Implementation Plan of Dalian National Nutrition Plan (2018-2030) (三)

3. Carry out major actions

(1) Nutrition and health actions in the early 1000 days of life. 

Carry out nutritional evaluation and dietary guidance before and during pregnancy. It should promote maternal and child health care institutions at or above the county level to provide nutritional guidance to pregnant women, and to include nutritional evaluation and dietary guidance in pre-pregnancy and pregnancy examinations. By carrying out nutritional screening and intervention for pregnant and lying-in women, the birth rate of low birth weight infants and huge infants will be reduced. Responsible unit: Municipal Health and Family Planning Commission)

Implement nutrition intervention plan for women and children. It will continue to promote the folic acid supplementation project for rural women to prevent neural tube abnormalities, actively guide pregnant women to strengthen the supplementation of various micronutrients including folic acid and iron, reduce the anemia rate of pregnant women, and prevent nutritional deficiencies in children. On the basis of reasonable diet, efforts will be made to promote the nutrition package intervention project for pregnant women. (Responsible unit: Municipal Health and Family Planning Commission)

Raise breast feeding rate and cultivate scientific feeding behavior. It will further improve the breastfeeding protection system, improve the breastfeeding environment, and establish mother-infant rooms in public places, organs, enterprises and institutions. It is crucial to study and formulate scientific feeding strategies for infants and young children, and to promote and guide rational supplementary feeding. It should strengthen the monitoring and early warning of infant diarrhea and malnutrition cases, and study and formulate and implement prevention and control strategies for infant food-borne diseases (diarrhea, etc.). (Responsible units: Municipal Health and Family Planning Commission, Municipal Federation of Trade Unions, Municipal Women's Federation)

Improve the quality and safety level of infant food and promote the healthy development of the industry. Through strengthening the monitoring of nutritional components and key pollutants of infant formula foods and auxiliary foods, increasing the intensity of sampling and inspection of infant foods, and continuously carrying out supervision and inspection of infant food production enterprises, the quality of infant formula foods and auxiliary foods will be continuously improved, the quality and safety of infant foods will be ensured, and market access will be well closed. (Responsible unit: Municipal Food and Drug Administration, Municipal Health and Family Planning Commission)

(2) Student nutrition improvement action. 

Guide students to eat nutritious meals and promote the construction of a nutritious campus. According to local conditions, a recipe guide to meet the nutritional needs of students of different ages in schools will be formulated. The nutrition operation standard for collective food supply units will be formulated and implemented. the nutrition management of student canteens and catering in primary and secondary schools will be standardized. intensive catering enterprises will be encouraged to provide nutritional catering services. It is necessary to organize and implement comprehensive interventions in primary and secondary schools, including nutrition and health education, physical activities, food supply management and the creation of a nutritious campus environment, so as to train primary and secondary school students to develop a healthy lifestyle from an early age and prevent and control various forms of malnutrition among children. (Leading unit: Municipal Education Bureau; cooperation unit: Municipal Food and Drug Administration, Municipal Health and Family Planning Commission)

Strengthen nutrition and health education for students and intervention on overweight and obesity. And it is necessary to promote primary and secondary schools to strengthen nutrition and health education, improve students' awareness of nutrition and health knowledge, and strengthen students' physical exercise. It will further promote the implementation of the " sports art 2 + 1 project" and promote the integration and development of basketball, volleyball, track and field, martial arts and other sports on campus through the popularization of campus football, and fully implement the one-hour " sunshine sports activities" every day to ensure that students take part in no less than 25 minutes of major recess activities each time and reach a moderate intensity of more than 3 times a week. Efforts were made to carry out monitoring and evaluation of students' overweight and obesity, analyze family, school, society and other influencing factors, put forward targeted comprehensive intervention measures, and carry out weight management and intervention strategies aimed at students' " sports + nutrition". It is necessary to strengthen the management of food sales in and around schools. (Leading unit: Municipal Education Bureau; Cooperating units: Municipal Sports Bureau, Municipal Food and Drug Administration, Municipal Health and Family Planning Commission)

(3) Nutritional improvement actions for the elderly.

Carry out the monitoring and evaluation of the nutritional status of the elderly population. According to the national and provincial arrangements, relying on grassroots medical and health institutions, the nutrition status monitoring, screening and evaluation of the elderly population will be carried out on a pilot basis and a regional demonstration will be formed, gradually covering over 80 % of the elderly population in the city, and the nutritional and health status of the elderly population in the city will be basically mastered. (Responsible unit: Municipal Health and Family Planning Commission)

Through the establishment of nutrition improvement mechanisms to meet the needs of different groups of the elderly, it will promote " healthy aging" and rely on grassroots medical and health institutions to provide healthy lifestyle guidance for the elderly population living at home. It should guide the nutrition catering of hospitals, community canteens, medical and nursing organizations, and pension organizations. Special nutritional intervention will be carried out for the low-weight elderly. (Leading unit: Municipal Health and Family Planning Commission; cooperating units: Civil Affairs Bureau, Municipal Development and Reform Commission, Municipal Food and Drug Administration, Municipal Agriculture Commission)

Establish a nutrition health management and care system for the elderly. It is necessary to gradually incorporate the nutritional health status of the elderly population into the resident health record, and incorporate the nutrition work content in the family health service. Efforts will be made to promote a multi-sectoral collaboration mechanism to achieve an effective interface between nutrition work and medical care. (Leading unit: Municipal Health and Family Planning Commission; Coordinating unit: Civil Affairs Bureau)

(4) Clinical nutrition actions.

Establish and perfect the clinical nutrition work system. Through the pilot drive, promote clinical nutrition work in an all-round way. It should strengthen the construction of clinical nutrition departments so that the ratio of clinical nutritionists to beds reaches 1: 150, increase multidisciplinary diagnosis and treatment modes, form nutrition support teams, carry out nutrition treatment, and gradually expand the scope of the pilot. Level 3 public medical institutions should set up a nutrition department with at least 2 nutritionists. Level 2 public medical institutions should have at least one nutritionist and gradually expand the scope of the pilot. (Responsible unit: Municipal Health and Family Planning Commission)

Carry out nutritional screening, evaluation, diagnosis and treatment of hospitalized patients. The nutritional screening of hospitalized patients should be carried out step by step to understand the nutritional status of patients. It is also necessary to establish a standardized clinical nutrition treatment path based on nutrition screening - evaluation - diagnosis - treatment, to carry out nutrition treatment on hospitalized patients with malnutrition according to the principle of nutrition ladder treatment, and to evaluate its effect on a regular basis. (Responsible unit: Municipal Health and Family Planning Commission)

Promote nutrition prevention and control of nutrition-related chronic diseases. It should carry out classified guidance and treatment for nutritional evaluation of hospitalized patients with nutrition-related chronic diseases, and establish a long-term nutrition management model for patients with nutrition-related chronic diseases from hospitals, communities to families, and carry out nutrition grading treatment. It is also necessary to strengthen the training of medical personnel in the standardized application of formula foods and therapeutic meals for special medical purposes. (Responsible unit: Municipal Health and Family Planning Commission)

(5) Nutrition interventions in poverty-stricken areas.

It should support nutrition monitoring in poverty-stricken areas, and carry out pilot monitoring of nutritional health status, food consumption patterns, major nutritional components in food and pollutants of various types of people. According to local conditions, it will formulate a dietary nutrition guidance plan and carry out regional accurate classification guidance and publicity and education. Efforts should be made to study the feasibility of agricultural cultivation and breeding and adjustment of residents' dietary structure, to propose solutions and specific measures, and to pilot projects in areas where conditions permit. (Leading unit: Municipal Health and Family Planning Commission; Coordinating unit: Municipal Agriculture Commission)

Implement nutrition intervention for key population groups in poor areas, incorporate nutrition intervention into health poverty alleviation work, and carry out nutrition and dietary guidance according to local conditions. It will continue to implement the nutrition improvement plan for compulsory education students in rural areas and the nutrition improvement project for children in poor areas, gradually covering low-income villages in the city. Schools in poor areas should be encouraged to carry out reasonable catering and improve students' dining conditions in schools. Monitoring and evaluation of nutritional health status and food safety risks of students in poor areas should be carried out continuously. It is also necessary to carry out monitoring of nutrition intervention products and regularly assess the improvement results. (Leading unit: Municipal Health and Family Planning Commission; Coordinating unit: Municipal Agriculture Commission)

It should strengthen monitoring and prevention of food-borne diseases in poor areas, reduce nutritional deficiencies caused by food-borne diseases, strengthen the construction of monitoring networks and reporting systems for food-borne diseases in poor areas, understand major food-borne diseases in poor areas, epidemic trends, and their impact on the nutritional and health status of local residents, focus on strengthening diarrhea monitoring and tracing investigations, and grasp the sources of food pollution and ways of transmission. Prevention and control strategies should be formulated and nutrition and health integration knowledge publicity and education should be carried out according to the key points of food-borne diseases. (Responsible unit: Municipal Health and Family Planning Commission)

(6) Diet and exercise balance action.

Promote a healthy lifestyle. It should actively promote the national healthy lifestyle action, and carry out a special campaign focusing on “three reductions and three health” (salt reduction, oil reduction, sugar reduction, healthy oral, healthy weight, healthy bones). Efforts will be made to promote the application of the " dietary guidelines for Chinese residents" to guide daily diets, control salt intake, gradually quantify salt oil consumption, and reduce hidden salt intake at the same time. It should advocate the basic principle of a balanced diet, adhere to a diversified and cereal-based dietary pattern, and promote the formation and consolidation of healthy eating habits of the people. It is also necessary to publicize scientific sports concepts, cultivate exercise and fitness habits, strengthen personal weight management, and carry out food and exercise interventions for overweight and obese adults. (Responsible unit: Municipal Health and Family Planning Commission, Municipal Education Bureau, Municipal Sports Bureau)

Improve the nutritional support ability and effect of the sports population. It is necessary to establish a sports population nutrition network information service platform, build a sports nutrition prescription library, intensify nutrition intervention, strengthen relevant testing and evaluation work, promote nutrition guidance for sports population, and reduce the risk of sports injuries. (Leading unit: Municipal Sports Bureau; Coordinating unit: Municipal Economic and Information Commission, Municipal Health and Family Planning Commission)

According to the national arrangements, the nutritional status and exercise behaviors of people with diabetes, obesity, bone diseases and other nutrition-related chronic diseases should be investigated, and a nutrition and exercise health management mode focusing on prevention and combining prevention and control should be established. It should study and establish the path of exercise intervention for nutrition-related chronic diseases, construct the model of body-medicine integration, and play an active role in the prevention and rehabilitation of nutrition-related chronic diseases. (Responsible unit: Municipal Sports Bureau, Municipal Health and Family Planning Commission)

(7) Reasonable dietary promotion. 

Carry out reasonable dietary publicity activities to improve residents' nutritional quality. The pilot will carry out community environmental construction of reasonable diet and healthy lifestyle, assess and guide residents' dietary consumption behavior, screen typical population, carry out dietary assessment and follow-up guidance, improve residents' nutritional quality and improve nutritional and health status. (Responsible unit: Municipal Health and Family Planning Commission)

4. Strengthen organization and implementation

(1) Strengthen organizational leadership. All regions should combine local conditions, strengthen organizational guarantee, coordinate overall planning, formulate implementation plans, refine work measures, and incorporate the implementation of the national nutrition plan into the government's target assessment. Health and family planning departments at all levels should work together with relevant departments to clarify the division of responsibilities and strengthen supervision and evaluation. 

(2) Effectively guarantee the funds. All regions should increase investment in the work of the national nutrition plan, fully rely on various funding channels, guide the broad participation of social forces, and strengthen financial supervision. 

(3) Extensive publicity and mobilization. All regions should organize professional institutions, industry associations, associations, and news media to carry out multi-channel and multi-form theme publicity activities, enhance the awareness of the whole society on the national nutrition plan, and strive for support from all sides to promote participation by all.