从公共卫生营养的角度看埃及可持续发展目标的进展情况

N. A. Abd El-Fatah, Amany Aboelseoud
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引用次数: 0

摘要

可持续发展目标包括若干以营养为重点的目标。营养对第二和第三个可持续发展目标(即实现零饥饿和良好的健康和福祉)有直接影响,对第一、第五、第六、第八和第十七个可持续发展目标也有间接影响。实现可持续发展目标是到2025年实现全球营养具体目标的先决条件。尽管情况有所改善,但埃及仍未达到大多数营养目标。从公共卫生营养的角度来看,在实现与营养政策、规划或干预水平相关的可持续发展目标方面存在一些差距。政治承诺、多部门合作、充足融资、扩大现有干预措施、实施新政策以及将最佳做法纳入国家政策,对于加快营养进展至关重要。投资于所需数据及其使用能力、卫生系统能力建设、服务提供者培训、告知受益人、项目监测和评估,以及建立营养监测系统以充分为政策制定提供信息,对于实现这一目标至关重要。为了以综合方式提供营养干预措施,多系统方法应侧重于粮食、卫生、水和环境卫生系统以及教育和社会保护系统。粮食系统必须支持低成本和营养多样化的饮食、健康的食品环境和积极的做法。此外,立法、标签、税收和营销法规也很重要。在提供证据方面,科学和学术界在加速实现可持续发展目标的具体目标方面发挥着至关重要的作用。本文回顾了埃及的营养问题,并得出结论,除非营养不良得到有效解决(特别是学龄前和学龄儿童的贫血、纯母乳喂养以及青少年和成人的超重和肥胖),否则埃及的长期可持续发展是无法实现的。
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Progress in Egypt’s Sustainable Development Goals from a Public Health Nutrition Perspective
The Sustainable Development Goals (SDGs) include several nutrition-focused goals. Nutrition has direct effects on the second and third SDGs, namely achieving zero hunger and good health and well-being, as well as indirect effects on the first, fifth, sixth, eighth, and seventeenth. Achievement of SDG goals is a prerequisite for meeting the global nutrition targets by 2025. Despite some improvement, Egypt is falling short of meeting the majority of the nutrition targets. From a public health nutrition perspective, there are several gaps in progress toward the SDGs related to nutrition policies, programs, or intervention levels. Political commitment, multisectoral cooperation, adequate financing, scaling up existing interventions, delivering new policies, and incorporating best practices into national policies are crucial for accelerating nutrition progress. Investing in data needed and the capacity to use it, health system capacity building, service providers training, informing beneficiaries, program monitoring and evaluation, and establishing a nutrition surveillance system to adequately inform policy formation are crucial to achieving the target. In order to provide nutrition interventions in an integrated manner, a multi-systems approach should focus on the food, health, water, and sanitation systems, as well as the education and social protection systems. The food system must support low-cost and nutritionally diverse diets, healthy food environments, and positive practices. In addition, legislation, labeling, taxes, and marketing regulations are significant. In generating evidence, science and academia play a crucial role in accelerating the progress of SDG targets. This article reviews the nutritional problem in Egypt and concludes that long-term sustainable development in Egypt cannot be achieved unless malnutrition is effectively addressed (especially in anemia among preschool and school children, exclusive breastfeeding, and overweight and obesity in adolescents and adults).
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