Status of Maternal Health and Nutrition and Infant and...

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1 2016 Regional dissemination forum Status of Maternal Health and Nutrition and Infant and Young Child Feeding Practices in the Philippines 2016 Regional dissemination forum

Transcript of Status of Maternal Health and Nutrition and Infant and...

  • 1

    2016 Regional dissemination forum

    Status of Maternal Health and Nutrition and Infant and Young Child Feeding Practices in the Philippines

    2016 Regional dissemination forum

  • 2

    2016 Regional dissemination forum

    First 1000 Days of Life

    270 + 365 + 365 = 1000

    2016 Regional dissemination forum

    Nutritional Status of Mothers Nutritional Status of Mothers

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    2016 Regional dissemination forum

    Prevalence of nutritionally-at-risk* pregnant women

    by region: Philippines, 2015

    *(Magbitang, 1988)

    35.1

    26.6

    28.3

    19.5

    22.1

    20.8

    23.1

    25.1

    15.4

    29.6

    23.4 27.0

    31.5

    27.6

    23.2 21.5

    14.4

    24.8

    0 10 20 30 40 50

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    Trends in the prevalence of nutritionally-at-risk* pregnant

    women: Philippines & Cagayan Valley, 2011-2015

    25.0 24.8

    24.8

    32.6 33.6

    21.5

    0

    10

    20

    30

    40

    2011 2013 2015

    Philippines

    Cagayan Valley

    *(Magbitang, 1988)

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    2016 Regional dissemination forum

    Prevalence of chronic energy deficiency and overweight/

    obesity among lactating mothers by region: Philippines, 2015

    18.4 10.8

    9.3 10.9

    6.9 15.8

    12.5 9.7

    7.2 11.8

    10.8 10.5

    17.9 14.7

    17.8 15.9

    18.3

    13.6

    0 10 20 30

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

    17.0 23.4

    25.1 24.4

    30.7 30.7

    17.8 24.9

    28.4 20.5

    24.0 22.6

    17.3 13.3

    18.8 22.3

    21.4

    22.4

    0 10 20 30 40

    % CED % Overweight/Obese Region

    2016 Regional dissemination forum

    11.9 12.5 13.6

    17.7

    21.7 22.4

    11.9

    13.0 15.9

    14.4 14.2

    22.3

    0

    5

    10

    15

    20

    25

    30

    2011 2013 2015

    Overweight/Obesity

    Philippines

    CED

    Cagayan Valley

    Overweight/Obesity

    CED

    Trends in the prevalence of CED and Overweight/Obesity among

    lactating mothers: Philippines & Cagayan Valley, 2011-2015

    *2011 – Lactating mothers with children 0-5 years old

    **2013 & 2015 – Lactating mothers with children 0-3 years old

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    2016 Regional dissemination forum

    Prenatal Care

    2016 Regional dissemination forum

    61.5 71.6

    67.4 64.9

    68.4 70.1

    65.3 68.6

    71.0 70.5

    66.1 65.4

    75.1 69.6 70.5

    73.9 70.7

    69.5

    0 25 50 75 100

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

    Percentage distribution of mothers with on time (1st trimester) first

    prenatal check-up during their last/current pregnancy

    by region: Philippines, 2015

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    2016 Regional dissemination forum

    Percentage distribution of mothers with on time (1st trimester) first prenatal check-

    up during their last/current pregnancy: Philippines & Cagayan Valley, 2015

    54.6

    72.3

    82.2

    67.1

    73.9

    69.5

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 8007 0.9 68.3 70.7

    Cagayan Valley 442 3.0 69.4 77.9

    Cagayan 159 6.4 58.2 74.9

    Isabela 203 3.0 76.8 86.5

    Nueva Vizcaya 51 8.2 59.4 82.3

    Quirino 29 19.0 34.6 73.3

    % Prevalence

    2016 Regional dissemination forum

    91.4 97.9

    96.9 75.4

    99.8 97.3

    91.7 96.7 96.3 95.9 96.9 97.0

    97.2 94.4 96.9

    95.8 96.6

    95.3

    0 25 50 75 100

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

    64.8 82.6 82.0

    39.7 81.1 80.0

    63.2 79.7 81.5

    78.1 75.2

    85.8 82.5

    67.1 77.7

    72.0 77.1

    75.8

    0 25 50 75 100

    At least 1 At least 4 Region

    Percentage distribution of mothers by number of prenatal

    check-up during their last/current pregnancy by region:

    Philippines, 2015

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    2016 Regional dissemination forum

    Percentage distribution of mothers with at least four (4) prenatal check-up

    during their last/current pregnancy: Philippines & Cagayan Valley, 2015

    81.6

    71.4

    72.5

    69.9

    72.0

    75.8

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 8322 0.7 74.7 76.9

    Cagayan Valley 454 2.6 68.2 75.6

    Cagayan 162 4.5 63.4 75.8

    Isabela 205 3.7 66.9 77.4

    Nueva Vizcaya 56 7.0 60.6 80.1

    Quirino 31 10.4 59.5 93.1

    % Prevalence

    2016 Regional dissemination forum

    83.0

    86.3

    88.6

    52.5

    94.0 78.2

    79.1

    90.5

    88.5

    87.4

    91.1

    92.9

    93.8

    83.1

    84.8 89.7

    88.6

    84.5

    0 25 50 75 100

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    Percentage distribution of mothers who took supplements during

    their last/ current pregnancy by region: Philippines, 2015

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    2016 Regional dissemination forum

    86.2

    84.5 84.5 77.7

    87.5 89.7

    0

    20

    40

    60

    80

    100

    2011 2013 2015

    Philippines

    Cagayan Valley

    Trends in the prevalence of mothers who took supplements during their

    last/ current pregnancy: Philippines & Cagayan Valley, 2011-2015

    2016 Regional dissemination forum

    Percentage distribution of mothers who took supplements during their

    last/ current pregnancy: Philippines & Cagayan Valley, 2015

    90.2

    88.9

    90.8

    88.5

    89.7

    84.5

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 8526 0.6 83.4 85.4

    Cagayan Valley 462 1.9 85.8 92.6

    Cagayan 166 3.6 80.6 93.4

    Isabela 209 2.4 85.4 94.3

    Nueva Vizcaya 56 6.6 71.5 96.3

    Quirino 31 6.8 70.4 97.3

    % Prevalence

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    2016 Regional dissemination forum 2016 Regional dissemination forum

    Delivery Status

    2016 Regional dissemination forum 2016 Regional dissemination forum

    38.6 19.2 21.0

    72.7 16.2

    10.4 36.1

    21.7 25.7 24.9

    20.5 15.7 17.3

    23.9 13.0

    17.5 8.5

    21.7

    0 20 40 60 80

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

    60.7 80.3

    78.8 27.0

    83.8 89.2

    63.7 78.3

    74.3 74.4

    79.5 83.8 82.5

    75.5 87.0

    82.3 91.5

    78.0

    0 25 50 75 100

    At Home Health Facility Region

    Percentage distribution of mothers by place of delivery during

    their last/current pregnancy by region: Philippines, 2015

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    2016 Regional dissemination forum 2016 Regional dissemination forum

    Percentage distribution of mothers who delivered in a health facility during

    their last/current pregnancy: Philippines & Cagayan Valley, 2015

    89.4

    76.1

    85.9

    78.8

    82.3

    78.0

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 7553 0.8 76.8 79.3

    Cagayan Valley 403 2.9 77.1 86.6

    Cagayan 146 5.6 68.9 86.1

    Isabela 180 3.4 79.1 90.8

    Nueva Vizcaya 49 11.2 55.9 88.9

    Quirino 28 6.5 71.6 96.6

    % Prevalence

    2016 Regional dissemination forum 2016 Regional dissemination forum

    Postnatal Care

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    2016 Regional dissemination forum 2016 Regional dissemination forum

    Percentage distribution of mothers by timing of receiving first

    postnatal check-up by region: Philippines, 2015

    74.4 90.3 89.4

    53.7 96.6 97.9

    81.2 89.5

    87.7 87.1 88.1

    92.5 93.8

    89.9 93.4 91.6

    96.0

    89.4

    0 25 50 75 100

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

    3.4 2.3

    3.3 7.2

    0.6 0.9

    2.5 2.3

    1.8 1.8

    2.6 1.4

    1.2 3.3

    2.2 3.3

    0.7

    2.2

    0 2 4 6 8 10

    Within 2 days Beyond 2 days Region No postnatal

    22.1 7.5 7.3

    39.1 2.8

    1.2 16.3

    8.1 10.5 11.1

    9.3 6.2

    5

    6.8 4.4

    5.1 3.3

    8.3

    0 10 20 30 40 50

    2016 Regional dissemination forum 2016 Regional dissemination forum

    Percentage distribution of mothers who received their first postnatal

    check-up within 2 days: Philippines & Cagayan Valley, 2015

    95.9

    89.6

    93.1

    89.7

    91.6

    89.4

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 7272 0.5 88.4 90.3

    Cagayan Valley 390 1.6 88.2 94.1

    Cagayan 141 2.9 83.4 93.8

    Isabela 176 2.3 87.7 96.3

    Nueva Vizcaya 47 5.4 75.8 96.0

    Quirino 26 4.2 76.4 99.4

    % Prevalence

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    2016 Regional dissemination forum

    Infant and Young Child Feeding Practices

    2016 Regional dissemination forum

    Current Feeding Practice of Children 0-23 months old

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    2016 Regional dissemination forum

    Current feeding practice of children 0-5 months, Philippines: 2011-2015

    48.9

    31.4

    19.8

    0.0

    52.3

    25.6 22.1

    0.1

    48.8

    29.2* 22.0

    0.0 0

    20

    40

    60

    80

    Exclusive breastfeeding Breastfeeding withcomplementary foods

    Formula/ other milk w/foods

    Regular food w/o any milk

    Perc

    en

    tag

    e (

    %)

    2011 2013 2015

    *Significant (p-value

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    2016 Regional dissemination forum

    Current feeding practice of children 12-23 months, Philippines: 2011-2015

    0.4

    40.5

    50.5

    8.6

    0.3

    37.7

    48.1

    13.8

    0.3

    43.1* 45.8

    10.8*

    0

    20

    40

    60

    80

    Exclusive breastfeeding Breastfeeding withcomplementary foods

    Formula/ other milk w/foods

    Regular food w/o any milk

    Perc

    en

    tag

    e (

    %)

    2011 2013 2015

    *Significant (p-value

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    2016 Regional dissemination forum

    Percentage distribution of exclusively breastfed children 0-5 months by region: Philippines, 2015

    74.0

    32.4

    51.0

    59.3

    72.1

    31.8

    52.6

    64.4

    59.5

    54.1

    60.8

    55.2

    58.3

    64.1

    36.6

    49.8 49.0

    48.8

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    Percentage of breastfeeding with complementary feeding among 0-5 months children by region: Philippines, 2015

    16.0

    31.9

    35.4

    27.2

    14.3

    32.5

    33.3

    19.4

    26.8

    34.9

    30.0

    26.6

    24.0

    19.1

    38.1

    29.0 28.2

    29.2

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

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    2016 Regional dissemination forum

    Percentage of breastfeeding with complementary feeding among 6-11 months children by region: Philippines, 2015

    72.7

    54.4

    47.9

    69.7

    72.9

    40.4

    59.3

    57.7

    71.3

    61.9

    66.9

    67.1

    62.2

    66.3

    47.5

    72.6 55.6

    57.7

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    Percentage of feeding breastmilk substitutes with foods among 6-11 months children by region: Philippines, 2015

    19.6

    41.7

    45.1

    19.3

    23.5

    56.5

    35.1

    37.2

    24.9

    27.2

    21.1

    29.8

    37.8

    30.5

    48.6

    23.3 35.4

    37.4

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

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    2016 Regional dissemination forum

    Percentage of breastfeeding with complementary feeding among 12-23 months children by region: Philippines, 2015

    60.0

    37.2

    40.4

    47.4

    50.8

    36.0

    48.1

    42.1

    39.0

    41.4

    47.5

    46.9

    57.8

    46.0

    34.7

    48.4 47.2

    43.1

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    Percentage of feeding breastmilk substitutes with foods among 12-23 months children by region: Philippines, 2015

    30.4

    54.4

    40.7

    30.3

    29.9

    58.2

    39.7

    42.8

    40.2

    42.9

    32.2

    42.1

    38.0

    44.1

    58.6 39.8

    42.1

    45.8

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

  • 18

    2016 Regional dissemination forum

    Percentage distribution of children 0-23 months initiated to breastfeeding within 1 hour after delivery by region: Philippines, 2015

    62.3

    57.0

    65.2

    58.9

    64.5

    67.3

    63.4

    75.8

    74.4

    74.2

    78.1

    73.4

    70.3

    65.0

    55.8 57.1

    61.5

    65.1

    0 20 40 60 80 100

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    Trends of children 0-23 months initiated to breastfeeding within 1 hour after delivery: Philippines & Cagayan Valley,

    2011-2015

    51.9

    77.1

    65.1

    27.0

    71.2

    57.1*

    0

    20

    40

    60

    80

    100

    2011 2013 2015

    Philippines

    Cagayan Valley

    *Significant (p-value < 0.05)

    *

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    2016 Regional dissemination forum

    Percentage distribution of children 0-23 months initiated to breastfeeding

    within 1 hour after delivery: Philippines & Cagayan Valley, 2015

    50.0

    72.0

    51.4

    60.4

    57.1

    65.1

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 5475 1.2 63.6 66.6

    Cagayan Valley 280 5.5 50.9 63.1

    Cagayan 103 10.5 47.6 72.0

    Isabela 125 6.5 44.8 57.9

    Nueva Vizcaya 32 9.0 57.7 82.9

    Quirino 20 32.1 22.1 78.0

    % Prevalence

    2016 Regional dissemination forum

    Exclusive Breastfeeding

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    2016 Regional dissemination forum

    Percentage distribution of exclusively breastfed children 0-5 months by region: Philippines, 2015

    74.0

    32.4

    51.0

    59.3

    72.1

    31.8

    52.6

    64.4

    59.5

    54.1

    60.8

    55.2

    58.3

    64.1

    36.6

    49.8 49.0

    48.8

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    48.9

    52.3 48.8

    44.7

    55.3 49.8

    0

    20

    40

    60

    80

    2011 2013 2015

    Philippines

    Cagayan Valley

    Trends of exclusively breastfed children 0-5 months: Philippines & Cagayan Valley, 2011-2015

  • 21

    2016 Regional dissemination forum

    Percentage of exclusive breastfeeding among 0-5 months children: Philippines & Cagayan Valley, 2015

    50.9

    40.6

    65.8

    49.8

    48.8

    % Prevalence REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 1377 3.0 46.0 51.7

    Cagayan Valley 78 11.7 38.6 61.1

    Cagayan 20 9.0 53.4 76.4

    Isabela 41 20.9* 25.5 57.7

    Nueva Vizcaya 10 37.6* 18.7 82.3

    Quirino Insufficient sample size

    *High CV (>20.0)

    2016 Regional dissemination forum

    Continued breastfeeding at 1 year (12-15 months) and

    2 years (20-23 months)

  • 22

    2016 Regional dissemination forum

    Percentage distribution of children with continued breastfeeding at 1 year (12-15 months) by region: Philippines, 2015

    76.4

    47.9

    49.6

    57.0

    73.8

    39.1

    60.2

    51.0

    43.1

    50.3

    64.4

    52.6

    67.6

    56.6

    54.3

    69.7 57.4

    53.2

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    51.7 48.4

    53.2*

    59.4 65.8 69.7

    0

    20

    40

    60

    80

    100

    2011 2013 2015

    Philippines

    Cagayan Valley

    Trends of children with continued breastfeeding at 1 year (12-15 months): Philippines & Cagayan Valley, 2011-2015

    *Significant (p-value < 0.05)

  • 23

    2016 Regional dissemination forum

    Continued breastfeeding at 1 year (12-15 months): Philippines & Cagayan Valley, 2015

    66.8

    73.3

    69.7

    53.2

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 1047 3.1 50.0 56.4

    Cagayan Valley 38 11.8 51.6 83.2

    Cagayan 15 19.1 40.2 91.8

    Isabela 17 16.6 43.0 84.4

    Nueva Vizcaya

    Quirino

    % Prevalence

    Insufficient sample size

    Insufficient sample size

    2016 Regional dissemination forum

    Percentage distribution of children with continued breastfeeding at 2 years (20-23 months) by region: Philippines, 2015

    43.6

    33.1

    24.2

    26.0

    42.7

    29.6

    42.0

    33.7

    36.7

    23.8

    28.3

    40.4

    45.2

    28.1

    25.8

    37.4 30.9

    32.7

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

  • 24

    2016 Regional dissemination forum

    28.9 27.6 32.7*

    40.3

    15.5

    37.4*

    0

    10

    20

    30

    40

    50

    2011 2013 2015

    Philippines

    Cagayan Valley

    Trends of children with continued breastfeeding at 2 years (20-23 months): Philippines & Cagayan Valley 2011-2015

    *Significant (p-value < 0.05)

    2016 Regional dissemination forum

    Duration of Breastfeeding

  • 25

    2016 Regional dissemination forum

    Mean duration (in months) of breastfeeding by region: Philippines, 2015

    9.3

    7.6

    8.2 8.9

    9.4

    7.6 8.5

    8.1 8.1 8.2

    8.9 9.2

    9.0 9.0

    7.2 8.9

    8.7

    8.3

    0 2 4 6 8 10 12

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

    2016 Regional dissemination forum

    7.8 8.2 8.3

    8.9 9.0 8.9

    0

    2

    4

    6

    8

    10

    12

    2011 2013 2015

    Philippines

    Cagayan Valley

    Trends of mean duration (in months) of breastfeeding: Philippines & Cagayan Valley, 2011-2015

  • 26

    2016 Regional dissemination forum

    Mean duration (in months) of breastfeeding: Philippines & Cagayan Valley, 2015

    10.9

    10.5

    7.6

    9.5

    8.9

    8.3

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 5269 1.1 8.1 8.5

    Cagayan Valley 266 4.3 8.2 9.7

    Cagayan 101 6.2 8.4 10.7

    Isabela 114 8.3 6.4 8.8

    Nueva Vizcaya 31 10.8 8.3 12.8

    Quirino 20 13.5 8.0 13.8

    Duration in months

    2016 Regional dissemination forum

    Mean duration (in months) of exclusive breastfeeding by region: Philippines, 2015

    4.7

    4.0

    4.3 4.7

    5.0

    4.0 4.1

    4.6 3.9

    4.1 4.6

    4.2 4.3

    4.4 4.1 4.1

    4.6

    4.2

    0 1 2 3 4 5 6

    MIMAROPACALABARZON

    CaragaARMM

    CARNCR

    SOCCSKSARGENDavao

    Northern MindanaoZamboanga Peninsula

    Eastern VisayasCentral Visayas

    Western VisayasBicol

    Central LuzonCagayan Valley

    Ilocos Region

    Philippines

  • 27

    2016 Regional dissemination forum

    3.7 4.1 4.2

    4.5 4.4 4.1

    0

    2

    4

    6

    8

    10

    2011 2013 2015

    Philippines

    Cagayan Valley

    Trends of mean duration (in months) of exclusive breastfeeding: Philippines & Cagayan Valley, 2011-2015

    2016 Regional dissemination forum

    Mean duration (in months) of exclusive breastfeeding: Philippines & Cagayan Valley, 2015

    4.1

    4.5

    3.8

    4.2

    4.1

    4.2

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 4522 1.2 4.1 4.3

    Cagayan Valley 222 5.6 3.6 4.5

    Cagayan 91 6.7 3.7 4.8

    Isabela 91 8.5 3.1 4.4

    Nueva Vizcaya 24 8.8 3.7 5.3

    Quirino 16 13.9 3.0 5.2

    Duration in months

  • 28

    2016 Regional dissemination forum

    Complementary Feeding

    2016 Regional dissemination forum

    MINIMUM DIETARY DIVERSITY

    Proportion of children 6-23 months of

    age who receive foods from at least 4

    food groups (DDS > 4).

    Minimum Dietary

    Diversity Score:

    The number of food groups consumed

    by children 6-23 months.

    Dietary Diversity

    Score:

  • 29

    2016 Regional dissemination forum

    The Seven Food Groups

    7. Legumes and Nuts 4. Other

    fruits & vegetables

    3. Vitamin A rich

    fruits & vegetables

    6. Flesh Meat

    5. Eggs

    1. Grains, roots and tubers

    2. Dairy Products

    2016 Regional dissemination forum

    25.4

    28.6

    30.3

    12.2

    28.1 36.5

    28.1

    26.7

    32.7

    27.5

    24.6

    27.8

    30.6

    25.9

    30.3 40.4

    31.1

    29.2

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    Percentage distribution of all children meeting the MDD by region: Philippines, 2015

  • 30

    2016 Regional dissemination forum

    Trends of children 6-23 months meeting the Minimum Dietary Diversity (MDD): Philippines & Cagayan Valley, 2011-2015

    21.6

    15.5

    29.2

    21.6 18.9

    40.4*

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    2011 2013 2015

    Philippines

    Cagayan Valley

    *Significant (p-value < 0.05)

    *

    2016 Regional dissemination forum

    Percentage of children 6-23 months meeting Minimum Dietary Diversity (MDD): Philippines & Cagayan Valley, 2015

    35.2

    33.4

    45.7

    38.0

    40.4

    29.2

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 4765 2.7 27.6 30.7

    Cagayan Valley 223 8.2 34.1 47.0

    Cagayan 92 14.5 27.9 49.3

    Isabela 90 10.8 36.3 55.4

    Nueva Vizcaya 24 30.3* 17.1 55.0

    Quirino 17 21.9* 21.9 51.3

    % Prevalence

    *High CV (>20.0)

  • 31

    2016 Regional dissemination forum

    Minimum Meal Frequency an indicator that reflects the energy intake from foods

    other than breastmilk

    Proportion of breastfed and non-breastfed children 6-23

    months who received solid, semi-solid, or soft foods

    consumed at the minimum number of times per day

    Defined as:

    2x for breastfed infants 6-8 months old

    3x for breastfed children 9-23 months old

    4x for non-breastfed children 6-23 months old

    Minimum Meal

    Frequency:

    2016 Regional dissemination forum

    Percentage of all children 6-23 months meeting the MMF by region: Philippines, 2015

    87.2

    93.2

    91.1

    85.3

    90.0 94.8

    90.3

    92.1

    89.2

    92.5

    90.1

    94.4

    92.9

    89.0

    92.4

    93.7 87.7

    91.7

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

  • 32

    2016 Regional dissemination forum

    87.9

    94.1 88.8

    93.1

    93.7

    0

    20

    40

    60

    80

    100

    2011 2013 2015

    Philippines

    Bicol

    Trends of children 6-23 months meeting the Minimum Meal Frequency (MMF): Philippines & Cagayan Valley, 2011-2015

    *Significant (p-value < 0.05)

    91.7*

    2016 Regional dissemination forum

    Percentage of children 6-23 months meeting the Minimum Meal Frequency (MMF): Philippines & Cagayan Valley, 2015

    93.3

    91.6

    94.7

    93.4

    93.7

    91.7

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 4732 0.5 90.8 92.5

    Cagayan Valley 218 1.6 90.0 96.1

    Cagayan 90 2.5 87.0 96.8

    Isabela 89 2.2 88.7 97.6

    Nueva Vizcaya 24 6.9 68.4 98.2

    Quirino 15 6.4 68.5 98.9

    % Prevalence

  • 33

    2016 Regional dissemination forum

    Minimum Acceptable Diet

    Proportion of children 6-23 months meeting

    both the minimum dietary diversity and the

    minimum meal frequency.

    Minimum

    Acceptable

    Diet:

    2016 Regional dissemination forum

    16.3 18.6

    17.3

    7.2

    22.2 20.2

    16.8

    16.9

    23.6

    16.3

    15.7

    18.6

    23.1

    16.3

    18.9 27.6

    22.2

    18.6

    0 10 20 30 40

    MIMAROPA

    CALABARZON

    Caraga

    ARMM

    CAR

    NCR

    SOCCSKSARGEN

    Davao

    Northern Mindanao

    Zamboanga Peninsula

    Eastern Visayas

    Central Visayas

    Western Visayas

    Bicol

    Central Luzon

    Cagayan Valley

    Ilocos Region

    Philippines

    Percentage of children 6-23 months meeting the Minimum Acceptable Diet (MAD) by region: Philippines, 2015

  • 34

    2016 Regional dissemination forum

    Trends of children 6-23 months meeting the Minimum Acceptable Diet (MAD): Philippines & Cagayan Valley, 2011-2015

    12.1

    6.4

    18.6* 14.4

    10.0

    27.6*

    0

    5

    10

    15

    20

    25

    30

    2011 2013 2015

    Philippines

    Cagayan Valley

    *Significant (p-value < 0.05)

    2016 Regional dissemination forum

    Percentage of children 6-23 months meeting the Minimum Acceptable Diet (MAD): Philippines & Cagayan Valley, 2015

    19.9

    29.4

    31.7

    24.3

    27.6

    18.6

    REGION/

    PROVINCE n CV

    LOWER

    LIMIT

    UPPER

    LIMIT

    Philippines 4732 3.3 17.4 19.8

    Cagayan Valley 218 10.4 22.4 33.6

    Cagayan 90 18.0 16.7 33.8

    Isabela 89 13.7 23.8 40.7

    Nueva Vizcaya 24 33.0* 14.3 51.0

    Quirino 15 57.8* 5.7 50.6

    % Prevalence

    *High CV (>20.0)

  • 35

    2016 Regional dissemination forum

    Thank you!