo v, chm sc v nng cao sc khe nhn dn trong tnh hnh mi, Th tng Chnh ph yu cu cc b, ngnh v a phng tp trung ch o thc hin c hiu qu cc nhim v trng tm theo Ch th s 46/CT-TTg ngy 21 thng 12 nm 2017 ca Th tng Chnh ph v vic tng cng cng tc dinh dng trong tnh hnh mi. III. QUAN IM XY DNG K HOCH 1. Dinh dng cn i, hp l l yu t quan trng nhm hng ti pht trin ton din v tm vc, th cht, tr tu ca ngi Vit Nam v nng cao cht lng cuc sng. 2. Ci thin tnh trng dinh dng l trch nhim ca cc cp, cc ngnh v mi ngi dn. Cn tng cng s phi hp lin ngnh trong cc hot ng dinh dng di s lnh o, ch o ca cc cp y ng, chnh quyn, huy ng s tham gia ton th ca cc t chc x hi v ca mi ngi dn. Ngun lc u t cho hot ng dinh dng c huy ng t nhiu ngun, trong  ngn sch nh nc bo m cho cc hot ng dinh dng ti cc vng ngho, vng kh khn, trong thin tai, thm ha, i tng b m v tr em. Tng cng x hi ha  to ngun lc cho hot ng dinh dng. 3. Bo m chm sc dinh dng giai on 1000 ngy u i t lc b m c thai n khi tr trn 2 tui  phng chng suy dinh dng thp ci  tr em mt cch c hiu qu. PHN II. NI DUNG K HOCH HNH NG QUC GIA V DINH DNG N NM 2020 I. MC TIU 1. Mc tiu 1: Ci thin tnh trng dinh dng ca b m v tr em Ch tiu: - Gim t l suy dinh dng thp ci  tr em di 5 tui ton quc xung di 21,5%,  vng min ni pha Bc v Ty Nguyn xung di 28%; - Gim t l suy dinh dng gy cm  tr em di 5 tui xung di 5%; - Gim t l ph n tui sinh  thiu nng lng trng din xung di 12%; - Gim t l tr c cn nng s sinh thp (<2500 gam) xung di 8%; - Tng t l tr b sa m hon ton trong 6 thng u t 35%. 2. Mc tiu 2: Gim tnh trng thiu vi cht dinh dng ca ngi dn Ch tiu: - Gim t l tr em di 5 tui c hm lng Vitamin A huyt thanh thp xung di 11%; - Gim t l thiu mu  ph n c thai ton quc xung di 23% v  vng min ni xung di 25,5%; - Gim t l thiu mu  tr em di 5 tui xung di 15%; - Bo m t l h gia nh dng mui I-t  tiu chun phng bnh t trn 90%, mc trung v I-t niu ca b m c con di 5 tui t t 10 n 20 g/dl. 3. Mc tiu 3: Ci thin tm vc ca ngi Vit Nam Ch tiu: - Tng chiu cao ca tr em trai v tr em gi 5 tui t 1,5 cm - 2,0 cm so vi nm 2010; - Tng chiu cao t c ca ngi trng thnh theo gii 1,0 - 1,5 cm so vi nm 2010. 4. Mc tiu 4: Ci thin s lng v cht lng ba n ca ngi dn, tng bc kim sot tnh trng tha cn - bo ph v yu t nguy c ca mt s bnh mn tnh khng ly nhim lin quan n dinh dng  ngi trng thnh. Ch tiu: - Gim t l h gia nh c mc nng lng n vo bnh qun u ngi di 1.800Kcal xung 5%; - Khng ch t l tha cn - bo ph  tr em di 5 tui  mc di 5% i vi vng nng thn v di 10% i vi thnh ph ln; - Khng ch t l tha cn - bo ph  ngi trng thnh  mc di 12%; - Gim mc tiu th mui trung bnh  ngi trng thnh xung di 7gam/ngi/ngy. 5. Mc tiu 5: Nng cao nng lc v hiu qu hot ng ca mng li dinh dng ti cng ng v c s y t Ch tiu: - Bo m 100% cn b chuyn trch dinh dng tuyn tnh c o to c chng ch v chuyn ngnh dinh dng; - Bo m 100% cn b chuyn trch dinh dng tuyn huyn, x v cng tc vin dinh dng c tp hun, cp nht kin thc v chm sc dinh dng; - Bo m 100% bnh vin tuyn trung ng, 95% bnh vin tuyn tnh v 50% bnh vin tuyn huyn c cn b dinh dng tit ch v thc hin t vn, k thc n dinh dng cho iu tr mt s nhm bnh v i tng c th; - Bo m 100% s tnh thc hin gim st dinh dng theo quy nh; 100% tnh hung khn cp v dinh dng do thin tai, thm ha c nh gi v can thip kp thi. II. GII PHP 1. Gii php v chnh sch a) Xy dng, hon thin v trin khai thc hin cc chnh sch, quy nh php lut v dinh dng v thc phm - Trin khai thc hin Ch th s 46/CT-TTg ngy 21/12/2017 ca Th tng Chnh ph v tng cng cng tc dinh dng trong tnh hnh mi. - Qun trit, trin khai thc hin Lut tr em, Ngh nh s 100/2014/NCP ca Chnh ph v kinh doanh v s dng sn phm dinh dng dng cho tr nh, Ngh nh 09/2016/N-CP v tng cng vi cht vo thc phm v cc vn bn quy phm php lut khc lin quan n dinh dng v khuyn khch nui con bng sa m; - Nghin cu,  xut, b sung chnh sch v bo him y t  chi tr dch v t vn v iu tr phc hi cho tr b suy dinh dng cp tnh nng; chnh sch v dinh dng cho tr em mc cc bnh him ngho, bnh chuyn ha do di truyn v bnh him; quy nh hot ng ca ngn hng sa m; quy nh v dinh dng hp l v hot ng th lc trong trng hc; - R sot, b sung, hon thin cc chnh sch, quy nh  kim sot vic qung co tip cn cc thc phm, sn phm khng c li cho sc khe, c bit l cc sn phm dnh cho tr em v ph n c thai; chnh sch  gim lng mui trong khu phn n, hn ch tiu th  ung ngt c ga v thc phm ch bin sn; quy nh v ghi nhn dinh dng thc phm v cnh bo nhng nh hng n sc khe i vi cc thc phm khng c li cho sc khe; -  xut, b sung cc chnh sch h tr, bo m an ninh lng thc, thc phm cho vng ngho, vng thng xuyn b thin tai; chnh sch  khuyn khch cc doanh nghip u t sn xut v cung ng cc sn phm dinh dng c th h tr cho vng ngho, vng kh khn, vng ng bo dn tc thiu s, c bit l cho ph n c thai, tr em di 5 tui v tr em c hon cnh c bit kh khn. b) a ch tiu gim suy dinh dng thp ci l mt trong cc ch tiu pht trin kinh t, x hi ca quc gia v cc a phng. c) Kin ton Ban ch o k hoch hnh ng v dinh dng trn c s lng ghp trong ni dung nhim v v hot ng ca Ban Chm sc sc khe nhn dn cc cp. Xy dng c ch phi hp lin ngnh v x hi ha  y mnh v tng cng u t cho hot ng dinh dng. C chnh sch, gii php huy ng, khuyn khch cc t chc x hi v doanh nghip tham gia thc hin K hoch. 2. Gii php v truyn thng v vn ng x hi a) S dng mng li truyn thng t trung ng n a phng  tuyn truyn, ph bin, vn ng cc cp, cc ngnh, on th v ngi dn thc hin cc ch trng chnh sch php lut, cc hng dn, khuyn co v dinh dng. b) Nghin cu xy dng v cung cp cc ti liu, chng trnh truyn thng, t vn v sc khe v dinh dng ph hp vi phng thc truyn thng v cc nhm i tng, ch trng nng cao hiu bit v thc hnh dinh dng hp l ca ph n, tr em, ngi cao tui, ngi chm sc, hc sinh, cha m hc sinh, gio vin, ngi lao ng v ngi bnh. c) Tng cng truyn thng trc tip n cc i tng, vng min c t l suy dinh dng thp ci cao nh vng su, vng xa, vng dn tc thiu s, h nng dn ngho v cn ngho. d) Pht huy m hnh thc y quyn tham gia ca tr em trong gio dc truyn thng dinh dng cho tr em. ) Thc hin c hiu qu truyn thng tip th x hi  phng chng thiu vi cht cho ngi dn. e) Vn ng c nhn, t chc, doanh nghip sn xut v cung ng thc phm an ton. 3. Gii php v chuyn mn k thut a) Tp trung chm sc dinh dng cho 1000 ngy u i, bao gm chm sc dinh dng hp l cho b m trc, trong v sau sinh; nui con bng sa m hon ton trong 6 thng u; n b sung hp l cho tr di 2 tui; thc hin theo di tng trng v pht trin ca tr; m bo nc sch, v sinh c nhn v v sinh mi trng. b) Can thip dinh dng cho nhng i tng c nguy c cao: - B sung vin nang Vitamin A cho tr em v b m sau sinh; a vi cht cho tr em; vin st a vi cht cho tr gi v thnh nin, ph n la tui sinh , ph n c thai v cho con b; km cho tr tiu chy; - Thc hin iu tr suy dinh dng cp tnh  tr em v h tr dinh dng vng c thin tai, thm ha; - Thc hin ty giun nh k cho tr em v ph n theo hng dn ca B Y t. c) Nghin cu, xy dng cc chng trnh, d n v cc gii php can thip c hiu gp phn ci thin tnh trng dinh dng, nng cao th lc v th cht ca ngi dn ph hp theo vng, min, u tin nhng vng ngho, kh khn, dn tc thiu s, h nng dn ngho, cn ngho v cc nhm i tng c nguy c khc. d) y mnh vic tng cng vi cht dinh dng vo cc sn phm thng mi trong nc v sn phm nhp khu, ch trng sn phm du n c tng cng Vitamin A, bt m c tng cng st v km, mui c tng cng I-t. Khuyn khch ngi dn s dng sn phm tng cng vi cht dinh dng. ) Trin khai cc hot ng dinh dng hp l ti trng hc: - Gio dc, truyn thng, t vn thay i hnh vi cho hc sinh v cha m hc sinh v nhu cu dinh dng, dinh dng hp l v tng cng vn ng th lc. C chng trnh phi hp gia nh trng v gia nh  gio dc, hng dn bo m ch  dinh dng v hot ng th lc ph hp cho nhm hc sinh tui tin dy th v dy th  pht trin tt v tm vc v th cht. - Hng dn, t chc ba n bo m dinh dng hp l cho hc sinh bn tr, ni tr trong trng hc. C cc quy nh  hn ch tip cn vi cc sn phm thc phm khng c li cho sc khe hc sinh; - Hng dn tng cng hot ng th lc, duy tr thng xuyn, hiu qu cc hot ng th cht trong chng trnh chnh kha v ngoi kha, tng cng vn ng th lc thng qua cc sinh hot, vui chi gii tr c tnh cht vn ng  trng v hn ch thi gian ngi lu ti ch; - Theo di tnh trng dinh dng hc sinh, duy tr ty giun nh k ti nhng vng c t l nhim giun cao. e) Ci thin v s lng, nng cao cht lng ba n ca ngi dn: - Xy dng cc k hoch v hng dn bo m an ninh thc phm, c bit  nhng a bn d b nh hng; thc y m hnh sn xut  to ngun thc phm sn c, m bo cht lng cho ba n ti h gia nh; - Xy dng v ph bin cc hng dn cho ngi dn v nhng i tng c th v ch  dinh dng v hot ng th lc hp l. g) Nng cao cht lng cung cp dch v t vn v phc hi dinh dng, phng chng tha cn - bo ph v cc bnh khng ly nhim ti cc tuyn. h) Xy dng v trin khai cc hng dn chuyn mn v dinh dng iu tr, dinh dng lm sng ti cc c s khm, cha bnh. i) Nng cao nng lc ca h thng gim st dinh dng, hon thin b cng c v cc ch s gim st, qun l c s d liu v cung cp thng tin phc v xy dng v trin khai K hoch; tng cng nng lc gim st trong tnh hung khn cp. k) Theo di, gim st thng quy v t chc cc iu tra, kho st nh k nhm nh gi tin  v kt qu thc hin ca K hoch. 4. Gii php v ngun lc a) V pht trin ngun nhn lc - Cng c v pht trin i ngi cn b lm cng tc dinh dng, c bit l mng li cn b chuyn trch v cng tc vin dinh dng  tuyn c s; - Nng cao nng lc chuyn mn v qun l iu hnh cc chng trnh, hot ng dinh dng cho cn b  cc cp t trung ng n a phng v cc B, ngnh lin quan. Huy ng s tham gia ca cng tc vin cng tc x hi thuc cc c quan, on th chnh tr - x hi cc cp; - o to cn b dinh dng chuyn su, cn b dinh dng tit ch trong bnh vin; trin khai khoa dinh dng lm sng ti cc bnh vin; - o to, tp hun cho i ngi phng vin, bin tp vin v cn b lm cng tc thng tin, gio dc, truyn thng ti cc tuyn  nng cao nng lc tuyn truyn, ph bin Chin lc quc gia v dinh dng v cc hot ng thc hin K hoch n cc tng lp nhn dn; - Xy dng ti liu o to, tp hun lin quan n chm sc dinh dng 1000 ngy u, dinh dng v hot ng th lc phng chng bnh mn tnh khng ly nhim, t vn dinh dng, dinh dng lm sng v cc hng dn chuyn mn, k thut lin quan khc. b) Ngun kinh ph thc hin K hoch bao gm: - Ngun ngn sch nh nc u tin cho hot ng dinh dng  vng kh khn, vng dn tc thiu s, vng c thin tai v chm sc dinh dng cho tr em, ph n c thai v ngi ngho; - Ngun vn vin tr ODA, vin tr chnh ph nc ngoi; - Ngun bo him y t, ngun x hi ha v cc ngun vn hp php khc. 5. Gii php v khoa hc cng ngh v hp tc quc t a) Tng cng hp tc quc t  trin khai cc phong tro v sng kin dinh dng ton cu ti Vit Nam; hp tc hiu qu vi cc t chc Lin hip quc, cc quc gia v cc t chc quc t. b) Ch ng tch cc hp tc vi cc quc gia, cc vin, trng tin tin trong khu vc v trn th gii trong l)nh vc nghin cu, o to  nhanh chng tip cn cc chun mc khoa hc v cng ngh tin tin trong khu vc v trn th gii, pht trin v nng cao cht lng ngun nhn lc trong l)nh vc dinh dng. c) Nng cao nng lc nghin cu khoa hc v dinh dng v thc phm. y mnh nghin cu, pht trin v chuyn giao cng ngh v chn, to ging mi c hm lng cc cht dinh dng thch hp; nghin cu sn xut v ch bin cc thc phm b sung vi cht dinh dng, sn phm dinh dng v dinh dng c hiu ph hp vi cc i tng  ci thin pht trin th cht, tr tu, nng cao sc khe v phng bnh. d) y mnh ng dng cng ngh thng tin  qun l v cung cp thng tin v dinh dng v thc phm. III. NI DUNG HOT NG 1. Tng cng xy dng chnh sch v phi hp lin ngnh nhm thc y v h tr hot ng dinh dng a) Kt qu mong i 1: Xy dng v trin khai thc hin cc chnh sch, quy nh php lut v dinh dng v thc phm u ra 1.1: Cc vn bn quy phm php lut quy nh c lin quan/h tr cho dinh dng  ban hnh c thc hin. Hot ng: - nh gi vic thc hin Chin lc quc gia v dinh dng giai on 2011-2020. - Xy dng hng dn v t chc thc hin Lut tr em lin quan n ni dung chm sc dinh dng. - T chc trin khai thc hin Ngh nh 100/2014/N-CP ca Chnh ph v kinh doanh v s dng sn phm dinh dng dng cho tr nh. - T chc trin khai thc hin Ngh nh 09/2016/N-CP v tng cng vi cht vo thc phm. - T chc thc hin cc vn bn php lut lin quan n dinh dng v khuyn khch nui con bng sa m; Cc tiu ch nh gi cht lng bnh vin c lin quan n dinh dng; Chng trnh sa hc ng;  n nng cao tm vc ngi Vit Nam. - Kim tra v gim st vic trin khai thc hin cc vn bn quy phm php lut lin quan quy nh hot ng dinh dng. u ra 1.2: Nng lc thc hin cc chnh sch lin quan n dinh dng ca cc thnh vin lin quan c nng cao. Hot ng: - Thnh lp nhm vn ng chnh sch v t chc tp hun k nng vn ng chnh sch u t cho dinh dng ti cc cp. - T chc cc hi ngh, hi tho theo chuyn   tng cng vn ng chnh sch u t v dinh dng. - T chc gim st h tr k thut nhm vn ng chnh sch lin quan dinh dng ca cc B, ngnh v cc tnh. u ra 1.3: Cc chnh sch mi lin quan n dinh dng c tip tc xy dng nhm p ng cc vn  dinh dng mi ni v cp thit. Hot ng: - Xy dng chnh sch bo him y t chi tr cho dch v t vn v iu tr phc hi cho tr b suy dinh dng cp tnh nng ti cng ng v bnh vin. - Xy dng chnh sch dinh dng cho tr em mc cc bnh him ngho, bnh chuyn ha do di truyn, mc cc bnh him. - Xy dng quy nh v hot ng ca ngn hng sa m. - Xy dng chnh sch h tr ba n hc ng, cc quy nh v dinh dng hp l v hot ng th lc trong trng hc, quy nh v hot ng ca cng tin trong trng hc  bo m cung cp thc phm,  ung c li cho sc khe ca hc sinh, sinh vin. - B sung, hon thin cc chnh sch, quy nh  kim sot vic qung co cc thc phm, sn phm khng c li cho sc khe c bit l cc sn phm dnh cho tr em v ph n c thai; chnh sch  gim tiu th mui trong khu phn n, hn ch tiu th  ung ngt c ga v thc phm ch bin sn; quy nh v ghi nhn dinh dng thc phm v cnh bo nhng nh hng n sc khe i vi cc thc phm khng c li cho sc khe. - Xy dng chnh sch h tr dinh dng c th cho cc i tng nguy c, khu vc min ni, kh khn (vng Ty Bc, Ty Nguyn v Ty Nam B). - Tip tc xy dng chnh sch h tr, m bo an ninh lng thc, thc phm cho vng ngho, vng thng xuyn b thin tai; xa i gim ngho v ci thin tnh trng dinh dng. - Xy dng cc c ch chnh sch  khuyn khch cc doanh nghip u t sn xut v cung ng cc sn phm dinh dng c th h tr cho vng ngho, vng kh khn, vng ng bo dn tc thiu s, c bit l cho ph n c thai, tr em di 5 tui v tr em c hon cnh c bit kh khn. - Xy dng v trin khai hiu qu khuyn ngh ba n ca ngi lao ng theo cc ngnh ngh p dng trong cc c s lao ng. b) Kt qu mong i 2: Xy dng c ch phi hp lin ngnh v x hi ha  y mnh v tng cng u t cho hot ng dinh dng u ra 2.1: Thit lp c c ch phi hp lin ngnh trong ch o, iu phi v hp tc v dinh dng. Hot ng: - Xy dng nhm iu phi Trung ng v Phong tro m rng hot ng dinh dng (The SUN) v c ch iu phi lin ngnh c hiu qu cho trin khai chng trnh dinh dng. - Phi hp thc hin cc nhim v, gii php v dinh dng theo Chng trnh hnh ng ca Chnh ph thc hin Ngh quyt s 20-NQ/TW Hi ngh ln th su Ban Chp hnh Trung ng kha XII v tng cng cng tc bo v, chm sc v nng cao sc khe nhn dn trong tnh hnh mi, Tuyn b chung ca Lnh o cc quc gia ASEAN v chm dt cc th suy dinh dng, Chng trnh  Khng cn nn i . - Kin ton Ban ch o k hoch hnh ng v dinh dng trn c s lng ghp trong ni dung nhim v v hot ng ca Ban Chm sc sc khe nhn dn cc cp. - T chc cc hi tho vn ng lnh o, cp y cc tnh/thnh ph quan tm ch o v u t cng tc trin khai thc hin cc ni dung ca K hoch. - T chc Hi ngh cp cao v phong tro m rng hot ng dinh dng ti Vit Nam, trin khai chin dch dinh dng tp trung cho 1000 ngy u i. - H tr v hng dn cc b, ngnh trung ng, cc tnh xy dng K hoch hnh ng dinh dng n 2020. - T chc hp nh k v chia s thng tin dinh dng trong Nhm hot ng dinh dng thuc Nhm i tc Y t. u ra 2.2: X hi ha cc hot ng v dinh dng c thc hin. Hot ng: - Thnh lp Mng li doanh nghip SUN (SUN Business Network). - Xy dng m hnh x hi ha hot ng dinh dng trong tng cng s ch ng ca ngi dn v vic t chi tr cc dch v lin quan n chm sc, t vn dinh dng. - Xy dng chnh sch, t chc truyn thng, vn ng  tng cng trch nhim ca cc doanh nghip trong thc hin cc mc tiu ca K hoch. - Xy dng chnh sch, t chc vn ng  tng cng s h tr cc doanh nghip, t chc t thin, cu tr trong thc hin vic gim i ngho, gim suy dinh dng ti cc vng ngho, vng b nh hng bin i kh hu. 2. Ci thin tnh trng dinh dng ca b m v tr em a) Kt qu mong i 1: Mng li, o to v tp hun cho i ngi cn b lm cng tc phng chng suy dinh dng c kin ton. u ra 1.1. Mng li trin khai cc hot ng dinh dng c kin ton Hot ng: - Kin ton v b sung Ban ch o phng chng suy dinh dng cc tuyn. - Kin ton v b sung chuyn trch dinh dng cc tuyn. - R sot v b sung m bo mi thn/bn c t nht mt cng tc vin dinh dng. u ra 1.2. Nng lc cho cn b mng li c nng cao. Hot ng: - Xy dng v hng dn thc hin tiu ch chuyn mn, k thut v dinh dng v phng chng bnh KLN cho mng li y t d phng v y t c s. - T chc tp hun cho cn b dinh dng tuyn tnh. - T chc tp hun cho cc chuyn trch dinh dng tuyn huyn. - T chc tp hun cho cc chuyn trch dinh dng tuyn x v cng tc vin dinh dng. u ra 1.3. Cng tc o to v dinh dng trc khi hnh ngh ti cc trng cao ng, i hc c tng cng. Hot ng: - R sot, bin son, cp nht v ph bin chng trnh ging dy dinh dng cho cc c s o to c lin quan n dinh dng. - o to c nhn dinh dng cng ng, dinh dng tit ch v an ton thc phm. u ra 1.4. Nng lc trin khai cc hot ng dinh dng lin ngnh c nng cao. Hot ng: - Xy dng chng trnh, ti liu v tp hun cc kin thc dinh dng cho cc cn b ca S gio dc v o to ca cc tnh thnh, phng gio dc ca cc qun/ huyn. - Tp hun hng nm cho cn b lm cng tc y t trng hc v cc vn  lin quan n dinh dng (bao gm nh gi tnh trng dinh dng, ba n hc ng, hot ng th lc, phng chng tha cn bo ph v bnh khng ly nhim). - Tp hun cho cc cn b lm cng tc dinh dng ca cc B, ngnh, on th  trung ng v kin thc dinh dng, k nng truyn thng dinh dng v cng tc trin khai cc hot ng can thip dinh dng. b) Kt qu mong i 2: Can thip dinh dng cho nhng i tng nguy c cao u ra 2.1. 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Cc cng c  theo di tng trng tr em c cung cp. Hot ng: - Cung cp trang thit b theo di tnh trng dinh dng ca tr gm cn, thc o (chiu cao ng/chiu di nm), thc o vng cnh tay, cn c chng  o cn nng ca tr s sinh. - Cung cp biu  pht trin cho tr di 2 tui. u ra 3.2. Theo di tng trng v pht trin ca tr. Hot ng: - Theo di cn nng ca tr s sinh. - Theo di tng trng v pht trin ca tr di 2 tui. - Theo di tng trng v pht trin ca tr di 5 tui. d) Kt qu mong i 4: Truyn thng nng cao nhn thc ca b m v ngi chm sc tr c thc hin u ra 4.1. Cc chin dch truyn thng gio dc dinh dng c t chc Hot ng: - Trin khai chin dch truyn thng  Ngy vi cht dinh dng, 1-2/6 : - Trin khai chin dch truyn thng  Tun l Dinh dng v Pht trin, 16-23/10 . - Trin khai chin dch truyn thng  Tun l Nui con bng sa m, 1-7/8 . u ra 4.2. Ti liu chuyn mn, ti liu vt liu truyn thng c xy dng Hot ng: - Bin son, in n v pht hnh 01 b ti liu vn ng tng cng u t ngun lc cho cc can thip dinh dng trong 1000 ngy u i ca tr. - R sot, chun ha v nhn rng cc ti liu truyn thng  c s dng c hiu qu ph hp vi cc a bn, c bit l khu vc min ni, dn tc thiu s. Bin son, thit k, in n/sn xut, cp pht cc ti liu truyn thng thay i hnh vi cho cc nhm i tng ch (theo cc ch  v cho tng nhm i tng ch). - Xy dng b ti liu ging dy chuyn ngnh dinh dng chuyn mn su. - Hon thin c b ti liu hng dn chuyn mn cho cn b dinh dng cc tuyn. - Xy dng b ti liu hng dn trin khai hot ng dinh dng cho mng li cng tc vin/y t thn bn. - Xy dng 03 ti liu truyn thng c th bng ting dn tc t ngi  pht trn i truyn hnh trung ng v i khu vc cing nh i a phng cho cc tnh c SDD thp ci cao. u ra 4.3. Cc hot ng truyn thng trc tip c thc hin. Hot ng: - T chc cc bui tho lun nhm, thc hnh dinh dng ti x phng/thn bn cho b m (ngi chm sc tr) c con di 2 tui, tr di 5 tui b suy dinh dng. - T chc tho lun nhm, hng dn dinh dng ti x phng/ thn bn cho ph n c thai, ph n cho con b. - T chc cc hot ng t vn v duy tr phng khm t vn dinh dng. u ra 4.4. Truyn thng gio dc dinh dng trn cc phng tin thng tin i chng c thc hin. Hot ng: - Xy dng cc phng s (bao gm dng thi s v dng khoa gio), theo cc ch  dinh dng khc nhau  pht trn i truyn hnh (video), hoc i radio (audio). Xy dng chuyn mc "1000 Ngy vng" pht hng tun trn truyn hnh v i ting ni Vit Nam. - Vit bi ph bin, tuyn truyn kin thc v hng dn thc hnh v dinh dng hp l  ng ti ln website ca Vin Dinh dng v cung cp thng tin, nh, bi cho mt s t bo in t. Ch ng cung cp thng tin dinh dng cho mng li cng tc vin bo ch  ng ti cc bi tuyn truyn v dinh dng trn cc bo/tp ch. - Xut bn nh k c san "Dinh dng hp l v Sc khe" ) Kt qu mong i 5: Cc nghin cu v xy dng cc m hnh dinh dng c th c trin khai. u ra 5.1. Sn phm cho cc nhm i tng c nghin cu v pht trin. Hot ng: - Nghin cu v pht trin sn phm phc hi dinh dng cho tr em, sn phm dinh dng cho tr tha cn/bo ph. - Nghin cu v pht trin sn phm b sung vi cht dinh dng cho b m v tr em. u ra 5.2. Cc m hnh dinh dng im v cc cu lc b dinh dng c xy dng. Hot ng: - Xy dng m hnh phng chng suy dinh dng tr em c th cho cc vng min. nh gi, tng kt v nhn rng cc m hnh  c chng minh l c hiu qu. - Xy dng m hnh phng chng suy dinh dng cho cc khu vc tp trung nhiu lao ng n (khu cng nghip, khu ch xut, vng su, vng xa...) - Xy dng cc cu lc b tuyn truyn v ci thin tnh trng dinh dng cho b m v tr em. - Xy dng cc m hnh thc y quyn tham gia ca tr em trong gio dc truyn thng dinh dng cho tr em nh din n tr em, hi ng tr em, cu lc b quyn tham gia ca tr em, cc hot ng do tr em khi xng. - Phi hp lin ngnh trin khai cc can thip dinh dng c th: Tng Lin on Lao ng Vit Nam, on Thanh nin, Hi Ph n, B Gio dc v o to.... e) Kt qu mong i 6: Tnh trng dinh dng cho tr em la tui hc ng c ci thin. u ra 6.1. Kin thc v thc hnh cho hc sinh, sinh vin v dinh dng hp l v v sinh an ton thc phm c nng cao. Hot ng: - Xy dng ti liu truyn thng: sch gio khoa, thp dinh dng, chuyn trang in t v nhu cu dinh dng, dinh dng hp l v tng cng vn ng th lc, c bit quan tm tr em la tui tin dy th v dy th. - T chc truyn thng trong trng hc, t vn phng chng suy dinh dng, tha cn, bo ph, thiu mu dinh dng cho hc sinh v cha m hc sinh. - Tp hun cho thnh vin cc cu lc b, cc i tuyn truyn mng non, pht thanh mng non tuyn truyn v dinh dng hp l v v sinh an ton thc phm trong cc trng hc v trn a bn dn c. - T chc cc cuc thi, hi thi, cc din n tm hiu nng cao nhn thc cho thiu nhi v dinh dng, v sinh an ton thc phm cho thiu nhi v cn b ph trch thiu nhi. u ra 6.2. Ba n m bo dinh dng cho hc sinh bn tr/ni tr c hng dn v t chc thc hin. Hot ng: - Hon thin khuyn ngh ba n hc ng v m rng trin khai d n ba n hc ng thng qua phn mm xy dng thc n cn bng dinh dng. - Tip tc trin khai c hiu qu chng trnh Sa hc ng. - Xy dng v p dng quy nh  ung v cc thc phm bn  cng tin trng hc. u ra 6.3. Hot ng th lc ca hc sinh, sinh vin dc tng cng. Hot ng: - Xy dng hng dn tng cng hot ng th lc. - To khng gian, c s vt cht v dng c, thit b cho cc hot ng luyn tp, rn luyn th dc th thao ca hc sinh, sinh vin trong cc c s gio dc theo quy nh. - Duy tr cc hot ng th dc u gi, gia gi, bo m s gi th dc trong chng trnh chnh kha. T chc a dng cc loi hnh vn ng th lc ngoi kha, tng cng vn ng th lc thng qua cc sinh hot, cc tr chi, vui chi gii tr c tnh cht vn ng  trng v hn ch thi gian ngi lu ti ch. u ra 6.4. Nng lc cho i ngi cn b y t trng hc c nng cao. Hot ng: - Xy dng 01 b ti liu v hng dn xc nh cc vn  lin quan n tnh trng dinh dng ca tr tui hc ng cho cn b y t tuyn x, trng hc. - Tp hun cho cn b y t v v xc nh cc vn  lin quan n tnh trng dinh dng ca tr tui hc ng, phng php nh gi tnh trng dinh dng ca hc sinh, ba n hc ng, gio dc dinh dng, v sinh an ton thc phm. u ra 6.5. Tnh trng dinh dng hc sinh c theo di, nh gi. Hot ng: T chc cn o v nh gi TTDD cho hc sinh. u ra 6.6. Hot ng ty giun nh k cho tr  nhng vng c t l nhim giun cao c duy tr. Hot ng: Ty giun nh k cho tr hc ng  vng nhim giun cao. 3. Ci thin tnh trng thiu vi cht dinh dng a) Kt qu mong i 1: Tng cng cc dch v d phng v iu tr thiu vi cht dinh dng p ng nhu cu ca cc i tng u ra 1.1: Nhn thc ca cng ng c nng cao v ngun lc  phng chng thiu vi cht dinh dng (it, st, Vitamin A, acid folic, km) c huy ng. Hot ng: - T chc cc hi ngh, hi tho vi cc b ngnh, ban ngnh on th, t chc trong nc v quc t  vn ng s ng h, huy ng ngun lc cho phng chng thiu mu v thiu vi cht dinh dng. - Vn ng cc t chc trong v ngoi nc h tr v thc hin chng trnh phng chng thiu vi cht dinh dng. u ra 1.2: i tng c nguy c c b sung vi cht theo hng dn (xem phn 2. Ci thin TTDD ca b m v tr em) u ra 1.3: Truyn thng tip th x hi v vin st/ acid folic cho ph n c thai v ph n tui sinh   nhng vng khng u tin c thc hin c hiu qu. Hot ng: - Tp hun cho cc cn b chuyn trch dinh dng ca cc tnh, huyn, x v trin khai cc hot ng truyn thng tip th x hi v phng chng thiu mu  cng ng. - Truyn thng qua cc phng tin truyn thng i chng v phng chng thiu mu  trung ng v a phng s dng phng php tip th x hi. - Gim st cc chng trnh tip th x hi cc sn phm b sung vi cht dinh dng  kim tra s tun th,  bao ph v h tr truyn thng c hiu qu. u ra 1.4: Tr em di 5 tui, ph n c thai v ph n tui sinh  khng c thai  cc vng u tin c ty giun nh k theo hng dn ca B Y t. Hot ng: - Trin khai vic ty giun nh k cho tr em di 5 tui, ph n  tui sinh  v ph n c thai da trn Hng dn chn on v iu tr ca B Y t. - Theo di, gim st trin khai hot ng ti cng ng. u ra 1.5. Mui I-t c m bo cung cp v kin thc ca cng ng trong vic phng chng cc ri lon thiu ht I-t c tng cng. Hot ng: - Mua KIT th cp cho c s sn xut mui I-t v cc labo tuyn tnh - Kim tra gim st ni kim, ngoi kim vic sn xut v cung ng ti cc c s sn xut mui it theo Ngh nh ca Chnh ph s 09/2016/N-CP ngy 28 thng 1 nm 2016 v tng cng vi cht dinh dng vo thc phm. - Truyn thng trn cc phng tin thng tin i chng v phng chng cc ri lon thiu i-t. - T chc tp hun nng cao nng lc ca cn b y t trong phng chng cc ri lon thiu i-t. - iu tra, nh gi nh k v tnh trng thiu it  cc nhm i tng c nguy c trong cng ng. - Xy dng v nng cp labo xt nghim tnh trng thiu it. u ra 1.6. Hon thin cc cng c v nng cao nng lc  thc hin can thip phng chng thiu mu v thiu vi cht dinh dng. Hot ng: - Xy dng v trin khai k hoch  m bo cc sn phm b sung vi cht dinh dng cho ph n c thai ph hp v liu lng vi khuyn ngh ca WHO (c bit st v acid folic). - Xy dng cc ti liu v ph bin hng dn v phng chng thiu vi cht dinh dng. - Pht trin v th nghim m hnh phng chng thiu vi cht dinh dng ti cc tnh min ni pha Bc v Ty Nguyn. - Trin khai cc nghin cu th nghim sn phm thc phm tng cng vi cht dinh dng (vitamin D, canxi, km, acid folic...) ti cng ng. - Nghin cu, xy dng, th nghim v trin khai th im m hnh phng chng thiu vi cht dinh dng hc ng trong trng hc (ti cc bc hc khc nhau) ti khu vc thnh ph, cc khu cng nghip nhiu lao ng n, vng kh khn (min ni), vng ng bng. - Sn xut v phn phi bt b sung a vi cht phc v vic phng chng thiu vi cht dinh dng cho tr em. b) Kt qu mong i 2: Tng cng vi cht dinh dng vo cc sn phm thng mi trong nc v sn phm nhp khu (ch trng du n c tng cng Vitamin A, bt m c tng cng st, km, mui c tng cng it) u ra 2.1. Nng lc k thut v trang thit b phng th nghim vi cht dinh dng c nng cao v nng cp. Hot ng: - H tr k thut cn thit cho cc c s sn xut  trin khai v gim st vic thc hin ngh nh tng cng vi cht dinh dng vo thc phm. - Nng cp trang thit b, bo dng my mc nh k Labo xt nghim vi cht v o to cn b, nng cao nng lc cho cn b labo xt nghim vi cht. - Pht trin v p dng cc k thut phn tch vi cht trn cc h thng thit b mi. u ra 2.2. Cc quy nh v tng cng vi cht vo thc phm c tun th thc hin. Hot ng: - Xy dng cc quy chun k thut tng cng vi cht dinh dng vo thc phm ph hp vi cc khuyn ngh ca T chc Y t th gii. - Lng ghp trong cng tc kim tra, thanh tra v cht lng cc thc phm bt buc tng cng vi cht dinh dng. c) Kt qu mong i 3: Tng cng hot ng a dng ha ba n. u ra 3.1. Cc hot ng truyn thng v tng cng s dng thc phm giu vi cht v a dng ha ba n c trin khai a dng. Hot ng: - Xy dng v trin khai lng ghp cc chin lc truyn thng a phng tin v cc hot ng tip th x hi nhm nng cao nhn thc v thc y thc hnh phng chng thiu vi cht dinh dng (tp trung vo a dng ha thc phm ph hp cho cc nhm tui v tnh trng th lc) c lin quan ti 1000 ngy u i. - Xy dng v ph bin cc ti liu truyn thng v hng dn a dng ha ba n v phng chng thiu vi cht dinh dng. 4. Ci thin v s lng, nng cao cht lng ba n ca ngi dn a) Kt qu mong i 1: Bo m an ninh thc phm ti h gia nh. u ra 1.1. Cc k hoch v hng dn m bo an ninh thc phm c bit  nhng a bn d b nh hng c xy dng. Hot ng: - Nghin cu v khu phn, tnh sn c ca thc phm, thi quen tiu th v la chn thc phm ca cc nhm i tng theo khu vc, vng min. - Xy dng hng dn bo m an ninh thc phm, an ninh dinh dng ti cc khu vc kh khn v b nh hng bi bin i kh hu. - Xy dng v trin khai cc k hoch di hn v k hoch c th cho tng vng nhm hn ch cc ri ro mt an ninh thc phm. - Pht trin v trin khai hng dn sn xut nng nghip sch, nng nghip hu c v cng ngh cao  cung cp lng thc thc phm an ton v m bo dinh dng. - Gim st an ninh thc phm, ch trng vo h gia nh  cc vng ngho, vng nh hng bin i kh hu v trong tnh trng khn cp (thin tai, bo lt). u ra 1.2: Thc y m hnh sn xut  to ngun thc phm sn c cho ba n ti h gia nh. Hot ng: - Xy dng cc ti liu hng dn cch to ngun thc phm sn c v a dng ti h gia nh cho cc i tng ngi dn c bit nhng gia nh c con di 5 tui. - Hng dn v h tr h ngho t sn xut lng thc thc phm cung cp cho ba n  thnh phn dinh dng, m bo tnh cn i. - Trin khai cc hot ng m bo an ninh dinh dng h gia nh thng qua m hnh VAC; Tp hun cho ngi dn v tng cng an ninh thc phm h gia nh. b) Kt qu mong i 2: Cc c s khoa hc  hng dn ngi dn v ch  dinh dng hp l c xy dng v ph bin. u ra 2.1: Hon thnh cc c s khoa hc v dinh dng. Hot ng: - Phn tch c bn, tng hp c s d liu v xut bn bng thnh phn ha hc thc n Vit Nam lm c s cho xy dng ch  dinh dng hp l. - Xy dng v ph bin hng dn v dinh dng hp l, ch  n khuyn ngh v hot ng th lc cho ngi Vit Nam (theo nhm tui, loi hnh lao ng, tnh trng sinh l v sc khe). - T chc ph bin Thp dinh dng hp l 2016 - 2020 cho cc cp huyn, x v cc ngnh lin quan. 5. Kim sot tnh trng tha cn - bo ph v yu t nguy c ca mt s bnh mn tnh khng ly nhim lin quan n dinh dng. a) Kt qu mong i 1: Tnh trng tha cn - bo ph  tr em c kim sot u ra 1.1: Nhn thc ca ngi dn v s gia tng ca tnh trng tha cn - bo ph  tr em v cc nguy c c nng cao. Hot ng: - Hon thin ti liu chuyn mn, ti liu truyn thng phng chng tha cn - bo ph  tr em. - Lng ghp truyn thng phng chng tha cn - bo ph  tr em vo cc hot ng truyn thng phong chng suy dinh dng v cc chin dch truyn thng hng nm. u ra 1.2. Ch  n phng chng tha cn - bo ph c xy dng. Hot ng: - Xy dng hng dn v ch  n v t vn phng chng tha cn - bo ph  tr em - Xy dng ch  n v t vn nhm kim sot tha cn/bo ph cho tr tha cn - bo ph. b) Kt qu mong i 2: Thc hin mt s hot ng trong Chin lc quc gia phng, chng bnh ung th, tim mch, i tho ng, bnh phi tc nghn mn tnh, hen ph qun v cc bnh khng ly nhim khc, giai on 2015 - 2025. u ra 2.1. Cc hng dn c xy dng, ban hnh v nng lc ca mng li cn b dinh dng cc cp c nng cao. Hot ng: - Xy dng, ban hnh, ph bin cc hng dn quc gia v dinh dng hp l (dinh dng cht bo, tng cng n rau qu, tri cy, tiu th ng, mui, ru bia v  ung) v hot ng th lc ph hp vi cc nhm i tng  phng chng tha cn - bo ph v bnh khng ly nhim cho ngi dn. - Xy dng ti liu hng dn k n ch  dinh dng v hot ng th lc  iu tr bo ph v bnh khng ly nhim ti c s y t v cng ng. - Tp hun cho cn b chuyn trch dinh dng v nhn vin y t cc tuyn v nh gi, t vn, k n ch  dinh dng v hot ng th lc  phng chng v qun l bnh khng ly nhim  cng ng v c s y t. u ra 2.2. Cc hot ng can thip c trin khai. Hot ng: - Xy dng ti liu truyn thng, t chc truyn thng trn phng tin thng tin i chng, mng x hi v ti cng ng v dinh dng hp l v hot ng th lc phng chng tha cn - bo ph v bnh khng ly nhim, u tin truyn thng gim tiu th mui; lng ghp vi cc chin dch, chng trnh truyn thng v dinh dng v truyn thng phng chng bnh khng ly nhim. - Xy dng v trin khai m hnh ti cng ng  cung cp cc dch v t vn dinh dng v hot ng th lc cho ngi dn v cho ngi bnh c nhu cu. - Trin khai phng khm t vn dinh dng v hot ng th lc ti Trung tm Y t d phng tnh, Trung tm Y t huyn cho d phng, qun l bnh khng ly nhim. - T chc kim tra, gim st hot ng cc tuyn v dinh dng hp l v tng cng hot ng th lc phng chng tha cn - bo ph v cc bnh khng ly nhim. c) Kt qu mong i 3: Xy dng v trin khai cng c h tr t vn v iu tr bnh lin quan n dinh dng u ra 3.1. Cc nghin cu c thc hin. Hot ng: - Trin khai cc nghin cu v ch  dinh dng hp l v vn ng th lc  phng chng bnh mn tnh. - Trin khai cc nghin cu ng dng mt s sn phm c c hot tnh sinh hc c tc dng gim cholesterol, chng oxy ha, kim sot tng glucose mu; t bo ung th; sn phm thay th mui Natri trn cng ng, thc phm ch bin sn gim ng, mui, cht bo th trans. u ra 3.2. Cc cng c h tr c xy dng. Hot ng: - Xy dng b cng c nh gi, hng dn t vn dinh dng v hot ng th lc  cng ng v trng hc (th nng lng, phn mm qun l ch  n v hot ng th lc). - Xy dng tiu chun v s dng logo v thc phm c li cho sc khe. d) Kt qu mong i 4: Nng cao nng lc hot ng ca khoa Dinh dng - Tit ch ti cc c s khm bnh, cha bnh cc tuyn Trung ng, tnh, huyn u ra 4.1. Hon thin c s php l v cc hng dn k thut. Hot ng: - B sung, chnh l Thng t 08 hng dn hot ng ca khoa Dinh dng - Tit ch ti cc c s khm bnh, cha bnh. - Xy dng chun nng lc i vi cn b v khoa dinh dng tit ch ti cc c s khm bnh, cha bnh. - Xy dng phc , hng dn ch  dinh dng iu tr, hng dn sng lc, nh gi tnh trng dinh dng cho ngi bnh, v cc hng dn v bo m dinh dng, thc phm ti cc c s khm bnh, cha bnh. u ra 3.2. Trin khai cc m hnh hot ng dinh dng trong cc c s khm cha bnh. Hot ng: - Xy dng m hnh khoa Dinh dng ti mt s bnh vin. - Tp hun ngn hn v dinh dng lm sng v tit ch, qun l v sinh an ton thc phm cho cn b khoa Dinh dng ti cc c s khm bnh, cha bnh. 6. Theo di, gim st v nh gi a) Kt qu mong i 1: Nng cao nng lc hot ng ca h thng gim st dinh dng trn ton quc. u ra 1.1. H thng gim st dinh dng c duy tr v nng cao hiu qu. Hot ng: - Xy dng ti liu v t chc tp hun cho cho cn b khoa dinh dng ca trung tm Y t d phng tnh v cng tc theo di, nh gi v tnh hnh dinh dng ca tnh (bao gm: Tiu th thc phm; tnh trng suy dinh dng v tha cn bo ph v yu t nguy c bnh khng ly nhim; Dinh dng trong 1000 ngy u i; Dinh dng trong trng hp khn cp). - Nng cao b cng c gim st c hiu qu v s dng s liu gim st dinh dng thng xuyn nhm h tr cng tc vn ng v xy dng k hoch ti cc tnh v cc huyn. u ra 1.2. Cc ch s mi ng gim st c lng ghp nhm nh gi vic thc hin cc mc tiu K hoch - Xy dng ch tiu  gim st lng ghp v tnh trng thiu vi cht dinh dng v s dng sn phm a vi cht trong qun th. - Xy dng b ch tiu gim st, nh gi tnh trng tha cn- bo ph, yu t nguy c bnh khng ly nhim v cc yu t lin quan cho cc cuc iu tra nh k v iu tra chuyn bit. - Xy dng h thng gim st v nh gi tnh trng dinh dng hc sinh. - Xy dng h thng theo di v cung cp s liu thng nin v tiu th thc phm  cc x  Tin tiu ti mt s tnh i din cho cc vng sinh thi. u ra 1.3. Nng lc gim st trong dinh dng khn cp v ng dng cng ngh thng tin c tng cng. Hot ng: - Thit lp v tng cng nng lc ca nhm iu phi lin t chc v hot ng dinh dng khn cp. - Xy dng, ban hnh v ph bin ti liu hng dn quy trnh hnh ng ng ph, nh gi tnh hnh v cc can thip v dinh dng khi c thin tai v tp hun nng cao nng lc v ng ph dinh dng trong khn cp cho cc tnh. - Xy dng h thng qun l, theo di nh hng ca thin tai, thm ha ln tnh trng dinh dng b m v tr em. - Tip tc nghin cu, ng dng cng ngh thng tin (SMS, USSD) trong gim st dinh dng. b) Kt qu mong i 2: nh gi vic thc hin K hoch v Chin lc dinh dng quc gia u ra 2.1. Tng iu tra dinh dng nm 2019 Hot ng: - Xy dng b cng c nh gi cc ch tiu ca Chin lc - T chc Tng iu tra dinh dng - T chc Hi ngh ph bin kt qu v tng kt vic thc hin K hoch v Chin lc nm 2020;  xut chin lc giai on tip theo. IV. GIM ST V NH GI 1. Trin khai cc hot ng theo di, gim st, nh gi nh k hng nm, t xut v gim st im ti tt c cc tuyn t trung ng n c s. 2. T chc s kt, tng kt k hoch ng tin . 3. nh gi thng qua h thng thng k bo co ca cc n v trin khai thc hin theo b ch s c thng nht trn ton quc. 4. Trong nm 2019 s tin hnh iu tra quc gia v dinh dng  cung cp cc thng tin c bn phc v cho nh gi tin  v kt qu trin khai k hoch. 5. T chc tng kt K hoch vo nm 2020. V. T CHC THC HIN 1. Trung ng 1.1. B Y t: a) Cc Y t D phng - L c quan thng trc chu trch nhim iu phi, qun l vic t chc thc hin K hoch. - u mi, phi hp thc hin theo di, gim st v nh gi tin  v kt qu trin khai K hoch. - u mi vic xy dng k hoch, chng trnh, xy dng chnh sch, t chc thc hin cc hot ng lin quan n dinh dng phng chng bnh mn tnh khng ly. -  xut Chin lc quc gia v dinh dng giai on 2020-2030. b) Vin Dinh dng quc gia - u mi, phi hp xy dng k hoch, chng trnh, d n thc hin Chin lc quc gia v dinh dng; hng dn v t chc trin khai k hoch n nm 2020 sau khi c ph duyt. - Ch o, hng dn cc tnh t chc thc hin cc hot ng v dinh dng ti cng ng. - Nghin cu, trin khai, nh gi cc gii php, xy dng cc ch tiu, mc tiu cho CLQGDD. - Theo di, gim st v nh gi tin  v kt qu trin khai K hoch n nm 2020 v  xut giai on tip theo. Phi hp xy dng k hoch v trin khai cc hot ng truyn thng gio dc dinh dng. - Phi hp vi cc chng trnh, d n v chm sc bo v b m tr em, phng chng bnh khng ly nhim, sc khe trng hc, phng chng thiu It thc hin trin khai cc hot ng, nh gi cc ch tiu thuc Chin lc quc gia v Dinh dng. c) V Sc khe B m - Tr em - Ch o Trung tm Sc khe Sinh sn, hng dn cc hot ng chm sc sc khe sinh sn (bao gm dinh dng ph n v tr em di 5 tui) i vi cc tnh/thnh ph. - u mi xy dng cc vn bn quy phm php lut trong l)nh vc chm sc dinh dng b m v tr em. d) Cc Qun l khm, cha bnh - u mi vic xy dng chnh sch, k hoch, chng trnh, d n v dinh dng iu tr trong cc c s khm bnh, cha bnh. - u mi ch o, hng dn t chc thc hin cc hot ng dinh dng iu tr trong cc c s khm bnh, cha bnh. - u mi theo di, gim st cc hot ng v dinh dng iu tr trong cc c s khm bnh, cha bnh. e) Cc An ton thc phm - Ch tr, phi hp vi cc n v lin quan v a phng xy dng cc vn bn, chnh sch, quy nh v sn phm dinh dng, nhn ghi cc thng tin dinh dng. - Phi hp vi cc n v lin quan xy dng cc vn bn quy phm php lut trong l)nh vc an ton thc phm  gim thiu cc yu t nguy c gy tha cn bo ph v bnh khng ly nhim, gim thiu cc vn  v cht lng thc phm. - Ch tr phi hp, kim tra vic chp hnh quy nh v an ton thc phm. g) Cc Qun l mi trng y t - Hng dn, t chc trin khai cc hot ng lin quan n nc sch, v sinh, ra tay bng x phng  gim thiu yu t nguy c suy dinh dng. - Phi hp vi cc n v lin quan xy dng cc vn bn quy phm php lut trong l)nh vc v sinh, nc sch. - Phi hp vi Cc Y t d phng, V Sc khe B m - Tr em  trin khai hot ng dinh dng v vn ng th lc trong trng hc. h) Cc Khoa hc cng ngh v o to - Ch o, nh hng cc nghin cu khoa hc cng ngh v gii php dinh dng v thc phm. - nh hng v ch o xy dng cc chng trnh o to, ging dy, ti liu dnh cho cc trng i hc c o to cn b v dinh dng v thc phm. i) Trung tm Truyn thng gio dc sc khe Trung ng - Phi hp Vin Dinh dng v cc n v lin quan cung cp ni dung thng ip truyn thng, pht trin ti liu truyn thng, in n, phn pht ti cng ng, h thng y t; - Nng cao nng lc v truyn thng cho cn b truyn thng gio dc sc khe tuyn Trung ng v h tr cc Trung tm truyn thng gio dc sc khe tnh/thnh ph thc hin cc hot ng nng cao nng lc truyn thng v dinh dng  a phng; - Ch o, hng dn trung tm truyn thng gio dc sc khe cc tnh/thnh ph trin khai thc hin cc hot ng truyn thng phng chng bnh lin quan n dinh dng. - Lng ghp, t chc cc lp tp hun cp nht thng tin thng xuyn v dinh dng v thc phm v phng chng bnh lin quan quan i vi i ngi truyn thng gio dc sc khe trong ngnh y t v xy dng ti liu hng dn k nng truyn thng trc tip. k) V T chc cn b - Chu trch nhim hng dn cc a phng kin ton mng li lm cng tc dinh dng, hon thin v b sung chnh sch nhm tng cng cng tc o to v tuyn dng cn b lm cng tc dinh dng ti cc tuyn  cng ng v c s iu tr. - Ch tr vic xy dng cc vn bn v t chc, nhn s, tiu chun cn b thuc ngch dinh dng. - Hng dn thc hin cc vn bn lin quan. l) V Hp tc quc t - u mi thu ht, vn ng, iu phi cc ngun lc quc t nhm h tr v ti chnh, chuyn gia, o to, tp hun, chia s kinh nghim v k thut, trin khai hot ng dinh dng. - Theo di nh gi cc hot ng hp tc quc t lin quan n dinh dng. m) V Php ch - u mi xy dng vn bn, ngh nh, chnh sch lin quan n dinh dng. - Phi hp xy dng v hon thin cc chnh sch, vn bn quy phm php lut lin quan. n) V Truyn thng v Thi ua, khen thng - Ch tr, phi hp vi Cc Y t d phng, Vin Dinh dng v cc n v lin quan t chc cung cp thng tin v dinh dng cho cc c quan bo ch. - Phi hp vi Vin Dinh dng v cc n v lin quan gim st, nh gi qu trnh trin khai k hoch v  xut khen thng cc tp th, c nhn t chc thc hin k hoch c hiu qu. - Chu trch nhim phi hp vi cc on th, hi ngh nghip, cc phng tin thng tin i chng vi trong cng tc tuyn truyn, vn ng n Lnh o ng, chnh quyn cc cp tng cng ng h v chnh sch v ngun lc cho cng tc dinh dng. ng thi tng cng cng tc thng tin - gio dc - truyn thng nhm nng cao nhn thc v thay i hnh vi ca ngi dn v dinh dng hp l. o) V K hoch - Ti chnh: u mi xy dng k hoch kinh ph, tm ngun kinh ph trong v ngoi nc, trnh cc cp c thm quyn ph duyt k hoch kinh ph cho cc hot ng ca k hoch quc gia v dinh dng. p) Bnh vin Ni tit Trung ng xy dng k hoch hng nm v t chc trin khai cc hot ng phng chng ri lon do thiu It trong c nc. q) Cc bnh vin chuyn ngnh Trung ng - T chc trin khai cc hot ng lin quan dinh dng. - Ch o, hng dn trin khai hot ng dinh dng ti cc a phng trn c s phi hp hiu qu gia cc c s khm cha bnh v c s y t d phng v tng cng hiu qu hot ng y t c s. r) Cc Vin V sinh dch t/Pasteur, Vin Y t cng cng thnh ph H Ch Minh - T chc thc hin cc chng trnh, k hoch v hot ng dinh dng theo phn cng - Ch o tuyn, o to tp hun nng cao nng lc cho tuyn di v t chc trin khai cc hot ng dinh dng ti cng ng ti cc tnh trong khu vc. - Tham gia iu tra, nghin cu khoa hc v hp tc quc t v l)nh vc dinh dng - Cung cp cc dch v v pht hin sm, qun l, t vn cc bnh lin quan dinh dng. - u mi khu vc v tng hp, qun l thng tin v iu phi gim st ca cc tnh trong khu vc; thc hin thng k bo co, thu thp s liu qua knh thng quy, iu tra, nghin cu lin quan. s) Cc c s o to - T chc thc hin cc chng trnh ging dy v hot ng dinh dng theo phn cng. - u mi trin khai cc hot ng o to c nhn dinh dng tit ch trong bnh vin. 1.2.  ngh cc B, ngnh, t chc lin quan: a) B K hoch v u t: - Phi hp vi B Ti chnh v B Y t cn c kh nng cn i ngn sch trong k hoch trung hn v k hoch hng nm  b tr kinh ph u t thc hin K hoch. - Vn ng, huy ng cc ngun ti tr trong v ngoi nc cho cc hot ng dinh dng. b) B Ti chnh: - Ch tr, phi hp vi B K hoch v u t, cn c kh nng ngn sch nh nc v theo k hoch ngn sch c Quc hi phn b hng nm  b tr ngn sch thc hin cc chng trnh,  n, d n v dinh dng sau khi c ph duyt; hng dn, kim tra, gim st vic s dng kinh ph theo ng Lut Ngn sch v cc quy nh hin hnh. - Phi hp vi B Y t, cc b, ngnh lin quan xy dng c ch chnh sch ti chnh thc y x hi ha, huy ng cc ngun vn ngoi ngn sch nh nc, khuyn khch cc t chc, c nhn u t vo l)nh vc dinh dng. c) B Nng nghip v Pht trin nng thn: - Ch o y mnh thc hin cc hot ng dinh dng trong chng trnh  Khng cn nn i v hng dn cc a phng pht trin sn xut nhm bo m an ninh lng thc trong mi tnh hung; - Lng ghp hot ng ng ph dinh dng trong K hoch quc gia chun b, sn sng ng ph vi thin tai. Phi hp vi B Y t thc hin cc hot ng dinh dng nhm gim t l suy dinh dng v thiu vi cht dinh dng  tr em v ph n tui sinh , c bit  vng su vng xa, vng kh khn v vng b nh hng bin i kh hu. - Ch o trin khai thc hin c hiu qu Chng trnh mc tiu quc gia xy dng nng thn mi, trong  c ni dung v cc can thip dinh dng gim thp ci, nc sch v v sinh mi trng nng thn. d) B Gio dc v o to: - Phi hp vi B Y t trin khai cc chng trnh o to, pht trin ngun nhn lc trong l)nh vc dinh dng. - Lng ghp cc chng trnh gio dc thay i hnh vi v dinh dng hp l v vn ng th lc ph hp vi tr em, hc sinh trong trng hc v mc ch pht trin tr th ton din; - Phi hp cht ch gia nh trng v gia nh  gio dc, hng dn v dinh dng v vn ng th lc ph hp cho tr em, hc sinh, c bit l cho nhm tui tin dy th v dy th; - T chc ba n hc ng bo m dinh dng hp l, trin khai chng trnh sa hc ng, tng cng vn ng th lc cho tr em, hc sinh; khng qung co v kinh doanh  ung c cn, nc ngt c ga v cc thc phm khng c li cho sc khe trong trng hc; - Phi hp vi ngnh y t  theo di, gim st tnh trng dinh dng, cc can thip dinh dng v chm sc sc khe cho tr em, hc sinh trong trng hc ) B Lao ng, Thng binh v X hi: - Ch tr ch o tng cng thc hin cc chnh sch cho i tng bo tr x hi theo quy nh ca php lut, ch trng tr em c hon cnh c bit, tr em thuc h ngho, tr em dn tc thiu s, tr em ang sinh sng ti cc x bin gii, min ni, hi o v cc x c iu kin kinh t - x hi c bit kh khn; - Ch tr, phi hp vi cc c quan lin quan y mnh tuyn truyn v quan tm ch o vic thc hin ch  dinh dng hp l cho ngi lao ng, c bit l lao ng n, lao ng ti cc khu cng nghip. - y mnh xy dng v t chc thc hin cc quy nh nhm bo m thc hin quyn tr em, h tr chm sc v pht trin ton din cho tr em lin quan n dinh dng. e) B Cng Thng: - Ch tr, phi hp vi cc b, ngnh lin quan  xy dng, ban hnh theo thm quyn cc chnh sch, vn bn quy phm php lut v an ton thc phm v tng cng vi cht dinh dng vo thc phm; quy nh v kim sot  ung ngt c ga, thc phm ch bin sn v ghi nhn dinh dng thc phm; chnh sch, quy nh lin quan n nhp khu cc sn phm dinh dng cho tr em v ngi ln mc cc bnh him. - Phi hp vi cc b, ngnh lin quan  xy dng, ban hnh theo thm quyn chnh sch khuyn khch cc doanh nghip u t sn xut v cung ng cc sn phm dinh dng c th h tr cho vng ngho, vng kh khn, vng ng bo dn tc thiu s; chnh sch  thc y x hi ha trong sn xut, cung ng cc sn phm dinh dng. - Tng cng qun l v sn xut, kinh doanh cc sn phm khng c li cho sc khe thuc l)nh vc qun l. g) B Thng tin v Truyn thng: - Ch tr, phi hp vi B Y t v cc b, ngnh lin quan t chc cc hot ng thng tin, truyn thng v dinh dng. - Phi hp vi B Y t v cc b, ngnh lin quan trong vic qun l qung co cc sn phm thc phm. h) B Vn ha, Th thao v Du lch: - Ch tr, phi hp vi B Y t v cc b, ngnh lin quan ch o t chc thc hin  n tng th pht trin th lc, tm vc ngi Vit Nam giai on 2011 - 2030 theo Quyt nh s 641/Q-TTg ngy 28 thng 4 nm 2011 ca Th tng Chnh ph. - Ch o lng ghp hot ng vn ng th lc v m bo dinh dng hp l vi phong tro qun chng v hot ng th thao, vn ha ti cng ng; tng cng tuyn truyn v li ch ca hot ng th dc th thao qun chng i vi sc khe, hn ch qung co cc sn phm dinh dng khng c li cho sc khe theo quy nh. g) Cc t chc chnh tr - x hi, hip hi: - y ban Trung ng Mt trn T quc Vit Nam, y ban Dn tc, Tng Lin on Lao ng Vit Nam, Hi Nng dn Vit Nam, on Thanh nin Cng sn H Ch Minh, Hi Ngi cao tui, cc Hi ngh nghip v cc t chc x hi khc: Cn c vo nh hng chuyn mn, ni dung tuyn truyn ca B Y t  t chc ph bin cc kin thc v dinh dng hp l, to ngun thc phm ti ch, ci thin ba n gia nh cho cc thnh vin, hi vin; phi hp cht ch vi ngnh y t v cc c quan c lin quan trong vic thc hin x hi ha cng tc dinh dng v thc hin cc mc tiu, nhim v ca K hoch. - Trung ng Hi Lin hip Ph n Vit Nam: Phi hp cht ch vi ngnh y t v y ban nhn dn cc cp  tuyn truyn, ph bin kin thc v dinh dng hp l cho cc hi vin, cc b m; Vn ng hi vin v cng ng tch cc tham gia cc hot ng chm sc dinh dng, c bit l chm sc dinh dng 1.000 ngy u i v ba n gia nh bo m dinh dng hp l. h) Cc b, c quan ngang b, c quan thuc Chnh ph: T chc thc hin K hoch trong phm vi chc nng, nhim v c giao. 2. Cc tnh, thnh ph a) y ban nhn dn cc tnh, thnh ph trc thuc trung ng: - Ch o xy dng v t chc thc hin k hoch v cc chng trnh ti a phng, b tr  ngn sch, nhn lc, c s vt cht  trin khai thc hin K hoch ti a phng nhm gii quyt cc vn  suy dinh dng tr em, dinh dng trong 1.000 ngy u i, dinh dng trong phng chng bnh khng ly nhim v dinh dng i vi cc nhm c nguy c cao; -  xut vi Hi ng nhn dn a cc ch tiu v dinh dng vo ch tiu pht trin kinh t, x hi ca a phng; - Ch o tng cng tp hun nng cao nng lc cho cn b y t v cn b thc hin cng tc dinh dng ti c s; - Tng cng x hi ha huy ng ngun lc v phi hp lin ngnh nhm thng tin, tuyn truyn, vn ng ngi dn thc hin ch  dinh dng hp l v thc hin cc mc tiu v dinh dng  a phng. - Kim tra gim st, bo co tin  v kt qu vic thc hin K hoch. b) S Y t cc tinh/thnh ph - Cn c vo thc trng tnh hnh dinh dng v iu kin thc t ca a phng cing nh cc nh hng ca Chin lc Quc gia v dinh dng giai on 2011- 2020 v tm nhn n nm 2030, xy dng k hoch hnh ng dinh dng n nm 2020 trnh y ban nhn dn tnh, thnh ph trc thuc trung ng ph duyt. - Ch o cc n v y t trong tnh trin khai cc hot ng v dinh dng trong l)nh vc c phn cng. - Huy ng mi ngun lc, t chc trin khai thc hin k hoch hnh ng ti a phng, nh k bo co tin  thc hin v y ban nhn dn tnh/thnh ph v B Y t. - Theo di, gim st, bo co tin  thc hin chin lc quc gia dinh dng ca tnh. 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