Post on 12-Mar-2018
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Philippine Plan of Action for Nutrition (PPAN) 2017-2022
The PhilippinePlan ofAction forNutrition2017-2022
PNP 1978-1982
PNP 1974-1977
FNP 1984-1987
PFNP 1987-1992
PPAN 1993-1998
PPAN 1999-2004
PPAN 2005-2010
05/06/2023 2
Addresses nutrition situation
Guide for all who want to be involved in nutrition action
Lays out targets, directions, and priority actions
PPAN 2011-2016
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Plan formulation process Engagement of a team of consultants
with funding support from Micronutrient Initiative and UNICEF
Desk review
Key informant interview/one-on-one consultations
Focus group discussions (national and local)
Consultation workshops
NNC Technical Committee as final vetting body
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Nutritional problems to address Child stunting and wasting Deficiencies in vitamin A, iron, and
iodine Overweight and obesity Poor nutritional status of pregnant and
lactating women Poor infant and young child feeding Hunger and food insecurity
Maternal and child undernutrition and
death
Inadequate dietary intake Disease
Household food insecurity Unhealthy household
environment & poor health services
Inadequate care
Income poverty: employment, self-employment, dwelling, assets,
remittances, pensions, transfers
Lack of capital: financial, human, physical, social, natural
Social, economic, and political context
Source: Black, Robert E. et al. The Lancet Series on Maternal and Child Undernutrition. 2008
PPAN 2017-2022 Outcome targets
• In general, consistent with the 2025 Global Targets for Maternal, Infant and Young Child Nutrition
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Reduce levels of child stunting and wasting
Indicator Baseline Target, 2022
Prevalence (in percent) of stunted children under 5 years old*
33.4 21.4
Prevalence (in percent) of wasted children:- Children under 5 years old* 7.1 <5- Children 6-10 years old 8.4 <5
Outcome targets
*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition
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To reduce micronutrient deficiencies to levels below public health significance
Indicator Baseline Target, 2022
Vitamin A deficiencyPrevalence (in percent) of children 6 months to 5 years old with vitamin A deficiency (low to deficient serum retinol)
20.4 <15
Anemia Prevalence (in percent) of anemia among women of reproductive age*
11.7 6.0
Outcome targets
*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition
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To reduce micronutrient deficiencies to levels below public health significance
Indicator Baseline Target, 2022
Iodine deficiency disordersMedian urinary iodine excretion, ug/L- Children 6-12 years old 168 ≥100 - Pregnant women 105 ≥150- Lactating mothers 77 ≥100Percent with urinary iodine concentration <50 mcg/L- Children 6-12 years old 16.4 <20%- Lactating women 33.4 <20%
Outcome targets
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No increase in overweight among children, reduced overweight among adolescents and adults
Indicator Baseline Target, 2022
Prevalence (in percent) of overweight- Children under five years old*
3.8 <3.8
- Children 6 – 10 years old 8.6 <8.6- Adolescents 9.2 <5- Adults 31,1 28.0
Outcome targets
*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition
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Sub-outcome or intermediate outcome targets
Reduce the proportion of nutritionally-at-risk pregnant women from 24.8% in 2015 to 20% by 2022 (about 20% reduction between 2013 and 2022)
Reduce the prevalence of low birthweight from 21.4% in 2013 to 16.6% by 2022 (to reach the 2025 Global target of 30% reduction)*
*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition
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Sub-outcome or intermediate outcome targets
Increase the prevalence of exclusive breastfeeding among infant 5 mos old from 24.7% in 2015 to 33.3 by 2022
Increase the percentage of children 6-23 months old meeting the minimum acceptable diet from 18.6% in 2015 to 22.5% by 2022
Increase the proportion of households with diets that meet the energy requirements from 31.7% in 2013 to 37.1% by 2022
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Strategic Thrusts, 2017-2022 Focus on the first 1000 days of life Complementation of nutrition-specific
and nutrition-sensitive programs Intensified mobilization of local
government units Reaching geographically isolated and
disadvantaged areas (GIDAs) and communities of indigenous peoples
Complementation of actions of national and local governments
Priority provincesREGION PROVINCE
CAR 1. Abra2. Apayao
I 3. PangasinanII 4. IsabelaIII 5. Aurora
6. Bataan7. Bulacan8. Nueva Ecija
IV - A 9. QuezonIV - B 10. Palawan
11. MarinduqueV 12. Albay
13. Camarines Norte14. Camarines Sur15. Catanduanes16. Masbate
VI 17. Aklan18. Antique19. Iloilo
REGION PROVINCEVII 20. Bohol
21. Cebu22. Negros Oriental
VIII 23. Biliran24. Leyte25. Northern Samar
IX 26. Zamboanga del Norte27. Zamboanga del Sur
X 28. Bukidnon29. Lanao del Norte30. Misamis Oriental
XI 31. Davao del Norte32. Davao del Sur
XII 33. North Cotabato34. South Cotabato
ARMM 35. Sulu36. Tawi-Tawi
CARAGA 37. Agusan del SurNCR 38. CAMANAVA
Nutrition-specific programs Nutrition-sensitive programs
Reduced wasting among children under-five years old
Reduced stunting among children under-five years old
Reduced micronutrient deficiencies
Nutrition-supportive programs
Enabling programs
Improved situation in overweight and obesity
• Reduced nutritionally-at-risk pregnant women
• Increased exclusive breastfeeding
• Improved food intake
• Reduced low birthweight • Improved complementary feeding
Sustainable Development Goals
Philippine Development Plan GoalFoundation for inclusive growth, a high-trust society, and a globally competitive
knowledge economy
Nutrition supportive programs, examples• Immunization
• Food and agricultural systems, programs and projects that impact on food supply
• Social protection programs like the conditional cash transfer, health insurance
Nutrition-specific programs – Address immediate causes of malnutrition
Program/Project Agency involvedInfant and Young Child Feeding• Health systems support DOH, LGUs• Community-based health and
nutrition supportDOH, NGOs, LGUs, Development Partners (DPs)
• Maternity Protection and Improving Capacities of Workplaces on Breastfeeding
DOLE, Employers, Employees’ Unions, NGOs, LGUs, DPs
• Establishment of breastfeeding places in non-health establishments
All agencies, NGOs, LGUs, DPs, CSC
• Enforcement of the Milk Code DOH, LGUs
Nutrition-specific programs – Address immediate causes of malnutrition,
Program/Project Agency involved
Integrated Management of Acute Malnutrition
DOH, NGOs, LGUs, DP
National Dietary Supplementation Program
• Pregnant women DOH, NGOs, LGUs, DPs
• Children, 6-23 months old DOH, NGOs, LGUs, DPs
• Children 24 – 59 months old DSWD, NGOs, LGUs, DPs
• School-age children DepEd, NGOs, LGUs, DPs
• Food plant for producing food supplements
FNRI, LGUs, SUCs, NGOs
Nutrition-specific programs – Address immediate causes of malnutrition
Program/Project Agency involvedNational Nutrition Promotion Program for Behavior Change
• In schools DepEd, NGOs, LGUs, DPs
• In communities DOH, DSWD, NGOs, LGUs, DPs
• In workplace DOH, DOLE, NGOs, LGUs, DPs
• Resource center NNC (coordinator)
Nutrition-specific programs – Address immediate causes of malnutrition
Program/Project Agency involvedMicronutrient supplementation (vitamin A, iron-folic acid, multiple micronutrient powder, zinc)
• In health unit DOH, NGOs, LGUs• In schools DepEd, NGOs, LGUs• Communication support DOH, NGOs, LGUs
Nutrition-specific programs – Address immediate causes of malnutrition
Program/Project Agency involvedMandatory food fortification (technology development, capacity building, regulation and monitoring, promotion)• Rice fortification with iron
DOH, DSWD, DepED, NGOs, LGUs, industry
• Flour fortification with iron and vitamin A
• Cooking oil fortification with vitamin A
• Sugar fortification with vitamin A
• Salt iodization
Nutrition-specific programs – Address immediate causes of malnutrition
Program/Project Agency involved
Nutrition in emergencies • Capacity building for
mainstreaming nutrition protection in emergencies
DOH, DSWD, National/Local DRRMC, NGOs, LGUs, DPs
Overweight and Obesity Management and Prevention Program• Healthy Food Environment• Promotion of Healthy Lifestyle• Weight Management Intervention
DOH, DSWD, DOLE, NGOs, LGUs, industry, CSC, DPs
Nutrition-sensitive programs– Address underlying causes of malnutrition
• Projects in development sectors that were tweaked to produce nutritional outcomes
• Targeting households with undernourished children, or pregnant women or children 0-23 months old for employment
• Targeting areas with high levels of malnutrition
• Channel or platform for delivering nutrition-specific interventions
Nutrition-sensitive program– Address underlying causes of malnutrition• Farm-to-market roads
and child nutrition, DA• Target Actions to
Reduce Poverty and Generate Economic Transformation (TARGET) and child nutrition, DA
• Coconut Rehabilitation Program, PCA
• Gulayan sa Paaralan, BPI, DepEd
• Diskwento caravans in depressed areas, DTI
• Family development sessions for child and family nutrition, DSWD
• Mainstreaming nutrition in sustainable livelihood, DSWD
• Public works infra and child nutrition, DPWH
• Adolescent Health and Nutrition Development, DOH
• SALINTUBIG and other water, sanitation and hygiene, DOH, DILG
Enabling programs
• Mobilization of LGUs for nutritional outcomes
• Mobilization of LGUs
• Enabling policy and legal framework for LGU mobilization
• Development of continuing opportunities for LGU excellence in nutrition programming
• Mobilization of RICs and other community-based organizations for nutrition action
Enabling programs
• Policy development for food and nutrition
• Securing policy support for nutrition along the priority nutrition legislative measures
• Public advocacy
• Strengthened management support to PPAN
• Securing vital nutrition infrastructure and resource requirements
• Strengthened coordination, monitoring, evaluation and management of PPAN
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Implementation mechanism National PPAN Implementation Plan,
2017-2022◦ Agencies will commit what chunk of the
targets they will “bite” ◦ Those involved will outline the things that
should be done to implement the program◦ To establish accountabilities◦ Should be basis of agency budget
proposals◦ For annual updating
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Implementation mechanism Regional Plan of Action for Nutrition,
2017-2022◦ What agencies at the regional level will do
◦ Those involved will outline the things that
should be done to implement the program◦ To establish accountabilities◦ Should be basis of agency budget
proposals◦ For annual updating
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Implementation mechanism Local nutrition action plans Management will involve
◦ Organization of technical working groups at the national level to tackle technical details of each program
◦ The NNC Technical Committee will provide the venue for ensuring cohesive action across the different programs
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Implementation mechanism Monitoring system to be set up
◦ Reporting by national agencies on physical and financial accomplishments–semestral
◦ Assessment of LGUs according to key parameters
Nutrition-specific programs Nutrition-sensitive programs
Reduced wasting among children under-five years old
Reduced stunting among children under-five years old
Reduced micronutrient deficiencies
Nutrition-supportive programs
Enabling programs
Improved situation in overweight and obesity
• Reduced nutritionally-at-risk pregnant women
• Increased exclusive breastfeeding
• Improved food intake
• Reduced low birthweight • Improved complementary feeding
Sustainable Development Goals
Philippine Development Plan GoalFoundation for inclusive growth, a high-trust society, and a globally competitive
knowledge economy
NATIONAL NUTRITION COUNCILVisit @ 2332 Chino Roces Ave Extension, Taguig
CityOfficial website: http://www.nnc.gov.ph
FB Pages: https://www.facebook.com/nncofficialhttps://www.facebook.com/wastongnutrisyon
Youtube acct: http:///www.youtube.com/user/NNC1974
Email us at: info@nnc.gov.phCall @ telephone no. (02)843-0142 or fax no.
818-7398
Thank You!
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Nutrition problems to address
Stunting
• Stunting or being short for age is most prevalent form of undernutrition; and we have a VERY slow decline
Child on the right is a “picture” of a stunted child
Wasting
• The other form of child undernutrition is wasting or being extremely thin
• High risk of dying
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Overweight and obesity
Undernutrition among children under five years old
0
10
20
30
40
50
27.3
20 20.2 20 21.5
44.5
32.2 33.730.3
33.4
6.2 6 7.3 8 7.1
Underweight Stunting Wasting
Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST
Trends in the prevalence of stunting from birth up to 3 years of age
Overweight by age/population group
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20150
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20
30
40 Under-five 5-10 y/o
10.08-19 years old ≥20 years old
Lactating women
Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST
Trends in the prevalence of nutritionally at-riskpregnant and lactating women, 1998-2015
0
10
20
30
40
30.7
26.628.4
26.325 24.8 24.7
13.6
17.619.8
16.117.7
21.7 22.4
Pregnant women Lactating women
Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST
Low birthweight
Year Percent low birthweight
1998 9.6
2003 13.0
2008 19.6
2013 21.4Source: National Demographic and Health Survey
Service targets
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Program Service targetInfant and Young Child Feeding Program
90% of pregnant women receive counseling support on nutrition
90% of mothers with infants 0-5 mos old receive counseling support on EBF
90% of mothers with infants 6-11 mos old receive counseling support on complementary feeding
Service targets
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Program Service targetPhilippine Integrated Management of Acute Malnutrition
90% of severe acute malnutrition (SAM) cases are treated
90% of near-SAM cases are treated
National Dietary Supplementation Program
90% of poor pregnant women who are nutritionally-at-risk receive food supplementation
90% of children 6-23 mos old from poor families receive food supplementation
Service targets
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Program Service targetNational Dietary Supplementation Program
100% of children in day care centers receive food supplementation
Supplementary feeding expanded to children enrolled in the Supervised Neighborhood Play100% of severe acute malnutrition cases of school children receive appropriate food supplementation
Service targets
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Program Service targetNational Nutrition Promotion Program for Social and Behavior Change
90% of pregnant women, mothers with infants 0-23 months old and acutely malnourished children receive nutrition information through counseling and nutrition classesMulti-media nutrition campaign on key desired behaviors implemented
Micronutrient Supplementation
90% of target population receive vitamin A capsules, iron-folic acid supplements, iodized oil capsules and zinc
Service targets
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Program Service targetNutrition in Emergencies
Nutrition-related services delivered to affected population in disaster situations
Overweight and Obesity Management and Prevention Program
50% of preschool children, school children, and adults covered by healthy eating environment and promotion of healthy lifestyle50% coverage of preschool children, school children, and adults on weight management interventions