Kyrgyzstan
- Overview
- Obesity prevalence
- Population breakdowns
- Drivers
- Comorbidities
- Economic impact
- Policies
- Contextual factors
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National obesity risk *7/10This is a composite ‘obesity risk’ score (out of 10, the highest risk) based on obesity prevalence, rate of increase, likelihood of meeting the 2025 target, treatment indicator and childhood stunting levels.Childhood obesity risk *4.5/11This is a ‘risk score’ for each country’s likelihood of having or acquiring a major childhood obesity problem during the 2020s, taking account of current prevalence levels and risk for future obesity (based on stunting among infants, maternal obesity, maternal smoking, and breastfeeding rates).
Obesity prevalence
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The report card collates all the most-recent graphics for this country. If you would like to produce a custom report based on selected graphics, just tap the Add to custom PDF button below the graphics you would like to use.Population breakdowns
Drivers
Comorbidities
Economic impact
Policies
Contextual factors
Obesity prevalence
Women, 2012
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 7423 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic - NSC, Ministry of Health - MOH/Kyrgyz Republic, and ICF International. 2013. Kyrgyz Republic Demographic and Health Survey 2012. Bishkek, Kyrgyz Republic: NSC, MOH, and ICF International. |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 1993
| Survey type: | Measured |
| Age: | 18-59 |
| Sample size: | 4053 |
| Area covered: | National |
| References: | Popkin BM and Doak MA. (1998). The obesity epidemic is a worldwide phenomenon. Nutrition Reviews, 56 (4): 106 - 114 |
| Notes: | NB. Combined adult data estimated. These estimates were calculated by weighting male and female survey results. Weighting based on World Bank Population % total female 2019 (https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS - accessed 21.10.20)' |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2018
| Survey type: | Measured |
| Age: | 8 |
| Sample size: | 3318 |
| Area covered: | National |
| References: | COSI 2018. https://apps.who.int/iris/bitstream/handle/10665/341189/WHO-EURO-2021-2495-42251-58349-eng.pdf (Accessed 20.07.21) |
| Notes: | NB. Combined adult data estimated. These estimates were calculated by weighting male and female survey results. Weighting based on World Bank Population % total female 2019 (https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS - accessed 20.07.21) |
| Cutoffs: | IOTF |
Children, 2018
| Survey type: | Measured |
| Age: | 7 |
| Sample size: | 3248 |
| Area covered: | National |
| References: | Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI). |
Children, 2014
| Survey type: | Measured |
| Age: | 2-5 |
| Sample size: | 2664 |
| Area covered: | National |
| References: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation |
| Notes: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation using 2012 monthly IOTF Cut offs |
| Cutoffs: | IOTF |
Overweight/obesity by education
Women, 2012
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 7423 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic - NSC, Ministry of Health - MOH/Kyrgyz Republic, and ICF International. 2013. Kyrgyz Republic Demographic and Health Survey 2012. Bishkek, Kyrgyz Republic: NSC, MOH, and ICF International. |
| Notes: | Those in the 'none/primary' education category have been excluded from chart as figures based on 25-49yrs unweighted cases. 15.9% overweight, 12.8% Obese Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2018
| Survey type: | Measured |
| Sample size: | 3411 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic and UNICEF. 2019. Kyrgyzstan Multiple Indicator Cluster Survey 2018, Survey Findings Report. Bishkek, Kyrgyzstan: National Statistical Committee of the Kyrgyz Republic and UNICEF.. Available at https://mics-surveys-prod.s3.amazonaws.com/MICS6/Europe%20and%20Central%20Asia/Kyrgyzstan/2018/Survey%20findings/Kyrgyzstan%20MICS%202018_English.pdf (last accessed 11.05.21) |
| Notes: | Infants |
| Definitions: | Weight for Height + 2SD-3SD +>3SD |
| Cutoffs: | Other |
Boys, 2014
| Survey type: | Measured |
| Age: | 2-4 |
| Sample size: | 2664 |
| Area covered: | National |
| References: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation using monthly IOTF Cut offs |
| Notes: | IOTF Cut off |
| Cutoffs: | IOTF |
Overweight/obesity by age
Women, 2012
| Survey type: | Measured |
| Sample size: | 7423 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic - NSC, Ministry of Health - MOH/Kyrgyz Republic, and ICF International. 2013. Kyrgyz Republic Demographic and Health Survey 2012. Bishkek, Kyrgyz Republic: NSC, MOH, and ICF International. |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Overweight/obesity by region
Women, 2012
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 7423 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic - NSC, Ministry of Health - MOH/Kyrgyz Republic, and ICF International. 2013. Kyrgyz Republic Demographic and Health Survey 2012. Bishkek, Kyrgyz Republic: NSC, MOH, and ICF International. |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2018
| Survey type: | Measured |
| Sample size: | 3411 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic and UNICEF. 2019. Kyrgyzstan Multiple Indicator Cluster Survey 2018, Survey Findings Report. Bishkek, Kyrgyzstan: National Statistical Committee of the Kyrgyz Republic and UNICEF.. Available at https://mics-surveys-prod.s3.amazonaws.com/MICS6/Europe%20and%20Central%20Asia/Kyrgyzstan/2018/Survey%20findings/Kyrgyzstan%20MICS%202018_English.pdf (last accessed 11.05.21) |
| Notes: | Infants |
| Definitions: | Weight for Height + 2SD-3SD +>3SD |
| Cutoffs: | Other |
Boys, 2014
| Survey type: | Measured |
| Age: | 2-4 |
| Sample size: | 2664 |
| Area covered: | National |
| References: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation using monthly IOTF Cut offs |
| Notes: | IOTF Cut off |
| Cutoffs: | IOTF |
Girls, 2014
| Survey type: | Measured |
| Age: | 2-4 |
| Sample size: | 2664 |
| Area covered: | National |
| References: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation using monthly IOTF Cut offs |
| Notes: | IOTF Cut off |
| Cutoffs: | IOTF |
Overweight/obesity by socio-economic group
Women, 2012
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 7423 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic - NSC, Ministry of Health - MOH/Kyrgyz Republic, and ICF International. 2013. Kyrgyz Republic Demographic and Health Survey 2012. Bishkek, Kyrgyz Republic: NSC, MOH, and ICF International. |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2018
| Survey type: | Measured |
| Sample size: | 3411 |
| Area covered: | National |
| References: | National Statistical Committee of the Kyrgyz Republic and UNICEF. 2019. Kyrgyzstan Multiple Indicator Cluster Survey 2018, Survey Findings Report. Bishkek, Kyrgyzstan: National Statistical Committee of the Kyrgyz Republic and UNICEF.. Available at https://mics-surveys-prod.s3.amazonaws.com/MICS6/Europe%20and%20Central%20Asia/Kyrgyzstan/2018/Survey%20findings/Kyrgyzstan%20MICS%202018_English.pdf (last accessed 11.05.21) |
| Notes: | Infants |
| Definitions: | Weight for Height + 2SD +3SD (overweight excluded in graphs) |
| Cutoffs: | Other |
Boys, 2014
| Survey type: | Measured |
| Age: | 2-4 |
| Sample size: | 2664 |
| Area covered: | National |
| References: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation using monthly IOTF Cut offs |
| Notes: | IOTF Cut off |
| Cutoffs: | IOTF |
Girls, 2014
| Survey type: | Measured |
| Age: | 2-4 |
| Sample size: | 2664 |
| Area covered: | National |
| References: | Kyrgyzstan MICS 2014 Survey - data analysed by R Jackson Leach World Obesity Federation using monthly IOTF Cut offs |
| Notes: | IOTF Cut off |
| Cutoffs: | IOTF |
Insufficient physical activity
Adults, 2016
| References: | Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7 |
Men, 2016
| References: | Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7 |
Women, 2016
| References: | Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7 |
Estimated per capita fruit intake
Adults, 2017
| Survey type: | Measured |
| Age: | 25+ |
| References: | Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/ |
| Definitions: | Estimated per-capita fruit intake (g/day) |
Estimated per-capita processed meat intake
Adults, 2017
| Survey type: | Measured |
| Age: | 25+ |
| References: | Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/ |
| Definitions: | Estimated per-capita processed meat intake (g per day) |
Estimated per capita whole grains intake
Adults, 2017
| Survey type: | Measured |
| Age: | 25+ |
| References: | Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/ |
| Definitions: | Estimated per-capita whole grains intake (g/day) |
Mental health - depression disorders
Adults, 2015
| References: | Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | % of population with depression disorders |
Mental health - anxiety disorders
Adults, 2015
| References: | Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | % of population with anxiety disorders |
% Infants exclusively breastfed 0-5 months
Children, 1996-2019
| Area covered: | National |
| References: | Kyrgyzstan Multiple Indicator Cluster Survey 2018, Survey Findings Report. Bishkek, Kyrgyzstan: National Statistical Committee of the Kyrgyz Republic and UNICEF. |
| Notes: | See UNICEF website for further survey information. Available at : https://data.unicef.org/resources/dataset/infant-young-child-feeding/ (last accessed 28.9.21) Citation: United Nations Children’s Fund, Division of Data, Analysis, Planning and Monitoring (2021). Global UNICEF Global Databases: Infant and Young Child Feeding: Exclusive breastfeeding, New York, September 2021. |
| Definitions: | % exclusively breastfed 0-5 months |
Oesophageal cancer
Men, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Breast cancer
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Colorectal cancer
Men, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Pancreatic cancer
Men, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Gallbladder cancer
Men, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Kidney cancer
Men, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Cancer of the uterus
Women, 2020
| Age: | 20+ |
| Area covered: | National |
| References: | Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2209 |
| Definitions: | Age-standardized indicence rates per 100 000 |
Raised blood pressure
Adults, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Men, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Women, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Raised cholesterol
Adults, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Men, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Women, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Raised fasting blood glucose
Men, 2014
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en |
| Definitions: | Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication). |
Women, 2014
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en |
| Definitions: | Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication). |
Diabetes prevalence
Adults, 2021
| Age: | 20-79 |
| Area covered: | National |
| References: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 10th edn. Brussels, Belgium:International Diabetes Federation, 2021. http://www.diabetesatlas.org |
| Definitions: | Age-adjusted comparative prevalence of diabetes, % |
Adults, 2019
| Age: | 20-79 |
| References: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels,Belgium: 2019. Available at: https://www.diabetesatlas.org |
| Definitions: | Diabetes age-adjusted comparative prevalence (%). |
Adults, 2017
| References: | Reproduced with kind permission of IDF, International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org |
| Definitions: | Diabetes age-adjusted comparative prevalence (%). |
Economic impact of overweight and obesity
Policies, Interventions and Actions
Contextual factors
Disclaimer: These contextual factors should be interpreted with care. Results are updated as regularly as possible and use very specific criteria. The criteria used and full definitions are available for download at the bottom of this page.
Tap on a tick to find out more about policies influencing this factor.
Labelling
| Is there mandatory nutrition labelling? | Present |
| Front-of-package labelling? | Absent |
| Back-of-pack nutrition declaration? | Present |
| Color coding? | Absent |
| Warning label? | Absent |
Regulation and marketing
| Are there fiscal policies on unhealthy products? | Absent |
| Tax on unhealthy foods? | Absent |
| Tax on unhealthy drinks? | Absent |
| Are there fiscal policies on healthy products? | Absent |
| Subsidy on fruits? | Absent |
| Subsidy on vegetables? | Absent |
| Subsidy on other healthy products? | Absent |
| Mandatory limit or ban of trans fat (all settings)? | Present |
| Mandatory limit of trans fats in place (all settings)? | Present |
| Ban on trans-fats or phos in place (all settings)? | Absent |
| Are there any mandatory policies/marketing restrictions on the promotion of unhealthy food/drinks to children? | Absent |
| Mandatory restriction on broadcast media? | Absent |
| Mandatory restriction on non-broadcast media? | Absent |
| Voluntary policies/marketing restrictions on the promotion of unhealthy food/drinks to children? | Absent |
| Are there mandatory standards for food in schools? | Absent |
| Are there any mandatory nutrient limits in any manufactured food products? | Absent |
| Nutrition standards for public sector procurement? | Absent |
Political will and support
| National obesity strategy or nutrition and physical activity national strategy? | Absent |
| National obesity strategy? | Absent |
| National childhood obesity strategy? | Absent |
| Comprehensive nutrition strategy? | Absent |
| Comprehensive physical activity strategy? | Absent |
| Evidence-based dietary guidelines and/or RDAs? | Absent |
| National target(s) on reducing obesity? | Absent |
| Guidelines/policy on obesity treatment? | Absent |
| Promotion of breastfeeding? | Present |
Monitoring and surveillance
| Monitoring of the prevalence and incidence for the main obesity-related NCDs and risk factors? | Present |
| Within 5 years? | Absent |
Governance and resource
| Multi-sectoral national co-ordination mechanism for obesity or nutrition (including obesity)? | Present |
Key
Present
Present (voluntary)
Incoming
Absent
Unknown
Last updated September 13, 2022
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