Bicol Region Nutrition Strategic Plan, 2012-2016

8/10/2019 Bicol Region Nutrition Strategic Plan, 2012-2016

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Republic of the PhilippinesDepartment of Health

NATIONAL NUTRITION COUNCILRegion V, Legazpi City

BICOL REGION

NUTRITION STRATEGIC PLAN,

2012-2016

October 2012


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Bicol Region Nutrition Strategic Plan, 2012-2016I 2

TABLE OF CONTENTS

Content Page

Introduction 4

The Systems Model 5

MTPPAN 2011-2016 6

Nutrition Situation of the Bicol Region 7

Health Statistics in Bicol Region 11

Force Field Analysis 13

Strategic Plan 14

A. Vision of RNC

a. Organizational Vision 14

b. Social Vision 14

B. Mission of RNC 14

C. Core Values 14

D. SWOT Analysis 14

Key Results Areas and Success Indicators 15

A. Organization and Management 16

B. Policy Recommendation & Advocacy 17

C. Partnership Building 18

D. Resource Management 19

E. Capability Building 20

F. Service Delivery 20

Regional Strategic Thrusts 23

Our Core Strategies 23


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Content Page

Operational Plans for Year 1: MayDecember 2012 24

A. Organization and Management 24

B. Policy Recommendation & Advocacy 24

C. Partnership Building 24

D. Resource Management 25

E. Capability Building 25

F. Service Delivery 25


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INTRODUCTION

The 2011-2016 Philippine Development Plan of Action and MediumTerm Philippine Plan of Action for Nutrition (MTPPAN) under the Aquino

administration aim to address the gaps of the past plan period 2005-2010 as wellas meet the current and future challenges of development on a national scale.

The MTPPAN is integral to the Philippine Development Plan, under

Chapter 8 on Social Development, together with concerns on health, population,

education, housing, social protection, and asset reform. It lays the solid

groundwork from which to draw up a plan for nutrition in all regions of thecountry which is mandated of all the regional offices of the National Nutrition

Council.

Hence, it becomes imperative for the Bicol Region to formulate a

Regional Nutrition Strategic Plan for the next five years (2012-2016). This

document aims to present that planthe 2012-2016 Regional Nutrition

Strategic Plan of the Bicol Region which is the product of a strategic planning

workshop held at the Mayon Spring Resort, Sto. Domingo, Albay from April 17to 18, 2012.

This document is the final output of a collaborative act among different

individuals, representatives from agencies and LGU partners that comprise the

Regional Nutrition Committee (RNC) of the Bicol Region.

The regional plan serves as a guide for all nutrition stakeholders both

local and nationalso that they may move in one and the same direction withclear targets, improved capabilities and a stronger drive to succeed in allnutrition endeavours in the Bicol Region.


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THE SYSTEMS MODEL

The strategic planning framework begins with the ideal future vision that the

organization wants to achieve (output). It then works backward to the present and plans thestrategies to achieve the vision.

Output defines the ideal future success in the organizations own terms: Where does it want

to be in the future at time X?

Inputsof assessments of where the organization is today are the primary means to develop

core strategies to achieve its ideal vision.

Throughputconsists of a set of specific actions to ensure successful implementation of the

plan.

Strategic planning must start with the output (outcomes, ends, desired results or goals),

since the organization wants to be proactive in creating its ideal future. This is what

distinguishes it from traditional long- range and other forms of planning. They usually start

with the presentfocusing primarily on problem-solving existing issuesrather than havinga vision of success and profitability to achieve.

In the systems model, it is also understood that the system operates within a dynamic

and ever-changing environment that brings opportunities, constraints and demands on the

organization. Adapting to these external forces to achieve success is a constant challenge forthe organization.


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Republic of the PhilippinesDepartment of Health

NATIONAL NUTRITION COUNCILRegion V, Legazpi City

BICOL REGION NUTRITION STRATEGIC PLAN, 2012-2016

EXECUTIVE SUMMARY

INTRODUCTION

The 2011-2016 Philippine Development Plan of Action and Medium Term Philippine

Plan of Action for Nutrition (MTPPAN) under the Aquino administration aim to address the

gaps of the past plan period 2005-2010 as well as meet the current and future challenges ofdevelopment on a national scale. (Please refer to Annex 1)

The MTPPAN is integral to the Philippine Development Plan, under Chapter 8 onSocial Development, together with concerns on health, population, education, housing, social

protection, and asset reform. It lays the solid groundwork from which to draw up a plan fornutrition in all regions of the country which is mandated of all the regional offices of the

National Nutrition Council.

Hence, it becomes imperative for the Bicol Region to formulate a Regional Nutrition

Strategic Plan for the next five years (2012-2016). This document aims to present that plan

the 2012-2016 Regional Nutrition Strategic Plan of the Bicol Region which is the product ofa strategic planning workshop held at the Mayon Spring Resort, Sto. Domingo, Albay from

April 17 to 18, 2012 and follow-up meetings afterwards.

This document is the final output of a collaborative act among different individuals,

representatives from agencies and LGU partners that comprise the Regional Nutrition

Committee (RNC) of the Bicol Region.

The regional plan serves as a guide for all nutrition stakeholders both local andnationalso that they may move in one and the same direction with clear targets, improved

capabilities and a stronger drive to succeed in all nutrition endeavours in the Bicol Region.


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NUTRITION SITUATION OF THE BICOL REGION

Poor nutrition as a result of inadequate food intake has been identified as one of the leading

causes of undernutrition among Bicolano preschool children.

Results of the 2011 Updating of nutritional status of children (0-5 years old) conducted by the

Food and Nutrition Research Institute of the Department of Science and Technology (FNRI-

DOST) showed that in the Bicol Region:

Among preschoolers, 0-5 years old (Please refer to Table 1)

25 out of every 100 preschoolers are underweight

37 out of every 100 preschoolers are stunted/underheight

8 out of 100 preschoolers are wasted or thin

3 out of 100 preschoolers are overweight for height

Table 1. Prevalence of malnourished children, 0-5 year old (0-60 months) by province,

using WHO-CGS, 2011*

Region/Province Underweight Stunting Wasting Overweight forHeight

Philippines 20.2 33.6 7.3 4.8

Bicol Region 25.3 36.8 8.4 3.3

Albay 26.3 30.5 10.7 4.8

Camarines Norte 30.4 43.2 8.3 2.1

Camarines Sur 22.5 34.5 6.8 3.6

Catanduanes 27.3 51.2 9.8 0

Masbate 22.9 43.1 5.9 1.8Sorsogon 28.2 36.0 10.4 3.9

* Source: FNRI DOST, Nutritional Status of Filipino Children and Population Groups, 2011

Among school-age children, 5-10 years old (Please refer to Table 2)

40 out of every 100 preschoolers are underweight

37 out of every 100 preschoolers are stunted

12 out of 100 preschoolers are wasted or thin

3 out of 100 preschoolers are overweight for height

Table 2. Prevalence of malnourished children, 5.08-10 year old (61-120 months) by

province, using WHO-CGS, 2011 *

Region/Province Underweight Stunting Wasting Overweight forHeight

Philippines 32.0 33.6 8.5 4.3

Bicol Region 39.6 36.6 11.6 2.7

Albay 41.0 34.1 14.2 1.8

Camarines Norte 38.2 37.9 11.3 5.1

Camarines Sur 36.6 33.8 12.7 3.2

Catanduanes 29.9 37.0 7.9 5.0

Masbate 45.3 45.8 5.7 1.5

Sorsogon 40.9 34.4 14.0 2.6

* Source: FNRI DOST, Nutritional Status of Filipino Children and Population Groups, 2011


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In the Bicol region, there are more overweight adults 19 years old and over than adultssuffering from chronic energy deficiency.

Iron Deficiency Anemia (IDA)

The 2008 National Nutrition Survey showed that anemia remains prevalent in Bicol

Among the 6 months to 5 years old children, 25 in every 100 are

anemic; higher than the national prevalence of 24 in every 100.

For the 6-12 years old children, 15 in every 100 are anemic; lower than

the national prevalence of 20 in every 100.

Among 13-19 years old, the region has low prevalence of anemia at 8

in every 100; lower than the national prevalence of 14 in every 100.

Anemia Prevalence

Among pregnant women, there is a high prevalence of anemia with 51 in

every 100

Among lactating mothers, 24 in every 100 are anemic, indicating moderateprevalence

For the 20-59 year old adults, 11 in every 100 are anemic, indicating moderate

prevalence

At the regional level, the 2009 OPT (Operation Timbang) Results submitted by theProvincial Nutrition Committees of the Bicol Region reveal that those children aged 0-71

months old who are below normal continued to drop from 2005 to 2009, from 21.37% to18.03%, using the International Reference Standard (IRS) Classification. Using the WHO-

Child Growth Standards (CGS), it further dropped to 15.98% in 2010 and 14.86% in 2011.

2005 2006 2007 2008 2009

Below Normal 21.37 20.89 20.27 20.35 18.03

Above Normal 2.19 2.35 1.85 1.75 1.44

0.00

5.00

10.00

15.00

20.00

25.00

Prevalence(

%)

Prevalence of Malnutrition among 0-71 months

children Bicol Region

20052009, using IRS


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2010 2011

Underweight 15.98 14.86

Overweight 1.27 1.31

0.00

2.00

4.00

6.00

8.00

10.00

12.0014.00

16.00

18.00

Prevalence

Figure 1: Prevalence of Malnutrition among 0-71 months children

Bicol Region

20102011, WHO-CGS

This positive trend in the nutritional status of the region is good news. However,

these improved results have to be sustained through the formulation of the local nutrition

action plan, budget allocation, plan implementation and monitoring & evaluation at all levels.

Despite the reduction on the magnitude of malnutrition in 2011, the province of Camarines

Sur ranks first as to the highest number of underweight preschool children with a prevalence

rate of 19.08%, followed by Catanduanes (18.03%), Masbate (16.45%), Albay (14.91%),

Sorsogon (13.0%) and Camarines Norte (12.97%) with the least number of underweightpreschool children aged 0-5 years old. (Please refer to Attachment 1).

Looking at the nutritional status of School Children, School Year 2011-2012 Baseline Data,

results show that there were 49,883 (5.54%) school children who are severely wasted,

14.43% (129,812) are wasted, 78.36% (705,135) are of normal status, 1.37% (12,328) are

overweight, and 0.30% (2,681) are considered obese. (Please refer to Attachment 2).


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HEALTH STATISTICS IN BICOL REGION

Table 1. CAUSES OF INFANT MORTALITY

Leading Causes of Infant Mortality

Number and Rate per 1000 Livebirths

Bicol Region, 2006-2010 vs 2011

Causes5-Year Average 2006-2010 2011

No. Rate No. Rate

1. Pneumonias 308 2.64 336 2.78

2. Prematurity 85 0.73 157 1.30

3. Septicemia 124 1.06 123 1.02

4. Congenital Anomalies 98 0.84 88 0.73

5. Asphyxia Neonatorum 32 0.27 74 0.61

6. Diarrheas 59 0.51 32 0.26

7. Seizure Disorder 32 0.27 25 0.21

8.

Disease of the Heart 20 0.17 25 0.219. Asphyxia, etiology

unknown 20 0.17 13 0.19

10.Asthma, all forms 9 0.08 16 0.13

11.Neoplasms, all forms 5 0.04 9 0.07

12.Malnutrition 16 0.14 9 0.07

*Source: DOH-CHD Bicol Vital Health Statistics 2006-2010 vs 2011

Pneumonias still topped the list among the ten leading causes of infant mortality in 2011

including malnutrition. In 2011, a total of 1,172 registered infant deaths were recordedposting a rate of 9.69 per 1,000 livebirths. The highest infant mortality (IMR) was noted in

Camarines Norte at 15.30 per 1,000 livebirths.

Table 2. CAUSES OF MATERNAL MORTALITY

Leading Causes of Maternal Mortality

Number and Ratio per 100,000 Livebirths

Bicol region, 2006-2010 vs 2011

Causes

5-Year Average 2006-2010 2011

No. Rate No. Rate1. Complications related to

pregnancy, occurring in the

course of labour, delivery and

post delivery period

78 66.83 71 58.71

2. Hypertensive disorders in

pregnancy, childbirth anddelivery

29 24.85 16 13.23

3. Pregnancy with abortive

outcome2 1.71 4 3.31



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Topping the causes of maternal deaths in 2011 are complications related to pregnancy.

However, comparing it to the past 5-year average, same cause decreased by 7 % from 78 per

livebirths to 71 per 100,000 livebirths in 2011.

Table 3. CAUSES OF MORBIDITY

Leading Causes of MorbidityNumber and Rate per 100,000 Population



No. Rate No. Rate

1. Acute Upper RespiratoryInfection

242429 4440.74 293958 5291.68

2. Hypertension 42889 785.63 33021 594.43

3. Influenza 30544 559.50 25804 464.51

4. Acute Watery Diarrhea 34238 627.16 23045 414.84

5.

Kidney Diseases 14075 257.84 20469 368.47

6. Acute Lower Respiratory Tract

Infection and Pneumonia74673 1367.84 18989 307.09

7. Bronchitis 40610 743.88 16489 296.83

8. Musculo skeletal Disorders 4819 88.27 14943 269.00

9. Asthma, all forms 13914 254.87 14382 258.90

10.Anaemia, all forms 9108 116.84 10597 190.76


Most of the identified leading causes of morbidity in 2011 are infectious and respiratory -

related in nature.

Table 4. CAUSES OF MORTALITY

Leading Causes of Mortality

Number and Rate per 100,000 Population



No. Rate No. Rate

Disease of the Heart 3887 71.20 4307 77.53

Pneumonias 3572 65.43 3483 62.70

Hypertension 1749 32.04 2354 42.38

Neoplasms, all forms 1547 28.34 1513 27.24

Tuberculosis, all forms 1475 27.02 1357 24.43

Trauma/injuries 1351 24.75 1353 24.36

Kidney 614 11.25 953 17.16

Cerebro Vascular Accident 755 13.83 791 14.24

Diabetes 664 12.16 757 13.63

Septicemia 515 9.43 595 10.71


Out of the ten identified leading causes of mortality in 2011, six have posted an increase,

three of which are diseases of the circulatory system.


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From the FORCE FIELD ANALYSIS conducted during the actual StrategicPlanning Workshop, the following factors were identified asRestraining Forces that hinder

in the improvement of the nutrition situation in the region:

1. Non-functional Local Nutrition Committee;

2. Non- localization/Mainstreaming of National Policies;

3.

Lack of sound policies on nutrition;4. Sustainability of nutrition program;

5. Unemployment and underemployment;

6. Change of barangay leaders every election period;

7. Unequal allocation and distribution of funds from government and NGOs for nutrition

program;

8. Limited budget for nutrition at the municipal level;

9. Inadequate nutrition workers;

10.Unstandardized selection criteria for nutrition workers in the LGUs

11.Inaccuracy of data due to lack of skills;

12.Large family size;

13.Climate change that affects production level;

14.Poverty;

15.Minimal financial support to BNS and other nutrition workers;

16.Delay in submission of reports;17.Absence of full time nutrition officer;

18.Socio-political disparity;

19.Politicized BNSs;

20.Uncertain/Inadequate supply of micronutrients and equipments;

21.Beneficiaries attitudes/behaviour;

22.Lack of political will and poor policy implementation;

23.Nutrition is not a priority;

24.Manpower ratio;

25.Lack of logistic support;

On the other hand, theDriving Forces that have helped in the improvement of the nutritionsituation of the region are the following:

1. Convergence of projects;

2. Budget allocation;

3. Sustainability of projects;

4. Strong support of stakeholders

(internal and external);

5.

Feasible and doable plan;6. Comprehensive monitoring and

evaluation;

7. National policies;

8. Committed and skilled nutrition

workers;

9. Good reward system or

recognition;

10.Best practices;11.Performance accountability;

12.

Active and functional RNC andNNC;

13.Committed Service Providers;

14.Supportive LCE;

15.Networking;

16.Organized CNCs, MNCs and

BNCs;

17.Livelihood opportunities;

18.Responsible parenthood/FPsessions;

19.Active and supportive

RTWG/RNC;

20.Some LGUs are supportive;

21.Full disclosure of funds/finances.


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STRATEGIC PLAN

Vision of RNCa. Organizational Vision:

The Regional Nutrition Committee (RNC) is the prime mover of

competent, dedicated and service-driven stakeholders pursuing

nutritionally secure Bicolanos.b. Social Vision:

Bicolanos enjoying food-secure, optimal and sustainable health and

nutrition.

Mission of RNCRegional Nutrition Committee is an inter-agency network committed

to harmonized actions that ensure effective and efficient implementation of

nutrition policies and programs through:

a.

Collaboration with government and private agencies in partnershipwith LGUs;

b. Policy and program coordination;

c. Advocacy;

d. Training;

e. Resource Generation and Mobilization; and

f. Partnership and alliance building.

Core Values1. CCommitment

We have deep dedication and love for service

2.

R

Respect for Human RightsWe give value to every person

3. EEqualityWe serve everyone with fairness

4. AAccountability and TruthfulnessWe are honest and open in the performance of our work and

responsible in the execution of duties and use of resources

5. TTeamwork

We provide support to one another, working cooperatively,

respecting each others views, and creating a work environment with

optimism.

6.

E

Excellence in WorkWe work with good quality, appropriate and timely services

SWOT Analysis1. Strengths

a. Harmonized working group

b. Incentives/Awards for the barangay and municipal levels

c. Good linkage with partners

d. Monitoring and evaluation tools

e. Established organizational set-up

f.

Majority support from LGUsg. Multi-agency involvement

h. Sharing of good practices


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i. Committed nutrition partnersj. Organized and functional nutrition committees

2. Weaknesses

a. No permanent Regional Nutrition Evaluation Team members

b. Overlapping of schedules (RNET- Technical Working Group)

c.

Lack of orientation of Regional Nutrition Evaluation Team(RNET) members

d. Inadequate logistic support (manpower, services)

e. No permanent Nutrition Action Officers

f. Fast turnover of Barangay Nutrition Scholars and other

volunteer workers due to politics

3. Opportunities

a. Country Program for Children Phase 7 (CPC 7)

b. Supplemental Feeding of Day Care Children

c. Pantawid Pamilyang Pilipino Program (4Ps)

d.

Province-wide Investment Plan for Healthe. Aquino Health Agendaf. United Nation Population Fund (UNFP)

g. Non-Government Organizations supporting nutritionh. Poverty reduction program of the present administration

i. Regional Nutrition Committee is represented in RegionalDevelopment Council for policy formulation

j. Funding support from Local Government Units and Non-

Government Organizations

k. Capacity building among nutrition workers

l. Organized Local Nutrition Committees

4. Threats

a. Climate change

b. Change of leadership in the national, regional, municipal and

barangay levels

c. Multi-function of Nutrition Action Officers

d. Lack of support from Local Chief Executives

e. Nutrition not a priority of some Local Chief Executives

f. Disasters

Key Result Areas and Success Indicators

The following Key Result Areas (KRAs) were identified:1. Organization and Management

2. Policy Recommendation and Advocacy

3. Partnership Building

4. Resource Management

5. Capability Building

6. Service Delivery


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For each KRA, success indicators were determined for 2012-2016:

KEY RESULT AREA SUCCESS INDICATORS

1. Organization &

Management2012 2013 2014 2015 2016

1. Membership to

Regional NutritionCommittee (RNC)

No. of agencies and

associations in the

Regional Nutrition

Committee

21 22 22 24 25

80% of agencies regularly

& actively attendingmeetings

17 18 18 19 20

2. % of LocalGovernment Units

with functionalnutrition committees

6P, 7C,86M

(80%)1735B

(50%)

6P, 7C90M

(85%)1909

(55%)

6P, 7C96M

(90%)2082

(60%)

6P, 7C102 M

(95%)2256

(65%)

6P, 7C107 M

(100%)2430

(70%)

3. % of Local

Government Unitswith full time

Nutrition ActionOfficer (NAO)

0P,2C,12

M(12%)

0P, 2C

15 M(14%)

0P, 3C

16 M(16%)

0P, 3C

19 M(18%)

OP,4C

20M(20%)

Program Development

1. % of Local

Government Unitswith NutritionAction Plan as part

of EconomicLegislative Agenda

6P, 7C,

86M(80%)

6P, 7C

107M(100%)

Maintained Main-

tained

Main-

tained

2. % of Local

Government Units

with documented

Best Practices

2P, 2C

8M

(10%)

3P, 3C

18M

(20%)

4P, 4C

20M

(30%)

5P, 5C

38M

(40%)

6P, 7C

47 M

(50%)

3. Regional Nutrition

Committee (RNC)

Strategic Planformulated

1 strat plan

review

strat plan

review

strat plan

review

strat plan

formula-

tion

4. Regional Nutrition

Committee (RNC)

Annual Operation

Plan (AOP)

formulated

1 1 1 1 1

Monitoring & Evaluation6P, 7C

20 M

6P, 7C

22 M

6P. 7C

25 M

6P. 7C

28 M

6P, 7C

30 M

% of Regional Nutrition

Committee members

regularly submitting bi-

annual reports

17

(80%)

Main-

tained

23

(90%)

Main-

tained

25

(100%)


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KEY RESULT AREASUCCESS INDICATORS

2012 2013 2014 2015 2016

% of Province & City

participating in Monitoring

in Evaluation of Local

Level Plan Implementation

(MELLPI)

6P, 7C

(100%),

19M

60B

6P, 7C

(100%),

19M

60B

6P, 7C

(100%),

19M

60B

6P, 7C

(100%),

19M

60B

6P, 7C

(100%),

19

60B

% of Regional line -

agencies, Academe, NGOs

joining MELLPI

13

(60%)

15

(70%)

18

(80%)

22

(90%)

25

(100%)

LGU as Consistent

Regional OutstandingWinner in Nutrition

1 1

Regional Nutrition

Awarding Ceremony

(RNAC) conducted

1 1 1 1 1


2. Policy Recommendation

& Advocacy2012 2013 2014 2015 2016

100% Local GovernmentUnits pass resolutions to

allocate funds for nutrition of

at least 5% of General Fund

48 LGUs(40%)

72 LGUs(60%)

84 LGUs(70%)

108 LGUs(90%)

120LGUs

(100%)

20 LGUs with creation ofplantilla positions for full-

time Nutrition Action

Officers by end of CY-2016

4 LGUs 8 LGUs 12 LGUs 16 LGUs 20 LGUs

Establishment of

malnutrition wards in 30

government hospitals

10 govt.hospitals

20 govt.hospitals

30 govt.hospitals

30govt.hospitals

30 govt.hospitals

100% establishment of

breastfeeding room in LGUs

20%

(23

LGUs)

35%

(40

LGUs)

55%

(63 LGUs)

80%

(91

LGUs)

100%

(120)

100% government & private

hospitals to be a certified

mother-baby friendly facility

20%

(22 govt

&

private)

40%

(44)

60%

(66)

80%

(88)

100%

(110)

100% strict compliance onnutrition policies intended for

school canteens (govt &

private), Hospital canteens

and sari-sari stores

- ASIN law

- No selling of non-

fortified foodproducts in school &

hospital canteens

- Sangkap Pinoy

Schools100%

(elem &

h.s.)

Hospitalcanteens-

100%

Sari-sari

stores-

100%

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained

Sustained


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2. Policy Recommendation

& Advocacy (cont.)2012 2013 2014 2015 2016

100% regular monitoring of

nutrition-related programs &

services

100% 100% 100% 100% 100%

Institute incentives for 100%members of RTWG on

technical assistance-rendered

(monitoring & evaluation,

resource person, etc.)

100% 100% 100% 100% 100%

KEY RESULT AREA SUCCESS INDICATORS (2012-2016)

3. Partnership Building 100 % of Local Government Units and three

(3) nutrition organizations: Bicol Region BNSAssociation, Inc. (BRBNSA, Inc.), Bicol

District / City Nutrition Program CoordinatorsAssn. (BIDA), Bicol Association of Nutrition

Action Officers Organizations (BANAO)

actively involved in RNC for implementation

of nutrition programs.

Participation of partners particularly NGOs and

private organizations through resourceaugmentation and replication of best practices.

Organized breastfeeding support for six (6)

provinces and seven (7) cities in Region V

Established partnership through MOAs /

MOUs Strengthened collaboration with lead

government agencies in nutrition

Established partnership with tri media

KEY RESULT

AREASUCCESS INDICATORS

3. Partnership

Building2012 2013 2014 2015 2016

End of 2012, 13

LGUs & 3

organizationsactivelyattending RNC

meeting and

other activities.

By end of

2013, a MOA

signedbetween RNCor LGUS and

NGO

partners.

Sustained

13 LGUs

& 3organiza-tions

Sustained

13 LGUs

and 3organi-zations

Sustained

13 LGUs

and 3organiza-tions

End of 2012,

conduct a survey

for NGOs

partners for

possible external

funding innutrition.

By end 2013

solicited

support

financial and

technical

support fromNGOs

partners.

Sustained Sustained Sustained


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KEY

RESULT

AREA

SUCCESS INDICATORS

3. Partnership

Building (cont.)2012 2013 2014 2015 2016

By end of 2012,

conductedstakeholders

analysis or

identified

nutrition

programs orservices of

partners.

By end of

2013, allprovinces and

cities have

organized

breast-feeding

supportgroups in

their area.

Sustained Sustained Sustained

By end of 2012,

conducted a

year-end

assessment ofprogram

implemented bypartners.

Sustained Sustained Sustained Sustained

By end of 2012,

established

linkages with the

media.

Sustained Sustained Sustained Sustained

KEY

RESULTAREA SUCCESS INDICATORS

4. Resource

Management2012 2013 2014 2015 2016

Php.180,000

fundallocation

(incentiveallowance) for

20 official

RNET

members by2012-2016

Allocation of

Php. 30,000 for20 RNET

members

Allocation of

Php. 30,000for 20 RNET

members

Allocation

of Php.40,000 for

20 RNETmembers

Allocation of

Php. 40,000for 20 RNET

members

Allocation

of Php.40,000 for

20 RNETmembers

Fundallocation of

Php. 324,000

for Capacity

Building,

exposure trip,

etc

Php. 17,000allocation for

capacity

building/

orientation

workshop


capacity

building/

orientation

cum

consultation

workshop

Cross Visitfunding of

Php.

250,000


capacity

building/

orientation

cum

consulta-tion

workshop

Php. 20,000allocation

for capacity

building/

orientation

cum

consulta-tion

workshop


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KEY

RESULT

AREA

SUCCESS

INDICAT

ORS

5. Capability

Building2012 2013 2014 2015 2016

Identify type

of participantsfor training

Nutrition &

alliedworkers/

participants

Nutrition

& alliedworkers/

participants

Nutrition &

alliedworkers/

participants

Nutrition &

alliedworkers/

participants

Nutrition &

alliedworkers/

participants

No. of batches

identified/

Training

15-20

batches/yr.

15-20

batches/yr.

15-20

batches/yr.

15-20

batches/yr.

15-20

batches/yr.

At least 30

participants/Batch

20-30

participants/training

20-30


20-30


20-30


20-30


Amount of

fundsidentified per

training & thefund source

P750/

participantlive out

P1,800/participant

live-in

P750/

participantlive-out

P1,800/participant

live- in

P750/

participantlive-out

P1,800/participant

live-in

P750/

participantlive-out

P1,800/participant

live-in

P750/

participantlive-out

P1,800/participant

live-in

Project

proposals &

modules

finalized &

approved

4 proposals/

modules

prepared &

approved

4 proposals/

modules

prepared &

approved

4 proposals/

modules

prepared &

approved

4 proposals/

modules

prepared &

approved

4 proposals/

modules

prepared &

approved

No. of re-echo

trainingsconducted to

direct

beneficiaries

(mothers,

caregivers,

etc.)

60-80 re-

echo trngs.Conducted

60-80 re-

echo trngs.conducted

60-80 re-echo

trngs.conducted

60-80 re-echo

trngs.conducted

60-80 re-echo

trngs.conducted

KEY RESULT


6. Service

Delivery2012 2013 2014 2015 2016

Supplementary

feeding

Micronutrientsupplementation

DewormingInfant & young

child feeding &complementary

feedingHealth & Nutrition

Education

Reduction of

underweight

0-5 year-oldchildren from

14.86 to13.75%

Reduction

of under-

weight 0-5year-old

childrenfrom 13.75

to 12.64%

Reduction

of under-

weight 0-5year-old

childrenfrom 12.64

to 11.53%

Reduction

of under-

weight 0-5year-old

childrenfrom 11.53

to 10.42%

Reduction

of under-

weight 0-5year-old

childrenfrom 10.42

to 9.31%

Reduction of

thin 0-5 year-old children

Reduction

of thin 0-5year-old

Reduction

of thin 0-5year-old

Reduction

of thin 0-5year-old

Reduction

of thin 0-5year-old


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KEY RESULT


6. Service

Delivery (cont.)2012 2013 2014 2015 2016

Establishment of

backyard andcommunity

gardens

Growth monitoring

& promotion

from 8% to

7.6%

childrenfrom 7.6%

to 7.2%

childrenfrom 7.2%

to 6.8%

childrenfrom 6.8%

to 6.4%

childrenfrom 6.4%

to 6.0%

Day Care Children

(3-4 year-oldpreschool children)

provided withsupplementary

feeding

Growth monitoringand promotion

96,244 DCCprovided

with supple-mentary

feeding

142,480 ofDCC

providedwith

supplemen-

tary feeding

165,598 ofDCC

providedwith

supplemen-

tary feeding

211,834 ofDCC

providedwith supple-

mentary

feeding

188,716 of

DCCprovided

withsupplemen

-taryfeeding

Utilization of

fortified foodproducts (school

canteen)

100% from2012 to 2016

sustained sustained sustained sustained

4Ps children

beneficiariesprovided with

health & nutritionservices

85% covered

by 2012

87%

covered by2013

89%

covered by2014

93%

covered by2015

95%

coveredby 2016

Organized &

functional

breastfeeding (BF)support groups

25% of

barangays

withfunctional

BF supportgroups

50% of

barangays

withfunctional

BF supportgroups

75% of

barangays

withfunctional

BF supportgroups

All

barangays

withfunctional

BF supportgroups

All

barangays

withfunctional

BF supportgroups

Under 5 children

given Vitamin A

supplementation

85% of 12-

59 PS given

Vit. A

supplement-

ation

90% of 12-

59 PS given

Vit. A

supplement-

ation

95% of 12-

59 PS given

Vit. A

supplement-

ation

All 12-59

PS given

Vit. A

supplement-

ation

sustained

School childrenprovided with

various nutrition

services

Reduceprevalence

rate of

wasted and

severely

wasted

Public

School

Children

from 19.97%

to 18.17%

Reduceprevalence

rate of

wasted and

severely

wasted

Public

School

Children

from

18.17% to16.37%

Reduceprevalence

rate of

wasted and

severely

wasted

Public

School

Children

from

16.37% to14.57%

Reduceprevalence

rate of

wasted and

severely

wasted

Public

School

Children

from

14.57% to12.77%

Reduceprevalence

rate of

wasted and

severely

wasted

Public

School

Children

from

12.77% to10.97%


22/26


KEY

RESULT


6. Service

Delivery

(cont.)2012 2013 2014 2015 2016

Supplemen-tary Feeding

At least 60%or 63,276

wasted &

severely

wasted kinder

& Grades 1-3provided with

supplemen-tary feeding

for 100-120feeding days

At least 80%of wasted &

severely

wasted

kinder &

Grades 1-3provided

withsupplemen-

tary feedingfor 100-120

feeding days

100% ofwasted &

severely

wasted

kinder &

Grades 1-3provided

withsupplemen-

tary feedingfor 100-120

feeding days

sustained Sustained

Deworming 40% of

children inPublic Elem

Schoolsdewormed to

improvenutritional

status

55% of


Schoolsdewormed to

improvenutritional

status

70% of


Schoolsdewormed

to improvenutritional

status

85% of


Schoolsdewormed to

improvenutritional

status

All children

in PublicElem

Schoolsdewormed

to improvenutritional

status

Provision of

hot meals byschool canteen

At least 25%

of schoolswith canteens

implementsupplementary

feedingprogram

At least 50%

of schoolswith

canteensimplement


program

At least75%

of schoolswith

canteensimplement


program

100% of

schools withcanteens

implementsupplemen-

tary feedingprogram

Sustained

Growthmonitoring

and promotion

(GMP)

70% of the

barangayswith accurate

weighing scale

& 40 % withlength/ height

board

80% of the

barangayswith accurate

weighing

scale & 60 %length/height

board

90% of the

barangayswith

accurate

weighingscale & 80

% length/

height board

100% of the

barangayswith

accurate

weighingscale &

length/height

board

All brgys

withaccurate

weighing

scale &length/ht

board

20% of the

publicelementary

schools withdetecto scale

30% of the

publicelementary


50% of the

publicelementary


70% of the

publicelementary


90% of the

publicelementary


Utilization offortified food

products inschool canteen

All elementaryand High

School withcanteens

Sustained Sustained sustained Sustained


23/26


KEY

RESULT


6. Service

Delivery

(cont.)2012 2013 2014 2015 2016

Dental careservices for 6-

12 years old

children in

public school

Reduction ofdental caries

experiences

from 83.18%

to 81.66%

Reduction ofdental caries

experiences

from 81.66%

to 80.14%

Reduction ofdental

caries

experiences

from

80.14% to78.62%

Reduction ofdental

caries

experiences

from 78.62%

to 77.10%

Reduction ofdental

caries

experiences

from

77.10% to75.58%

Health and

Nutrition

Education

100% of E/S

and H/S with

Nutrition

concepts

integrated inall subject

areas

Sustained Sustained sustained Sustained

Establishment

of school

gardens &

nurseries

25 % of public

elementary

schools with

functional and

sustained

school kitchengardens

50% of

public

elementary

schools with

functional

andsustained

schoolkitchen

gardens

75 % of

public

elementary

schools with

functional

andsustained

schoolkitchen

gardens

All public

elementary

schools with

functional

and

sustainedschool

kitchengardens

All public

elementary

schools with

functional

and

sustainedschool

kitchengardens

Regional Strategic Thrusts

1. To strengthen public and private partnership to support nutrition program;2. To intensify coordination among stakeholders for the efficient and effective

delivery of nutrition program services;3. Strongly and persistently advocate with LCEs in the formulation of nutrition

policies and directions for efficient implementation of nutrition program;4. To develop a comprehensive capacity building program for stakeholders;5. To promote and replicate good nutrition practices in the Bicol region;6. To provide incentive award/recognition to performing stakeholders/DLCEs on

Nutrition Program implementation:

Our Core Strategies1. Intensify coordination of public-private partnership and advocacy of LCES

and provide incentives/recognitions for the effective and efficient delivery of

the nutrition program;

2.

Develop a comprehensive capacity building program and well-developed best nutrition practices.


24/26


Operational Plans for Year 1: May December 2012

KEY RESULT AREASUCCESS

INDICATORSTARGET WHEN

1. Organization &

Management

Consultative meeting of theRegional Nutrition Committee

RNC consultativemeeting conducted

1 June

Assess functionality ofnutrition committees at

provincial, municipal &

barangay levels

Assessment of LocalNutrition Committees

functionality conducted

6P, 7C June-Dec.

Lobby w/ ABC president(prov. & city levels) for the

organization/reactivation of BNC

Barangay NutritionCommittees

organization/reactivationcoordinated

6P, 7C July-Dec.

Lobby w/ Sanggunian

Panlalawigan & Panlungsod

for creation of plantillaposition for Nutrition Action

Officer (NAO)

Nutrition Action Officers

plantilla position

coordinated

6P, 7C July-Dec.

Coordinate & lobby w/P/C/MPDOs for inclusion of

nutrition program in the ELA

by province/city/municipality

Local nutrition programfunded and incorporated

in the ELA by LGUs

6P, 7C Oct.-Dec.

Conduct training of P/CNAOson process documentation

Training on ProcessDocumentation

conducted

2 Nov.

Conduct annual operational

plan of RNC Strategic Plan

RNC Annual Operation

Plan formulated

1 July

Provide logistics support of

participating agencies in the

MELLPI

Logistics support

provided

As needed 3r

quarter

Recognize & provideincentives to outstanding

LGU performers

LGU outstandingnutrition performers

recognized

1 October

KEY RESULTAREA

WHATSUCCESS

INDICATORSWHO WHEN

2. Policy

Recommendation &

Advocacy

Develop,coordinate, monitor

nutrition-relatedpolices

9 nutrition-relatedpolices developed,

coordinated &monitored

RNC,RSDC and

LGUs

June 2012

December

3. Partnership

Building

Organize BF

support groups w/

assistance of healthservice providers,

rural healthmidwives, health

workers & BNS

For 6 provinces &

7 cities

RNC,

health

workers

May-Dec

2012


25/26


KEY RESULT AREA WHATSUCCESS

INDICATORSWHO WHEN

4. Resource

Management

Allocate incentive

allowance

Php.30,000 fund

allocation

(incentive

allowance) for 20

RNET officialmembers

RNET

members

4t quarter

of 2012

(after

completion

of MELLPI

Provision of funds

for

trainings/workshop

and cross visits

Fund allocation of

Php. 17,000 for

Capacity Building

RNET

Members

2n quarter

of 2012

(before

conduct ofMELLPI)

KEY RESULT AREA SUCCESS INDICATORS WHO WHEN

5. Capability Building Four (4) identified trainingsconducted

ProgramCoordinator

2012

Nutrition & allied

workers/participants in the training

identified

Program

Coordinator

2012

20-30 participants trained pertraining

ProgramCoordinator

2012

60-80 echo trainings conducted -do- 2012

70-80% of direct beneficiaries

practicing the desired behaviours

derived from the trainings

conducted

-do- 2012

One continuing education forRegional Nutrition Committee

conducted quarterly

-do- 2012

KEY RESULT

AREAWHAT

SUCCESS

INDICATORSWHO WHEN

6. Service

Delivery

Supplemental feeding Reduction of

underweight 0-5 year

old children from 14.86

% to 9.3 % by 2016

BNS,BHW,

RHM

Oct

2012

Garantisadong

Pambata

Improved haemoglobin

levels of children,pregnant and lactating

women

RHM, BHW,

BNS,DCW/BNC

On-

going

Health and Nutrition

Education and

information

Increased health and

nutrition awareness of

every family

RHM, BHW

BNS,

MNAO,

On-

going

Infant and young

child feeding and

complementary

feeding

Increased the number

of EBF infants and

decreased

undernutrition

Health &

nutrition

volunteers in

IYCF

On-

going

Establishment of

backyard and

community garden

Increased food security

and calorie intake

among households

BNCs,

BNS,BHW

On-

going


26/26

KEY RESULT

AREAWHAT

SUCCESS

INDICATORSWHO WHEN

6. Service

Delivery

(cont.)

Supplemental feeding Decreased Prevalence

Rate of Severely

wasted and wasted

Public School Children

from 19.97% to10.97% by 2016

School

Nurses

Parents/

Teachers

July

2012

Deworming Program At least 40% of

children in public

elementary schools are

dewormed; deliveredwithin an integrated

school healthProgram

Teachers/

Parents

School

Nurses

July

2012

Establishment of

school gardens &

nurseries

25% of public

elementary schools

with functional andsustained schoolkitchen gardens

Parents/

Teachers

On-

going

Dental Health Reduce prevalence rate

of dental caries among

children by 1.52%

School health

and nutrition

personnel,teachers,

doctors,nurses,

midwives ,and dentist

On-

going

Health and Nutrition

Education

Nutrition concepts

integrated in all subject

areas in elementary andsecondary levels

School

Health &

Nutritionpersonnel,

Teachers

On-

going

Growth monitoring

and promotion

20% of the barangays,

elementary schools

detecto weighing scale

School

Health &

Nutrition

personnel,Teachers

On-

going

70% of the barangayswith accurate weighing

scale & 40 % with

length/ height board

BNS, BHW,Midwives On-going

Bicol Region Nutrition Strategic Plan, 2012-2016

Documents

Transcript of Bicol Region Nutrition Strategic Plan, 2012-2016