Nm 2014talking Points

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TALKING POINTSNational Nutrition CouncilJune 2014

Nutrition Month 2014Kalamidad Pahandaan! Gutom at Malnutri"#on Aa$an%


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Kalamidad Paghandaan:Gutom at Malnutrisyon Agapan!2014 Nutrition Month

TALKING POINTS

1. What is Nutrition Month (NM)?

2. What is the theme for NM 2014?

3. What is nutrition in emergencies?

4. Why is nutrition in emergencies important?

. What are the nutritiona! pro"!ems of concern in emergencies?

#. $o% is nutrition in emergencies coor&inate&?

'. What is the minimum nutrition serice pacage in emergencies?

*. $o% is nutrition assessment &one &uring emergencies?

+. What are the foo&,"ase& an& non,foo& "ase& nutrition interentions in

emergencies?

10. What is the protoco! for micronutrient supp!ementation &uring

emergencies?

11. $o% is acute ma!nutrition among chi!&ren manage&?

12. What are ey concerns for fee&ing infants an& young chi!&ren in

emergencies?

13. Why are &onations of "reastmi! su"stitutes not a!!o%e& &uring

emergencies?

14. What resources are aai!a"!e for nutrition in emergencies?

1. What actions can "e &one to prepare for nutrition inemergencies?

1#. $o% can nutrition in emergencies "e strengthene&?

1'. What are the some %ays to ce!e"rate Nutrition Month 2014?

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/eferences

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1( )hat i" Nutrition Month *NM+,

Nutrition Month is the annua! campaign he!& eery u!y to creategreater a%areness on nutrition among i!ipinos. t is man&ate& un&er-resi&entia! ecree 4+1 or the Nutrition ct of the -hi!ippines. 5he

Nationa! Nutrition ounci! (NN) coor&inates the nation%i&e campaigninc!u&ing the i&enti6cation of an annua! theme to focus on a prioritynutrition concern.

2( )hat i" the theme -or 2014,

5he 40thNutrition Month campaign focuses on nutrition in emergencies%ith the theme Kalamidad paghandaan: Gutom at malnutrisyonagapan!(-repare for emergencies to preent hunger an&ma!nutrition7) 5he focus on nutrition in emergencies aims to proi&ethe enue for the genera! pu"!ic to rea!i8e the importance of

prepare&ness &uring emergencies9 ho% to respon& an& %hat recoerymeasures can "e taen to preent &eath an& %orsening of ma!nutritionof a:ecte& popu!ation groups.

5he o";ecties of this year

" mo"i!i8e respon&ers particu!ar!y the !oca! nutrition c!usters an&other staeho!&ers to a&&ress gaps in nutrition in emergency

response from nationa! to "arangay !ee!s> an&9c increase a%areness among fami!ies an& in&ii&ua!s on coping

an& resi!iency strategies to preent ma!nutrition an& %orseningof nutritiona! status in times of emergencies an& &isasters.

'( )hat i" .nutrition in emerencie"/,

Nutrition in emerencie"(Ni) is &e6ne& as the nutrition sericesthat are part of emergency prepare&ness9 response an& recoery topreent &eterioration of nutritiona! status an& &eath.5he nutritionserices can inc!u&e nutritiona! assessment> infant an& young chi!&

fee&ing promotion9 protection an& support> management of acutema!nutrition9 micronutrient supp!ementation an& other interentions%hich can "e foo& or non,foo&,"ase& interentions.

Nutrition in emergencies &i:ers from nutrition emergencies since the!atter refers to con&itions of ma!nutrition (such as %asting9micronutrient &e6ciencies) in emergency,a:ecte& popu!ations.



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Nutrition emergencies a!so occur in situations %here there is foo&insecurity %hich increases ris to ma!nutrition9 i!!ness an& &eath.

4( )h# i" nutrition in emerencie" im$ortant,

Nutrition in emergencies is important in or&er to preent &eath an&protect the right to nutrition. -opu!ation groups %ho are a!rea&yma!nourishe& een "efore the emergency are more u!nera"!e toi!!ness an& &eath &uring emergencies. @n the other han&9 a:ecte&popu!ations &uring emergencies are more !ie!y to eAperiencema!nutrition "ecause of !ac or ina&eBuate foo& an& %ater9 pooraccess to hea!th serices9 cii! insecurity an& ina&eBuate &e!iery ofassistance.

Nutrition in emergencies is a!so important "ecause ma!nutrition in the

-hi!ippines is a pre,eAisting pro"!em an&can9 therefore9 %orsen %henemergencies an& &isasters strie. Case& on the 2011 Nationa! NutritionDurey (NND) of the oo& an& Nutrition /esearch nstitute,epartmentof Dcience an& 5echno!ogy (N/,@D5)9

E 20.2F of chi!&ren age& 0, years are un&er%eight>E '.3F of chi!&ren age& 0, years are %aste&>E *.F of chi!&ren age& #,10 years are %aste&> an&9E 33.#F of chi!&ren age& ,10 years are stunte&.

Moreoer9 resu!ts of the 200* Nationa! Nutrition Durey of N/,@D5

sho%e& that9

E 1+.F of i!ipinos su:er from anemia> .'F of infants #,11months are most a:ecte& fo!!o%e& "y 42.F of pregnant %omen>

E 1.2F of # months G years o!& chi!&ren hae Hitamin &e6ciency>

E o&ine &e6ciency among #,12 year o!& chi!&ren9 a marer groupfor the entire popu!ation9 is %ithin accepta"!e !ee!s> ho%eer9io&ine !ee! among pregnant %omen is "e!o% recommen&e&!ee!> an&9

##.+F of househo!&s &i& not meet their &ietary energy reBuirement.

( )hat are the nutritional $rolem" o- concern in emerencie",

5hethree nutritiona! pro"!ems of concern &uring emergencies are=

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1+ cute ma!nutrition%here there isa seere &ec!ine in thenutritiona! status oer a short perio& of time such as imme&iatepast 3 months of insuIcient intae of foo& an&Jor su:ering frominfections an& other i!!ness. cute ma!nutrition is mare& "ymusc!e %asting.

2+ hronic ma!nutrition %here !ong,term un&ernutrition has ma&ean impact on the nutritiona! status manifeste& "y stunting or"eing short or haing!o% height,for,age an& impaire& physica!an& menta! &ee!opment in chi!&ren.

'+ Micronutrient &e6cienciesin Hitamin 9 iron9 an& io&ine arecommon &uring emergencies "ecause of &isrupte& foo& supp!y9inci&ence of infectious &iseases particu!ar!y &iarrhea%hichimpairs nutrient a"sorption an& at the same time increases thenee& for thesemicronutrients.

( 3o i" nutrition in emerencie" coordinated,

5he NN Koerning Coar& issue& /eso!ution No. 2 s. 200+ on the&option of the Nationa! -o!icy on Nutrition Management inmergencies an& isasters to gui&e actions for the proision of Bua!itynutrition an& re!ate& serices to minimi8e ris of further &eterioration

of nutritiona! status particu!ar!y of the a:ecte& popu!ations.(o%n!oa&a"!e at %%%.nnc.go.ph)

n terms of coor&ination for emergencies9 the -hi!ippines a&opte& thec!uster approach to &isaster an& ris re&uction management as perNationa! isaster /is /e&uction Management ounci! ircu!ar No. 9Deries 200' on the nstitutiona!i8ation of the !uster pproach in the-hi!ippine isaster Management Dystem9 esignation of !uster Lea&san& their 5erms of /eference at the Nationa!9 /egiona! an& -roincia!Lee!.

Nutrition fa!!s un&er the hea!th c!uster together %ith 1) Water9Danitation an& $ygiene (WD$)9 2) $ea!th an&3) Menta! $ea!th an&-sychosocia! Dupport (M$-D) as proi&e& for in @$ epartment-ersonne! @r&er 200',24+2 D. 200' (reation of the $ea!th !uster%ith Du",!usters on Nutrition9 WD$ an& $ea!th). 5he Nationa!Nutrition ounci! %as &esignate& as hair of the Nutrition !usterrep!acing the $ea!th mergency Management Dta: ($MD) of the @$.

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Mem"ers of the Nationa! Nutrition !usterKoernment Non,Koernment @rgani8ations

Nationa! Nutrition ounci! G Chair N GHumanitarian CoordinationTeam Focal Agency

@$,$ea!th mergency ManagementDta: Cluster Over-all Secretariat

ction gainst $unger (nternationa!)

@$, Nationa! enter for isease-reention an& ontro!

rugaan

@$,Nationa! enter for $ea!th aci!ityee!opment

hi!& un&

@$,Nationa! enter for $ea!th-romotion

$e!en e!!er nternationa!

@$,oo& an& rug &ministration Me&ecins Dans rontieres@D5,oo& an& Nutrition /esearchnstitute

Mer!in

DW,isaster /is /e&uction an&/esponse @perations @Ice

-hi!ippine /e& ross

DW, ounci! for the We!fare of

hi!&ren

-!an nternationa!

epartment of the nterior an& Loca!Koernment

Dae the hi!&ren nternationa!

epartment of 5ra&e an& n&ustry (5) Wor!& oo& -rogrammeepartment of &ucation (ep) Wor!& $ea!th @rgani8ationommission on $igher &ucation($)

Wor!&Hision

5he Nutrition !uster aims to ensure that the nutritiona! status ofa:ecte& popu!ations %i!! not %orsen. ssentia!!y9 the nutritionc!uster faci!itates the strategic co!!a"oration an&comprehensieness of the emergency management as %e!! as

resource mo"i!i8ation an& integration of cross,cutting nutritionconcerns %ith other c!usters.

5he NN Koerning Coar& through /eso!ution No. 1 Deries 200+proi&e& thatthe !oca! nutrition committeessha!!sere as the !oca!nutrition c!usters. 5he mem"ers of the !oca! nutrition c!usters sha!!come from the !oca! oIces an& NK@s present in the area. 5he !oca!nutrition c!uster sha!! "e responsi"!e for nutrition management inemergencies.

K!o"a! Nutrition !uster or KN is organi8e& at the internationa!

!ee!to i&entify an& &ee!op essentia! actiities to ensure eIcientan& e:ectie emergency response.

5( )hat i" the minimum nutrition "er6ice $ac7ae inemerencie",

5he /ecommen&e& Nutrition !uster /esponse %hich is a!so ca!!e&the Minimum Derice -acage for Nutrition is a gui&e for the



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nationa! an& regiona! nutrition c!usters an& the !oca! nutritionc!uster on actions for emergency management.

Timeline National89eionalNutrition Clu"ter

Local Nutrition Clu"ter

-re,&isaster 1. Det up system forup&ating !ogistics2. &ocacy to partners on

supp!ementary fee&ing3. apacity "ui!&ing on

Nutrition in mergencies

1. ormu!ate emergencyprepare&ness p!an onnutrition

2. apacity "ui!&ing3. /esource mapping an&

prepositioning!ert -hase 1. p&ate resource

inentorya. Hitamin capsu!es". Mu!tip!e micronutrient

po%&ersc. errous su!fate %ith

fo!ic aci& ta"!ets&. materia!s for

nutritione. Mi&,pper rm

ircumference(M) tapes

f. Weighing sca!eg. Weight,for,height

reference ta"!eh. $eight "oar&i. /ea&y,to,use

therapeutic foo&

(/5);. /ea&y,to,use

Dupp!ementary oo&(/D)

. nti"iotics9&e%orming ta"!es

!. $uman mi! "ansm. Creastfee&ing it

(containerJkatsa9fee&ing cup %ithcoer9 foo& container%ith spoon an& for9 1

!iter g!ass tum"!er%ith coer9 materia!s9 "irthregistration form)

2. Mapping of partnersusing the 4Ws G Who9What9 When an& Where

p&ate inentory ofresources(see !ist fromnationa!Jregiona! c!uster)

-re,emptie 1. oor&inate %ith partners 1. Det,up supp!ementary

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eacuationphase (a!ert%arning)

on supp!ementaryfee&ing an& setting,upof "reastfee&ing spacesin eacuation centers

2. !ert noti6cation tohea!th faci!itiesregar&ing managementof seere acutema!nutrition

3. ctiate rapi&assessment teams9 Osupport groups

4. -re,&ep!oyment. on&uct !uster

coor&ination meeting

fee&ing for #,+ monthso!& chi!&ren9 pregnantan& !actating %omen

2. Hitamin supp!ementation

3. Det,up "reastfee&ingcornersJspaces ineacuation centers

4. ctiate teams. /eferra! of cases of

seere acute ma!nutrition(DM) %ith infections tontegrate& Managementof cute Ma!nutritionreferra! hospita!s

#. on&uct !ustercoor&ination meetingWithin 6rst 24hours of impact

1. ep!oy ssessmentteam

1. ep!oy assessment team2. on&uct rapi& nutrition

assessment

Within 2,'1hours

2. sta"!ish contacts>gather "ase!ine an&i&entify imme&iatepriorities

3. ssist in gap ana!ysisan& p!anning of nutrition

interentions4. isseminate &ai!ysituation report

3. on&uct assessment ofinfant fee&ing inemergencies

4. !uster coor&ination. -!anning for interention

More than '2hours

1. -roi&e technica!assistance

2. /esource augmentationan& generation

3. -o!icy monitoring of Mi!o&e (@ 1)

4. Lea&Jfaci!itate c!ustercoor&ination initiaties

. &ocacy for serices

#. ctiate3Ws'. 5echnica! assistance foreAit strategy

1. mp!ementthese nutritioninterentionsa. /api& screening for

acute ma!nutritionusing M tape

". C!anet an& targete&supp!ementaryfee&ing

c. ntegrate&

management of cuteMa!nutrition actiitycomponents

&. -romotion9 protectionan& support of infantan& young chi!&fee&ing inemergencies

e. Micronutrient

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interention2. nformation management3. /eferra! for psychosocia!

high,ris cases4. /eferra! to WD$9 hea!th

c!usters an& otherinterentions

. !uster coor&ination#. -o!icy monitoring of the

Mi! o&e (@ 1)'. ee!op eAit strategy

:( 3o i" nutrition a""e""ment done durin emerencie",

Nutrition assessment &uring emergencies is &one to i&entify the!ee! of ma!nutrition in the a:ecte& area an& to i&entify seere an&mo&erate acute ma!nutritioncases for imme&iate treatment an&referra!.

/api& nutrition assessment can "e &one %ithin 6rst 2 &ays fo!!o%ingthe emergency. t entai!s gathering anthropometric &ata such asmi&,upper arm circumference9 %eight an& height measurements.ata on seA9 age an& presence of "i!atera! pitting e&ema (&etectsthe presence of seere acute ma!nutrition or those %ho are seere!y%aste&) are a!so gathere&. 5he target groups to "e assesse& are

infants an& preschoo! chi!&ren "e!o% years o!&. 5he resu!ts of therapi& nutrition assessment proi&e i&ea picture on the magnitu&ean& seerity of the crisis an& %hether more &etai!e& nutritionassessment is nee&e&. &enti6e& ma!nourishe& chi!&ren can "einc!u&e& in a se!ectie fee&ing program.

mu!ti,c!uster rapi& assessment too! has "een &ee!ope& %hichinc!u&es assessment of the re!ief e:ortJassistance9 she!ter9 foo&security9 sanitation faci!ities9 hea!th9 nutrition9 chi!& protection9communication9 access an& emergency e&ucation situation as %e!!.or foo& security9 Buestions are ase& on access to foo&9 main

sources of foo&9 percentage of househo!&s %ith foo& stocs9 !ifespan of eAisting foo& stocs an&access to !oca! marets. 5heaai!a"i!ity of c!ean %ater at 1 !iters per person per &ay is a!soassesse&. or nutrition9 presence of &onate& formu!a mi! after theemergency is assesse& to &etermine io!ations of @ 1 or the Mi!o&e. ai!a"i!ity of other nutrition interentions is a!so &etermine&inc!u&ing micronutrient supp!ementation9 "reastfee&ing areas9 an&management of acute ma!nutrition.



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nother rapi& assessment metho&o!ogy is the DM/5 (Dtan&ar&i8e&Monitoring an& ssessment of /e!ief an& 5ransitions) surey %hichhe!ps &etermine the eAtent to %hich the emergency response isa"!e to meet the nee&s of the a:ecte& popu!ation. t measures

nutritiona! status of chi!&ren an& un&er,6e an& morta!ity rate of thea:ecte& popu!ation. DM/5 %as use& in the 5yphoon Oo!an&aa:ecte& areas.

;( )hat are the -ood


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b. on Food-based interventions

ash for Wor Gin eAchange for the %or proi&e& "y ictimsof the emergency9 they %i!! "e pai& incash to support their!ie!ihoo& or proi&eincome for the fami!y

nfant an& Ooung hi!& ee&ing in mergencies G thisencourages continue& "reastfee&ing through counse!!ing in apriate area for pregnant9 !actating mothers an& theirchi!&ren. 5his a!so inc!u&es counse!!ing an& proper preparationof safe an& nutritious comp!ementary foo&s for infants an&young chi!&ren.

$ea!th an& nutrition interentions %hich inc!u&eproisionofessentia! hea!th serices an& a&eBuate an& safe %atersupp!ies an& sanitation9 preention of oercro%&ing ineacuation centers9 immuni8ation9 &e%orming9preention an&management of communica"!e &iseases

Micronutrient Dupp!ementation an& oo& orti6cation GMicronutrients such as itamin 9 iron an& 8inc are &istri"ute&to target "ene6ciaries. uring supp!ementary fee&ing9 foo&s

that are &istri"ute& inc!u&e those enriche& %ithmicronutrients or forti6e& foo&sto augment ina&eBuate intaeof foo& "oth in Buantity an& Bua!ity of thea:ecte& popu!ation.When supp!ies are aai!a"!e9 mu!tip!e micronutrient po%&ersare a!so proi&e& to "e a&&e& to the comp!ementary foo&s forinfants an& young chi!&ren.

10( )hat i" the $rotocol -or micronutrient "u$$lementationdurin emerencie",

5hemicronutrient supp!ementation pacage &uring &isaster an&emergency situations %as &ee!ope& an& a!igne& %ith the eAistinggui&e!ines un&er @$ @ No. 2010,0010Deries 2010 on the /eise&-o!icy on Micronutrient Dupp!ementation.

/egu!ar proision of micronutrient supp!ements for infants9chi!&ren9 pregnant an& !actating mothers an& %omen of chi!&,"earing age



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Hitamin to infants #,11 months o!& (1009000 )9 12,+months o!& (2009000 )9 !actating %omen (2009000 ) an&chi!&ren %ith seere &iarrhea9 pneumonia an&seere!yun&er%eightun!ess they hae "een gien the same&ose in the past month> chi!&ren %ith meas!es are

gienHitamin (2009000 )regar&!ess %hen the !astsupp!ementation %as proi&e&

Dupp!ement !o% "irth %eight infants %ith 0.3m! of iron &ropsof 1 mg e!ementa! ironJ0.# m! starting from 2 months up to #months

-roi&enon,pregnant an& !actating %omen 10,4+ years o!&%ith 1 ta"!et of #0 mg iron %ith 2.* mg fo!ic aci& %ee!y9 %hi!e1 ta"!et of #0 mg e!ementa! iron %ith 400 mcg fo!ic aci&shou!& "e proi&e& &ai!y to a!! pregnant %omen for 1*0 &aysstarting from &etermination of pregnancy

Kie therapeutic &ose of iron supp!ements to anemic patients!ess than 10 years o!& %hi!e age& 10,4+ years must "e gien1 ta"!et of #0mg e!ementa! iron %ith 400mcg fo!ic aci& &ai!yunti! hemog!o"in !ee! "ecomes norma!.

Kie Micronutrient -o%&er (MN-) to chi!&ren #,11 months (#0sachets) an& to chi!&ren age& 12,23 months (120 sachets).MN- can "e miAe&%ith comp!ementary foo&s "efore fee&ing

the chi!&. MN- shou!& not "e a&&e& &uring cooing to retainthe nutrients. MN- can a!so "e gien to chi!&ren 24 G +months9 pregnant an& !actating mothers.

@$,entra! oIce faci!itates the &istri"ution of MN- together%ith the /egiona! @Ice an& -roincia! $ea!th @Ices. MN-sare aai!a"!e an& &istri"ute& through the "arangay hea!thstations9 rura! hea!th units or een &uring the home isits ofcommunity hea!th teams.

f a chi!& has &iarrhea9 gie ora! rehy&ration so!ution (@/D)

an& 8inc. Pinc supp!ements shou!& "e gien for not !ess than10 &ays.

11( 3o i" acute malnutrition amon children manaed,

5he -hi!ippines has yet to issue its gui&e!ines on the managementof acute ma!nutrition. What is current!y aai!a"!e is the &raft

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gui&e!ines on the -hi!ippine ntegrate& Management of Ma!nutrition(-MM) %hich is a%aiting approa! of the @$.

cute ma!nutrition can "e &etermine& using !eft mi&,upper,arm,circumference (M) or %eight,for,height. M is use& to

measure ma!nutrition in chi!&ren from # to + months o!&. hi!&ren%ith M measurement of 11. cm to !ess than 12. cm an& %ho&o not hae e&ema (mo&erate acute ma!nutrition or MM) areproi&e& %ith targete& supp!ementary fee&ing. hi!&ren %ith Mmeasurement of !ess than 11. cm %ith or %ithout e&ema (seereacute ma!nutrition or DM) are referre& for therapeutic program.hi!&ren &iagnose& as DM %ho &o not hae me&ica! comp!icationsare referre& for out,patient therapeutic care at the rura! hea!th unit%hi!e chi!&ren %ith DM %ho hae me&ica! comp!ications arereferre& to hospita!s for treatment.

12( )hat are 7e# concern" in -eedin in-ant" and #ounchildren in emerencie",

a. ppropriate infant an& young chi!& fee&ing (O) practicesshou!& "e promote&9 protecte& an& supporte& especia!!y&uring emergencies as infants an& young chi!&ren are mostu!nera"!e to i!!ness an& &eath. 5he practice of eAc!usie"reastfee&ing in the 6rst siA months an& proision ofappropriate9 safe comp!ementary foo&s starting at siA months%hi!e continuing "reastfee&ing for t%o years an& "eyon&shou!& "e promote&. Creastmi! is a protectie foo& for infants

against infections %hich are common&uring emergencies.nfants %ho are not "reastfe& are more at ris to&iarrhea9acute respiratory tract infection9 ma!nutritionan& een&eath.ee&ing infants %ith "reastmi! su"stitutes such as mi!formu!a increases the chance of &ee!oping i!!nesses or een&eath "ecause of greater ris for contamination "ecause ofpoor hygiene an& sanitation con&itions. n a&&ition9accessi"i!ity to c!ean an& safe %ater as %e!! as fue! is acute!y!imite& &uring &isaster situations.

". Monitor Mi! o&e io!ations particu!ar!y the &onations of

infant formu!a an& "reastmi! su"stitutes. n&er Aecutie@r&er 1 or the Mi! o&e9 &onationof pro&ucts coere& "y the!a% inc!u&ing infant formu!a9 "ott!es an& teats is not a!!o%e&.5he epartment of $ea!th a!so issue& &ministratie @r&er200',001' Kui&e!ines on the cceptance an& -rocessing ofLoca! an& oreign onations &uring mergencies an&isasters. 5he or&er proi&es that infant formu!a9 "reastmi!su"stitutes9 fee&ing "ott!es9 arti6cia! nipp!es an& teats sha!!



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not "e items for &onation. (o%n!oa&a"!e at %%%.&oh.go.ph)Hio!ations shou!& "e reporte& to the oo& an& rug&ministration (te!ephone num"er (02, *0',*3*#) or to the@$ /egiona! @Ices.

c. n or&er to faci!itate "etter proision of counse!!ing an&Jorserices on O9 Mother,Ca"y rien&!y Dpaces in eacuationareas are esta"!ishe&. 5he specia! area cou!& "e a safe an&comforta"!e enue %here pregnant %omen an& mothers can"reastfee& or eApress "reastmi!9 aai! of information9counse!!ing an& support for "reastfee&ing an& nutrition oftheir chi!&ren "e!o% three years o!&. Mother,Ca"y rien&!yDpacesare manage& "y traine& hea!th an& nutritionsta: oro!unteers.

&. Wet nursing9 tan&em nursing of o!&er chi!&ren9 cross nursing9

fee&ing %ith &onate& "reastmi! "y cup are options insituations %heremothers are not capa"!e of "reastfee&ingtheir infants. @n!y after these options hae "eeneAhauste&can "reastmi! su"stitutes(prefera"!y in rea&y,to,&rin form) "e gien to infants "ut it shou!& "e un&er thesuperision of traine& hea!th sta:.

1'( )h# are donation" o- rea"tmil7 "u"titute" not alloeddurin emerencie",

n most emergency cases9 there is uncontro!!e& &istri"ution of"reastmi! su"stitutes for arti6cia! fee&ing in eacuation settings.5hese cou!& come from &onations of %e!!,meaning in&ii&ua!s orgroups. $o%eer9 they are not a%are of the &angers that arti6cia!fee&ing poses.

Dome of the pro"!ems %ith arti6cia! fee&ing are=a) infant formu!a itse!f is not steri!e an& may "e contaminate&>") !ac of safe an& c!ean %ater for preparation of the formu!a

an& to steri!i8e "ott!es an& teats>c) "ott!es an& teats are har& to steri!i8e %ith !imite& or no

aai!a"!e c!eaning utensi!s9 %ater9 fue! an& other eBuipment>&) insuIcient no%!e&ge on preparation an& use of arti6cia!

fee&ing may resu!t to oer or un&er &i!ution of infant formu!a>e) infant formu!a &oes not contain protectie properties such as

anti"o&ies foun& in "reastmi!>f) poor sanitation increases ris of contamination of infant

formu!a &uring preparation>an&g) supp!ies of infant formu!a are often not sustaina"!e.

http://www.doh.gov.ph/http://www.doh.gov.ph/


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14( )hat re"ource" are a6ailale on nutrition inemerencie",

5he country an& eeninternationa!!y "y the K!o"a! Nutrition !uster an& otherinternationa! humanitarian agencies particu!ar!y in

emergency situations. p&ates an& other &ata are a!soaccessi"!e on!ine.

1( 3ocan action"e done to $re$are -or emerencie",

5he !oca! goernment units through their !oca! nutrition c!usters can"e gui&e& "y the fo!!o%ing chec!ist in preparation for nutrition inemergencyresponse=



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A. LGU EMERGENC PREPARENE"" NU#R$#$%N C&ECKL$"#t the prepare&ness phase9 !oca! goernment units shou!&ensure=

-acaging of Nutrition in mergencies(Ni) 5raining its an& con&uct of training on Ni an& nfant an&

Ooung hi!& ee&ing in mergency (O,)

@rientation on ar!y Warning nformationan& isaster /is /e&uction an& Management among emp!oyeesan& resi&ents

nentory of essentia! micronutrients an&other resourcesQ Hitamin capsu!es

Q Mu!tip!e micronutrient po%&ersQ errous su!fate an& iron %ith fo!ic aci& ta"!ets

Q for Nutrition Q M tapes Q Weighing sca!e Q Weight for height reference ta"!e Q $eight Coar&Q /ea&y,to,se 5herapeutic oo& (/5)Q /ea&y,to,se Dupp!ementary oo& (/D)

Q nti"iotics9 &e%orming ta"!ets (for routine acutema!nutritionmanagement9 to "e coor&inate& %ith the hea!th

oIceJcenters

mp!ementation of /egu!ar -rogram onNutrition such as @peration Timbang -!us9 !arantisadong "ambata9



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O promotion for continuous e!imination of ma!nutrition pro"!emin the community

p&ating of &ata"ase of Ni traine&personne! for easy coor&ination of resource persons to tap forcapacity "ui!&ing an& other actiities

!uster oor&ination Meetingsforup&ating of p!ans9 capacity "ui!&ing9 ne% programs to "e

imp!emente&9 fun&s an& coor&ination for actie participation ofpartners.

'( )AM$L EMERGENC PREPARENE"" )%% C&ECKL$"#

Dtore at !east a 3,&ay supp!y of non,perisha"!e an& easy toprepare foo& items. hoose foo&s that can "e store& at roomtemperature9 tight!y sea!e& an& are !ight%eight.

%ater store& in c!ean p!astic "ott!es (2!iters for &rining an& 2 !iters for foo& preparation an& c!eaning perperson9 per &ay)

canne& sar&inesJmeatJfruitsJegeta"!es

canne& ;uicesJmi! for a&u!ts

1: & - a g e N a t i o n a ! N u t r i t i o n o u n c i !


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cup noo&!es

&rie& 6shJfruits

high energy foo&s such as peanut "utter9 cracers9;e!!y

foo&s for infants9 e!&er!y persons or persons onspecia! &iet

comfort foo&s such as "iscuits9 har& can&y9 instantcerea!9 instant co:ee

paper cups9 p!ates an& p!astic utensi!s

or fami!ies %ith "reastfee&ing chi!&ren9 rea"t-eedin 7itshou!& "eprepare& on han& inc!u&ing=

1; & - a g e N a t i o n a ! N u t r i t i o n o u n c i !


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ma!ong

fee&ing cup %ith coer

foo& container %ith spoon an& for

1 !iter g!ass tum"!er %ith coer

nformation9 &ucation an& ommunicationmateria!s

Cirth registration form

1( 3o can nutrition in emerencie" e "trenthened,

rom the seera! &isasters that the country ha& gone through9 nutritionresponse continues to eo!e to "e "etter prepare& an& proi&eenhance& response strategy. Dome of the %ays to strengthen nutritionin emergencies prepare&ness an& response are=

@rgani8e !oca! nutrition c!usters an& i&entify ro!es an& responsi"i!itiesan& !ines of authority.



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Cui!& capacity of !oca! nutrition c!usters on c!uster coor&ination an& onnutrition in emergencies management.

Kie attention to rapi& nutrition assessments as "asis for the eAtent ofassistance an& "e a"!e to atten& to the nee&s of the a:ecte&

community in a time!y manner. ssessment shou!& "e &one correct!yan& using a mu!ti,sectora! approach.

oster participationof other sectors "y esta"!ishing an& strengtheningcii!,mi!itary !iaisons9 pu"!ic,priate !iaisons an& NK@


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$e alert. $e #re#ared.no% %hat &isasters may occur in your area.eep an emergency foo& it on han&. hec for &esignate&eacuation centers in your community.

9e-erence"!

Aecutie @r&er No. 1. &opting Nationa! o&e of Mareting of Creastmi!Du"stitutes9 Creastmi! Dupp!ements an& /e!ate& -ro&ucts9 -ena!i8ingHio!ation 5hereof9 an& for @ther -urposes. ai!a"!e at=http=JJ%%%.mi!co&ephi!ippines.orgJmi!co&ereportJ6!esJ24431*42*02'f"4'&1cc3.p&f

epartment of $ea!th. .@. No. 200,0014. Nationa! -o!icies on nfant an&

Ooung hi!& ee&ing. ai!a"!e at=http=JJ%%%.mi!co&ephi!ippines.orgJmi!co&e

QQQQQQQQQQQQQQQQQQ. .@ No. 200#,0012. /eise& mp!ementing /u!es an&/egu!ations of Aecutie @r&er No. 19 @ther%ise no%n as 5he Mi! o&e9/e!eant nternationa! greements9 -ena!i8ing Hio!ations 5hereof9 an& for@ther -urposes. ai!a"!e at=http=JJ%%%.mi!co&ephi!ippines.orgJmi!co&ereportJ6!esJ12*2*123'02'fc"1&ef0*.p&f

QQQQQQQQQQQQQQQQQQ. ina! Minimum Nutrition Derice -acage (unpu"!ishe&).

@$,$ea!th mergency Management Dta:. 2013. Nutrition Management inmergencies an& isasters -ocet Kui&e for Nutrition !uster.

QQQQQQQQQQQQQQQQQQ. raft @ %ith a su";ect of Minimum -u"!ic $ea!th Derice-acages in mergencies an& isasters.

epartment of $ea!th,$ea!th mergency Management Dta: an& Wor!&$ea!th @rgani8ation. -ocet mergency 5oo! 4the&.p. 121,13#. 2012

epartment of $ea!th,$ea!th mergency Management Dta: an&Wor!& oo&

-rogramme. 2013. Nutrition in mergency /eference Manua! for LKs.

epartment of $ea!th an& N. 2011 raft -rotoco! on the -hi!ippinentegrate& Management of cute Deere Ma!nutrition (-MM) Hersion 1.ai!a"!e at=https=JJphi!ippines.humanitarianresponse.infoJsystemJ6!esJ&ocumentsJ6!esJ-MMF20Kui&e!inesF20/5F201F20ecF202011F20copy.p&f)

http://www.milkcodephilippines.org/milkcodereport/fileshttp://www.milkcodephilippines.org/milkcodehttps://philippines.humanitarianresponse.info/system/files/documents/files/PIMAM%20Guidelines%20DRAFT%201%20Dec%202011%20copy.pdfhttps://philippines.humanitarianresponse.info/system/files/documents/files/PIMAM%20Guidelines%20DRAFT%201%20Dec%202011%20copy.pdfhttp://www.milkcodephilippines.org/milkcodereport/fileshttp://www.milkcodephilippines.org/milkcodehttps://philippines.humanitarianresponse.info/system/files/documents/files/PIMAM%20Guidelines%20DRAFT%201%20Dec%202011%20copy.pdfhttps://philippines.humanitarianresponse.info/system/files/documents/files/PIMAM%20Guidelines%20DRAFT%201%20Dec%202011%20copy.pdf


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@$,@,5,DW .@. No. 2012,002'. 5he nter,gency () Kui&e!ines inthe Aercise of their -o%ers an& unctions as state& in Aecutie @r&er (.@.)No. 19 s. of 1+*#9 other%ise no%n as9 5he Nationa! o&e of Mareting ofCreasmi! Du"stitute9 Creastmi! Dupp!ements an& @ther /e!ate& -ro&ucts9an& its /eise& mp!ementing /u!es an& /egu!ations. ai!a"!e at=

http=JJ%%%.mi!co&ephi!ippines.orgJmi!co&ereportJ6!esJ124#142221c2"aa02c+"+.p&f

epartment of Dcience an& 5echno!ogy,oo& an& Nutrition /esearch nstitute.2011. Nutritiona! Dtatus of i!ipinos 2011.

QQQQQQQQQQQQQQQQQQ. 200+. 5he Deenth Nationa! Nutrition Durey.

$@ an& Dae the hi!&ren. 2012. nfant an& Ooung hi!& ee&ing inmergencies= Why are %e not &e!iering at Dca!e? reie% of g!o"a! gaps9cha!!enges an& %ays for%ar&. ai!a"!e

at=http=JJ%%%.unicef.orgJnutritionc!usterJ6!esJO,Q/eie%Qina!Q/eportQ@cto"erQ2012.p&f

K!o"a! Nutrition !uster. 2013. p&ate on Nutrition c!uster /esponse to the5yphoon $aiyan 12thecem"er 2013. ai!a"!e at=http=JJunscn.orgJ6!esJNe%s!ettersJKNcQp&ateQ-hi!!ipines.p&f.

K!o"a! Nutrition !uster MM 5as orce. Mo&erate cute Ma!nutrition= ecision 5oo! or mergencies. ai!a"!e at=http=JJ%%%.unicef.orgJnutritionc!usterJ6!esJMMQecision5oo!Qu!yQ2012Q%ithQoer.p&f).

Mac!aine9 . nfant an& Ooung hi!& ee&ing in mergencies -o%er-oint-resentation. No &ate.

Nationa! Nutrition !uster. 2013. ina! @perationa! Kui&e!ines for nfant an&Ooung hi!& ee&ing in mergencies in the -hi!ippines.

-an!i!io9 H. nhancing -repare& for a Cetter Ni /esponse -o%er-oint-resentation.

Dae the hi!&ren,D. cute Ma!nutrition Dummary Dheet. ai!a"!e at=

http=JJ%%%.saethechi!&ren.orgJatfJcfJF'C+&ef2e"e,10ae,432c,+"&0,&f+1&2e"a'4aF'JDummary,Dheets,!!.p&f

Wor!& $ea!th @rgani8ation. 2000. 5he management of nutrition in ma;oremergencies. ai!a"!e at=http=JJ%hB!i"&oc.%ho.intJpu"!icationsJ2000J+241420*.p&f

2' & - a g e N a t i o n a ! N u t r i t i o n o u n c i !
http://www.milkcodephilippines.org/milkcodereport/files/124614522251c2baa02c9b9.pdfhttp://www.milkcodephilippines.org/milkcodereport/files/124614522251c2baa02c9b9.pdfhttp://www.unicef.org/nutritioncluster/files/IYCF-E_Review_Final_Report_October_2012.pdfhttp://www.unicef.org/nutritioncluster/files/IYCF-E_Review_Final_Report_October_2012.pdfhttp://unscn.org/files/Newsletters/GNc_Update_Phillipines.pdfhttp://www.unicef.org/nutritioncluster/files/MAM_DecisionTool_July_2012_with_Cover.pdfhttp://www.unicef.org/nutritioncluster/files/MAM_DecisionTool_July_2012_with_Cover.pdfhttp://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/Summary-Sheets-All.pdfhttp://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/Summary-Sheets-All.pdfhttp://whqlibdoc.who.int/publications/2000/9241545208.pdfhttp://www.milkcodephilippines.org/milkcodereport/files/124614522251c2baa02c9b9.pdfhttp://www.milkcodephilippines.org/milkcodereport/files/124614522251c2baa02c9b9.pdfhttp://www.unicef.org/nutritioncluster/files/IYCF-E_Review_Final_Report_October_2012.pdfhttp://www.unicef.org/nutritioncluster/files/IYCF-E_Review_Final_Report_October_2012.pdfhttp://unscn.org/files/Newsletters/GNc_Update_Phillipines.pdfhttp://www.unicef.org/nutritioncluster/files/MAM_DecisionTool_July_2012_with_Cover.pdfhttp://www.unicef.org/nutritioncluster/files/MAM_DecisionTool_July_2012_with_Cover.pdfhttp://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/Summary-Sheets-All.pdfhttp://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/Summary-Sheets-All.pdfhttp://whqlibdoc.who.int/publications/2000/9241545208.pdf

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