1

Philippine Plan of Action for Nutrition (PPAN) 2017-2022

The PhilippinePlan ofAction forNutrition2017-2022

PNP 1978-1982

PNP 1974-1977

FNP 1984-1987

PFNP 1987-1992

PPAN 1993-1998

PPAN 1999-2004

PPAN 2005-2010

05/06/2023 2

Addresses nutrition situation

Guide for all who want to be involved in nutrition action

Lays out targets, directions, and priority actions

PPAN 2011-2016

3

Plan formulation process Engagement of a team of consultants

with funding support from Micronutrient Initiative and UNICEF

Desk review

Key informant interview/one-on-one consultations

Focus group discussions (national and local)

Consultation workshops

NNC Technical Committee as final vetting body

4

Nutritional problems to address Child stunting and wasting Deficiencies in vitamin A, iron, and

iodine Overweight and obesity Poor nutritional status of pregnant and

lactating women Poor infant and young child feeding Hunger and food insecurity

Maternal and child undernutrition and

death

Inadequate dietary intake Disease

Household food insecurity Unhealthy household

environment & poor health services

Inadequate care

Income poverty: employment, self-employment, dwelling, assets,

remittances, pensions, transfers

Lack of capital: financial, human, physical, social, natural

Social, economic, and political context

Source: Black, Robert E. et al. The Lancet Series on Maternal and Child Undernutrition. 2008

PPAN 2017-2022 Outcome targets

• In general, consistent with the 2025 Global Targets for Maternal, Infant and Young Child Nutrition

8

Reduce levels of child stunting and wasting

Indicator Baseline Target, 2022

Prevalence (in percent) of stunted children under 5 years old*

33.4 21.4

Prevalence (in percent) of wasted children:- Children under 5 years old* 7.1 <5- Children 6-10 years old 8.4 <5

Outcome targets

*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition

9

To reduce micronutrient deficiencies to levels below public health significance

Indicator Baseline Target, 2022

Vitamin A deficiencyPrevalence (in percent) of children 6 months to 5 years old with vitamin A deficiency (low to deficient serum retinol)

20.4 <15

Anemia Prevalence (in percent) of anemia among women of reproductive age*

11.7 6.0

Outcome targets

*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition

10

To reduce micronutrient deficiencies to levels below public health significance

Indicator Baseline Target, 2022

Iodine deficiency disordersMedian urinary iodine excretion, ug/L- Children 6-12 years old 168 ≥100 - Pregnant women 105 ≥150- Lactating mothers 77 ≥100Percent with urinary iodine concentration <50 mcg/L- Children 6-12 years old 16.4 <20%- Lactating women 33.4 <20%

Outcome targets

11

No increase in overweight among children, reduced overweight among adolescents and adults

Indicator Baseline Target, 2022

Prevalence (in percent) of overweight- Children under five years old*

3.8 <3.8

- Children 6 – 10 years old 8.6 <8.6- Adolescents 9.2 <5- Adults 31,1 28.0

Outcome targets

*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition

12

Sub-outcome or intermediate outcome targets

Reduce the proportion of nutritionally-at-risk pregnant women from 24.8% in 2015 to 20% by 2022 (about 20% reduction between 2013 and 2022)

Reduce the prevalence of low birthweight from 21.4% in 2013 to 16.6% by 2022 (to reach the 2025 Global target of 30% reduction)*

*Targets are consistent with the 2025 Global Targets Maternal, Infant, and Young Child Nutrition

13

Sub-outcome or intermediate outcome targets

Increase the prevalence of exclusive breastfeeding among infant 5 mos old from 24.7% in 2015 to 33.3 by 2022

Increase the percentage of children 6-23 months old meeting the minimum acceptable diet from 18.6% in 2015 to 22.5% by 2022

Increase the proportion of households with diets that meet the energy requirements from 31.7% in 2013 to 37.1% by 2022

14

Strategic Thrusts, 2017-2022 Focus on the first 1000 days of life Complementation of nutrition-specific

and nutrition-sensitive programs Intensified mobilization of local

government units Reaching geographically isolated and

disadvantaged areas (GIDAs) and communities of indigenous peoples

Complementation of actions of national and local governments

Priority provincesREGION PROVINCE

CAR 1. Abra2. Apayao

I 3. PangasinanII 4. IsabelaIII 5. Aurora

6. Bataan7. Bulacan8. Nueva Ecija

IV - A 9. QuezonIV - B 10. Palawan

11. MarinduqueV 12. Albay

13. Camarines Norte14. Camarines Sur15. Catanduanes16. Masbate

VI 17. Aklan18. Antique19. Iloilo

REGION PROVINCEVII 20. Bohol

21. Cebu22. Negros Oriental

VIII 23. Biliran24. Leyte25. Northern Samar

IX 26. Zamboanga del Norte27. Zamboanga del Sur

X 28. Bukidnon29. Lanao del Norte30. Misamis Oriental

XI 31. Davao del Norte32. Davao del Sur

XII 33. North Cotabato34. South Cotabato

ARMM 35. Sulu36. Tawi-Tawi

CARAGA 37. Agusan del SurNCR 38. CAMANAVA

Nutrition-specific programs Nutrition-sensitive programs

Reduced wasting among children under-five years old

Reduced stunting among children under-five years old

Reduced micronutrient deficiencies

Nutrition-supportive programs

Enabling programs

Improved situation in overweight and obesity

• Reduced nutritionally-at-risk pregnant women

• Increased exclusive breastfeeding

• Improved food intake

• Reduced low birthweight • Improved complementary feeding

Sustainable Development Goals

Philippine Development Plan GoalFoundation for inclusive growth, a high-trust society, and a globally competitive

knowledge economy

Nutrition supportive programs, examples• Immunization

• Food and agricultural systems, programs and projects that impact on food supply

• Social protection programs like the conditional cash transfer, health insurance

Nutrition-specific programs – Address immediate causes of malnutrition

Program/Project Agency involvedInfant and Young Child Feeding• Health systems support DOH, LGUs• Community-based health and

nutrition supportDOH, NGOs, LGUs, Development Partners (DPs)

• Maternity Protection and Improving Capacities of Workplaces on Breastfeeding

DOLE, Employers, Employees’ Unions, NGOs, LGUs, DPs

• Establishment of breastfeeding places in non-health establishments

All agencies, NGOs, LGUs, DPs, CSC

• Enforcement of the Milk Code DOH, LGUs

Nutrition-specific programs – Address immediate causes of malnutrition,

Program/Project Agency involved

Integrated Management of Acute Malnutrition

DOH, NGOs, LGUs, DP

National Dietary Supplementation Program

• Pregnant women DOH, NGOs, LGUs, DPs

• Children, 6-23 months old DOH, NGOs, LGUs, DPs

• Children 24 – 59 months old DSWD, NGOs, LGUs, DPs

• School-age children DepEd, NGOs, LGUs, DPs

• Food plant for producing food supplements

FNRI, LGUs, SUCs, NGOs

Nutrition-specific programs – Address immediate causes of malnutrition

Program/Project Agency involvedNational Nutrition Promotion Program for Behavior Change

• In schools DepEd, NGOs, LGUs, DPs

• In communities DOH, DSWD, NGOs, LGUs, DPs

• In workplace DOH, DOLE, NGOs, LGUs, DPs

• Resource center NNC (coordinator)

Nutrition-specific programs – Address immediate causes of malnutrition

Program/Project Agency involvedMicronutrient supplementation (vitamin A, iron-folic acid, multiple micronutrient powder, zinc)

• In health unit DOH, NGOs, LGUs• In schools DepEd, NGOs, LGUs• Communication support DOH, NGOs, LGUs

Nutrition-specific programs – Address immediate causes of malnutrition

Program/Project Agency involvedMandatory food fortification (technology development, capacity building, regulation and monitoring, promotion)• Rice fortification with iron

DOH, DSWD, DepED, NGOs, LGUs, industry

• Flour fortification with iron and vitamin A

• Cooking oil fortification with vitamin A

• Sugar fortification with vitamin A

• Salt iodization

Nutrition-specific programs – Address immediate causes of malnutrition

Program/Project Agency involved

Nutrition in emergencies • Capacity building for

mainstreaming nutrition protection in emergencies

DOH, DSWD, National/Local DRRMC, NGOs, LGUs, DPs

Overweight and Obesity Management and Prevention Program• Healthy Food Environment• Promotion of Healthy Lifestyle• Weight Management Intervention

DOH, DSWD, DOLE, NGOs, LGUs, industry, CSC, DPs

Nutrition-sensitive programs– Address underlying causes of malnutrition

• Projects in development sectors that were tweaked to produce nutritional outcomes

• Targeting households with undernourished children, or pregnant women or children 0-23 months old for employment

• Targeting areas with high levels of malnutrition

• Channel or platform for delivering nutrition-specific interventions

Nutrition-sensitive program– Address underlying causes of malnutrition• Farm-to-market roads

and child nutrition, DA• Target Actions to

Reduce Poverty and Generate Economic Transformation (TARGET) and child nutrition, DA

• Coconut Rehabilitation Program, PCA

• Gulayan sa Paaralan, BPI, DepEd

• Diskwento caravans in depressed areas, DTI

• Family development sessions for child and family nutrition, DSWD

• Mainstreaming nutrition in sustainable livelihood, DSWD

• Public works infra and child nutrition, DPWH

• Adolescent Health and Nutrition Development, DOH

• SALINTUBIG and other water, sanitation and hygiene, DOH, DILG

Enabling programs

• Mobilization of LGUs for nutritional outcomes

• Mobilization of LGUs

• Enabling policy and legal framework for LGU mobilization

• Development of continuing opportunities for LGU excellence in nutrition programming

• Mobilization of RICs and other community-based organizations for nutrition action

Enabling programs

• Policy development for food and nutrition

• Securing policy support for nutrition along the priority nutrition legislative measures

• Public advocacy

• Strengthened management support to PPAN

• Securing vital nutrition infrastructure and resource requirements

• Strengthened coordination, monitoring, evaluation and management of PPAN

28

Implementation mechanism National PPAN Implementation Plan,

2017-2022◦ Agencies will commit what chunk of the

targets they will “bite” ◦ Those involved will outline the things that

should be done to implement the program◦ To establish accountabilities◦ Should be basis of agency budget

proposals◦ For annual updating

29

Implementation mechanism Regional Plan of Action for Nutrition,

2017-2022◦ What agencies at the regional level will do

◦ Those involved will outline the things that

should be done to implement the program◦ To establish accountabilities◦ Should be basis of agency budget

proposals◦ For annual updating

30

Implementation mechanism Local nutrition action plans Management will involve

◦ Organization of technical working groups at the national level to tackle technical details of each program

◦ The NNC Technical Committee will provide the venue for ensuring cohesive action across the different programs

31

Implementation mechanism Monitoring system to be set up

◦ Reporting by national agencies on physical and financial accomplishments–semestral

◦ Assessment of LGUs according to key parameters

Nutrition-specific programs Nutrition-sensitive programs

Reduced wasting among children under-five years old

Reduced stunting among children under-five years old

Reduced micronutrient deficiencies

Nutrition-supportive programs

Enabling programs

Improved situation in overweight and obesity

• Reduced nutritionally-at-risk pregnant women

• Increased exclusive breastfeeding

• Improved food intake

• Reduced low birthweight • Improved complementary feeding

Sustainable Development Goals

Philippine Development Plan GoalFoundation for inclusive growth, a high-trust society, and a globally competitive

knowledge economy

NATIONAL NUTRITION COUNCILVisit @ 2332 Chino Roces Ave Extension, Taguig

CityOfficial website: http://www.nnc.gov.ph

FB Pages: https://www.facebook.com/nncofficialhttps://www.facebook.com/wastongnutrisyon

Youtube acct: http:///www.youtube.com/user/NNC1974

Email us at: info@nnc.gov.phCall @ telephone no. (02)843-0142 or fax no.

818-7398

Thank You!

34

Nutrition problems to address

Stunting

• Stunting or being short for age is most prevalent form of undernutrition; and we have a VERY slow decline

Child on the right is a “picture” of a stunted child

Wasting

• The other form of child undernutrition is wasting or being extremely thin

• High risk of dying

37

Overweight and obesity

Undernutrition among children under five years old

0

10

20

30

40

50

27.3

20 20.2 20 21.5

44.5

32.2 33.730.3

33.4

6.2 6 7.3 8 7.1

Underweight Stunting Wasting

Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST

Trends in the prevalence of stunting from birth up to 3 years of age

Overweight by age/population group

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20150

10

20

30

40 Under-five 5-10 y/o

10.08-19 years old ≥20 years old

Lactating women

Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST

Trends in the prevalence of nutritionally at-riskpregnant and lactating women, 1998-2015

0

10

20

30

40

30.7

26.628.4

26.325 24.8 24.7

13.6

17.619.8

16.117.7

21.7 22.4

Pregnant women Lactating women

Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST

Low birthweight

Year Percent low birthweight

1998 9.6

2003 13.0

2008 19.6

2013 21.4Source: National Demographic and Health Survey

Service targets

47

Program Service targetInfant and Young Child Feeding Program

90% of pregnant women receive counseling support on nutrition

90% of mothers with infants 0-5 mos old receive counseling support on EBF

90% of mothers with infants 6-11 mos old receive counseling support on complementary feeding

Service targets

48

Program Service targetPhilippine Integrated Management of Acute Malnutrition

90% of severe acute malnutrition (SAM) cases are treated

90% of near-SAM cases are treated

National Dietary Supplementation Program

90% of poor pregnant women who are nutritionally-at-risk receive food supplementation

90% of children 6-23 mos old from poor families receive food supplementation

Service targets

49

Program Service targetNational Dietary Supplementation Program

100% of children in day care centers receive food supplementation

Supplementary feeding expanded to children enrolled in the Supervised Neighborhood Play100% of severe acute malnutrition cases of school children receive appropriate food supplementation

Service targets

50

Program Service targetNational Nutrition Promotion Program for Social and Behavior Change

90% of pregnant women, mothers with infants 0-23 months old and acutely malnourished children receive nutrition information through counseling and nutrition classesMulti-media nutrition campaign on key desired behaviors implemented

Micronutrient Supplementation

90% of target population receive vitamin A capsules, iron-folic acid supplements, iodized oil capsules and zinc

Service targets

51

Program Service targetNutrition in Emergencies

Nutrition-related services delivered to affected population in disaster situations

Overweight and Obesity Management and Prevention Program

50% of preschool children, school children, and adults covered by healthy eating environment and promotion of healthy lifestyle50% coverage of preschool children, school children, and adults on weight management interventions