Consultation Workshop for the 63rd WHA

NNC Strategies for Infant and Young Child Nutrition

Assistant Secretary Maria-Bernardita T. Flores, CESO II Executive Director IV National Nutrition Council
BHIC Conference Room 29 April 2010

OUTLINE
NNC Actions Facilitating & hindering factors Key Challenges

NNC Actions

Updated MTPPAN for 2008-2010

Directional plan to speed up improved nutrition by 2010 Targets for PEM, VADD, IDD and IDA retained Focus on pregnant women and children 0-2 years old

PPAN DIRECTIONS 2008-2010

Intensify promotion of desirable IYCF and

caring practices
Organization of support groups Training of peer counsellors for one-on-one

and group counselling

Multi-media promotion

Protect nutritional status of women and

children in emergency situations

Accelerated Hunger Mitigation Program Framework

Unavailable or insufficient food to eat

HUNGER

No money to buy food

Hunger Mitigation Measures

Supply Side
Increase food production
Productivity programs including livestock, crops, marine regeneration (mangrove and coastal fishery development), farm family (Gulayan ng Masa) and irrigation - DA, DENR, NIA

Demand Side
Put more money in poor peoples pockets
a) Improve productivity in coconut areas (coconut coir, virgin coconut oil & other valueadding products, coconet production) DA, PCA ( CIIF) b) More aggressive microfinancing Microfinance Program Committee c) Maximize employment opportunities in construction & maintenance of farm-to-market roads, irrigation and roadside maintenance DPWH, MMDA, PNP, NIA, DAR, DA, AFP d) Aggressive training TESDA, DOLE, DSWD, CHED e) Upland land distribution (4M ha for jatropha, rubber) DAR, DENR

Enhance efficiency of logistics & food delivery

a) Barangay Food Terminal & Tindahan Natin DA, NFA, DSWD b) Ports (RORO)-maximum use of private ports, shipping - DOTC/PPA c) Farm to market roads DPWH, DA, DAR, AFP d) Efficient local transport LGUs/Leagues of P/C/M/B, DILG, PNP e) Food for School Program - DepED, DSWD, NFA f) Creation of NGO network to support feeding programs - DSWD g) Community tradeable rice certificates - NFA

Promote good nutrition

a) Conduct social marketing DOH, NNC/ LGUs b) Promote exclusive breastfeeding, appropriate complementary feeding, and increased consumption of vegetables DOH, NNC, LGUs c) Nutrition education in schools DepED

Manage population
Responsible Parenthood DOH, POPCOM, LGUs/ ULAP/ Leagues of P/C/M/B

Overall strategy
Breastfeeding as an anti-hunger and anti-poverty intervention
Focus first on Priority One Provinces Scale
Eventual coverage of all provinces Coverage of all cities and municipalities 50 percent of barangays

Overall strategy
Capacity building as core strategy, with mass media support
Coverage of those in health system and peers, e.g. successful breastfeeding mothers

Accomplishments, 2007 2009, Coverage

Area Target P1 provinces 11 P 181 M/C 2,634 B P2 provinces 16 P 297 M/C 2,157 B P3 provinces 23 P 483 M/C 3,029 B Maguin5P danao 115 M/C 2,502 B Actual 10 P/NCR 170 M/C 2,300 B 16 P 272 M/C 2,206 B 23 P 445 M/C 2,585 B Percent 100 93 87 100 91 102 100 92 85

Accomplishments, 2007 2009, Number trained

Area
P1 provinces P2 provinces P3 provinces Total

Target 11,103
13,712 9,583 34,308

Actual 9,260
10,902 7,901 28,063

Percent 83
80 82 81

AHMP Targets vs Total Requirements

Philippines AHMP areas AHMP areas targeted for 2010 Target 2011-2012

Provinces Cities/Mun Barangays 80 1,634 42,023 50 and 961 7,820 NCR Same 50 115 18,473 NCR 5 ARMM
25 543 13,146

Other related activities

IYCF indicators in NNC and LGU awards systems
Infants exclusively breastfed from 0-6 mos

Infants given complementary food not later than 6 months

Accredited MBFHI Provision of complementary foods Campaign on breastfeeding promotion

Modules, manuals, syllabus

Manual on lactation management

Breastfeeding promotion and support in babyfriendly hospitals

Other related activities

Advocacy for breastfeeding rooms in regional offices of national government agencies, e.g. Region 8 RDC resolution IYCF concerns in Nutrition Month
2003 on breastfeeding 2004 on complementary feeding 2010 on complementary feeding

Nutrition Month 2010

Sa pagkaing tama at sapat, Wastong timbang ni baby ang katapat

Other related activities

AHMP/Promote Good Nutrition implementation review in P1 provinces
Development of IYCF counseling cards/ flipchart for barangay implementors (with HKI)

IYCF in the MDG-F program on child food security and nutrition

IYCF integrated in activities

BNS & D/CNPC Convention Development of continuing education

module for BNS focusing on MNCHN strategy

Development of Nutrition Legislative

Agenda for 15th Congress Advocacy for breastfeeding rooms in government offices through issuance of resolution by RDC

IYCF integrated in activities

Multi-media Campaign on NGF
Buntis Congress & Binyagan ng Bayan
Nutriskwela (local radio stations)

Billboards in NLEX, SCTEX, SLEX,

MRT/LRT
TV & radio plugs; DZRH drama series

Facilitating factors
PGMA as prime advocate of breastfeeding Availability of funds

Availability of training modules LGU initiatives such as election of officers

among members of the breastfeeding support groups and search for the best BF support group

Facilitating factors
Passage of RA 10028 An act Expanding

the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known As An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and For other Purposes

Hindering factors
Not enough trainers
Difficult to meet IEC requirements at local level Inadequate use of IEC materials

Hindering factors
Lack of peer counseling protocol; LGUs need clear roles and functions of breastfeeding support groups; those trained not internalize concept
Change in local workers due to elections, need train new workers

Lessons
Need to follow-up mentor those trained so can be effective counselors
Need to sustain capacity development in IYCF (accreditation of academic institutions as training arm) Need to sustain support groups Critical support of LCEs

Prospects
Continue with initiatives, in framework of MTPPAN and the strategic plan on IYCF Important to pool resources and synchronize efforts

Facilitating factors
Passage of RA 10028 An act Expanding

the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known As An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and For other Purposes

Key Challenges

Thank You!