iycf strat paper 25 april 2010_asecmbtf
TRANSCRIPT
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BHIC Conference Room29 April 2010
NNC Strategies for Infant and
Young Child Nutrition
Consultation Workshop for the 63rdWHA
Assistant Secretary Maria-Bernardita T. Flores, CESO IIExecutive Director IV
National Nutrition Council
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OUTLINE
NNC Actions
Facilitating & hindering factors
Key Challenges
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NNC Actions
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Updated MTPPANfor 2008-2010
Directional plan to speed
up improved nutrition by2010
Targets for PEM, VADD,IDD and IDA retained
Focus on pregnantwomen and children 0-2years old
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PPAN DIRECTIONS 2008-2010 Intensify promotion of desirable IYCF and
caring practices
Organization of support groups
Training of peer counsellors for one-on-oneand group counselling
Multi-media promotion
Protect nutritional status of women andchildren in emergency situations
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Accelerated Hunger Mitigation Program Framework
Unavailable or insufficient food to eat HUNGER No money to buy food
Increase foodproduction
Enhance efficiency oflogistics & food delivery
Put more money inpoor peoples pockets
Promote goodnutrition
Demand SideSupply Side
a) Conduct socialmarketingDOH, NNC/LGUs
b) Promoteexclusivebreastfeeding,appropriate
complementaryfeeding, andincreasedconsumption ofvegetables DOH, NNC,LGUs
c) Nutritioneducation inschoolsDepED
Productivityprograms includinglivestock, crops,marine regeneration(mangrove andcoastal fisherydevelopment), farmfamily (Gulayan ng
Masa) and irrigation- DA, DENR, NIA
a) Barangay Food Terminal& Tindahan NatinDA,NFA, DSWD
b) Ports (RORO)-maximumuse of private ports,shipping - DOTC/PPA
c) Farm to market roadsDPWH, DA, DAR, AFP
d) Efficient local transportLGUs/Leagues ofP/C/M/B, DILG, PNP
e) Food for SchoolProgram - DepED,DSWD, NFA
f) Creation of NGO net-work to support feedingprograms - DSWD
g) Community tradeablerice certificates - NFA
a) Improve productivity in coconutareas (coconut coir, virgincoconut oil & other value-adding products, coconetproduction)DA, PCA ( CIIF)
b) More aggressive micro-financingMicrofinanceProgram Committee
c) Maximize employmentopportunities in construction &maintenance of farm-to-marketroads, irrigation and roadsidemaintenanceDPWH, MMDA,PNP, NIA, DAR, DA, AFP
d) Aggressive trainingTESDA,DOLE, DSWD, CHED
e) Upland land distribution (4M hafor jatropha, rubber)DAR,DENR
Hunger Mitigation Measures
Managepopulation
ResponsibleParenthoodDOH,POPCOM,LGUs/ ULAP/Leagues ofP/C/M/B
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Overall strategy
Breastfeeding as an anti-hunger andanti-poverty intervention
Focusfirst on Priority One Provinces
Scale
Eventual coverage of all provinces
Coverage of all cities and municipalities
50 percent of barangays
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Overall strategy
Capacity building as core strategy, with
mass media support
Coverage of those in health system and
peers, e.g. successful breastfeeding
mothers
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Accomplishments, 2007 2009,
CoverageArea Target Actual PercentP1 provinces 11 P
181 M/C
2,634 B
10 P/NCR
170 M/C
2,300 B
100
93
87P2 provinces 16 P
297 M/C
2,157 B
16 P
272 M/C
2,206 B
100
91
102
P3 provinces 23 P483 M/C
3,029 B
23 P445 M/C
2,585 B
10092
85
Maguin-danao
5 P
115 M/C2,502 B
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Accomplishments, 2007
2009, Number trainedArea Target Actual Percent
P1
provinces
11,103 9,260 83
P2
provinces
13,712 10,902 80
P3provinces
9,583 7,901 82
Total 34,308 28,063 81
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AHMP Targets vs Total
RequirementsProvinces Cities/Mun Barangays
Philippines 80 1,634 42,023
AHMPareas
50 andNCR
961 7,820
AHMP
areas
targeted for2010
Same 50
NCR
5 ARMM
115 18,473
Target
2011-2012
25 543 13,146
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Other related activities
IYCF indicators in NNC and LGUawards systems
Infants exclusively breastfed from 0-6 mos
Infants given complementary food not laterthan 6 months
Accredited MBFHI
Provision of complementary foods
Campaign on breastfeeding promotion
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Manual onlactation
management
Breastfeedingpromotion andsupport in baby-friendly hospitals
Modules, manuals, syllabus
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Other related activities
Advocacy for breastfeeding rooms in
regional offices of national government
agencies, e.g. Region 8 RDC resolution
IYCF concerns in Nutrition Month
2003 on breastfeeding
2004 on complementary feeding
2010 on complementary feeding
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Other related activities
AHMP/Promote Good Nutrition
implementation review in P1 provinces
Development of IYCF counseling cards/
flipchart for barangay implementors
(with HKI)
IYCF in the MDG-F program on child
food security and nutrition
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IYCF integrated in activities
BNS & D/CNPC Convention
Development of continuing education
module for BNS focusing on MNCHN
strategy
Development of Nutrition Legislative
Agenda for 15thCongress
Advocacy for breastfeeding rooms ingovernment offices through issuance of
resolution by RDC
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Facilitating factors
Passage of RA 10028 An act Expandingthe Promotion of Breastfeeding, Amendingfor the Purpose Republic Act No. 7600,Otherwise Known As An Act Providing
Incentives to All Government and PrivateHealth Institutions with Rooming-In andBreastfeeding Practices and For otherPurposes
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Hindering factors
Not enough trainers
Difficult to meet IEC requirements atlocal level
Inadequate use of IEC materials
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Hindering factors
Lack of peer counseling protocol; LGUs
need clear roles and functions of
breastfeeding support groups; thosetrained not internalize concept
Change in local workers due to
elections, need train new workers
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Prospects
Continue with initiatives, in framework of
MTPPAN and the strategic plan on
IYCF
Important to pool resources and
synchronize efforts
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Facilitating factors
Passage of RA 10028 An act Expanding
the Promotion of Breastfeeding, Amending
for the Purpose Republic Act No. 7600,
Otherwise Known As An Act ProvidingIncentives to All Government and Private
Health Institutions with Rooming-In and
Breastfeeding Practices and For otherPurposes
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Key Challenges
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Thank You!