Municipal Nutrition

Action Plan
2023 – 2025
Municipality of Lopez Jaena
 TABLE OF CONTENTS

I. INTRODUCTION...................................................................................................................................
II. VISION AND MISSION........................................................................................................................
III. MUNICIPAL NUTRITION SITUATION ANALYSIS...............................................................................
IV. OUTCOME TARGETS......................................................................................................................
V. PROGRAMS, PROJECTS, AND ACTIVITIES...........................................................................................
VI. IMPLEMENTATION PLAN...............................................................................................................
VII. ESTIMATES OF BUDGETARY REQUIREMENTS................................................................................
VIII. RESOURCE MOBILIZATION STRATEGIES FOR THE LNAP.................................................................
IX. ARRANGEMENTS FOR ORGANIZATION AND COORDINATION.......................................................
X. MONITORING AND EVALUATION SCHEME........................................................................................
ANNEXES...................................................................................................................................................
Nutrition in Emergencies Plan
Directory of the Local Nutrition Committee
Project Briefs
REFERENCES..............................................................................................................................................
 ACRONYMS
BNS – Barangay Nutrition Scholar
DILG – Department of the Interior and Local Government
DOH – Department of Health
FHSIS – Field Health Service Information System
FNRI – Food and Nutrition Research Institute
F1K – First 1,000 Days
GIDA – Geographically Isolated and Disadvantaged Areas
IFA – Iron Folic Acid
IP – Indigenous People
LGU – Local Government Unit
LNAP – Local Nutrition Action Plan
NDHS – National Demographic and Health Survey
NEDA – National Economic and Development Authority
NGO – Non-government Organizations
NiEm – Nutrition in Emergencies
NAO – Nutrition Action Officer
NNC – National Nutrition Council
NNS – National Nutrition Survey
PDP – Philippine Development Plan
PNC – Provincial Nutrition Committee
MNC – Municipal Nutrition Committee
PPAN – Philippine Plan of Action for Nutrition
RPAN – Regional Plan of Action for Nutrition

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 Message from the Municipal Mayor
Chairperson of the Municipal Nutrition Committee

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Message from the Vice-Chairperson of the Municipal Nutrition Committee

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EXCERPT FROM THE MINUTES OF THE MUNICIPAL NUTRITION COMMITTEE
(MNC) MEETING OF THE MUNICIPALITY OF LOPEZ JAENA, PROVINCE OF
MISAMIS OCCIDENTAL, HELD AT EVACUATION CENTER, P6, PUNTOD, LOPEZ
JAENA, MISAMIS OCCIDENTAL.

Present:

HONANDREA CHERRY PINK L. GUTIERREZ

HON. DEVINE O. MICARANDAYO
RIGEL B. GAJE
ROSALIE D. BALANGAO
LAARNIE L. CARORO
CIRILO F. CABURAL
ARTHUR ACA-AC
ENGR. GHARLIE PAREDES
PTRA. JULIA S. MAGLINTE
GINA HELEN T. ESTUITA
ROFRALY G. OLMEDO

Absent:

EDWIN V. PALMA
HOMER LARIBA

RESOLUTION NO. 001 SERIES OF 2023

APPROVING AND ADOPTING THE MUNICIPAL NUTRITION ACTION PLAN

(MNAP) FOR CY 2023-2025 OF MUNICIPALITY OF LOPEZ JAENA AND
RECOMMENDING THIS MNAP TO THE MUNICIPAL DEVELOPMMENT COUNCIL
FOR ADOPTION AND IMPLEMENTATION OF ANNUAL INVESTMENT
PROGRAM FOR CY 2023

WHEREAS, the Municipal Nutrition Action Plan is a three-year plan containing the
objectives and nutrition interventions implemented to address the malnutrition
problem at the municipal level;

WHEREAS, MNAP is prepared by the Municipal Nutrition Committee to

operationalize the Philippine Plan of Action for Nutrition 2023-2028;

WHEREAS, the Annual Investment Program annually manages and financially

supports MNAP 2023-2025;

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WHEREAS, the Municipal Nutrition Committee ensures the implementation of the
programs, projects, and activities in the MNAP;

WHEREAS, there is a need to approve and adopt the MNAP for CY 2023-2025 of
the Municipality of Lopez Jaena and recommending this MNAP for adoption, for
integration to the Municipal Development Plan and for implementation of Municipal
Development Council through integration of nutrition activities to the Annual
Investment Program CY 2023.

NOW THEREFORE, Laarnie L. Caroro, duly seconded Cirilo F. Cabural, BE IT

RESOLVED, AS IT IS HEREBY RESOLVED, to approve and adopt the Municipal
Nutrition Action Plan (MNAP) for CY 2023-2025 of the Municipality of Lopez Jaena
and recommending this MNAP to the Municipal Development Council members of
the Municipality of Lopez Jaena for adoption and implementation of Annual
Investment Program for CY 2023.

APPROVED this 10th day of May 2023 during the 2nd Quarter MNC meeting of the
Municipal Nutrition Committee held at Evacuation Center, P6, Puntod, Lopez Jaena,
Misamis Occidental.

ANDREA CHERRY PINK L. GUTIERREZ

Mayor and Chairperson
Municipal Nutrition Committee

Attested to by:

ROFRALY G. OLMEDO RN, MN

Committee Secretary and Municipal Nutrition Action Officer

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 CONFORME:

______________________ ___________________________
MPDC MSWDO

______________________ ___________________________
Municipal Agricultural Officer Municipal Budget Officer

______________________ ___________________________

______________________ ___________________________

6
EXCERPT FROM THE MINUTES OF THE MUNICIPAL NUTRITION COMMITTEE
(MNC) MEETING OF THE MUNICIPALITY OF LOPEZ JAENA, PROVINCE OF
MISAMIS OCCIDENTAL, HELD AT EVACUATION CENTER, P6, PUNTOD, LOPEZ
JAENA, MISAMIS OCCIDENTAL.

Present:

HONANDREA CHERRY PINK L. GUTIERREZ

HON. DEVINE O. MICARANDAYO
RIGEL B. GAJE
ROSALIE D. BALANGAO
LAARNIE L. CARORO
CIRILO F. CABURAL
ARTHUR ACA-AC
ENGR. GHARLIE PAREDES
PTRA. JULIA S. MAGLINTE
GINA HELEN T. ESTUITA
ROFRALY G. OLMEDO

Absent:

EDWIN V. PALMA
HOMER LARIBA

RESOLUTION NO. 002 SERIES OF 2023

A RESOLUTION ADOPTING THE PROVISIONS OF REPUBLIC ACT 11148 OR

"AN ACT SCALING UP THE NATIONAL AND LOCAL HEALTH AND NUTRITION
PROGRAMS THROUGH A STRENGTHENED INTEGRATED STRATEGY FOR
MATERNAL, NEONATAL, CHILD HEALTH AND NUTRITION IN THE FIRST 1000
DAYS OF LIFE, APPROPRIATING FUNDS THEREOF AND FOR OTHER
PURPOSES

WHEREAS, under Article II of the 1987 Philippine Constitution provides that the
State shall protect and promote the right to health of the people and instill health
consciousness among them. The State also guarantees the right to adequate food,
care and nutrition to pregnant and lactating mother, including adolescent girls,
women of reproductive age, and especially children from zero to two years old;

WHEREAS, Republic Act 11148 or the Kalusugan at Nutrisyon ng Mag-Nanay Act"

sought to scale up the nutrition interventions programs in the First 1000 days of the
child's life, and allocates resources in a sustainable manner to improve the nutrition

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status and to address the malnutrition of infants and young children from zero to two
years old, adolescent females, pregnant and lactating women, ass well as to ensure
growth and development of infants and young children;

WHEREAS, under Republic Act 7160 states that the Sanggunian is empowered to
enact ordinances, approve resolutions and appropriate funds for the general welfare
of the Municipality and its inhabitants;

WHEREAS, Lopez Jaena is a municipality which population consists mostly of

women and youth and the local government supports their well-being by advocating
a health community through various health and wellness programs;

WHEREAS, while the nutrition program of the municipality covers both the nutrition
specific and nutrition sensitive needs of the constituents, it is imperative to adopt the
provisions of Republic Act 11148;

WHEREAS, pursuant to the adoption of the Mag-Nanay Act, the municipality has
allocated funds for the following:

1. Provide comprehensive, sustainable, multisectoral strategies and

approaches to address health and nutrition problems of newborns, infants and
young children, pregnant and lactating women and adolescent females, as well
as multi-factorial issues that negatively affect the development of newborns,
infants, and young children, integrating the short, medium and long-term plans
of the government to end hunger, improve health and nutrition, and reduce
malnutrition;

2. Strengthen and define the roles of the MNC, health and nutrition workers
tasked to implement nutrition programs in the first one thousand (1,000) days;

3. Strengthen enforcement of Executive Order No. 51, otherwise known as the

"National Code of Marketing of Breastmilk Substitutes, Breastmilk Supplements
and Other related Products" or the Milk Code, and Republic Act No. 10028,
otherwise known as the "Expanded Breastfeeding Promotion Act of 2009", to
protect, promote and support optimal infant and young child feeding and
maternity protection, and in consultation with the stakeholders in the public and
private sectors;

4. Strengthen the family community support systems with the active

engagement of parents and caregivers, with support from LGUs, the NGAs,
CSOs, and other stakeholders;

NOW THEREFORE, upon the motion of Laarnie L. Caroro, duly seconded Cirilo F.
Cabural; BE IT RESOLVED, AS IT IS HEREBY RESOLVED, to approve and adopt
the provisions of Republic Act 11148 or "an act scaling up the national and local
health and nutrition programs through a strengthened integrated strategy for
maternal, neonatal, child health and nutrition in the first 1000 days of life,
appropriating funds thereof and for other purposes;

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APPROVED this 10th day of May 2023 during the 2nd Quarter MNC meeting of the
Municipal Nutrition Committee held at Evacuation Center, P6, Puntod, Lopez Jaena,
Misamis Occidental.

ANDREA CHERRY PINK L. GUTIERREZ

Mayor and Chairperson
Municipal Nutrition Committee

Attested to by:

ROFRALY G. OLMEDO RN, MN

Committee Secretary and Municipal Nutrition Action Officer

CONFORME:

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______________________ ___________________________
MPDC MSWDO

______________________ ___________________________
Municipal Agricultural Officer Municipal Budget Officer

______________________ ___________________________

______________________ ___________________________

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I. INTRODUCTION

The 2028 target outcomes of PPAN 2023-2028 cannot be achieved without all
LGUs improving their nutrition program in their provinces, cities and municipalities.
LGU Lopez Jaena’s action is imperative if the nation is to change the nutrition
landscape in the country which the National Nutrition Council (NNC) calls alarming.

Malnutrition is associated with half of child mortality in the Philippines and more
than half of child morbidity. Stunting in particular affects 4.6 million under five-year-
old children equivalent to one in three Filipino children today. The negative impact of
stunting on the brain development of the child is well established. The brain of
stunted children is 40 percent smaller than those of the normal child. And the frontal
lobe responsible for analysis, communication and memory are severely degraded in
the brains of stunted children. On the other hand, individuals with reduced
functioning of the ventral prefrontal cortex of the brain, especially during childhood,
tend to have severe antisocial behavior and impaired moral judgment. All told, the
children who survived but had stunting when they were 0-24 months old have finish
less schooling years, less income from work and have less healthier families. The
cost of malnutrition in the Philippines is about 4B US dollars every year roughly
about 3 percent of our GDP. The cost is like having a Yolanda every year
devastating the country’s precious assets – our young people and future citizens.

Stunting is not the only form of malnutrition affecting our country. Wasting affects
about 1 million children equivalent to 7.8 percent of children under five. The
Philippines is second to shortest in ASEAN, 9 th in the global burden in stunting and
10th in wasting. Overweight and obesity is on the rise among children 0-5 and several
micronutrient deficiencies are above public health norms of the WHO including
Vitamin A, iron deficiency and iodine.

The Regional Plan of Action for Nutrition 2022-2025 of Region 8 and that of the
other 16 regions have been completed detailing and committing the outcomes to be
delivered by sectoral agencies by end 2025. The war against stunting and
malnutrition cannot be won without the 1,700 LGUs in the Philippines joining hands
and taking action in their own locality. There are good examples of highly performing
LGUs who have achieved good results in nutrition and have sustained them over.

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These highly performing LGUs have signified intention to guide LGUs willing to take
the journey to ascend in nutrition programming for results.

This Municipal Nutrition Action Plan and investment is _______ contribution to

the LNAP of the Province of Misamis Occidental, RPAN 2022-2025 of Region 8,
PPAN 2023-2028, to the PDP 2023-2028 and AmBisyon Natin 2040 and finally the
SDG of the United Nations. The Municipal Nutrition Action Plan for 2023-2025 is a
plan formulated by the leadership of the Municipal Mayor with the Municipal Nutrition
Committee members and the constituent elected leadership in the LGUs covered by
the municipality.

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 II. VISION AND MISSION

VISION:
The Municipality of Lopez Jaena aims to build a healthy, sound and
secure municipality by ensuring the nutritional well-being of its people that
will make them highly productive, self-reliant and participative in any
undertakings towards a progressive, peaceful and healthy community.

MISSION:
The Municipality of Lopez Jaena uphold the rights of the people to live
healthily. The local government will eliminate malnutrition and protect the
people from its consequences by exerting efforts through various nutrition
related programs with the collaboration among the government, civil society
and other stakeholders that will achieve a healthy quality of life for a better
service to God and for progress of Lopez Jaena and Misamis Occidental.

GOALS:
The Municipality of Lopez Jaena will improve quality of life among
people by having a healthy and nutritionally sound community which
contribute to the development and progress of the Municipality then
mobilize the stakeholders to take actions in eliminating malnutrition, create
policies and programs for Nutrition and increase participation among
families in different health and nutrition programs.

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OBJECTIVES:
At the end of 2025, the Municipal Nutrition Program should be able to:
1. Decrease the underweight and severely underweight prevalence rate
of Preschool Children from 11.90% to 11% by the end of 2014 and
decrease the severely wasted schoolers from 5.5% to 4 %

2. Increase involvement and participation of various stakeholders in

nutrition programs

3. Increase awareness among families and people on the importance of

nutrition and mobilizing them to participate in different nutrition-
related activities

4. Capacitate and influence barangays to activate their BNC and

prioritize nutrition programs

5. Implement different nutrition programs and activities

6. Increase agricultural production and livelihood oppurtunities

7. Conduct a systematic and periodic quarterly monitoring for the normal

and monthly for the underweight preschooler

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III. MUNICIPAL NUTRITION SITUATION ANALYSIS

Municipal Profile
1.1 HISTORICAL BACKGROUND

Originally called Daisog (meaning, brave and mighty), Lopez Jaena became a
municipality in 1929 through Executive Order 179, series of 1928. The town is
located 14 kilometers from the center of Oroquieta City, the capital of Misamis
Occidental. Lopez Jaena was first inhabited by Subanen tribe but was driven to the
interior when the Visayans and migrants from the other places invaded the area
during the Spanish period. Today, 80 percent of the populace is of Visayan origin,
while the Subanen comprised only about 17 percent of the entire population.

Historical evidences showed that the original settlers of the entire Misamis
Occidental were the Subanen tribes. Their presence can be traced back to the
Neolithic Age.

Subanen, which means, “people from up the river”, an indication of their origin,
is the biggest non-Muslim group widely spread in Zamboanga Peninsula today. They
once lived a simple life. Aside from trading with the Chinese (during the Yuan and
Ming periods), and other merchants from the neighboring islands, Subanen were
engaged mainly in agriculture-rice farming in the lowland and slash-and burn farming
in the upland areas. Gathering of forest products, hunting, fishing and shell gleaning
supplemented their farm yields.

The simple political organization and the absence of martial traditions made
them vulnerable to invasions by ethnic groups with more complex organizations such
as the Maranaos, Tausogs and later, the Visayans. There is no political hierarchy that
exists in the community, which is composed of 5 to 12 households. Interaction and
assimilation with other groups to form bigger groups was allowed but they maintained
loose structure. Family is their only basic unit of the social organization.

During the Spanish time, immigrants from Luzon, Visayas and other places in
Mindanao came in search of a better life and to gain freedom in this region. The
favorable climate, fertile soil and vast plains attracted them to stay. These immigrants
established friendship with the tribal chieftain and inevitably with the locales.
Eventually, they were able to barter the things they brought with them with the lands
of the natives.
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 Lopez Jaena, then called Daisog, was formerly a part of Plaridel. Its former
name which means “brave and mighty” named after the natives lead by Batico Laurie
defeated the Muslim pirates who wanted to invade their place. Daisog was later
called Manilla after its Spanish Captain.

Lopez Jaena was originally composed of seven (7) barangays. These are the
Poblacion, Mansabay, Sibugon, Molatuhan, Alegria, Dampalan, and Macalibre.
Additional nine (9) Barangays were created and approved as per RA 3590 on April
28,1960 then followed by seven (7) barangays created as per RA 3590 series 1965
and the lone (1) barangay, Barangay Peniel created as per PD 86-A on October 6,
1972. Sometime in 1982, the people of Western Poblacion, Mansabay Alto, Don
Andres Soriano and Mabas filed their respective petitions to become separate district
barangays. On September 12, 1983, the provincial board approved the petition filed
by the four (4) barangays thus making the total number of twenty-eight (28)
barangays.

1.2 Basic Information:

Classification 4th Class

LGU Income: IRA 2020 P 100,703,570.00
Tax Revenue P 10,191,618,.77
Total Population (PSA) 2020 25,507
2022 Population Projection 25,689
Total No. of Households (PSA) 2015 5,818
2019 Household Projection 6,524
Total No. of Male (PSA) 2015 12,717
Total No. of Female (PSA) 2015 13,338
Land Area (in Hectares) 12,551.1619
Total No. of Barangays 28
Total No. of Coastal Barangays 9
No. of Registered Voters (COMELEC 2018) 17,728
No. of HH with Level III Water Connection 3,841
No. of HH with Electrical Connection 5,967 (93.87%)
Length of National Roads (in Km.) 21.808 km.

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 Length of Provincial Roads (in Km.) 24.070 km.
Length of Municipal Roads (in Km.) 11.569 km.
Length of Barangay Roads (in Km.) 216.997 km.
No. of Port (Type) 1 (Fish Port)
No. of Clinics 2
No. of Public Secondary Schools 4
No. of Private Secondary Schools 2
No. of Elementary Schools 23
No. of Primary Schools 4
No. of Internet Service Provider/Type 1/Broad Band
No. of Telecommunication Providers 4
No. of Cable TV Provider 1
No. of Banks / Type 1 / Rural Bank
No. of Pawnshops 2
No. of Gasoline Stations 2
Distance from Oroquieta City (in Km.) 14 km.
Distance from Ozamiz City (in Km.) 40 km.
Distance from Dipolog City (in Km.) 80 km.
Distance from Mun. of Plaridel Port (in Km.) 12 km.
Agriculture, Commerce,
Major Source of Income
Services
Source: MPDC Office

1.3 Location:

Lopez Jaena is located in the northern section of Misamis Occidental in

Northern Mindanao. It is adjacent to and only 14 kilometers from the center of
Oroquieta City, the provincial capital. The province is a part of Administrative
Region X, which has its center in Cagayan De Oro City, Misamis Oriental
Province.

The northwest of Lopez Jaena is bounded by the municipality of Plaridel;

on the west and southwest by the municipality of Calamba; on the northeast

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portion by Iligan Bay; and the east to southeast by Oroquieta City; and
municipality of Don Victoriano Marcos on the southern part.

Map 1.0: Location Map

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Map 2.0: Administrative Map

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1.4 Physical Features:

Lopez Jaena is one of the northern municipalities of Misamis Occidental. It

is located in between coordinates 8°23’40” N to 8°33’0” N, and 123°39’0” E to
123°45’0” E. The municipality has an estimated land area of 125.51 square
kilometers, in which in terms of such is one of the smallest municipalities in the
province. The municipality of Lopez Jaena is composed of 28 barangays.

Moreover, this municipality is accessible by air, via the cities of Dipolog

and Ozamiz airports and by land, through well-maintained and all-weather
coastal and mountain national road.

Lopez Jaena has a total estimated road network length of 274.444

kilometers connecting to neighboring municipalities like Calamba and Plaridel
going to Dipolog City on the westbound direction and Oroquieta City in the
eastbound direction going to Ozamiz City. The topography of Lopez Jaena is typical
of the towns surrounding a mountain range like Mt. Malindang. It has four elevations
zones. Zones are closely related to settlement and livelihood patterns of the populace.
These elevation zones are:

 0-30 masl (meters above sea level) with 0-3 % dominant slope - the coastal zone
with nine (9) barangays whose people are dependent in a major way on fishing and
harvesting of marine and mangrove associated products and some small farming
activities. This covers an area of 5,677.2166 hectares or 17.47 percent of the total
land area;

 30-200 masl with 3-8 % dominant slope - the lowland agricultural zone with
portions of 11 barangays. The 5,791.1347 hectares of land is predominantly used for
coconut, rice and fruit tree farming;

 200-300 masl with 8-28 % dominant slope - six (6) barangays are within this area.
Around 6,188.3077 hectares or 40.37 % of the total land area is classified into this
zone – higher elevation, moderately sloping agricultural zone where fruit trees, root
crops and corn are planted; and,

 300-600 masl with 18-30 dominant slope - the steeply sloping upland zone with
two (2) barangays within the Mt. Malindang – Mabas and Peniel. Planting of corn and
root crops is still the primary means of livelihood, although production is at a
subsistence level. This covers 670.7106 hectares.

Two major rivers traverse the middle of the town. Sibugon River and the longer,
larger Daisug River. These two rivers service the communal irrigation system (CIS) in
Mansabay, Sibugon and Burgos. The Inamucan, Langaran and Paypayan Rivers,

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respectively define the northwestern boundary (Plaridel & Calamba) and southeastern
boundary (Oroquieta City) of the town.

Map 3.0 : Slope Map

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 1.5 Economic Base and Potential:

Main source of living for the people of Lopez Jaena is farming and fishing.
In 2015 Census of Population only 35 percent or 8,764 individuals engaged in
gainful work or considered to be employed by a major industry group among the
bracket of 15 years old and over, and of the 8,764 individual 29.71 percent are
engaged in skilled agricultural forestry and fishery works/activities and followed
by the elementary occupation category of 22.19 percent. Table 1.0 shows us that
there are 29.71 percent of the population are engaged into Agricultural and
Fishery activities while the remaining percentage are either engaged in small
business or are employees in the government and private offices.

Table 1.0:
Gainful Workers 15 Years Old and Over by Major Industry Group;
Lopez Jaena, Misamis Occidental (2015)

Population Percen-
Major Industry Group
Male Female Total tage
Skilled Agricultural Forestry and Fishery Workers 167 2,771 2,604 29.71
Managers 325 532 207 2.36
Professionals 229 328 99 1.13
Technicians and Associate Professionals 105 193 88 1.00
Clerical Support Workers 173 356 183 2.08
Service and Sales Workers 636 1,128 492 5.61
Craft and Related Trades Workers 604 175 779 8.89
Plant and Machine Operators and Assemblers 702 7 709 8.09
Elementary Occupations 1,348 597 1,945 22.19
Armed Forces Occupations 21 0 21 0.24
Not Reported 1 1 2 0.02
Total 6,349 2,415 8,764 100.00
Source: PSA

Agricultural and fishery products are the main produce of the municipality.
Ninety Four percent (94%) of its land devoted to agriculture is planted with
coconut, corn, rice, fruit trees and root crops. The annual yield however, is at
subsistence level.

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 Lopez-Jaena also produces an average of 1,055 metric tons of fish yearly.
Fish varieties include: frigate tuna, big-eyed scad, round scad, veterano, indian
sardine, squid, tambo, siganid, yaito tuna, parrot fish, shark, shark fish, jack
pampano, skipjack, spanish mackerel, sword fish, devil fish, rainbow runner,
loner eel, and sail fish.

The people of Lopez-Jaena are also engaged in small-scale cottage

industries such as Pottery-making, Amakan-weaving and Bamboo and wood
furniture making.

Retail trade (mostly sari-sari or convenience stores) is also among the

commercial activities of the people. In 2018, a total number of registered
business establishments are 412. These are sari-sari stores, rice/ corn mills, etc.,
which contributed about two percent (2%) of the municipality’s annual income.

Though not yet fully developed, tourism activities in Lopez Jaena may
include the resently established “Gakit sa Lopez Jaena” floating cottages and
diving in Capayas Island where the municipal Fish and Shell Sanctuary is
located, religious pilgrimage in Ilihan Hills, Daisog River for floating eateries and
boating/khayaking and mountain trekking/climbing or biking in some portions of
Mt. Malindang. Part also of the tourist attraction of the municipality, are the native
delicacies and cottages industries like Pottery and Amakan. Local festivities
during town fiesta and foundation day wherein promotion of our Mariculture Park
be done through sustaining the “Bangus Festival” and also the arts and culture of
the Subanen, and its vast agricultural fields which offers not only variety of
products but also an experience of the simplicity of the lives of the farmers.

1.6 General Land Use:

The land classification and percentage of area distribution is shown below.

Figure 1: Existing Land Use

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 Table 2.:
EXISTING LAND USE AND PERCENTAGE DISTRIBUTION
Municipality of Lopez Jaena

Classification Area (ha) % to TLA

Agricultural 8,110.8134 64.6221
Commercial 0.8152 065
Residential 169.8439 1.3532
Institutional 60.0041 0.3858
Forest/Timberland 4,209.6753 33.5402
Total Land Area (TLA) 4439.52.1519 99.9.0000

General Land Use

Land Use (Hectares) Percentage
(Based on GIS LC Map 2015)
Built-up 64.1181 0.28
Agricultural 19,854.0202 88.10
Forest (Production) 1,559.4589 6.92
Forest (Protection) 640.6131 2.84
Mangroves 180.6131 0.80
Rivers & Creeks 174.9923 0.78
Aqua-Marine 62.2845 0.28
Total 22,536.1002 100.00

1.7 Existing Urban Land Use:

Land Use Area (Hectares)

Residential 2,607.0660
Commercial 343.9900
Agricultural 4,932.5510
Institutional 9.5736
Agro-Industrial 95.7360
Parks and Open Spaces 230.7884
Cemeteries 1.4476
Roads 20.2905
Fishpond 441.7610
Nipa Land 192.7710
Mangrove Area 78.1000
Aquaculture 313.2600
Marine Protected Areas 66.1970
Total 9,333.5321

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Nutrition Situation and Challenges

The development of the municipality of Lopez Jaena continues to be challenged

by the serious malnutrition situation prevailing among the population. In particular, the
municipality continues to face persistent problems of malnutrition such as stunting,
wasting, underweight, overweight/obesity and specific micronutrient deficiencies that
seriously affect children and mothers. The municipal government and concerned
provincial and national authorities continue to assess, monitor, and to seek adequate
responses to the alarming situation.

Definitions of Undernutrition, Stunting, Wasting, Overnutrition

Undernutrition is a condition which captures both past and present nutritional status. It is
the result of eating an inadequate quantity of food over an extended period of time.
Undernutrition impairs the physical function of an individual to the point where he or she
can no longer maintain an adequate level of growth. Most vulnerable to undernutrition
are the young children and pregnant mothers.

Stunting/Underheight is a condition in which the child’s height is less than expected for
his/her age (underheight-for-age). It reflects chronic undernutrition or past nutritional
status caused by prolonged inadequate intake, recurrence of illness, or improper
feeding practices.

Wasting/thinness is a condition in which the weight of the child is less than expected for
his/her height (underweight-for-height). Wasting occurs with acute food deprivation or
presence of illness such as infection, or a combination of food lack and illness in the
immediate past nutritional status.

Overnutrition is an imbalanced nutritional status resulting from excessive intake of

nutrients. Generally, overnutrition generates an energy imbalance between food
consumption and energy expenditure leading to disorders such as obesity.

The following guide questions will assist the LGU in analyzing their nutrition situation.
Questions Answers
1. What forms of malnutrition The following malnutrition issues exist in the LGU:
exist?

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 Questions Answers
1. Stunted and severely stunted(10.3%)
● Stunting? Wasting?
Overweight/obesity? 2. Moderately and Severely Wasted (5.7%)
among children 0 - <5 3. Underweight and Severely Underweight (4.9%)
years old and school
children 4. Overweight (1.72%)
5. Obese (0.57%)
● Nutritional status of
pregnant and lactating
women, adolescents, and
older persons?

● Infants with low birth

weight.

● Cases of deficiencies in
Vitamin A, iron, and
iodine?

2. How many are

malnourished?
On pre-school children (0-5 years old)
● Actual number of the Total Number of PS weighed: 1743
forms of malnutrition OPT Plus Coverage: 67.1%
identified
Form of Prevalence Actual
● Prevalence (%) e.g., malnutrition Number
number of 0 - <5-year-old 1. Stunted & 10.3% 179
children/total number of 0 - Severely Stunted
<5-year-old children
2. Moderately and 5.7% 100
● Compute the prevalence Severely Wasted
of stunting, wasting, and 3. Underweight and 4.9% 85
underweight among Severely
preschool and school Underweight
children by age group
4. Overweight 1.72% 30
● Prevalence of different 5. Obese 0.57% 10
forms of malnutrition
26
 Questions Answers
among pregnant and
lactating women
On low-birthweight infants
● Prevalence of deficiencies Prevalence of low birth weight infants: _____
in Vitamin A, iron, and Actual number of low birth weight infants: ______
iodine (if data are
available)
Other data available:
● Prevalence of infants with
low birth weight
3. Who are malnourished?
Stunting is highest among: 48-59 months (age group)
● Is the prevalence of
and in girls (boys / girls)
stunting, wasting, or
underweight children Wasting is highest among: _____48-59
higher in boys? or in girls? months__________ (age group) and in boys (boys /
At what age and age girls)
group is it high? Overweight is highest among:6-11 (age group) and in
girls (boys / girls)
● What is their age
group/physiological Obesity is highest among: ____.9%_________ (age
classification? i.e., infants, group) and in girls (boys / girls)
preschool, school children,
pregnant, lactating,
adolescents, older
persons

● What type of households

do they belong to? e.g.
size and type of dwelling,
number of bedrooms,
tenure status of house and
lot, type of fuel used,
presence of electricity,
dwelling materials by
place of residence
4. WHERE are the Specific areas that have most malnourished children:
malnourished?
1. Brgy. Eastern Poblacion
2. Brgy. Puntod
27
 Questions Answers
3. Brgy. Rizal
● Identify the specific areas
4. Brgy. Hasaan
(purok/sitio, barangays, 5. Brgy. Molatuhan Bajo
municipalities, cities) or
type of ecologic zone
(upland, inland, lowland,
coastal, rural or urban)
that have the most number
of malnourished children,
adolescents, pregnant,
lactating, and older
persons

● Malnutrition clusters in
certain areas can be
determined by the spot
map
5. WHAT are the causes of Identified causes of malnutrition in the LGU:
malnutrition?

● The LNC including the 1.Poor Infant and young child feeding practices
NAO should discuss the 2.Presence of illness
causes that lead to 3.Vices of Parents
4.Limited knowledge on child care
malnutrition. They should
5.Limited money to buy food
arrive at a list of causes
6.Unemployment
and agree on how these 7.Large Family size
factors interact with each
other. These should be
validated with actual data
by comparing with higher
level data or comparing
across barangays.

● Immediate – inadequate
food intake

● Underlying – food
insecurity, poor care,
inadequate health services

28
 Questions Answers

● Basic – education,
economic condition

● Morbidity cases according

to illness

● Morbidity rate for diarrhea,

measles and acute
respiratory tract infections

● Low wages

● Increase in population

● Variety of diet

● Caring practices for

women and children

● Low literacy rate

● Female highest
educational attainment

● Other factors as identified

by the LGU
6. What have been done to
address malnutrition? How
effective have these been?
● Check the nutrition
programs implemented in
the community and the
extent to which programs
have reached and
improved the lives of the
malnourished and
Existing nutrition interventions within the LGU:
1. Feeding Program to
Daycare Students
2. Manna pack feeding to 6
months to 59 months
3. Giving of Micronutrient
Supplementation
4. Daily intake of Ready to
Use Therapeutic food and
Ready-to-Use
Supplementary Food to

29
 Questions Answers
nutritionally- Severe Acute Malnutrition
and Moderate Acute
at-risk Malnutrtion.
5. Family Planning Lecture
● Successes can be to 4Ps benefeciaries.
determined by looking into 6. Monthly height and weight
the accomplishment of Monitoring
targets based on reports,
reaching out to the truly
needy population,
mobilizing community
participation, among
others

● Depending on the results

of the review, the LNC can
decide whether to
CONTINUE, STOP, or
MODIFY the nutrition
programs/projects/activitie
s

7. What resources are available Human Resources:

and how to maximize the use
Nurses
of these resources to address
malnutrition? Midwives
Resources in the LNAP can be Barangay Nutrition Scholars
in terms of:
Barangay Health Workers
● human, e.g., staff,
volunteer workers, and
technical experts
Material Resources: Growth Monitoring
● material/equipment or tools(weighing scale and height board)
physical, e.g., food
commodities, health
stations, growth
monitoring tools

30
 Questions Answers
Financial Resources: Funding from LGU
● financial, e.g., funding
from LGU or other
partners

● natural, e.g., water, fuel, Other resources identified:

and land
In assessing resources, be
guided by:

● What kind of resources is

available (financial, in-
kind)?

● How much resources are

available and where does
it come from (NGA, LGU,
NGO, development
partners, others)?

● How adequate are the

resources?
8. What constraints could Constraints:
affect the effective
Lack of Manpower
implementation of nutrition
interventions? Inadequate funds

● Constraints are factors Uncooperative Community

that can affect the Limited Trained Nutrition Workers

implementation of nutrition
programs/projects/
activities (socio-economic,
political, cultural,
ecological/environmental)

● Learning or difficulties may

also be along inadequate
funds, uncooperative
community and lack of

31
 Questions Answers
coordination among LNC
members

● Absence of a nutrition
office or not having a full-
time NAO or not having a
full-time RNC, inadequate
number of BNS, untrained
or limited trained nutrition
workers

32
Figure __. _______ Modified Problem Tree

Increased
Poor quality of life
mortality/morbidity
Legend:
Poor resistance Poor learners in Low functional Unemployment and
Death Illness Consequences
to infection school literacy underemployment

Undernourished 0-59 months old (Uw-4.9%, St-10.3%, W-5.7%) Identified nutrition

problem

Inadequate food Poor health status/ Immediate causes

intake
Presence of illness

Underlying nutrition
Food insecurity Inadequate care for Poor Health Seeking
problems
mothers and children Behaviour (demand
generation), poor
environmental sanitation

Poor capacity to buy food Poor infant and Young

due to unemployment and Child Feeding practices
Low income * Low early initiation of BF Low coverage on 4 ANC (45%, FHSIS 2022)
(BMIS data) (80%, FHSIS 2021) Few WRA taking Iron supplements (42%, FHSIS 2022)
* Low EBF Coverage (_80_ Low coverage on FIC (85%, FHSIS 2022)
Lack of interest of HH to
%, FHSIS 2021)
backyard gardening (45%, Low OPT+ coverage (67.1% OPT 2021)
* Lack of knowledge on
BMIS 2018) Low Contraceptive Prevalence Rate (63%, FHSIS 2022)
proper child care.
Large family size (BMIS Lack of knowledge of HH Limited access to safe water (62%, FHSIS 2022)
data) on diet diversity Absence of BF Area in public and private establishments
Uncontrolled prizing of basic Poor maternal care Poor solid waste management
commodities (demand generation) Lack of sanitary toilets
Inadequate meal frequency Poor participation in Presence of open defecation
(BMIS data) nutrition and health Lack of capacity building for health & nutrition workers
Lack of marketing activities.
agreement between local Increased consumption of
farmers association and unhealthy food.
Demand Generators. Limited options of
nutritious ready to eat
complementary food
Poor knowledge on
reproductive health.

33
 IV. OUTCOME TARGETS

The Local Nutrition Action Plan 2023-2025 of _______ is aligned with the over-all vision of the
Province of Leyte. The Plan likewise supports the goals of the Regional Plan of Action for
Nutrition for Region 8 and the Philippine Plan of Action for Nutrition 2023-2028 - to improve
the nutrition situation of the country as a contribution to: (1) the achievement of AmBisyon
Natin 20401, (2) reducing inequality in human development outcomes, and (3) reducing child
and maternal mortality.

Table __. Outcome and Sub-Outcome Targets of the LNAP

Data source Targeted change

Indicator Baseline (%)
and year 2023 2024 2025

A. To reduce undernutrition among infants, young children, school-age children, and pregnant women

Prevalence of low 5.2 eFHSIS 5 4.8 4.5

birth weight (LBW) 2022
infants

Prevalence of stunted 6.8 eOPT 2021 6.5 6.3 6

children 6-23 months
old

Prevalence of stunted 10.3 eOPT 2021 10 9 8

children 0-59 months
old

Prevalence of wasted 5.7 eOPT 2021 5.5 5.2 5

children 0-59 months
old

Prevalence of wasted 9.43 Lopez Jaena 9.2 9 8.5

children 5-10 years old District
Nutritional
Status

Prevalence of 6.54 FHSIS 2022 6.3 6.2 6

nutritionally-at-risk
(NAR) pregnant
women

1
Ambisyon Natin 2040 is the Philippines’ long-term vision, i.e. “By 2040, the Philippines shall be a prosperous, predominantly middle-class
society where no one is poor, our people shall live long and healthy lives, be smart and innovative, and shall live in a high-trust society. The
Philippines hereby aims to triple real per capita income, and eradicate hunger and poverty by 2040, if not sooner” (Executive Order 05, October
2017).

34
 Data source Targeted change
Indicator Baseline (%)
and year 2023 2024 2025

Prevalence of chronic
energy deficiency
older adults, 60 y/o
and over

B. To manage/address overweight among children, adolescents, and adults

Prevalence of .57 eOPT2021 .57 .56 .55

overweight children
under five years old

Prevalence of .85 Lopez Jaena .83 .80 .75

overweight/obese District
children 5-10 years old Nutritional
Status

Prevalence of
overweight/obese
adolescents

Prevalence of
overweight/obese
adults

C. To reduce levels of micronutrient deficiencies to accepted levels

Prevalence of anemia
among pregnant
women

Prevalence of anemia
among women of
reproductive age

Prevalence of children
6 months to 5 years
old with Vitamin A
deficiency

Median Urinary Iodine

Concentration (UIC)
(in µg/l) of pregnant
women

35
 Data source Targeted change
Indicator Baseline (%)
and year 2023 2024 2025

Median UIC (in µg/l) of

lactating women

Proportion of children
6-12 years old with
urinary iodine levels
below 50 µg/l

Median UIC (in µg/l) of

children 6-12 years old

Percentage of 56 FHSIS 2022 58 60 65

households using
adequately iodized
salt

D. To improve infant and young child feeding

Prevalence of 80 FHSIS 2022 82 83 85

exclusively breastfed
infants at 5 months

Prevalence infants and

young children with
Minimum Acceptable
Diet (MAD)

Prevalence of children
6-23 months with
Minimum Diet
Diversity (MDD)

E. To reduce food insecurity

Prevalence of
households meeting
100% recommended
energy intake

Prevalence of
moderately and
severe food insecure
households

36
Key Strategies to Achieve LNAP 2022 Targets

To achieve the 2028 outcome targets, the following key strategies will be implemented:
1. Focus on the first 1000 days of life. The first 1000 days of life refer to the period of
pregnancy up to the first two years of the child. The LNAP will ensure that key health,
nutrition, early education and related services are delivered to ensure the optimum
physical and mental development of the child during this period.

2. Complementation of nutrition-specific and nutrition-sensitive programs. The regional

planners ensured that there is a good mix of nutrition-specific and nutrition-sensitive
interventions in the LNAP. Nutrition-specific interventions “address the immediate
determinants2 of fetal and child nutrition and development”. Nutrition-sensitive
interventions, on the other hand, were identified in order to address the underlying
determinants of malnutrition (inadequate access to food, inadequate care for women
and children, and insufficient health services and unhealthy environment).

3. Intensified mobilization of local government units. Mobilization of LGUs will aim to

transform low-intensity nutrition programs to those that will deliver targeted nutritional
outcomes.

4. Reaching geographically isolated and disadvantaged areas (GIDAs) and communities

of indigenous peoples. Efforts to ensure that LNAP programs are designed and
implemented to reach out to GIDAs and communities of indigenous peoples will be
pursued.

5. Complementation of actions of national, sub-national and local governments. As LGUs

are charged with the delivery of services, including those related to nutrition, the
national and sub-national government creates the enabling environment through
appropriate policies and continuous capacity building of various stakeholders. This
twinning of various reinforcing projects in the LNAP will provide cushion for securing
outcomes in case of a shortfall/ gaps in the implementation of one of the programs.

2
Immediate determinants include adequate food intake and nutrient intake, care giving and parenting practices, and low burden of infectious
diseases. (Executive Summary of the Lancet Maternal and Child Nutrition Series, 2013).

37
 V. PROGRAMS, PROJECTS, AND ACTIVITIES
The LNAP of Municipality of Lopez Jaena embodies the 12 programs of the Philippine Plan of
Action for Nutrition 2023-2028. The 12 programs were grouped under five key headings
namely: 1) Philippine Integrated Management of Acute Malnutrition, 2) First 1000 Days
Program, 3) National government agency funded programs, 4) Nutrition-sensitive Programs,
and 5) Enabling programs

The LNAP provides the necessary focus on the First 1000 days as a banner program given its
huge potential in addressing the major nutritional issues at local and national levels.

Table ___. Programs, Projects, and Activities Menu

I. NUTRITION SPECIFIC

1. INFANT AND YOUNG CHILD FEEDING

A. Health System Support

● Organize and establish IYCF Support Group

B. Establish Breastfeeding Place

● Establish Lactation stations in:

- Brgy. Health Station

- Multi-purpose hall
- Public School

C. Promotion of Milk Code

● Breastfeeding Month Celebration

2. INTEGRATED MANAGEMENT OF ACUTE MALNUTRITION

A. Active Surveillance and Case finding of MAM and SAM

B. Conduct follow up visit and counseling to families with SAM children

C. Referral of SAM and MAM children to BHS & RHUs

3. NATIONAL DIETARY SUPPLEMENTATION PROGRAM

38
A. Pregnant Women

● Monitoring of the nutrition status of pregnant women

● Implement and coordinate 90 days Supplemental Feeding to nutritionally-at-risk

pregnant women

B. Children 6-23 months old

- Enrollment to DSP
-120 days complementary feeding to

● Stunted

● Underweight

● Wasted

C. Children 24-59 months old

120 days supplemental feeding in Day Care Centers and Supervised Neighborhood Play

D. School-age children (elementary)

Support 120 days feeding program for wasted elementary school children

4. NATIONAL NUTRITION PROMOTION PROGRAM FOR BEHAVIOR CHANGE

A. In schools

Nutrition Education and Counseling to parents of undernourished elementary students

Distribution of IEC Materials

Nutrition Month Celebration

B. In communities

Idol Ko si Nanay

Mother and Father IYCF classes

Conduct of Responsible Parenthood Training

Setting up of billboards on Nutritional Guidelines for Filipino

Posting of nutrition IEC materials

39
Establishment of Nutrition Corner

Awarding for “Huwarang Pamilya”

Awarding for best FAV garden

Food incentive for families with 100% rehabilitation from malnutrition

Visit Prenatal pregnant women

Visit Postnatal women

Immunization Campaign

5. MICRONUTRIENT SUPPLEMENTATION

A. In Rural Health Stations

1. Pregnancy

● Iron+folic acid supplementation

● Deworming

● Iodine supplementation

2. Lactating Women

● Vitamin A

3. 6-59 months

● MNP

● Vitamin A

● Iron supplementation

● Immunization

● Deworming

4. School children

40
 ● Vitamin A

● Deworming

● Weekly Iron Folic Acid

-Grade7-10 Private schools

- Out-of-school adolescent female
- Women age 10-49 years old

6. MANDATORY FOOD FORTIFICATION

A. Advocacy/promotion on the use of

● Iodized salt

● products with sangkap pinoy seal

● Fortified foods

B. Monitoring of retail outlets:

● Selling iodized salt

● Bakery Owners using Vit. A fortified flour

● Stores selling Vit. A fortified cooking oil

7. NUTRITION IN EMERGENCIES

A. NiEm training for the Municipal Nutrition Council

B. Organize municipal nutrition cluster

C. Formulation and Integration in the MDRRM-H and MDRRMH Plan

D. Preposition of Relief Goods

E. Preposition of medicines

8. OVERWEIGHT AND OBESITY MANAGEMENT AND PREVENTION PROGRAM

A. Healthy Food Environment

41
 ● Information dissemination promoting Pinggang Pinoy

-for preschool children

-for general public

● Schedule taboo day

● (Junk Food Ban)

(Ordinance requiring all carenderia and food chain industry to serve dish patterned with
pinggang pinoy plate)

B. Promotion of Healthy and Active Lifestyle

● “Takbo para sa kalusugan”

● Hataw Sayaw

● Sports Fest

● Barangay Family Day

C. Nutritional Assessment to”

- 4Ps and MCCT families
- elderly
- all families

D. Weight Management Intervention

“Biggest Gainer”

“Biggest Looser”

II. NUTRITION SENSITIVE PROGRAM

1. Gulayan sa Paaralan established and maintained

- elementary
- secondary school

2. Family Development Session for Child and Family nutrition

42
3. Conduct of Livelihood skills training

4. Food for Work

5. Distribution of seeds/seedlings to families with undernourished children

6. Distribution of poultry and livestock to families with undernourished children

7. Establish Fruit and Vegetable gardens to all households

8. Provide Seed Capital Assistance for livelihood to households with nutritionally vulnerable
or affected

9. Monitor household with access to safe drinking water

10. Monitor household with access to sanitary toilet facilities

11. Schools provided with access to safe water, toilets, handwashing facilities (WinS)

12. Reproductive health program for adolescents

-U4U

13. Construction of toilet facilities

14. Construction of water facilities

15. Municipal Beautification and Sanitation

16. Maintenance of MRF and garbage vehicle

17. Road Concreting for Maternal and Child

18. Agro-Aqua Industrial Fair/ Socio Cultural Activity

III. ENABLING PROGRAM

1. Organizing MNC

2. Conduct OPT+

● All 0-59 months children

● Monthly for 0-23 months old

● Quarterly for 24-59 months old

3. Posting of Nutrition Situation Report

4. Purchase of weighing scale

43
 ● Beam scale for elementary school

● Beam scale for nutrition corner

5. Conduct of Quarterly MNC meetings

6. Conduct of annual Program Implementation Review

7. Conduct of BNS Refresher course

8. Conduct of Nutrition Program Management Refresher Training

9. Formulation/Updating Municipal Nutritional Spot Map

10. Updating Municipal Nutrition Action Plan

11. Semi-annual Nutrition Monitoring visit to barangays

12. Fund Raising for Nutrition Program

● Fines to Household violating proper waste segregation and disposal

Taboo collection

13. Organize Rural Improvement Club for food security

14. Passage of Ordinances/ Resolution supporting/adopting the nutrition program:

a. Republic Act 11148, “Kalusugan at Nutrisyon ng Mag-Nanay” Acto of 2019

b. Republic Act of 11037 Masustansyang Pagkain Para sa Batang Pilipino

c. Executive Order 51: National Code of Breastmilk Substitutes, Supplements and Other
related products

d. Republic Act of 10028: Expanding Breastfeeding Act of 2009

- DILG Memorandum Circular 2011-54 Implementation and Monitoring of the National
Breastfeeding Policy

e. Republic Act 8172: An Act of salt Iodization Nationwide (ASIN Law)

d. Republic Act 8976: Philippine Food Fortification Act

e. NNC GB Resolution No. 1 s, 2017: Approving and Adopting the Philippine Plan of Action for
Nutrition 2017-2022 and DILG MC 2018-42, Adoption and Implementation of PPAN 2017-
2022

44
f. NNC GB Resolution:

● No. 3 s, 2012: Approving the Guidelines on the Fabrication, Verification and

Maintenance of Wooden Height Boards

● No. 3 s. 2018: Approving the guidelines on het selection of non-wooden height and
length measuring tool

● No.2 s. 2012: Approving the revised guidelines on OPT Plus

● No.6 s. 2012: Adoption of the 2012 Nutrition Guidelines for Filipinos

● No.2 s.2009: Adopting the Nation Management in Emergencies and Disasters

g. Ordinance Adopting DepEd Order No. 13, s. 2017 implemented to all stores in the
municipality

15. Honorarium for Health and Nutrition Workers:

a. BNS
b. BHW
c. RSI
d. Garbage Collectors

16. Training and Development for BNS and BHWs

17. Establish nutrition corner for BNS

45
 VI. IMPLEMENTATION PLAN

Table __. Municipal Implementation Plan Matrix

Target Sector/

Program/Project/ 2023 2024 2025 Person Expected

Estimated Source
Objective Baseline Location Schedule Result/
fund reqt. of Fund
Activity Grp. No. Grp. No. Grp. No. In Output

Charge

FIRST 1000 DAYS PROGRAM

Pregnancy (9 months or 270 days)

Provision of To counsel 230 (2022) Pregnant 514 Pregnant 517 Pregnant 520 Barangay RHM, monthly 33,000 GF 80%
Prenatal services pregnant women women women health HRH, pregnant
with counseling to women on the centers BNS, women
pregnant women. importance of BHW with 4 ANC
quality prenatal
visits (at least 4
ANC) and has
completed 4
ANC

Procurement of To provide FeSo4 – Pregnant 514 Pregnant 517 Pregnant 520 Barangay RHM, monthly 31,000 GF, 80%
FeSo4 and calcium FeSo4 & calcium 216(2022) women women women health HRH, GAD pregnant
tablets tabs to pregnant centers BNS, women
women Calcium – BHW with
203(2022) complete
FeSo4 &
calcium
supplement
ation

Procurement of To provide 230 Pregnant 514 Pregnant 517 Pregnant 520 Barangay RHM, monthly 155,100 GF, 80%
Tetanus Diphtheria complete TD women women women health HRH, GAD pregnant
vaccine (TD) vaccination to centers BNS, women
pregnant BHW complete
women TD doses

Nutritional Status To assessment 230 Pregnant 514 Pregnant 517 Pregnant 520 Barangay RHM, monthly 33,174,000 GF 80% of
46
assessment for nutritional status women women women health HRH, pregnant
pregnant women in of pregnant centers BNS, women on
the first trimester women in the BHW first
first trimester trimester
assessed
for
nutritional
status

Conduct of buntis To conduct 230 Pregnant 514 Pregnant 517 Pregnant 520 Barangay MNCHN Annually 465,000 GAD 90% of
forums per district. buntis forums in women women women Coordinat targeted
the 6 Barangay or, RHM, pregnant
Health Stations HRH, women
BNS, attended
BHW buntis
forums

Procurement of To establish 1 BF corner 4 BF corner 4 BF corner 4 RHU, LGU RHU annually 150,000 GAD 1 BF corner
necessary materials additional Annex established
and supplies for the breastfeeding building, annually
establishment of BF area in both municipal
corners. public & private gymnasium
establishments. Bldg., LGU
MAIN Bldg

Coordinate with To establish at 0 DOH 1 DOH 1 DOH 1 RHU, LGU RHU annually 150,000 GAD 1 DOH
DOH for least 1 DOH accredited accredited accredited Annex accredited
certification of certified BF corner BF corner BF corner building, BF corner
breastfeeding breastfeeding municipal annually
corners area annually in gymnasium
both public & Bldg., LGU
private MAIN Bldg
establishments.

Orientation of To establish 0 Establishm 0 Establishm 1 Establishm 1 LOPEZ RHU JULY 100,000 GAD 1
public and private additional ents ents ents JAENA orientation
establishments on breastfeeding conducted
the creation of BF area in both annually
corner. public & private
establishments.

47
Infancy (0 to 6 months or 180 days) & Toddlerhood (6 to 23 months or 550 days)

Conduct home visits To conduct 231(2022) Post 514 Post 517 Post 520 Barangays RHM, monthly 33,174,000 GF 80%
to postpartum home visits to partum partum partum HRH, postpartum
women. postpartum women women women BNS, women
women. BHW completed
2 postnatal
care visits

Procurement of To provide FeSo4 - 211 Post 514 Post 517 Post 520 Barangays RHM, monthly 31,000 GF, GAD 80%
FeSo4 and Vit. A FeSo4 & Vit. A to partum partum partum HRH, postpartum
supplement for postpartum women women women BNS, women
postpartum women women BHW given
Vit A - 211
complete
FeSo4 and
Vit A

Conduct of To conduct 230 Pregnant, 514 Pregnant, 517 Pregnant, 520 Barangays RHU,, July to 15,000 GAD 100% of
mother’s nutrition nutrition lactating lactating lactating RHM, December targeted
education classes. education and and and HRH, participants
classes to mothers of mothers of mothers of BNS, attended
pregnant, children 0- children 0- children 0- BHW nutrition
lactating and 23 months 23 months 23 months education
mothers with 0- and and and classes
23months old malnourish malnourish malnourish
and ed ed ed
malnourished
children

Procurement of Vit. To provide 6-11 mos. 2,100 6-11 mos. 2,100 6-11 mos. 2,100 Barangays RHM, Monthly 100,000 GF, GAD At least
● 6-
A, MNP and complete Vit A, given Vit A given Vit A given Vit A HRH, 80%
deworming tablets. MNP and 11 mos. Vit BNS, coverage in
deworming A- 1,927 BHW micronutrie
tablets to nt
● 12 12-59 mos. 12-59 mos. 12-59 mos.
targeted 10,900 10,900 10,900 supplement
given Vit A given Vit A given Vit A
children -59 mos. Vit ation and
A- 13,359 deworming

6-11 mos. 6-11 mos. 6-11 mos.

48
 given MNP 2,100 given MNP 2,100 given MNP 2,100
● 6-
11 mos.
MNP – 189
12-23 mos. 12-23 mos. 12-23 mos.
● 12 given MNP given MNP given MNP
2,055 2,055 2,055
-23 mos.
MNP – 403
1-4 y.o. 1-4 y.o. 1-4 y.o.
dewormed dewormed dewormed

● 1- 8,700 8,700 8,700

4 y.o.
Deworming:
2,823

Conduct of To conduct OPT 28 barangays 28 barangays 28 barangays 28 Barangays RHU, JANUARY - 30,000 GF 100% of
Operation Timbang to all barangays RHM, DECEMBER barangays
(OPT). in LOPEZ JAENA HRH, with
BNS, submitted
BHW and
validated
OPTs

Procurement of To provide 20 barangays 2 barangays 2 barangays 2 Barangays RHU Annually 42,000 GF, GAD 50% of
Height board height board to barangays
barangays with provided
no height board height for
nutrition
assessment

General Support to the F1K Program

Reproduction and To educate at 28 Pamphlets Pamphlets Pamphlets BHCs, RHU,, July 30,000 GAD 100%
distribution of IEC least 300 schools RHM, women of
materials in women of HRH, reproductiv
community and reproductive age BNS, e age are
schools on the DepEd educated
importance of Nurses on the
taking iron importance
supplements. of taking
Iron
Supplemen
ts

Reorientation of To reorientation 33 BNS 33 BNS 33 BNS 33 Lopez Jaena RHU, BNS Annually 30,000 GAD 90% of
49
BNS on proper of BNS on Federatio BNSs
growth monitoring proper growth n attended
and updates on monitoring and monthly
nutrition program updates on meetings
nutrition with inputs
program on nutrition
program
updates

Monitoring of HH To monitor HH 3,480 HH 3,480 HH 3,480 HH 3,480 Barangays RHU, BNC Annually 60,000 GF 100%of HH
using fortified food using fortified monitored
and iodized salt. food and iodized on use of
salt. fortified
food and
iodized salt

Monitoring of To monitor Bakeries Bakeries Bakeries Barangays RHU BNC Annually 60,000 GF 100% of
bakeries using bakeries using bakeries
fortified flour. fortified flour. monitored
on the use
of fortified
flour

Monitoring of sari- To monitor sari- Sari-sari Sari-sari Sari-sari Barangays RHU, BNC Annually 60,000 GF 100% of
sari stores selling sari stores selling stores stores stores sari-sari
fortified food and fortified food stores
iodized salt. and iodized salt. monitored
on selling
fortified
food and
iodized salt

Procurement of salt To procurement 0 Salt testing 1 LOPEZ RHU Annually 20,000 GAD 1 Salt
testing kits of salt testing kits JAENA testing kits
kits with
reagents
procured

Conduct of salt To conduct of 0 Retail Retail Retail LOPEZ RHU Annually 20,000 GF 50% of
testing to retail salt testing retail outlets outlets outlets JAENA retails
outlets outlets stores and
outlets
selling sakt
tested on
iodine

50
 content

2. PHILIPPINE INTEGRATED MANAGEMENT OF ACUTE MALNUTRITION

3. NUTRITION IN EMERGENCIES

4. NATIONAL GOVERNMENT AGENCY-FUNDED PROJECTS (IF APPLICABLE)

5. NUTRITION-SENSITIVE PROGRAMS

RPFP classes To conduct RPFP WRA 100 WRA 100 WRA 100 Barangays CPO 10,000 x 3 GAD 100% of
classes to years targeted
Women of participants
Reproductive attended
Age. RPFP
classes

PMC sessions To conduct PMC Would be 30 Would be 30 Would be 30 LOPEZ RHU Monthly 20,000 X3 GAD 100% of
sessions to couples couples couples JAENA targeted
would be participants
couples. attended
PMC
sessions

Conduct of To conduct AHD, High school 100 High school 100 High school 100 Schools RHU 50,000 X3 GAD 100% of
Adolescent Health fertility students students students targeted
& Development awareness and participants
thru U4U, Fertility other related attended
awareness trainings activities to high AHD,
and symposium and school students fertility
other related of public schools awareness

51
activities and related
activities

Conduct water To conduct 14 samples Barangays Barangays RHU GF

testing and regular water
treatment testing and
treatment to
barangays

Procurement of To procure Water LOPEZ RHU 5,000 GF 100% of

water testing kits water testing testing kits JAENA budgeted
kits water
testing kits
procured

Re-orientation of To re-orientation Barangays RHU GF

barangay council barangay council MENRO
members. members on
proper waste
management.

Education campaign To educate HH 100 Barangays CHO, GF

on proper waste households on CENRO
management and proper waste
environmental management
sanitation. and
environmental
sanitation.

Reproduction and To reproduce HH Barangays CHO, GF

distribution of IEC and distribute CENRO
campaign materials. IEC campaign
materials to
HHs.

Procurement of HH Barangays CHO, GF

sanitary toilets and To construct 100 CPDO
facilitate sanitary toilets
to HH without
Facilitate HH Barangays CHO, GF
sanitary toilets
construction of CPDO
sanitary toilets.

Education campaign To educate Barangays CHO GF

on proper personal sanitary toilet
hygiene beneficiaries on

52
 the importance
of proper
personal hygiene

WASH in Schools To implement Schools DepEd

WASH program
in all public
schools

Certification of To certify 1 Barangay 1 Barangay 1 Barangay 1 Barangays RHU, BNC Annually GF To certify 1
barangays for Zero barangays with ZOD
Open Defecation Zero Open barangay
Defecation annually

Enabling Mechanisms

Lobby to SP on To facilitate 0 ordinance 1 LOPEZ CNC, 2nd quarter One

Health for the formulation one JAENA CNO, SP ordinance o
formulation of one ordinance on the RA 10028
ordinance on the adoption of RA formulated
adoption of RA 10028.
10028

Conduct of To conduct at MNIYCF – 0 health and 100 health and 100 health and 100 LOPEZ RHU, LNC 2nd to 4th 50,000 GAD 100% of
MNIYCF/NiEM least one nutrition nutrition nutrition JAENA quarter targeted
Training for health MNIYCF/NiEM NiEm – 1 workers workers workers participants
and nutrition for 150 health attended
workers and nutrition trainings
workers
annually.

Conduct of NiEm To conduct NiEm 0 BNCs 92 LOPEZ RHU, LNC 2nd to 4th 10,000 GAD 100% of
training for BNC training to BNC JAENA quarter BNCs
members members attended
NiEm
trainings
and
formulated
NiEm Plan

Conduct of PNEA To conduct 92 BNCs 92 BNCs 92 BNCs 92 LOPEZ CNO, CNC 2nd quarter 10,000 GAD 100% of
training and BNAP PNEA training JAENA BNCs
formulation and BNAP attended
workshop for BNCs formulation training and
workshop for workshop
BNCs and

53
 formulated
BNAPs for
succeeding
year

Conduct BNS Basic To conduct BNS 5 BNS 5 BNS 5 BNS 5 LOPEZ CNO 2nd quarter 5,000 GAD All new
Course for new Basic Course to JAENA BNSs
BNSs new BNS. trained on
basic BNS
course

Conduct of BNS To conduct BNS 32 BNS 32 BNS 23 BNS 32 LOPEZ RHU Monthly 30,000 GAD 90% of
refresher course Refresher JAENA BNSs
every BNS meeting Course every attended
BNS meeting monthly
meetings
with
refresher
courses

Quarterly CNC
Meetings

Annual CNC PIR

Annual BNS PIR

Conduct of
orientation on
nutrition program
management to
BNCs

Awarding of best
performing BNS and
barangays

Nutrition Month LOPEZ JULY 100,0000 Nutrition

Celebration JAENA month
celebration
every July

54
Lobby creation of To lobby on the
Nutrition Office creation of
nutrition office
Lobby creation of and plantilla
plantilla positions positions

Lobby for increased To increase City 500/BNS honorariu 700/ LOPEZ CNO, CNC 2nd quarter 831,600 GF Honorariu
honorarium for honorarium for m BNS JAENA m of BNSs
BNSs BNS that may increased
improve from 500 to
performance of 700
BNS in the 92
barangays

Creation of To create Bantay 10 CBATaF 1 LOPEZ CNO, CNC 3rd quarter 20,000 City Bantay
Municipal Bantay Asin Task Force JAENA Asin Task
Asin Task Force (CBTAF) for the Force
Municipality of created
Lopez Jaena with EO

55
 VII. ESTIMATES OF BUDGETARY REQUIREMENTS

The table below presents the budget estimates for the projects included in the LNAP as well indicates both
funded and unfunded components of the budgetary requirements as the respective budget share of each
program to the total LNAP budget. The budget estimated for 2023-2025 for all programs amount to PhP ___,
with an annual average of about PhP ____.

Financing come mostly from General Appropriations and Local Budgets from the IRA, now termed as National
Tax Allotment (NTA). These budgets will require annual review and adjustments in line with the regional and
national processes for the preparation of investment plans.

Table ___. Three-year Budget Estimates, Funded and Unfunded by Program/Project/Activity

Program/Project/ Cost estimate Total Funde Fund Unfunded

Activity cost d Source Portion
2023 2024 2025
estim Portion
ate by LGU

NUTRITION 608,785

Philippine Integrated 33,795 35,484.75 37,258.98

Management of Acute
Malnutrition (PIMAM)

Inpatient Therapeutic 21,120 22,176 23,284 MOOE

Care for SAM and
Outpatient Therapeutic
Care(OTC) for the
Integrated Management
of Severe Acute
Malnutrition (SAM) and
Moderate Acute
Malnutrition (MAM)

Relevant 15,876 16,669 MOOE

meetings for ITC/OTC 15,120

Active case 6,000 6,300 6,615 MOOE

finding and
identification of SAM
and MAM cases by LGUs

56
 Training of 10,158.7 10,666.6 MOOE
Municipality/City Health 9,675.0 5 9
and Nutrition workers 0
on the identification and
Management of severe
acute Malnutrition and
moderate acute
malnutrition cases

Training of 10,158.7 10,666 MOOE

health and nutrition 9,675 5
workers on the
identification of SAM
and MAM cases

Printing of IEC
materials on PIMAM

Coordination 3,000 3,150 3,307.5 MOOE

and Monitoring
Intervention and
activities on the PINAM

Coordination 3,000 3,150 3,307.5 MOOE

and monitoring
activities for PIMAM

Strengthening 3,000 3,150 3,307.5 MOOE

structures for
coordination and
monitoring of PIMAM

Training of
health and nutrition
personnel on PIMAM
coordination and
monitoring

57
First 1000 Days (F1K) 183,310 192,475. 202,099. MOOE
Program 5 3

Establishment of F1K
program

Coordination for
Establishment of F1K
Program

Organizing
structures for the F1K
Program

Baseline survey for

F1K (including indicators
on service coverage on
F1K)

Capacity building of
program implementers,
service providers and
local nutrition
committees on F1K and
its program implications

Strengthening Health
service delivery system
for F1K

Review of LGU
compliance to service
standards on the First
1000 Days and
assessment of gaps and
way forward

58
 Assessment and
improvement of the
supply chain
management system

Capacity building of
health and nutrition
workers for the delivery
of services in the First
1000 Days

Promotion of 37,023 38,874.1 MOOE

Maternal Nutrition and 35,260. 5
Infant and Young Child 00
Feeding

Coordination and 13,650 14,332.5 MOOE

monitoring for 13,000.
Promotion of maternal 00
nutrition and IYCF

Capacity building 4,473 4,696.65 MOOE

on maternal nutrition 4,260.0
and IYCF 0

Intensive 18,900 19,845 MOOE

pregnancy tracking and 18,000.
counselling of pregnant 00
women

Establishment and
maintenance of
complementary/supple
mentary food plant
supported by a product
marketing plan

Reproduction and

59
distribution of relevant
information and
education materials

Setting up of
lactation stations in the
municipal/city hall and
in other public places

Nutrition
Commodities (Misc.)

Dietary 148,050 155,452. 163,225. MOOE

Supplementation 5 12
Program for the first
1000 days

Social 8,100 8,505 8,930.25 MOOE

preparation activities for
DSP of Pregnant women
and children 6-23 mos.
old

Dietary 17,100 17,955 18,852.7 MOOE

supplementation for 5
nutritionally-at-risk
pregnant women

Dietary 122,850 128,992. 135,442. MOOE

Supplementation for 5 12
children 6-23 months
belong to food insecure
households

Information
management for the
first 1000 days

Coordination
meetings for
development of

60
information
management for the
First 1000 Days

Orientation of
health and non-health
personnel involved in
the F1K information
system

Nutrition Sensetive
Programs

Nutrition-
sensitive tweaking of
development projects

Nutrition
education
classes/modules for
development projects

Sustainable
Community and Home
Food Production

Enabling Program 391,680 411,264 431,827. MOOE

2

Mobilization of 31,840 33,432 35,103.6 MOOE

Local government units
for delivery of nutrition
outcomes

Various interface
on mobilization of local
government units for
delivery of nutrition

61
outcomes

Capacity building 9,840 10,332 10,848.6 MOOE

activities for LGU
mobilization

Incentives and 22,000 23,100 24,255 MOOE

Awards for performing
constituent LGUs and
innovations in nutrition
and F1K programming
with results

Policy development 10,000 10,500 11,025 MOOE

on food and nutrition

Workshops and 10,000 10,500 11,025 MOOE

meetings on policy
development on food
and nutrition

Capacity building
activities among key
players on policy
development for food
and nutrition

Strengthening 349,840 367,332 385,698. MOOE

management support 6
for nutrition and the
first 1000 days

Local Nutrition 66,000 69,300 72,765 MOOE

Office with full-time
nutrition action officer
and/or staff

62
 Support for 207,900 218,295 MOOE
honorarium and other 198,000
benefits/incentives to .00
BNS, M/CNC members

Support to
meetings of BNS

Training and MOOE

continuing education for 9,840.0
BNS, BHWs, M/CNC 0
members

Support to 27,300 28,665 MOOE

nutritional 26,000.
assessment/E-OPT Plus 00
including provision of
equipment, regular
calibration of weighing
scales and verification of
height board

Formulation
(finalization,
presentation and
approval) of the 2020-
2022 Municipal/City
LNAP

Participation in the
formulation/finalization
of the 2020-2022
Provincial LNAP

Regular LNC
meetings, training on
supportive supervision,

63
documentation

Compliance
monitoring of food
fortification with focus
on Bantay Asin
(traveling expenses,
meals for meetings,
supplies (e.g. t-shirt or
vest)

IEC materials to
promote fortified foods

Training of MNAOs,
MNCs and BNCs on
NiEM and Information
Management

Conduct of
nutrition initial needs
assessment (NINA),
(Transportation
expenses, incentives for
volunteers)

Conduct of post
(after 3 months)-event
nutrition assessment
(Transportation
expenses, incentives for
volunteers)

Nutrition Cluster
Coordination meetings

64
 Procurement of
Nutrition Cluster vests
for responders or
assessors

Nutrition Month 50,000 5,250 5,512.5 MOOE

Celebration

65
 VIII. RESOURCE MOBILIZATION STRATEGIES FOR THE LNAP

The table below shows the funding shortfalls of the LNAP. The funding gap can be addressed in the various
resource mobilization strategies outlined below requiring the leadership within the Municipal Nutrition
Committee.

Table __.

Program/Project/Activity Describe possible Important information Agency to lead the

with no secure funding sources of additional relevant to secure actions to mobilize the
resources funding resources

(List down all “Unfunded” projects

from the budget estimates
(Specify agency, year and possible
amount)
(e.g. priorities of the funding (Specify timelines and support
agency, window available to secure needed from other stakeholders)
funding, requirements to secure
funding, local conduit of the
agency)

66
 IX. ARRANGEMENTS FOR ORGANIZATION AND COORDINATION

The Implementation Plan of the Municipal Nutrition Action Plan defines the individual institutional
accountability for each of the projects and common accountabilities with respect to outcome targets. The
MNAP then consists of individual and shared accountabilities to deliver outputs and outcomes. The delivery
of outcomes and outputs which entail institutional resources and are ultimately the responsibility of the
accountable agencies.

Institutional accountabilities also include accountability for coordination of the LNAP. The Municipal
Nutrition Committee, as the counterpart body of the Regional Nutrition Committee of Region 8 as well as
the NNC Governing Board, shall primarily serve as the mechanism to oversee the progressive
implementation of the LNAP. This function covers integrating and harmonizing actions for nutrition
improvement at the provincial level. It will be composed of the same agencies as the NNC Governing Board
and the Regional Nutrition Committee with additional member agencies as may be needed and appropriate
for the province/city/municipality. The LNC will continue to coordinate nutrition actions at the provincial,
city, and municipal levels.

The functions of the Local Nutrition Committee are: to formulate, coordinate, monitor, and evaluate the
provincial/city/municipal nutrition action plan. It also extends technical assistance to lower-level local
nutrition committees along nutrition program management. The membership of the LNC may be expanded
to include stakeholders/partners deemed to contribute to the effective implementation of the LNAP and
achievement of set nutrition outcomes supported by an enabling policy issuance. It may create technical
working groups and other similar inter-agency groups to address particular issues and strengthen
interagency coordination.

In the discharge of each local coordination function including of the LNAP, processes have been instituted in
the past and will continue to be harnessed for the delivery of the LNAP. The MNC shall facilitate the
following: 1) formulation of the Annual Municipal Operational or Work and Financial Plan to support the
implementation of LNAP; 2) convening of the MNC quarterly meetings; and 3) annual program
implementation review of the LNAP.

67
Figure __. _______ Organizational and Coordinating Structure

____ANDREA CHERRY PINK L. GUTIERREZ__________

Municipal Mayor
(MNC Chairperson)
___ROFRALY G. OLMEDO______
Municipal Nutrition Action Officer (MNAO)
_DEVINE O. MICARANDAYO
Councilor on Health, Nutrition and
Environmental Sanitation
(MNC Vice-Chairperson)

Municipal Councilors LAARNIE CARORO EDWIN V. PALMA _________________

Municipal Social Representatives from
_________________ Welfare and DEP. ED. District community-based
Agriculture Development Officer Supervisor organizations
_________________
Ptra. Julia S. Maglinte
Education and Training
Nacphil President
_________________
Livelihood
_________________
Infrastructure
Development
_________________
Youth and Sports
Development
_________________
Peace and Order 68
 X. MONITORING AND EVALUATION SCHEME

The overall implementation plan is the reference document for designing the monitoring system including
annual program implementation reviews, mid-term reviews and the end-of-plan evaluation.

As a management tool, the management meetings and quarterly reporting of the Local Nutrition
Committee will be used as a platform for LGU monitoring of the LNAP. While the report is important, it is
the discussion at the LNC that is more vital in terms of ensuring that
corrections/revisions/improvements/enhancement are undertaken by individual agencies and the LNC as a
whole in response to the emerging issues and problems in implementation. The management decision in
the quarterly meetings will guide the Regional Nutrition Committee and the NNC Regional office in following
up LNAP implementation.

At the end of each year, the LNC will convene an annual Program Implementation Review (PIR) which is
conducted every last quarter of the year. This will allow LNC member agencies and local government units
to integrate revisions to the program/s for the coming budget year. The PIR, benefiting from initial annual
progress reports from the agencies, undertakes a rigorous and reflective analysis of the experience in the
implementation for the year to design improvements in the Plan for the following year. In the course of the
implementation year, the Provincial Nutrition Office will collect important nuggets of lessons that can guide
the planning for the coming year in addition to what will be brought by the agencies in the PIR.

The midterm review of the PPAN 2017-2022 is planned in 2019/2020. NNC in consultation with the 17
regions may opt to conduct regional mid-term reviews for the RPAN. Determination to undertake this in
the 36 focus provinces will be a joint decision of the RNC and the provinces.

Each of the NNC Regional Office working hand in hand with the Nutrition Surveillance Division (NSD) and
the Nutrition Policy and Planning Division (NPPD) of NNC will determine whether individual evaluation of
every province will be undertaken in 2022 in time for the review of the PPAN and the formulation of the
successor National Plan 2023-2028. In case the decision for every region to have its own RPAN evaluation,
then the RNPC will endeavor to prepare early for such exercise and coordinate the participation of their
respective PPAN focus provinces in the exercise.

69
Table __. Monitoring and Evaluation of the Three-Year LNAP
How to collect Person in- Frequency Schedule
Level Data Source data (Method) charge of data
collection

General Objective

Outcome Objective

A. To reduce
undernutrition
among infants,
young children,
school-age children,
and pregnant
women

B. To
manage/address
overweight among
children,
adolescents, and
adults

C. To reduce levels
of micronutrient
deficiencies to
accepted levels

D. To improve infant
and young child
feeding

70
ANNEXES

Nutrition in Emergencies Plan

Directory of the Local Nutrition Committee

Project Briefs

71
REFERENCES

72