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Ministry of Justice

Republic of Tajikistan 

 On January 8, 2015 No. 21

ORDER OF THE GOVERNMENT OF THE REPUBLIC OF TAJIKISTAN

of December 31, 2014 No. 808

About approval of Strategy of food and physical activity in the Republic of Tajikistan for 2015-2024

According to articles 17 of the Constitutional law of the Republic of Tajikistan "About the Government of the Republic of Tajikistan" and for the purpose of ensuring health of the population by means of improvement of food and their physical development, the Government of the Republic of Tajikistan decides:

1. Approve the Strategy of food and physical activity and the Republic of Tajikistan for 2015-2024 and the Plan of strategy implementation of food and physical activity in the Republic of Tajikistan for 2015-2024 (appendices 1 and 2).

2. To the Ministry of Health and Social Protection of the Republic of Tajikistan together with other relevant ministries and departments within annually provided means of the Government budget and at the expense of other sources which are not prohibited by the legislation of the Republic of Tajikistan to take necessary measures for strategy implementation of food and physical activity in the Republic of Tajikistan for 2015-2024.

3. To the Ministry of Health and Social Protection of the Republic of Tajikistan annually till December 15 to submit the report in the Government of the Republic of Tajikistan on results of realization of this Strategy.

Prime Minister of the Republic of Tajikistan

Emomalii Rahmon

Appendix 1

Approved by the Order of the Government of the Republic of Tajikistan of December 31, 2014 No. 808

The strategy of food and physical activity in the Republic of Tajikistan for 2015-2024

1. Introduction

1. Insufficient food (both shortcoming, and excess weight) is one of the most serious global problems of health, at the same time to them not enough attention is paid. And the economic damage, damage to health and loss of lives of people are huge and most often mention poor families, women and children. Insufficient food in combination with the repeating infectious diseases annually become the reason about 3,5 of million death of mothers and children. Besides, it involves huge economic and human losses for growth of the nation.

2. The most widespread types of deficit of microelements are: anemia - mainly, gland connected with deficit - increases risk of the birth of babies with low body weight, undermines physical development and is the reason of 19% of fatal cases in case of childbirth. Iodine scarce diseases (further "YDZ") - the most widespread in the world and easily preventable diseases causing injury of brain in children. Deficit of vitamin A - reduces protective reactions of organism against infections, around the world 190 million children of preschool age suffer from it. The deficit of zinc weakening immune system and connected with death of 430 000 children in year (electronic library of the World Health Organization (further WHO) according to proofs for actions in the field of food).

3. Besides, developing countries face the new burden connected with growth of number of noninfectious diseases (further "BOTTOM"), one of the main reasons of which is unhealthy and unbalanced food. It also is the leading cause of death around the world - more, than all other reasons, combined.

4. The excessive body weight and obesity are also important risk factors for health in the countries with the low and average level of the income. Now in the European region of WHO from 30 to 60% of adults and 20% of children have excessive body weight and have obesity. Prevalence of obesity will grow and further, and most rapid growth is observed among poor and unsuccessful segments of the population. The excessive body weight and obesity impose considerable burden both on human health, and on health care system.

5. Healthy food begins with breastfeeding (further "GV") and the corresponding timely introduction of nutritious feeding up. GV is universal by acknowledged ideal method of feeding at early age and though its mechanisms still are completely not explained, it associates with decrease in risk of obesity, insufficient food and infection with infectious diseases at children's age.

6. Providing with safe and nutritious foodstuff is the most important premises of good health. The mutual World declaration of FAO/WHO in the field of food of 1992 says that ".... access to adequate in the food relation and to safe foodstuff is one of fundamental human rights".

7. Violation of the status of food promotes increase in maternal death rate. Inadequate food of mothers and children leads around the world to death of 3,5 of million people a year and is the reason of 35% of all burden of diseases at children 5 years are younger. Violation of food of children and adults can lead to negative effects for their health and education, and also for the human capacity and development of the country.

2. Basic concepts (glossary)

8. In this Strategy the following basic concepts are used:

- biological value - the indicator of quality of food protein reflecting degree of compliance of its amino-acid structure to the needs of organism for amino acids for protein synthesis;

- health determinants - complex of the individual, social, economic and ecological factors determining the state of health of certain people and continents, or national groups;

- health care is system of the public and governmental social and economic and medical activities providing the high level of protection and improvement of health of the population;

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