Nutrition Landscape Information System (NLiS)


Bulgaria

NLiS Country Profile: Bulgaria

Child Malnutrition

Child (<5 y) Anthropometry
Indicator Year Value
Low birth weight (<2500 g) (%) 2015 9.6
Overweight (BMI-for-age >+1 SD) in school-age children and adolescents 5-19 years (%) 2016 28.5

Malnutrition in Women

Female malnutrition based on BMI

Vitamin and Mineral Deficiencies

Indicator Year Value
Anaemia children <5 y (Hb <110 g/L) (%) 2016 26.9
Anaemia in non-pregnant women (Hb <120 g/L) (%) 2016 26.4
Anaemia in pregnant women (Hb <110 g/L) (%) 2016 28.0
Anaemia in women of reproductive age (%) 2016 26.4
Clinical vitamin A deficiency in women (history of night blindness during most recent pregnancy) (%)   no data
Median urinary iodine concentration in children 6-12 years (μg/L) 2003 198.0
Subclinical vitamin A deficiency in preschool-age children (serum/plasma retinol <0.70 μmol/L) (%)   no data

Health Services

Indicator Year Value
Births attended by skilled health personnel (%) 2014 99.7
Population using improved drinking-water sources (%) 2015 99.4
Population using improved sanitation facility (%) 2015 86.0
Children aged 1 year immunized against measles (%) 2016 92.0
Any antenatal iron supplementation (%)   no data
Children <5 years with diarrhoea receiving ORT (%)   no data
Children with diarrhoea receiving zinc (%)   no data
Children aged 6-59 months receiving vitamin A supplements (dose 1) (%)   no data
Children aged 6-59 months receiving vitamin A supplements (dose 2) (%)   no data
Births in baby-friendly facilities (%) 2016 0.0
Mothers of children 0-23 months receiving counselling, support or messages on optimal breastfeeding at least once in the last year (%)   no data

Food Security

Indicator Year Value
Households consuming adequately iodized salt (15 parts per million or more) (%) 2012 91.9
Population below the international poverty line (%) 2014 1.5

Caring Practices

Indicator Year Value
Early initiation of breastfeeding within 1 hour of birth (%)   no data
Introduction to solid, semi-solid or soft foods in infants 6-8 months (%)   no data
Minimum acceptable diet (MAD) in children 6-23 months (%)   no data
Children with diarrhoea <5 y receiving oral rehydration therapy (ORT) and continued feeding (%)   no data
No breastfeeding data available for this country

Commitment

Indicator Year Value
General government expenditure on health as % of total government expenditure 2014 11.0
Total expenditure on health as % of gross domestic product 2014 8.4
Per capita total expenditure on health (US$) 2014 1398.9
Nutrition component of the United Nations Development Assistance Framework (UNDAF)   no data
Nutrition component of Poverty Reduction Strategy Paper (PRSP)   no data
Nutrition Governance score   no data
Maternity leave 2013 32 weeks
International Code on Marketing of Breast-milk Substitutes: Legal status of the Code 2018 Few provisions in law

Capacity

Indicator Year Value
Degree training in nutrition exists 2016-2017 Yes
Nutrition is part of medical curricula 2016-2017 Yes
Nutrition professionals density (per 100,000 population)   no data
Nursing and midwifery personnel density per 1,000 population 2014 4.9
GDP per capita (PPP US$) 2018 21,960
GDP per capita annual growth rate (%)   no data
Official development assistance (ODA) received (net disbursements) (% of GNI)   no data
Low-Income Food-Deficit Country (LIFDC) 2018 No

Meta-indicators

Indicator Year Value
Averaged aggregate governance indicators 2018 0.2
Gender Inequality Index (GII) 2017 0.217
Gender Parity Index in primary level enrolment (ratio of girls to boys) 2016 1
Human development index (HDI) value 2017 0.8
Seats held by women in national parliament (%) 2019 25.8

Female Education Levels

Female education levels: no data available for this country

Education

Education

Under 5 Mortality

Policies & Actions in the Global database on the Implementation of Nutrition Action (GINA)

Policy title Start Year
National Health Strategy 2020/ НАЦИОНАЛНА ЗДРАВНА СТРАТЕГИЯ 2020 2015
НАРЕДБА № 9 ЗА СПЕЦИФИЧНИТЕ ИЗИСКВАНИЯ КЪМ БЕЗОПАСНОСТТА И КАЧЕСТВОТО НА ХРАНИТЕ, ПРЕДЛАГАНИ В ДЕТСКИТЕ ЗАВЕДЕНИЯ/ Ordinance on food safety and quality in child care and education facilities 2015
НАЦИОНАЛНА ПРОГРАМА ЗА ПРЕВЕНЦИЯ НА ХРОНИЧНИТЕ НЕЗАРАЗНИ БОЛЕСТИ 2014
National Strategy for European Development of Bulgarian Public Health Care System 2010
Strategy for prevention and control of cancer in Bulgaria 2010
Labour Code, of 1 April 1986, as amended up to 2 January 2009 [English version available as of 2004] 2009
Social Insurance Code, of 12 February 1999, as amended 1 January 2009 (latest version only available in Bulgarian) 2009
National Program for Prevention of Oral Diseases in Children Aged 0-18 years in Bulgaria. 2009
National Program for Environmental Health 2008
National health strategy 2008
National Strategy for children 2008
National program for mitigation of osteoporosis in Bulgaria 2006
Food and Nutrition Action Plan 2005-2010 2005
Progamme title and actions Start Year
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q20) Salt reduction - Media promotion of healthy nutrition 2012
GNPR 2016-2017: School health and nutrition (q11) National ordinance for healthy nutrition at school - School feeding programmes 2009
GNPR 2016-2017: School health and nutrition (q11) National ordinance for healthy nutrition at school - School fruit and vegetable scheme 2009
GNPR 2016-2017: School health and nutrition (q11) National ordinance for healthy nutrition at school - School milk scheme 2009
GNPR 2016-2017: School health and nutrition (q11) National ordinance for healthy nutrition at school - Standards or rules for foods and beverages available in schools 2009
GNPR 2016-2017: School health and nutrition (q11) National ordinance for healthy nutrition at school - Vending machines not allowed in schools 2009
GNPR 2016-2017: Infant and young child nutrition (q8) - Baby-friendly Hospital Initiative (BFHI) 2005
GNPR 2016-2017: Infant and young child nutrition (q6) - Growth monitoring and promotion 1950
GNPR 2009-2010: Obesity and diet-related NCDs - Food-based dietary guidelines  
GNPR 2009-2010: Obesity and diet-related NCDs - Implementation of legislation on marketing of unhealthy foods and beverages to children  
GNPR 2009-2010: Obesity and diet-related NCDs - Labelling of food products  
GNPR 2009-2010: Obesity and diet-related NCDs - Media promotion of healthy nutrition  
GNPR 2009-2010: Obesity and diet-related NCDs - Nutrient-based dietary guidelines  
GNPR 2009-2010: Obesity and diet-related NCDs - Nutrition education and counselling  
GNPR 2009-2010: Obesity and diet-related NCDs - Promotion of fruit and vegetable intake  
GNPR 2009-2010: Obesity and diet-related NCDs - Removal/reduction of trans fatty acids  
GNPR 2009-2010: Obesity and diet-related NCDs - Salt reduction  
GNPR 2009-2010: Obesity and diet-related NCDs - Taxation and price policies  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q15) - Reformulation of foods and/or beverages to reduce salt/sodium content  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q15) - Reformulation of foods and/or beverages to reduce saturated fatty acid content  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q15) - Reformulation of foods and/or beverages to reduce sugar content  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q16) - Ban or virtual elimination of industrial trans fatty acids  
GNPR 2016-2017: Infant and young child nutrition (q10) - Complementary feeding promotion and/or counselling  
GNPR 2016-2017: Infant and young child nutrition (q7) - Breastfeeding promotion and/or counselling  
GNPR 2016-2017: Infant and young child nutrition (q9a) - Feeding of LBW infants  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12a) Food Based Dietary Guidelines for Bulgarian Population - Food-based dietary guidelines  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12b) Ordinance for dietary recommended values - Nutrient-based dietary guidelines  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q13) - Nutrient declaration  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q13) - Nutrition and health claims  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q13) - Front-of-pack labelling system  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q18) - Implementation of legislation on marketing of unhealthy foods and beverages to children  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q19) - Nutrition education and counselling  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q21) - Nutrition education and counselling