Policy Issues and recommended options

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THE PHILIPPINE NUTRITION CLUSTERS BATTLE FOR THE
BEST THE BREAST
Enforcing EO 51 RIRR through Safeguarding
Donations
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OUTLINE

• Background
• Challenges
• Enabling Factors
• Policy Content
• Next Steps (Plan)

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2006 TYPHOONS(Philippines) SUMMARY OF EFFECTS
AFFECTED FAMILIES 2.38 Million
AFFECTED PERSONS 11.193 Million
DISPLACED FAMILIES .678 Million
DISPLACED PERSONS 3.398 Million
DEAD 1,158
INJURED 3,235
MISSING 891
DAMAGED HOUSES 820,127
DAMAGE TO AGRICULTURE AND INFRASTRUCTURE PhP 19.989 Billion (Note US1PhP47.00)
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DONATIONS IN KIND COURSED THRU THE DSWD FOR
VICTIMS OF TYPHOON "REMING" As of 30 April 2007
7. PHILEXIM Drinking water, coffee, baby's formula milk, blankets, laundry and bath soaps, toothpastes, underwear, and kitchen utensils 101,459.00
11. Office of Civil Defense (OCD) Milk, coffee, sardines, noodles, toiletries, used toys and clothing and kitchen utensils 21,584.00
13. Philippine Women's University (PWU) Assorted powdered milk, canned goods, noodles, assorted grocery items, slippers, towels, toiletries and used clothing 17,840.00
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OTHER PRACTICES IN DISASTER

• Evacuation Camps provided no space promotive to
  breastfeeding
• 40 of all donations which arrived in the 1st
  three days, mostly from foreign sources, were not
  monitored
• Fragmented, independent, and donor driven
  assistance of NGOs

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Summary of Post-disaster Evaluation Workshops

• The lack of guidelines and a clear-cut scheme on
  managing the flood of donations post-disaster
  resulted in issues of lack of local capacity in
  handling aids as well as inappropriateness and
  inequity in distribution of donations.

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Call for Action

• Development of a national policy for managing
  humanitarian aids and strengthening of local
  capacities to prepare for and manage relief
  supplies is warranted.

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Objectives

• Increase public awareness
• Sustain public support
• Promote breastfeeding practices especially in
  the evacuation centers/camps
• Establish a better relationship with donors
• Set standards and procedures on management of
  donations
• Enhance local capacities in handling donations

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Enabling Factors
A. Existing Guidelines

• Guidelines on the Processing Clearance of
  Importation Through Donations by the DOH
• Guidelines for Drug Donations Handbook on
  Emergency Field Operations, WHO
• Guidelines for Assistance/Sponsorship by
  Manufacturers of Products Covered by Executive
  Order 51
• Draft Guidelines for the Domestic Facilitation
  and Regulation of International Relief and
  Initial assistance
• National Policies on Infant and Young Child
  Feeding
• Inter-agency Contingency Planning Guidelines for
  Humanitarian Assistance

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B. Organizational Support

• Organization of the Health Sector in December
  2001 by MOA signing
• Establishment of the Health Cluster- 2006 under
  NDCC Circular No. 5 s. 2007
• The good news is that the Health Departments
  budget for breastfeeding promotion for 2008 has
  been increased to 818,000.
• Chain of malls are tapped to welcome
  breastfeeding in their stores (Shoemart NCC
  Malls)
• DOH-UNICEF collaborative protest actions against
  milk companies

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UNICEF supported a mass breastfeeding event that
earned a Guinness World Record for simultaneous
breastfeeding.
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Support from other sectors

• Catholic Church
• Environment groups
• Legislators
• Private sector
• International donors

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Extensive Media Coverage

• Print 249
• TV 81

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C. Institutionalization of the Cluster Approach
in the Philippine Disaster Management (NDCC
Circular 5)

• The DOH was designated as Cluster Lead in Health,
  Nutrition, and WASH with well-defined roles and
  responsibilities.

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Nutrition Cluster Members

• LEAD DOH-HEMS
• Assistant Lead DOH-NNC
• IASC Focal Point
• UNICEF
• Members
• DOH-NCDPC
• DOST-FNRI
• PNRC
• WHO
• Save the Children

• Plan International
• HKI
• DSWD
• DILG
• Department of Education
• UNFPA

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D. Technical Working Committee for Policy
Development

• Lead Bureau of International Health Cooperation
• Members
• Health Emergency Management Staff
• Bureau of Health Devices Technology
• Bureau of Food Drug Administration
• Material Management Division

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• E. Process (Drafting to dissemination)

Back to Office Critiquing
Critiquing by other relevant agencies
TWG
Critiquing/ Clearance by DOH Legal Policy
Planning
Approval Signing by the Secretary of Health
Dissemination
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E. Major Venues for Dissemination

• HEMS Convention
• HEMS National Consultative Planning
• Workshop
• Health Cluster Sector Meetings
• Donors Conference
• BIHC communication to the Philippine embassies
  in different countries through DFA
• IYCF Training Course
• Training in Public Health and Emergency
  Management

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F. HEM Preparedness Program focused on IEC
Materials for Dissemination
Compendium of Health Messages
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Pocket Emergency Tool (2nd edition)
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Research and Evidence Based Management (HEMS Kit)
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E. Major IEC Materials for Dissemination

• Over 500 copies distributed
• Translated into Italian and Khmer
• Distributed in UK, Australia and US
• Exhibited in Mother and Baby Film Fest

POPULARITY OF FORMULA FOR DISASTER
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POLICY CONTENT
Administrative Order 2007 0017 Guidelines on
the Acceptance and Processing of Foreign and
Local Donations During Emergency and Disaster
Situations
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Objective
This shall provide a rational and systematic
procedure for the acceptance, processing, and
distribution of foreign and local donations that
are exclusively for unforeseen, impending,
occurring, and experienced emergency/disaster
situations.
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Definition of Terms
DOH Package List for Emergencies and Disasters
shall refer to a listing of items for donation,
such as, drugs/medicines, medical supplies,
medical equipment, processed foodstuff,
micronutrients, environmental supplies, and
others. Such list shall be issued by the DOH, in
consultation with other government agencies,
NGOs, GOs, and other concerned entities.
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General Guidelines
Items for donation may be in any form, such as
drugs/medicines, medical supplies, medical
equipment, processed foodstuff, micronutrients,
environmental supplies, and others that may be
substantial in addressing emergencies and
disaster situations.
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Guidelines for Acceptance
Infant formula, breast-milk substitute, feeding
bottles, artificial nipples, and teats shall not
be items for donation. No acceptance of donations
shall be issued for any of the enumerated items.
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Next Step

• Finalize the crafting of Nutrition Policy
  Guidelines.
• Sustain agency/organizational support.
• Work with AdBoard and Association of
  Broadcasters
• Intensify dissemination of RIRR especially in
  the health emergency management system
• Scale up IEC campaign
• Conduct market research
• Go to scale with other partners

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Thank you