Orientation On DSP Tutok Kainan To Nutrition Implementers

Orientation to Health and Nutrition
Implementers in
N
NC Zamboanga del Sur on the
IX
(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX
INVOCATION
Glorious and Blessed GOD,
We place our work and ourselves into YOUR hands today.
N
NC Anoint our creativity, our ideas, and our energy
so that even the smallest task may bring YOU honor.
ALMIGHTY FATHER, when we are challenged, guide us;

when we are weary, energize us.
May the work that we do and the way that we do it, bring hope, life and courage to
all with whom we devote our service.
LORD, bless all of us gathered today with YOUR wisdom and discernment,
our program implementers with commitment and compassion
and our program beneficiaries with courage and strength.
IX Rooted in YOUR love, may YOUR face illuminate in all

activities that we do that is done in YOUR name.
All these we ask in YOUR MOST POWERFUL NAME… Amen.

Outline of the topic:
N
NC • Objective and rationale Tutok of the
Kainan program
• Selection of the target areas and target
beneficiaries
• Information of the program
• Forms used
• Other matters
IX
N
NC
IX
Dietary Supplementation Program
• Part of the IATF response on Zero
hunger
• Program enrolled under Enhanced

Partnership against Hunger and
Poverty (EPAHP)
• Target beneficiaries
 Nutritionally at-risk pregnant
women and undernourished
children 6-23 months of age.
Basic Protocols for a COVID19- Safe ECCD
F1K- related service delivery
 Adherence to IPC measures

(DOH DM No. 2020-0072 Annex A)
a. Proper and frequent hand hygiene
through washing with soap and water and
use of alcohol-based hand rubs at point-
of-care and other areas inside the health
facility
b. Decontamination, disinfection, and
sterilization, and
c. Physical/Social distancing measures
consistent with DOH-issued guidelines
Objective:
To contribute to the prevention of
stunting among children 0-23 months
old by improving the quality and quantity
of food and nutrient intakes and
utilization of related ECCD F1KD
services among nutritionally at-risk
pregnant women and children 6-23
months old in the target Tutok Kainan
program areas.
Specific Objectives
1. To determine the situation with
reference to care of pregnant women and
infant and young child feeding
2. To provide supplemental food to

pregnant women for 90 calendar days
and complementary food for children 6-23
months for 180 calendar days with priority
to those who are nutritionally at-risk or
undernourished
Specific Objectives
3. To implement, monitor and evaluate
an integrated nutrition program that
helps ensure delivery of complementary
early childhood care and development
services in the first 1000 days pursuant
to RA 11148.
4. To document program experiences

and strategies for replication in other
local government units of the country
Initial target recipients:

NAR pregnant women &
undernourished 6-23
mos old children
No. of feeding days:

90 days & 180 days
respectively
Priority Groups
Mode of feeding:
Dry feeding (RTE) – Provision of
Nutribun
Wet Feeding (Centralized cooking)
Budget per pregnant
Php 40.00/day/beneficiary
Budget per child
Php 23.00/day/beneficiary
DSP for Pregnant Women:
 20 Municipalities and 1 City
1 Aurora 193 12 Margosatubig 245
2 Bayog 31 13 Molave 173
3 Dimataling 72 14 Pitogo 168
4 Dinas 105 15 San Miguel 76
5 Dumingag 257 16 Sominot 89
6 Guipos 129 17 Tabina 120
7 Josefina 80 18 Tambulig 159
8 Kumalarang 125 19 Tigbao 101
9 Lakewood 57 20 Vincenzo A. Sagun 79
10 Lapuyan 70 21 Pagadian City 179
11 Mahayag 106
DSP for Children:
 15 Municipalities and 1 City
1 Dimataling 60 9 Pitogo 60
2 Dumingag 60 10 Ramon Magsaysay 60
3 Dumalinao 60 11 San Pablo 60
4 Josefina 60 12 Sominot 60
5 Labangan 60 13 Tabina 60
6 Lakewood 60 14 Tambulig 60
7 Midsalip 60 15 Tigbao 60
8 Pagadian City 106 16 Tukuran 60
Target level of daily supplementation for target
priority groups
Target Level of supplementation per Daily Food
group day Cost
Infants, 6- 130 – 200 kcal, 5-10 grams of
11 mos protein, preferably with multiple
old micronutrient powder (This is
NOT in addition to what is Php 32 per
regularly distributed) child
Children 200 – 300 kcal, 5-10 grams of
11-23 protein, preferably with multiple
mos old micronutrient powder (This is
NOT in addition to what is
regularly distributed)
Pregnant 500 – 700 kcal, 15-20 grams of Php 42 per
women protein, possibly with multiple pregnant
micronutrient powder woman
Feeding Scheme (Pregnant Women)
Duration: 90 days
Month Food commodity
1st – 2nd Nutribun
Wet feeding (Everyday

3rd including weekends.
Based on the cycle menu)
Feeding Scheme (6-23 months old children)
Duration: 180 days
Month Food commodity
1st – 4th FNRI Complementary Food Products
Hot meals during weekdays and

5th-6th FNRI Complementary Food Products
on weekends
Implementation Phase
• The barangay will set a specific time

everyday for the centralized food preparation
and distribution or pick-up of the cooked
meals to the beneficiaries following the IPC
Guidelines.
• The frequency and level of supplementation

is intended to maintain the normal nutritional
status of the target population, prevent
stunting and wasting and to address the
deficit in energy and protein intake that may
later on lead to undernutrition.
Implementation Phase
• The food distribution may also be used as

platform for the delivery of other related
health, agriculture, social protection services.
Micronutrient supplements such as
micronutrient powder may be given to further
improve the quality of the dietary
supplementation, when these are available at
the local health office
N
NC Monitoring, Reporting,
and Information
Campaign via SMS
messaging
IX
One monitoring and reporting activity of
N
NC the Tutok Kainan Supplementation
Program shall be through SMS
messaging. Real-time monitoring shall
be done by taking photos or streaming
live videos of the actual implementation
of the program.
IX
N
NC I. RECEIPT AND
DISTRIBUTION OF
COMMODITIES
IX
A. Receipt of Commodities
N
NC • The Municipal/ City consignees will
send real time reports by sending
SMS messages and picture of
commodities received to the system
using designated number.
IX
The information required are:
• Date of receipt of commodities
N
NC DAY- MONTH- YEAR MONTH-DAY-YEAR
20 January 2021 January 20 2021
20Jan2021 Jan 20 2021
20 Jan 2021 Jan 20, 2021
IX
• Province
• City or Municipality
- Short cut codes for the name of provinces,
N
NC cities, and municipalities can also be used
• Type of Commodity
• Volume
• Status of Delivery
NOTE:
Required information should be
IX separated with slash (/)
Date of receipt/Province/City/Municipalities/
Type of Commodity/Volume of Commodity/
Status of Delivery
N
NC Example:
• 26Jan2021/ZamboangaDelSur/PagadianCity/
Nutribun/200 packs/complete
OR
• 26Jan2021/ZDS/Pagadian/Nutribun/
200packs/C
Interpretation:
IX On 26 January 2021, complete 200 packs of

nutribun were received in Pagadian City,
Zamboanga del Sur.
Receipt of Commodities
Date of Receipt Region Province City
N
NC
26 9 Zamboanga del Pagadian City
January Sur
Municipality Type of Volume (packs) Status of

Commodity Delivery
(Complete,
incomplete)
Nutribun 200 Complete
IX
Codes for ZDS
N
NC
IX
B. Inspection of Commodities
• The authorized member of the inspection
N
NC committee will also send a separate report
upon inspection of the commodities via
SMS message and picture of commodities
received to the system using a designated
number.
• The member of the inspection committee
should have a copy of the Purchase
Order (PO) and Sales Invoice (SI). It is
IX recommended that a close-up picture be
taken of the packaging of the commodity.

• Date of Inspection
N
NC •
•
Province
City or municipality
• Type of Commodity, e.g. fresh or
food product
• Status of Commodity (in good
condition, others)
• Other status of commodities may
IX be: unsealed packaging, tampered
vacuum seal, off-odor, with molds.

The Format of the SMS message will be:
Date of Inspection / Province / City or
Municipality / Type of Commodity / Status
N
NC Example:
of Commodity
26Jan2021/zds/pagadian/nutribun/tampered
vacuum seal
Interpretation:
On 26 January 2021, 200 packs of delivered
nutribun were inspected in Pagadian City,
IX Zamboanga del Sur and with some packaging
with tampered vacuum seal.

Inspection of Commodities
Date of Region Province City
N
NC Inspection
26 9 Zamboanga del Pagadian City

January Sur
Municipality Type of Commodity Status of Delivery

(in good condition,
others, specify
Nutribun Tampered vacuum seal
IX
C. Distribution of Commodities
N
NC • Distribution of commodities by BNS
will be reported in real time via text
message to be sent to the system
using designated number. Pictures of
the actual distribution of commodities
can also be sent to the system.
IX
N
NC •
•
Date of Distribution
Province
• City or Municipality
• Number of barangays given
• Number of pregnant women given
• Number of food packs distributed
• Type of Commodity, e.g. fresh or food
IX product

The Format of the SMS message will be:
Date of Distribution / Province / City or
Municipality / Number of Barangays given /
N
NC Number of Pregnant Women given / Number of
Food Packs distributed / Type of Food given
Example:
26Jan2021/zds/pagadian/3brgys/20pregnant/
10packs/nutribun
Interpretation:
IX On 26 January 2021, 10 packs of nutribun were

distributed to 20 pregnant women from 3
barangays of Pagadian City, Zamboanga del Sur.
Distribution of Commodities
Date of Region Province City Municipalit
N
NC Distribution y
26 9 Zamboanga Pagadian
January del Sur City
Number of Number of Number of Type of

Barangays Pregnant Women packs Commodity
given distributed
3 20 10 Nutribun
IX
N
NC
II. ACTUAL
IMPLEMENTATION
IX
• There will be profiling feature for the
individual beneficiaries to ease in the
N
NC SMS reporting of the BNSs. During
the Day 0 of the dietary
supplementation (or during social
preparation of barangays), BNSs can
record complete information of the
beneficiaries through the monitoring
form.
IX
A. ACTUAL FEEDING
N
NC • Date of Feeding
• Beneficiary Number
- Can be generated and assigned to
specific beneficiaries during the
profiling/ social preparation. This will
serve as the beneficiaries’ identification
numbers, which the BNSs and mothers
IX themselves should take note.

• Type of Commodity Received
- Can be reported through full texts or
assigned codes.
N
NC - Codes assigned to different
commodities are as follows:
• Nutribun- nbun
• Lipid Nutrient Supplement Paste Small Quantity –
LNSSQ or LNS SQ
• Cycle Menu Week 1- CM1
IX • Cycle Menu Week 3- CM3


• Status of Consumption
-Either fully (F) or Partially (P)
N
NC consumed by the beneficiary.
The format of the SMS message

will be:
Date of feeding/beneficiary
number/type of commodity/status of
consumption
IX
Examples:
9Mar2021/64007/nutribun/Full
9 Mar 2021/64007/nbun/F
N
NC Interpretation:
On 09 March 2021, mother with
beneficiary number 64007 (ex: Maria De
Leon of Barangay Balangasan of Pagadian
City, Zamboanga Del Sur) ate the whole
nutribun as daily ration.
IX
B. NUTRITION ASSESSMENT
N
NC • This will be done during profiling- no
need for the BNS to individually report
nutrition assessment information
through SMS
IX
C. FOLLOW-UP
• Follow-up weights of pregnant women will be
N
NC reported by the BNS at the 30th, 60th, and 90th
day of feeding.
• The information required are:
1. Date of Weighing
2. Beneficiary number
3. Weight (in kg) at Day 30, Day 60 and Day 90
4. Nutritional status
- Can be determined with the help of Rural Health
IX Midwife or rural health/community nurse. Normal

(N), Underweight (UW), Overweight (OW), Obese
(OB)

The format of the SMS message will be:
Date of Weighing/Beneficiary number/
N
NC Kg [30,60,90]/ Nutritional status
Examples:
9Mar2021/64007/55kg/Day30/normal
Interpretation:
On 09 March 2021, Maria dela Leon of Barangay
IX Balangasan, Pagadian City, Zamboanga del Sur,

weighed 55kg at Day 30 of feeding with normal
nutritional status.
D. DELIVERY DURING FEEDING
DURATION
N
NC • In cases when the pregnant
women delivers during the
duration of feeding, BNSs should
report the required information.
Feeding for the mother will still be
continued until Day 90 to support
IX lactation.

1. Beneficiary Number
2. Actual Date of delivery
N
NC 3. Place of delivery ( Lying in, private
hospital, etc.)
4. Child’s birth weight (in kg)
The format of the SMS message will

be:
Beneficiary number/Actual date of
IX delivery/Place of delivery/ Child’s birth
weight
Examples:
25May2021/64007/Pagadian City lying
N
NC in/2.5kg
Interpretation:
On 25 May 2021, Maria dela Leon of
Barangay Balangasan, Pagadian City,
Zamboanga del Sur, delivered her baby in
Pagadian City lying in. The baby weighed
IX 2.5 kg.

III. FEEDBACK
• The following can send feedback on the
N
NC implementation of the program by sending
SMS to a designated number.
1. Recipients
2. PNAO or any authorized member of the
Provincial Nutrition Committee
3. CNAO or any authorized member of the City
Nutrition Committee
4. Regional Nutrition Program Coordinator, ECCD
IX
F1K Provincial Nutrition Coordinator or Tutok
Kainan Focal Person.

A. REPORTING FLOW
• Real-time reports on recipient,
N
NC inspection, and distribution
commodities, and actual feeding will
of
be sent directly to the system via

SMS.
• For receipt and distribution of
commodities, real time reports of the
municipal/ city consignees will be
IX received directly at the NNC Central
Office.
N
NC • For the monitoring
implementation, real-time reports
of
from the BNS will be received

directly at the NNC Central Office.
IX
B. SUMMARY OF REPORTS
• Daily, weekly, and monthly summaries, by
N
NC barangay, by municipality/city, by province
and national will be generated, to
determine if the targets are being met.
• Physical reports using Annex 2 Form 1 will

be maintained and shall be made
available for regular validation by the
provincial/city/ municipal nutrition
IX committees.

Table 1: Summary of Activities and
Information Required
N
NC Activity Number of
authorized
sender
Designation Common
information
required
Unique
Information
Required
SMS sent
to:
NutriText n/a-system n/a Nutrition Recipients

messages
Receipt of 1 City/municipal 1. Date of 1. Volume System

commodities consignee Receipt of 2. Status of
commodities delivery
2. Province (complete,
3. City or incomplete)
municipality
4. Type of
commodity,
e.g. fresh or
food product
IX
Activity Number of Designation Common Unique SMS
authorized information required Information sent
sender Required to:
Inspection 1 Member of 1. Date of 1. Status of System

the Inspection Inspection commodity
N
NC
2. Province (in good
3. City/municipality condition;
4. Type of others)
commodity
Distribution 3 BNS and 2 1. Date of 1. Number of System

others distribution barangays
authorized to 2. Province given
distribute 3. City or 2. Number
commodities municipality pregnant
4. Type of women
commodity, e.g. given
fresh or food 3. Number of
product food packs
distributed
IX
Activity Number of Designation Common Unique SMS sent
authorized information Information to:
sender required Required
Actual 3 BNS and 2 1. Date of 1. Beneficiary System
N
NC
Feeding others Reporting number of
authorized to 2. Province pregnant
monitor 3. City or woman
preganant municipality 2. Status of
women 4. Barangay consumption
5. Type of
commodity,
e.g. fresh or
food
product/
cooked food
IX
Activity Number of Designation Common Unique SMS
authorized information Information sent to:
Nutrition 3 BNS and 2 1. Date of 1. Adolescent System

Assessment others Weighing 2. Member of
N
NC
Baseline authorized to 2. Province IP group
monitor 3. City or (specify
pregnant municipality group, if
women 4. Barangay possible
5. Beneficiary 3. 4Ps
number of beneficiary
pregnant 4. 4. Baseline
woman weight (in
kg)
5. Nutritional
Status
Items 1-3 can
be collected
during profiling
prior to start
IX
Follow- 3 BNS and 2 1. Date of 1. Weight (in System
N
NC
up others weighing kg) at Day
authorized to 2. Beneficiary 30, Day 60,
monitor number of and Day
pregnant pregnant 90
women 2. Nutritional
status
IX
Delivery 3 BNS and 2 1. Beneficiar 1. Actual System
N
NC
during others y number date of
duration of authorized to delivery
feeding monitor 2. Place of
pregnant delivery
women (e.g. Lying
in, private
hospital
3. Child’s
birth
weight (in
kg)
IX
N
NC
CONSENT
IX
N
NC
IX
N
NC
IX
N
NC
IX
N
NC
IX
N
NC
IX
N
NC
MONITORING
TEMPLATE
IX
N
NC
Annex 2
Form 1
IX
N
NC
IX
N
NC
IX
N
NC
IX
N
NC
IX
N
NC
Instructions: Mark (1) if the Pregnant women ate

IX the food/ meals during the feeding date; Mark (0) if
partial consumption; Leave blank if did not eat at all

N
NC
Annex 2
Form 2
IX
N
NC
IX
N
NC
IX
N
NC
IX
N
NC
IX Instructions: Reflect daily totals of each

Barangay from Annex 2 Form 1B
N
NC
Annex 2
Form 3
IX
N
NC
IX
N
NC
IX Instructions: Reflect daily totals of each

Municipality/City from Annex 2 FORM 2
N
NC INSPECTION
AND
ACCEPTANCE
IX REPORT
N
NC
IX
N
NC
IX
N
NC
INVENTORY OF
COMMODITIES
FORM
IX
N
NC
IX
N
NC
IX
Items in good condition demonstrates
the following characteristics:
N
NC 1. For fruits and vegetables: not rotten,
no rotten part, no insect/pest bites, no
foul smell
2. For breads: has not expired, no

molds, no discoloration, no foul smell, no
IX insect/pest bites, packaging intact

3. For meats: no foul smell, no
N
NC discoloration, frozen
4. Other food items such as grains,

cereals : has not expired; no foul
smell, no discoloration, no
insect/pest bites, packaging intact
IX
N
NC
DAGHANG
SALAMAT!
IX

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Orientation to Health and Nutrition

ALMIGHTY FATHER, when we are challenged, guide us;

IX Rooted in YOUR love, may YOUR face illuminate in all

All these we ask in YOUR MOST POWERFUL NAME… Amen.

• Program enrolled under Enhanced

 Adherence to IPC measures

2. To provide supplemental food to

4. To document program experiences

Initial target recipients:

No. of feeding days:

Month Food commodity

1st – 2nd Nutribun

Wet feeding (Everyday

Month Food commodity

1st – 4th FNRI Complementary Food Products

Hot meals during weekdays and

• The barangay will set a specific time

• The frequency and level of supplementation

• The food distribution may also be used as

20 January 2021 January 20 2021

20Jan2021 Jan 20 2021

20 Jan 2021 Jan 20, 2021

IX On 26 January 2021, complete 200 packs of

Municipality Type of Volume (packs) Status of

Nutribun 200 Complete

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

26 9 Zamboanga del Pagadian City

Municipality Type of Commodity Status of Delivery

Nutribun Tampered vacuum seal

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

IX On 26 January 2021, 10 packs of nutribun were

Number of Number of Number of Type of

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

IX • Cycle Menu Week 3- CM3

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

The format of the SMS message

IX Midwife or rural health/community nurse. Normal

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

IX Balangasan, Pagadian City, Zamboanga del Sur,

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

The format of the SMS message will

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

be sent directly to the system via

from the BNS will be received

• Physical reports using Annex 2 Form 1 will

(062) 985-0579 region9@nnc.gov.ph www.nnc.gov.ph National Nutrition Council Region IX

NutriText n/a-system n/a Nutrition Recipients

Receipt of 1 City/municipal 1. Date of 1. Volume System

Inspection 1 Member of 1. Date of 1. Status of System

Distribution 3 BNS and 2 1. Date of 1. Number of System

Actual 3 BNS and 2 1. Date of 1. Beneficiary System

Nutrition 3 BNS and 2 1. Date of 1. Adolescent System

Follow- 3 BNS and 2 1. Date of 1. Weight (in System

Delivery 3 BNS and 2 1. Beneficiar 1. Actual System