Challenges of LGUs in Nutrition Program Management

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Challenges of LGUs in Nutrition Program Management

• Ms. Maria-Bernardita T. Flores
• Deputy Executive Director
• National Nutrition Council

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Congratulations!
2nd BEANS ForumPagkain ng Kabataan Bantayan
Upang Talinoy Makamtan Gabay sa Kinabukasan
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Value of REST
Reunite
Educate
Share
Touch
take action
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Value of REST
Reunite

• Volunteer workers
• Barangay nutrition committee
• Municipal nutrition committee
• Others involved in nutrition

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Value of REST
Educate

• Learn from colleagues
• Learn from sharing of resource persons

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Value of REST
Share

• Experiences
• Learnings

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Value of REST
Touch
take action

• Belongingness
• Move to good deeds and actions

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When malnutrition strikes
the challenge begins
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Nutrition Situation
Underweight Children, 0-5 years
old 27.6 Children, 6-10 years old 26.7 11-19
year olds 15.5 60 years old and above 23.6
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Nutrition Situation
Iron deficiency anemia Infants 65.9 Pregnant
43.9 Lactating 42.2
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Nutrition Situation
Iodine deficiency disorders Pregnant 18.0 Lactat
ing 23.7
Vit. A deficiency disorders Preschoolers 40.1 Pre
gnant 17.5 Lactating 20.1
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Nutrition Situation
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Nutrition Situation
Hypertensive 22.5 Diabetic, prediabetic
3.4 Hypercholesterolemia 8.5
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Summary of nutritional problems, by group
?- problem exists ?- increasing
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Regional 2005 OPT Results
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Causes of malnutrition
Inadequate food intake
Poor health status
Large-sized family
Faulty food habits practices
Poor environmental conditions
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Consequences of malnutrition
Violation of human rights
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The Philippine Plan of Action for Nutrition
Countrys guide for action for

nutrition improvement
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National Nutrition Plans
1978-82
1983-87
Annual Investment Plans
1988-92
M
1993-98
T
1999-2004
P
D
2005-2010
P
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Challenges
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Challenge
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Triple A Approach
Assess
Analyze
Act
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Revisit the nutrition situation
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Questions to consider
Who are malnourished?
Where are they located?
Why are they malnourished?
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Who are malnourished?
Are the malnourished children less than 2 years
old? Or older ones?
Do they come from families that rely on
subsistence agriculture? Or subsistence fishing?
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Who are malnourished?
Do they come from families with no steady source
of income?
Do they come from families with large size?
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Where are they?
Upland areas?
Coastal towns or barangays?
Inland areas?
Urban centers?
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Where are they?
Communities of indigenous people?
Communities with migrants?
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Other questions?
How extensive is exclusive breastfeeding in first
6 months? What prevent mothers from
breastfeeding exclusively?
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Other questions?
What are complementary feeding practices? Age of
introduction? Food given? Enough?
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Other questions?
Adequate care for pregnant women? Do pregnant
women eat enough? Rest enough?
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Consider also . . .
Situation of indigenous peoples Situation of
school-age children
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Types of services
Do services or interventions address the
identified causes of malnutrition?
Do services or intervention really reach the
malnourished?
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Types of services
Is the delivery of services sustained?
Is it limited to Nutrition Month only?
Are funds made available for nutrition programs
and projects enough?
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Types of services
Extent of mother-baby friendly hospital practice?
Enough safeguards regarding Milk Code?
Health-seeking behaviors?
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Answers to questions

• Analyze OPT results

• Focus group discussion

• Key informants interview

• Own wealth of experience

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Set or reset targeted change in nutrition
situation
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Consider
Reduce the percent of preschool children with
below-normal weights from 25.9 to 21.6
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1. Home, School, and Community Food Production
PPAN Programs
2. Food Assistance
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3. Micronutrient Supplementation
4. Food Fortification
5. Nutrition Information, Communication
Education
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PPAN Programs
7. Nutrition in Essential Maternal and Child
Health Services
6. Livelihood Assistance
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PPAN Programs
Promotion of Healthy Lifestyle
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Considerations

• Which programs to implement?

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Considerations

• Which done differently
• Focused targeting
• Innovation
• Revival

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Potential actions
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In every home . . .

• Kadyos
• Papaya
• Malunggay

• Sigadillas
• Chicken

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Iron supplementation
?

• System for compliance

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Intensive promotion

• Iodized salt
• Fortified rice, flour, sugar, cooking oil
• Fruits vegetables

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Improve breastfeeding

• Support groups
• Mother-baby friendly system
• Compliance to Milk Code

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Community/Family
Integrated Management
of Childhood Illness
(IMCI)
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Community/Family IMCI

• Establish health and nutrition posts

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Community/ Family IMCI

• Growth monitoring and promotion
• Upgrade skills
• Provide weighing scales
• Participation of mothers

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Food for School Program
Resources for one-kilo of rice/day
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Innovative school
nutrition program
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Nutrition program
for indigenous peoples
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Healthy Lifestyle
Program
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Harness participation

• Organize and reorganize nutrition committee

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Harness participation

• Ensure functionality of nutrition committee

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Harness participation

• Partnership with community and family

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Nutrition in
development
Target nutritionally depressed municipalities and
barangays
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Nutrition in
development
Financing for families with malnourished children
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Nutrition in

• Objective
• Component
• Indicator for success

development
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All-out support
LCEs
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All-out support
Sanggunian
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Hindi kayo
nag-iisa
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Challenge
Move out from Rank 1 for high levels of
malnutrition
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Challenges

• Honest-to-goodness assessment and analysis

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Challenges

• Reach out to truly needy

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Challenges

• Innovate program design and strategies

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Challenges

• Revive successful initiatives

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Challenges

• Mobilize key stakeholders

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Challenges

• Complement with development efforts

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Agree on
Action to take
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