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TO REDUCE THE PREVALENCE OF MALNUTRITION AMONG CHILDREN AGES 0 6 Y.O. IN SITIO CENTRO, SITIO BAGONG POOK AND SITIO HILERANG KAWAYAN ESCRIBANO, SAN JUAN, BATANGASTo Improve PerformanceTo Prevent AbsenteeismTo Decrease MorbidityTo Improve Quality of LifeTo Decrease MortalityTo Reduce Vulnerabilityto IllnessTo Minimize HealthcareExpensesTo Increase Confidence inHealthcare ServiceTo develop an IECcampaignTo improve Diet andFood IntakeTo provide managementfor diagnosed casesTo improve case findingTo provide additional dataon nutritional status ofBarangayTo introduce additionalBasis for MalnutritionAssessmentTo Improve PracticesTo increase knowledgeon MalnutritionTo provide more accessTo Food SupplyTo alleviate PovertyTo provide cementedroadsTo improve knowledge on Nutrition ManagementTo help initiate improvementon Nutrition StatusTo formulateNutrition InterventionsTo formulate an Effective Nutrition ProgramTo allocate funds for Nutritional ProjectsTo convince the LGUto prioritize Nutrition ProgramsOBJECTIVE TREETO REDUCE THE PREVALENCE OF MALNUTRITION AMONG CHILDREN AGES 0 6 Y.O. IN SITIO CENTRO, SITIO BAGONG POOK AND SITIO HILERANG KAWAYAN ESCRIBANO, SAN JUAN, BATANGASTo Improve PerformanceTo Prevent AbsenteeismTo Decrease MorbidityTo Improve Quality of LifeTo Decrease MortalityTo Reduce Vulnerabilityto IllnessTo Minimize HealthcareExpensesTo Increase Confidence inHealthcare ServiceTo develop an IECcampaignTo improve Diet andFood IntakeTo provide managementfor diagnosed casesTo improve case findingTo provide additional dataon nutritional status ofBarangayTo introduce additionalBasis for MalnutritionAssessmentTo Improve PracticesTo increase knowledgeon MalnutritionTo provide more accessTo Food SupplyTo alleviate PovertyTo provide cementedroadsTo improve knowledge on Nutrition ManagementTo help initiate improvementon Nutrition StatusTo formulateNutrition InterventionsTo formulate an Effective Nutrition ProgramTo allocate funds for Nutritional ProjectsTo convince the LGUto prioritize Nutrition ProgramsALTERNATIVE TREENarrative SummaryObjectively Verifiable Indicators (OVI)Means of Verification (MOV)Risks and AssumptionsGoal:To reduce the prevalence of malnutrition by 50% within 3 years among children ages 0 to 6 years old in Sitio Centro and Sitio Bagong Silang, Brgy. Escribano, San Juan, BatangasAfter 3 years, the number of malnourished children will be reduced by 50%.BNS ReportAssumptions:Dedicated LGUData are available, comprehensive and reliable

Risks:LGU is unable to adapt to the introduction of the new program for nutrition.Purpose:To formulate an effective nutrition program that will be immediately implemented and sustained for the next 3 yearsAfter 3 years, 80% of all children aged 0 to 6 years old will be included in the nutrition program.Health Survey ReportsProgram Members ListingAssumptions:Sufficient funs are allocated for the program.LGU is willing to encourage the community to join the program.LGU is willing to sustain and support the program.Component Objectives:To establish a more comprehensive nutritional assessmentTo develop IEC campaignsTo improve diet and food intakeTo formulate nutrition interventionsFORM 1: LFA SUMMARYFORM 2 and 3: OUTPUT SUMMARY (2) and PROJECT PLANNING FORM (3)Component ObjectiveOutputObjectively Verifiable Indicators (OVI)Means of Verification (MOV)Risks and AssumptionsActivitiesComponent Objective #1:

To establish a more comprehensive nutritional assessmentOutput 1.1

New nutritional anthropometric assessment for malnutrition:UnderweightStuntingWastingBHWs will perform the new nutritional assessment for malnutrition (weight-for-age, height-for-age and weight-for-height) throughout the implementation of the program.BNS reportsAssumptions:All BHWs are available for training and seminars.Materials needed for the assessment are available.Assessments will be done accurately and correctly.

Risks:BHWs are not willing to be trained or are not willing to practice the new assessment.Assessment will not be done consistently and continuously.Materials are insufficient, defective or unavailable.Activity 1.1.1

Training seminar for BHWs on anthropometryEmphasis on the use of growth charts by the DOH and latest WHO standard tablesActivity 1.1.2

Conducting an actual anthropometric survey of all children aged 0 - 6 yrs.Component ObjectiveOutputObjectively Verifiable Indicators (OVI)Means of Verification (MOV)Risks and AssumptionsActivitiesOutput 1.2

Description of factors that differentiates mothers with well-nourished children from mothers with malnourished children.Possible factors that may contribute to malnutrition would be identified by the end of the survey.Summary of the results of the qualitative survey on:Food frequency and feeding habits surveyFood preparation surveyAssumptions:Mothers are available for the survey.Mothers will answer completely and comprehensively.

Risks:Mothers are not willing to participate.Mothers will exhibit Hawthorne effect.Activity 1.2.1

Conducting a qualitative survey on the food frequency and feeding habits of children aged 0 - 6 yrs.Activity 1.2.2

Conducting food preparation practices assessment of mothers.Component Objective #2:

To develop IEC campaignsOutput 2.1

Information disseminationprogramCampaign materials would be available before the end of the first quarter and remain throughout the entire implementation of the program.Ocular inspection of posting sites (posters)Records of distribution (leaflets and flyers)Inventory of materialsAssumptions:All materials have been pre-tested and revised as needed.All materials will be informative and understandable.There is sufficient funding for the IECS.

Risks:IECs will be ignored or neglected.IECs will not be updated or sustained.

Activity 2.1.1

Develop informative posters, flyers/leaflets etc. regarding malnutritionComponent ObjectiveOutputObjectively Verifiable Indicators (OVI)Means of Verification (MOV)Risks and AssumptionsActivitiesComponent Objective #3:

To improve diet and food intakeOutput 3.1

Provide more access to food supplyThe barangay will have a community vegetable garden after planting season of the first year of program implementation and remain throughout the entire program.Presence of community vegetable garden in the barangay.Assumptions:Sufficient funds allocated for the vegetable garden.Full participation and cooperation of all the barangay officials and residents.

Risks:Insufficient fundsImproper maintenance of the vegetable gardenPlanning the vegetable garden with the barangay and the Department of Agriculture officials.Component Objective #4:

To formulate nutrition interventionsOutput 4.1

Increased knowledge on nutrition managementBHWs are able to perform scheduled training seminars for mothers on the different concepts regarding nutrition and nutrition management throughout the entire implementation of the program.BHW results of knowledge assessment questionnaire regarding points and nutrition and nutrition management.

Results of post-seminar assessment activities of mothers.Assumptions:BHWs are willing to undergo seminars and evaluations.Mothers are willing to attend seminars,

Risks:BHWs are not willing to perform constant training.Mothers are unwilling to participate or follow.Activity 4.1.1

Training seminar on BHWs for nutrition educationActivity 4.1.2

Training seminars on BHWs for mothers seminar regarding:Importance of mother involvementValue of nutrition (food and vitamins)Component ObjectiveOutputObjectively Verifiable Indicators (OVI)Means of Verification (MOV)Risks and AssumptionsActivities3. Value of food preparation in nutrition4. Alternative food sources and easy recipes for readily available food sources5. Seedling projects (if possible)Output 4.2

Recommendation on developing projects that will improve nutritional statusRecommendations will b taken intro consideration during the development of nutrition projects throughout the entire implementation of the program.Project planning reports

Feasibility and practicability reports (based on RRLs)Assumptions:Program committee are willing to accept and consider the recommendations.Recommendations are applicable throughout the entire duration of the program.Budget is readily available for the projects.

Risks:Nutrition programs will not be sustained or prioritized.Recommendations will be ignored or neglected by the program committee.Activity 4.2.1

Feasibility and practicability assessment of feeding programs and food supplementation based on:

DurationCoverageInvolvementAlternative SourcesSelectionFORM 10: MONITORINGPROJECT COMPONENTEND USERMONITORING INDICTORSMEANS OF VERIFICATION (MOV)MONITORING FREQUENCYDATA ANALYSISUtilization of the new anthropometric measurements for nutrition status assessmentBHWsAll BHWs would have acquired the length/height of all children included in the program.Results of the Anthropometric SurveyQuarterly (together with the quarterly nutrition assessment)Checking for completion of the data submitted by the BHWsDistribution of IEC materialsResidentsAll IEC materials are usedOcular visits and spot mapping of posting location sites (posters)A week after posting (initial) and quarterly visits (for maintenance)Distribution listing and inventory of stocks (leaflets/flyers)As distributed (distribution) and quarterly (inventory)Inventory listing and demo running (audiovisuals)Two days before use (training seminars) and monthly (maintenance)Mother Training SeminarsMothers of children ages 0 6 y.o.At least 80% of the mothers attended the seminarsTraining Seminar Attendance ListingAfter every sessionPercentage of attendees (no. of attendees over the number of mothers with children 0 6 y.o. multiplied by 100)FORM 11: EVALUATIONPURPOSE OF EVALUATIONEVALUATION OBJECTIVESPROJECT COMPONNTS TO BE EVALUATEDINDICATORSMEANS OF VERIFICATION (MOV)DATA ANALYSISTo determine whether the desired change in prevalence was achievedTo determine whether the prevalence of malnourished children in Sitio Centro and Sitio Bagong Slang, Escribano, San Juan was decreased by at least 50%Training of the BHWs on the new nutritional assessment procedures

IEC materials distributed

Mother Training Seminars were conducted100% of the BHWs are performing the new nutritional assessment procedures80% of the mothers attended the Mother Training Seminars

50% of the formerly diagnosed as malnourished are already considered normal/nourishedTraining Attendance Listing of BHWsTraining Seminar Attendance Listing of Mothers

BHW Reports (Height and Weight)BNS Reports (Nutritional Status)Change in the prevalence of malnourished children

(Prevalence computed by no. of cases over total no. population aged 0 6 multiplied by 100; change computed by previous no. of cases minus present no. of cases, divided by previous number of cases multiplied by 100.)