Nutrition Landscape Information System (NLiS)


Bolivia

NLiS Country Profile: Bolivia

Child Malnutrition

Child (<5 y) Anthropometry
Indicator Year Value
Low birth weight (<2500 g) (%) 2015 7.2
Overweight (BMI-for-age >+1 SD) in school-age children and adolescents 5-19 years (%) 2016 28.1

Malnutrition in Women

Female malnutrition based on BMI

Vitamin and Mineral Deficiencies

Indicator Year Value
Anaemia children <5 y (Hb <110 g/L) (%) 2016 46.9
Anaemia in non-pregnant women (Hb <120 g/L) (%) 2016 29.8
Anaemia in pregnant women (Hb <110 g/L) (%) 2016 36.8
Anaemia in women of reproductive age (%) 2016 30.2
Clinical vitamin A deficiency in women (history of night blindness during most recent pregnancy) (%) 2003-2004 14.1
Median urinary iodine concentration in children 6-12 years (μg/L)   no data
Subclinical vitamin A deficiency in preschool-age children (serum/plasma retinol <0.70 μmol/L) (%) 1991 11.3

Health Services

Indicator Year Value
Births attended by skilled health personnel (%) 2012 84.8
Population using improved drinking-water sources (%) 2015 90.0
Population using improved sanitation facility (%) 2015 50.3
Children aged 1 year immunized against measles (%) 2016 99.0
Any antenatal iron supplementation (%) 2008 76.5
Children <5 years with diarrhoea receiving ORT (%) 2008 43.6
Children with diarrhoea receiving zinc (%) 2008 5.1
Children aged 6-59 months receiving vitamin A supplements (dose 1) (%) 2017 40.0
Children aged 6-59 months receiving vitamin A supplements (dose 2) (%) 2017 31.0
Births in baby-friendly facilities (%) 2016 9.8
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) (%) 2016 85.7
Population below the international poverty line (%) 2017 5.8

Caring Practices

Indicator Year Value
Early initiation of breastfeeding within 1 hour of birth (%) 2016 55.0
Introduction to solid, semi-solid or soft foods in infants 6-8 months (%) 2008 81.0
Minimum acceptable diet (MAD) in children 6-23 months (%)   no data
Children with diarrhoea <5 y receiving oral rehydration therapy (ORT) and continued feeding (%) 2008 29.0
No breastfeeding data available for this country

Commitment

Indicator Year Value
General government expenditure on health as % of total government expenditure 2014 11.8
Total expenditure on health as % of gross domestic product 2014 6.3
Per capita total expenditure on health (US$) 2014 427.4
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 13 weeks
International Code on Marketing of Breast-milk Substitutes: Legal status of the Code 2018 Full provisions in law

Capacity

Indicator Year Value
Degree training in nutrition exists 2016-2017 Yes
Nutrition is part of medical curricula 2016-2017 No
Nutrition professionals density (per 100,000 population) 2016-2017 1.8
Nursing and midwifery personnel density per 1,000 population 2011 1.0
GDP per capita (PPP US$) 2018 7,859
GDP per capita annual growth rate (%)   no data
Official development assistance (ODA) received (net disbursements) (% of GNI) 2017 2.6
Low-Income Food-Deficit Country (LIFDC) 2018 No

Meta-indicators

Indicator Year Value
Averaged aggregate governance indicators 2018 -0.5
Gender Inequality Index (GII) 2017 0.45
Gender Parity Index in primary level enrolment (ratio of girls to boys) 2017 1
Human development index (HDI) value 2017 0.7
Seats held by women in national parliament (%) 2019 53.1

Female Education Levels

Female Education Levels 2008

Education

Education

Under 5 Mortality

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

Policy title Start Year
Ley 775 de promoción e la alimentación saludable 2017
Política de Alimentación y Nutrición (PAN) en el Marco del Saber Alimentarse para Vivir Bien 2014
Política de Alimentación y Nutrición en el Marco del Saber Alimentarse para Vivir Bien 2014
Marco de Cooperación para el Desarrollo 2013
Decreto Supremo N° 1254 2012
PLAN SECTORIAL DE DESARROLLO 2010 - 2020 2010
Decreto Supremo No.0115 Reglamento a la Ley No.3460, de Fomento a la Lactancia y Comercialización de sus Sucedáneos 2009
Act 006 of May 1st 2010 elevating to Law rank: Decree supreme 28719 of May 17 of 2006 Decree supreme 0041 of March 18 of 2009 Decree Law 13214 of December 24 of 1975 2009
Programa de Protección Social a la madre y niño (a) Estrategia Bono Juana Azurduy 2009
Política de Seguridad y Soberanía Alimentaria 2008
Marco de Asistencía para el Desarrollo 2008-2012 2008
Ley de Fomento a la Lactancia Materna y Comercialización de sus Sucedáneos (Ley No.3460) 2006
Decreto Supremo N° 28667 2006
Plan Nacional de Desarrollo Sectorial 2006-2010 2006
General Labour Act (Ley General del Trabajo), of 8 December 1942, published by the Supreme Decree of 24 May 1939, as amended up to Act n° 2450 of 9 April 2003 Gaceta Oficial, 2003-04-11, No. 2478, p.1-7. Decree supreme 28699 of May the 1st of 2006 Regula 2003
Estrategia AIEPI Nut Clínico 1996
Plan Nacional de Alimentación y Nutrición 1995
Social Security Code of 14 December 1956, as amended up to Supreme Decree 22,578, of 13 August 1990 (Gazeta Oficial, 1990). 1990
Poverty Reduction Strategy Paper - PRSP  
AIEPI nut Clínico Versión actualizada  
Poverty Reduction Strategy  
Decreto Supremo N° 28094  
Ley de Fomento a la Lactancia Materna y Comercialización de sus Sucedáneos  
Plan Nacional de Desarrollo  
Decreto Supremo N° 24420  
Decreto Supremo Nº 08338  
AIEPI Nut de la Familia y la Comunidad  
Progamme title and actions Start Year
Desnutrición Cero - Baby-friendly Hospital Initiative (BFHI) 2007
Desnutrición Cero - Complementary feeding promotion and/or counselling 2007
Desnutrición Cero - Food distribution/supplementation for prevention of acute malnutrition 2007
Desnutrición Cero - Nutritional surveillance system 2007
Chispitas program - Iron supplementation 2006
GNPR 2016-2017: School health and nutrition (q11) Programa Nacional de Alimentación Complementaria Escolar - Home, school or community gardening 1968
GNPR 2016-2017: School health and nutrition (q11) Programa Nacional de Alimentación Complementaria Escolar - Monitoring children's growth in schools 1968
GNPR 2016-2017: School health and nutrition (q11) Programa Nacional de Alimentación Complementaria Escolar - Nutrition education included in school curriculum 1968
GNPR 2016-2017: School health and nutrition (q11) Programa Nacional de Alimentación Complementaria Escolar - School feeding programmes 1968
GNPR 2009-2010: Maternal, infant and young child nutrition - Breastfeeding promotion and/or counselling  
GNPR 2009-2010: Maternal, infant and young child nutrition - Complementary feeding promotion and/or counselling  
GNPR 2009-2010: Maternal, infant and young child nutrition - Food distribution/supplementation for prevention of acute malnutrition  
GNPR 2009-2010: Maternal, infant and young child nutrition - Management of moderate malnutrition  
GNPR 2009-2010: Maternal, infant and young child nutrition - Management of severe acute malnutrition  
GNPR 2009-2010: Maternal, infant and young child nutrition - Preventive malaria treatment  
GNPR 2009-2010: Maternal, infant and young child nutrition - Promotion and implementation of properly timed cord clamping  
GNPR 2009-2010: Maternal, infant and young child nutrition - Promotion of improved hygiene practices including handwashing  
GNPR 2009-2010: Vitamin and mineral nutrition - Complementary food fortification  
GNPR 2009-2010: Vitamin and mineral nutrition - Iron and folic acid supplementation  
GNPR 2009-2010: Vitamin and mineral nutrition - Margarine/butter fortification  
GNPR 2009-2010: Vitamin and mineral nutrition - Multiple micronutrient powder (point-of-use fortification)  
GNPR 2009-2010: Vitamin and mineral nutrition - Multiple micronutrients supplementation  
GNPR 2009-2010: Vitamin and mineral nutrition - Sugar fortification  
GNPR 2009-2010: Vitamin and mineral nutrition - Vitamin A supplementation  
GNPR 2009-2010: Vitamin and mineral nutrition - Wheat flour fortification  
GNPR 2009-2010: Vitamin and mineral nutrition - Zinc supplementation  
GNPR 2009-2010: Obesity and diet-related NCDs - Food-based dietary guidelines  
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 - 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: School-based nutrition - Iron and folic acid supplementation  
GNPR 2009-2010: School-based nutrition - Provision of safe water  
GNPR 2009-2010: School-based nutrition - Vitamin A supplementation  
GNPR 2009-2010: School-based nutrition - School fruit and vegetable scheme  
GNPR 2009-2010: School-based nutrition - School milk scheme  
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 (q6) - Growth monitoring and promotion  
GNPR 2016-2017: Infant and young child nutrition (q7) - Breastfeeding promotion and/or counselling  
GNPR 2016-2017: Infant and young child nutrition (q8) - Baby-friendly Hospital Initiative (BFHI)  
GNPR 2016-2017: Infant and young child nutrition (q9a) - Feeding of LBW infants  
GNPR 2016-2017: Infant and young child nutrition (q9c) - Infant feeding in the context of emergencies  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12a) Guías alimentarias para la población Boliviana - Food-based dietary guidelines  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12b) - 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 (q17) - Taxation and price policies  
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  
GNPR 2016-2017: Prevention and management of acute malnutrition (q37) - Food distribution/supplementation for prevention of acute malnutrition  
GNPR 2016-2017: Prevention and management of acute malnutrition (q38) - Management of moderate malnutrition  
GNPR 2016-2017: Prevention and management of acute malnutrition (q39) - Management of severe acute malnutrition