Hon. Dayanghirang [NNC] List of PPAN 2023-2028 Priority Areas_ManOps Launch_rev.pptx
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Hon. Dayanghirang [NNC] List of PPAN 2023-2028 Priority Areas_ManOps Launch_rev.pptx
- 1. AZUCENA M. DAYANGHIRANG, MD, MCH, CESO III Assistant Secretary and Executive Director
- 2. 1 2
- 4. Image sources (accessed 29 May 2023): https://seriousmd.com/blog/philippine-childrens-month- child-malnutrition/ https://www.panaynews.net/kids-big-problem-obesity- confronts-preschool-children/ https://www.nutritionintl.org/news/all-blog-posts/ensuring- children-can-continue-to-access-life-saving-vitamin-a- during-the-covid-19-pandemic/ https://borgenproject.org/eliminating-hunger-in-the- philippines/ https://businessmirror.com.ph/2018/10/18/food-waste- postharvest-losses-where-millions-remain-hungry/
- 5. • Establishment and maintenance of school, community, and workplace food gardens • Completion of farm to market roads and market infrastructures • Setting up of KADIWA • Dietary Supplementation Program • Food stamps or cash transfers • Food Fortification • Monitoring of EO 51 • Regulation and marketing of unhealthy food INCREASING AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF NUTRITIOUS FOOD
- 6. • Maternal health service packages • IYCF promotion and counseling • Peer/community support for breastfeeding mothers • Enhanced minimum standards of breastfeeding station • Formulation and implementation of integrated social behavior change for the First 1000 days • Social behavior change for school age children, adolescents, adults, and older adults SOCIAL AND BEHAVIORAL CHANGE
- 7. • Integrated maternal and child health and nutrition services • Health and nutrition services in schools • Healthy Learning Institution initiatives • Growth monitoring and promotion • Adolescent Health and Development Program • Family Development Sessions • Detection and management of acute malnutrition among older adults
- 8. “Tutok Kainan” underscores the need to closely monitor the nutritional status of nutritionally at- risk pregnant women and children 6-23 months old during the crucial period of the First 1,000 Days of Life.
- 9. A. Pregnant women • 500 – 700 kcal, 15 – 20 grams of protein • 90 days of feeding B. Children, 6-23 months • For 6 to 11 months old: 130 – 200 kcal, 5 – 10 grams of protein, preferably with multiple micronutrient powder for 180 days • For 11 to 23 months old: 200 – 300 kcal, 5 – 10 grams of protein for 180 days • 180 days of feeding Social Preparations Dietary Supplementation Nutrition Education Monitoring and reporting Micronutrient Supplementation
- 10. Pregnant women: 1. Nutritionally-at-risk pregnant women in 3rd trimester 2. Pregnant women in 3rd trimester 3. Nutritionally-at-risk pregnant women regardless of gestational age Children 6-23 months old: 1. Stunted 6–23-month-old children 2. Wasted 6–23-month-old children 3. Borderline 4. Normal
- 11. Photos taken from https://fnri.dost.gov.ph/images/images/standardtools/MenuGuideCalendar/MGC2021.pdf
- 12. Photos taken from https://fnri.dost.gov.ph/images/images/standardtools/MenuGuideCalendar/2017-MGC.pdf
- 14. Basis: Magnitude of stunted children, 0-59 months old, NNC 2022 Magnitude of population with household per capita income below food poverty threshold (subsistence poverty), PSA, 2021
- 16. Thank you!
Editor's Notes
- Good afternoon everyone! I would first like to extend my deepest gratitude and warmest congratulations to the Children’s First 1,000 Days Coalition led by no less than Atty. Joey Lina. The CFDC exemplifies how collaborative efforts between government and civil society organizations can make a significant difference. Today, it is my privilege to provide you with a brief overview of the Philippine Plan of Action for Nutrition 2023-2028 which outlines the essential strategies and interventions to achieve better nutritional situation in our country and the list of priority areas where NGO involvement is strongly encouraged. **NEXT SLIDE**
- The National Nutrition Council spearheads the formulation of the Philippine Plan of Action for Nutrition (PPAN) since 1978. The PPAN is a [CLICK] strategic, multi-sectoral, multi-level, and directional plan that provides the [CLICK] framework of priority action to address the various forms of malnutrition. As a complementary plan to the 6-year Philippine Development Plan, the PPAN fosters collaboration among various sectors to enhance food and nutrition security throughout the country. It embodies the strategic directions for the nutrition sector that support the eight-point Socioeconomic Agenda of the Marcos Administration, the Philippine Development Plan 2023-2028 and the long-term vision of AmBisyon Natin 2040 (Matatag, Maginhawa, at Panatag na Buhay). The new cycle of PPAN 2023-2028 was recently launched at the national level on 4 September 2023, right here in the same esteemed halls of The Manila Hotel. There were also succeeding sub-island launches in Luzon, Visayas, and Mindanao to ensure wide dissemination of the Plan and reach as many stakeholders as possible. **NEXT SLIDE**
- The PPAN’s desired vision of change is [CLICK] to reduce all forms of malnutrition across all age groups by 2028.” To achieve this desired vision of change, four (4) outcome result areas need to be realized: 1. First [CLICK] is along food and diet, meaning we need to ensure food security is enjoyed by all Filipinos. 2. Second [CLICK] is along practices and behaviors which means all Filipinos adopting behaviors and practices toward good health and nutrition. 3. Third [CLICK] is along having well coordinated, inclusive and integrated quality nutrition and related services which includes services on nutrition, health, education, sanitation, and social protection. 4. The last [CLICK] outcome results area focuses on creating an enabling environment that supports improved nutrition outcomes through policies, systems, infrastructure, sufficient resources, positive social and cultural norms, and good governance. **NEXT SLIDE**
- Through these outcome results areas, the PPAN’s goal is to reduce the five major nutrition and related problems across life stages, including [CLICK] undernutrition, [CLICK] overnutrition, [CLICK] micronutrient deficiency, [CLICK] inadequate infant and young child feeding practices, and [CLICK] food insecurity. **NEXT SLIDE**
- First, interventions identified to achieve healthier diets would include those that [CLICK] would improve affordability of food either by increasing the food supply or improving food distribution; interventions that would increase availability of nutrient-dense and fortified foods; and those that would increase availability of food from household, school, and community sources. It also includes interventions that would transform market choices towards nutritious diets, and those that would improve access to diverse and nutritious foods for the most vulnerable groups. **NEXT SLIDE**
- Second, interventions to improve practice and behavior include those that will [CLICK] encourage: Pregnant and lactating women to consume diversified and nutrient-rich diets and to increase their utilization of maternal and child health and nutrition services at the LGUs; Parents and caregivers of children 0-23 months to demonstrate correct infant and young child feeding, sanitation and hygiene practices that promotes optimal growth and development; Parents and caregivers of children 3-5 years old to demonstrate responsive caregiving nutrition practices and to always provide safe, nutritious diets, and Social behavior change among school age children, adolescents, adults and older adults along consumption of healthier diets, optimal WASH practices, adopt or engage in physical activity, and adopt healthy lifestyles. **NEXT SLIDE**
- Lastly, for improved access to comprehensive and quality nutrition specific and nutrition sensitive interventions at scale, the PPAN have identified the [CLICK] following interventions: All children 0- 2 years are regularly tracked, monitored, and receive an integrated package of nutrition services in communities and at health facilities; All children 3-5 years receive early learning, health, nutrition, WASH, and protection services, especially those living in GIDA.; All children 5-10 years benefit from strengthened nutrition and food environments, and WASH services in schools and communities; and Adolescents, adults and older adults have access to healthy food environments and diets, WASH, facilities for physical activity, and mental health services and psychosocial support. **NEXT SLIDE**
- Thus, the [CLICK] Tutok Kainan Dietary Supplementation Program was conceptualized. It is one of the interventions that NNC currently leads which focuses specifically on the First 1,000 Days of Life. Tutok Kainan is the agency’s response to the COVID-19 pandemic conceptualized in 2021. It operationalizes Republic Act No. 11148 or the Kalusugan at Nutrisyon ng Mag-Nanay Act by zeroing in on one of the needed services indicated in the law that has not been given much attention to which is the dietary supplementation in the First 1,000 Days of Life. As the name of the program implies, “Tutok Kainan” underscores the need to closely monitor the nutritional status of its target beneficiaries. ***NEXT SLIDE***
- Tutok Kainan has five (5) program components namely: [CLICK] social preparation, [CLICK] dietary supplementation, [CLICK] nutrition education, [CLICK] micronutrient supplementation and other ECCD-F1K components, and [CLICK] monitoring/reporting. Specifically on the [CLICK] dietary supplementation component, we provide [CLICK] 500-700 kcal and 15-20 grams of protein to pregnant women for 90 days; and about 130-300 kcal and 5-10 grams of protein to children for 180 days. The levels of supplementation are intended to maintain the normal nutritional status of the target population and to augment the possible gap in energy and protein intake that may eventually lead to undernutrition. The feeding scheme adopted in Tutok Kainan is a combination of wet and dry feeding where our fresh commodities are procured from various community-based organizations while our dry food commodities are procured from DOST-FNRI technology adopters. ***NEXT SLIDE***
- Although covering the entire vulnerable population groups is ideal, [CLICK] the magnitude of resource requirements necessitates prioritizing target groups. Thus, we focus on beneficiaries based on these criteria in descending order of priority. ***NEXT SLIDE***
- Here are sample pictures of the hot meals we provide to our child beneficiaries, following the recipes developed by DOST-FNRI. (For viewing) ***NEXT SLIDE***
- Then, here are sample pictures of the hot meals we provide to our pregnant woman beneficiaries, still following the recipes developed by DOST-FNRI. (For viewing) ***NEXT SLIDE***
- Meanwhile, here are pictures of the dry food commodities we used, adopted from DOST-FNRI technology. (For viewing) ***NEXT SLIDE***
- Now that we have identified the strategies we intend to employ and the set of interventions we will implement, the next question would be, “Where should we concentrate our efforts?” To achieve the PPAN goal of reduced malnutrition and hunger at the national level, targeted efforts are needed in areas and among beneficiaries where these issues are most prevalent. As such, the PPAN 2023-2028 implementation will prioritize [CLICK] [CLICK] 799 municipalities, 73 cities, and 22,725 barangays across the 34 provinces indicated in the slide. These areas have been identified based on two primary indicators: First is the significant prevalence of stunting among children aged 0 to 59 months, indicating presence of malnutrition; and Second is the proportion of households with per capita income below the food poverty threshold, signifying food insecurity. The data on the first indicator on stunting is based on the 2022 Operation Timbang Plus (OPT+) results while the second indicator on the magnitude of subsistence-poor population is based on the 2021 Food Income and Expenditure Survey of the Philippine Statistics Authority. [Asec to mention the first 10 provinces..] We envision that we will all converge in these areas to make substantial improvements in our nutrition outcomes. As you may have observed, the identified priority areas are at the provincial level. Therefore, it remains crucial to closely coordinate with the respective cities, municipalities, and barangays. This coordination will help determine the specific LGUs to prioritize and conduct needs assessment to identify the interventions most appropriate for the beneficiaries in these areas. In fact for the programming of Tutok Kainan this year, we have identified these specific areas as well as our target focus. **NEXT SLIDE**
- In closing, the Philippine Plan of Action for Nutrition is a comprehensive Plan that serves as our roadmap for addressing critical nutrition challenges in our country, and the [CLICK] active participation and collaboration of the private sector are essential for its successful implementation. We believe that by aligning our efforts and resources in the identified priority areas, we can [CLICK] further broaden our reach and make significant strides toward improving the nutritional status and well-being of our communities. Your expertise, dedication, and partnership will undoubtedly contribute to achieving our shared goals. Let us [CLICK] sustain the commitment and create a lasting positive change in this fight against malnutrition. **NEXT SLIDE**
- We look forward to working closely with the Children’s First 1,000 Days Coalition in these vital initiatives. That would be all. Thank you for your kind attention. **END OF PRESENTATION**