PHILIPPINE

PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 PHILIPPINE’s FOOD AND
PPAN NUTRITION POLICY

Address hunger, all forms of malnutrition,

PURPOSE
& food and nutrition security challenges

GUIDE for duty-bearers and

PLAN
stakeholders

• policies, programs, & services

ACTION • planning, implementation,
PHILIPPINE monitoring, and evaluation
PLAN OF strategic multi-sectoral LIFE
ACTION
NATURE FOR
multi-level directional
STAGE
APPROACH
NUTRITION
2023-2028
PPAN ALIGNMENT

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 PPAN 2023-2028 STRATEGIC FRAMEWORK

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 Targets (and Basis for Targets) for PREGNANT, LACTATING, and WOMEN OF
REPRODUCTIVE AGE
Proposed Targets
Baseline
INDICATORS Basis of Targets
(%) 2023 2028

Reduce by 3.5% per year (average

Prevalence (%) of nutritionally at- 16.4
15.8 13.2 percent change of targets from 0.5-
risk (NAR) pregnant women (2021)
point reduction per year)
3.2% rate of reduction per year
Prevalence (%) of anemia among 23.0
20.2 17.2 based on past trend and mild public
pregnant women (2018-2019)
health problem by 2025
Reduce 2013 level by 50% by 2025
Prevalence (%) of anemia among 10.7 (WHA target), reduce further to <5%
7.7 4.0 by 2028 (no public health problem)
women of reproductive age (2018-2019)
PHILIPPINE 0.742-point reduction per year
PLAN OF Increase the median UIC to 150-249
ACTION
Median UICFOR
(in μg/l) of pregnant 122 μg/l 150- 249 150- 249
µg/l (adequate iodine nutrition) by
women μg/l μg/l
NUTRITION (2018-2019) 2023-2028
2023-2028 Increase the median UIC to 100-199
Median UIC (in μg/l) of lactating 99 μg/l 100- 199 100- 199
µg/l (adequate iodine nutrition) by
Targets (and Basis for Targets) for UNDER FIVE CHILDREN
Proposed Targets
INDICATORS Baseline (%) Basis of Targets
2023 2028
30% reduction by 2025 from 2017 levels (14.5%) based on
Prevalence (%) of low birth 14.5 WHA targets
11.3 8.6
weight (LBW) infants (2017)
0.538-point reduction per year
Reduce by 50% the number of stunted children under 5 y/o
Prevalence (%) stunted by 2030 (from 2013 level) based on the WHO/UNICEF
26.7 discussion paper: The Extension of the 2025 Maternal,
children under five years 25.2 17.9
(2021) Infant and Young Child Nutrition Targets to 2030
old
1.463-point reduction per year for 2023-2028
Prevalence (%) wasted Reduce to <5% by 2025 (low public health significance)
5.5 based on WHA targets
children under five years 5.3 4.3
(2021)
old 0.20-point reduction per year
PHILIPPINE
Prevalence (%) of
PLAN
overweightOFchildren under
3.9
(2021)
3.8 3.5
Reduce by 1.9% per year based on performance of other
countries
ACTION
five years old FOR
NUTRITION
Prevalence (%) of children
15.5 Reduce to <10% (mild public health significance) by 2028,
6 months to 5 years old,
2023-2028 13.0 9.9
(2018-2019) 0.622-point reduction per year
with Vitamin A deficiency
Targets (and Basis for Targets) for SCHOOL-AGE CHILDREN
Proposed Targets
INDICATORS Baseline (%) Basis of Targets
2023 2028
Reduce to <5% prevalence by
Prevalence (%) wasted 6.9 2025 (low public health
6.2 2.9 significance)
children 5-10 years old (2021)
0.667-point reduction per year

WHA GA in 2013 identified

Prevalence (%) of overweight /
obese children 5-10 years old
voluntary target on obesity to halt
14 increase from 2010 levels in 2025,
11.8 0.6
(2021) including adolescents and adults.
2.233-point reduction per year

PHILIPPINE
Proportion of children 6-12 Less than 20% by 2028; reduce to
12.4
PLAN OF
years old with urinary iodine
(2018-2019)
9.1 4.9 less than 5% by 2028
ACTION
levels belowFOR
50 μg/l 0.833-point reduction per year
NUTRITION Retain the median UIC within 100-
Median UIC (in μg/l) of
2023-2028 174 μg/l 174 - 199 174 - 199
199 µg/l (adequate iodine
children 6-12 years old (2018-2019) μg/l μg/l
nutrition) by 2023-2028
Targets (and Basis for Targets) for ADOLESCENT, ADULTS & OLDER ADULTS
Proposed Targets
INDICATORS Baseline (%) Basis of Targets
2023 2028
ADOLESCENT
Prevalence (%) of WHA GA in 2013 identified voluntary target on
overweight / 13 obesity to halt increase from 2010 levels in
obese 10.9 0.2 2025, including adolescents and adults.
(2021)
adolescents
2.133 point-reduction per year
ADULTS AND OLDER ADULTS
Prevalence (%) of WHA GA in 2013 identified voluntary target on
overweight / 38.6 obesity to halt increase from 2010 levels in
obese adults 35.2 18.2 2025, including adolescents and adults
(2021)
PHILIPPINE 3.4-point reduction per year
PLAN OF (%) of
Prevalence
ACTION FOR
chronic energy-
NUTRITION
deficient older 11.8
11.2 8.7 5% rate of decrease per year
adults, 60 y/o and
2023-2028 (2021)
over
Targets (and Basis for Targets) for IYCF, FOOD SECURITY, and USI
Proposed Targets
INDICATORS Baseline (%) Basis of Targets
2023 2028
Increase by 5.8% per year based on
Percentage of exclusively breastfed 60.1
63.6 84.3 performance of other countries in EBF
infants less than 6 months (2021)
among 0-5 mos.
Prevalence (%) of infants and young Reached at least 25% by 2028
13.3
children with Minimum Acceptable Diet 15.3 25.0
(2021) 1.95-point increase per year
(MAD)
Prevalence (%) children 6-23 months 13.8 Reach 90% by 2028
26.5 90.0
with Minimum Diet Diversity (MDD) (2021) 12.7-point increase per year
Increase 2018-2019 level by 50% by
Prevalence (%) of households meeting 21.8 2028
26.6 32.6
100% recommended energy intake (2018-2019)
1.2-point increase per year
PHILIPPINE
Prevalence (%) of moderately and 33.4
31.7 24.4
5.1% rate decrease per year (based
PLAN
severe foodOF
insecure households (2021) on trend)
ACTION FOR Achieve Universal Salt Iodization
NUTRITION (USI) >90% households using
Percentage of households using 33.2 adequately iodized salt, i.e., salt with
2023-2028iodized salt 42.8 91.0
adequately (2021) iodine content of ≥15ppm
9.633-point increase per year
 PPAN Desired Outcome Results

Outcome Result Areas Outcome Result Statements

1: Food and Diets Filipinos consume and demand for adequate, age-appropriate,
nutrient-dense, diverse, affordable, safe, sustainable diet.
2: Practices and Behavior Filipinos adopt behavior and practices consistent with good
health and nutrition.
3: Multisectoral Nutrition- Filipinos benefit from well-coordinated, inclusive, and
related Interventions integrated quality nutrition and related services.
4: Enabling Environment Filipinos enjoy their right to adequate food and nutrition as a
PHILIPPINE result of good governance and enabling policy environment.
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 PPAN Desired Output Results

Outcome Result Statement 1: Food and Diet - Filipinos consume and demand for
adequate, age-appropriate, nutrient-dense, diverse, affordable, safe, sustainable diet.

Desired Output Results for all Age Groups:

1.Improved affordability by increasing food supply ​
2.Improved affordability by more efficient food distribution ​
3.Increasing availability of nutrient-dense and fortified foods
4.​Increased availability of food from household, school, and community sources​
PHILIPPINE
5.Transforming
PLAN OF market choices towards nutritious diets​
6.Improved
ACTION FOR access to diverse and nutritious foods for the most vulnerable groups
NUTRITION
2023-2028
 PPAN Desired Output Results
Outcome Result Statement 2: Practices and Behavior - Filipinos adopt behavior and practices
consistent with good health and nutrition.

Desired Output Results for all Age Groups:

1. Pregnant and lactating women consume diversified and nutrient rich diets and have increased
utilization of maternal and child health and nutrition services.
2. Parents and caregivers of children 0-23 months demonstrate breastfeeding, complementary
feeding, WASH, and care practices that promote optimal growth and development.
3. Parents/caregivers of 3-5 children demonstrate responsive caregiving nutrition practices and always
provide safe, nutritious diets.
4. Children 5-10 years consume healthy diets, are physically active, and have optimal WASH
PHILIPPINE
practices.
PLAN OF
5. All adolescents demand for, and consume healthy diets, and adopt healthy lifestyle including
ACTION FOR
physical activities.
NUTRITION
6. Adults/Older adults consume healthy diets, are engaged in physical activity and adopt healthy
2023-2028
lifestyles.
 PPAN Desired Output Results
Outcome Result Statement 3: Multisectoral Nutrition Interventions - Filipinos benefit from well-
coordinated, inclusive, and integrated quality nutrition and related services.

Desired Output Results for all Age Groups:

1. All Pregnant and lactating women, particularly in GIDA, receive integrated and quality nutrition,
and maternal and reproductive health services.
2. All children 0- 2 years are regularly tracked, monitored, and receive an integrated package of
nutrition services in communities and at health facilities.
3. All children 3-5 years receive early learning, health, nutrition, WASH, and protection services,
especially those living in GIDA.
4.
All children 5-10 years benefit from strengthened nutrition and food environments, and WASH
PHILIPPINE
services in schools and communities.
PLAN OF
5. All adolescents have access to healthy food environments, nutrition, WASH, and mental health
ACTION FOR
services and psychosocial support.
NUTRITION
6. More adults and older adults have access to healthy food environments and diets, and facilities
2023-2028
for physical activities.
 PPAN Desired Output Results
Outcome Result Statement 4: Enabling Environment - Filipinos enjoy their right to adequate food and
nutrition as a result of good governance and enabling policy environment.

Desired Output Results for all Age Groups:

1. Integrated data collection and management system for health, food security, nutrition, and social
protection established and used for decision making processes.
2. Food and nutrition security policies and programs are effectively monitored, and regular impact
assessment conducted.
3. Governance structures for coordination and implementation of multisectoral nutrition interventions
and programs are established and made functional.
4.Adequate number of personnel delivering integrated multisectoral nutrition interventions
PHILIPPINE
capacitated and incentivized.
PLAN OF
5. Adequate financing of multi-sectoral nutrition programs.
ACTION FOR
6. Populations affected by emergency continue to access safe and nutritious food, nutrition, health,
NUTRITION
ECD, social protection and WASH services and used to inform decision-making processes.
2023-2028
INTERVENTIONS ON FOOD AND DIET
Nutrition Dietary supplementation School-based feeding
Food Fortification CDC Feeding Program Milk Feeding
Specific Program program

Nutrition Sensitive
INCREASING FOOD SUPPLY MORE EFFICIENT FOOD DISTRIBUTION TRANSFORMING MARKET IMPROVED ACCESS TO
• Farmers and fisherfolk clustered and consolidated to • Development of transport, market infrastructure and • Regulation for marketing NUTRITIOS FOOD
realize economies of scale logistics systems to support access to healthy food or of: • Food-for- Establishment
• Provision of technologies/systems/incentives for increased bring safe and nutritious food closer to consumers  commercially- work and maintenance
productivity, reduced postharvest loss, climate resiliency, (Philippine Food Chain Logistics Master Plan) prepared • Food voucher of:
and sustainable production • Digital platforms for healthy food marketing, delivery, complementary food • Targeted  household
• Improve access to production through distribution of inputs and payment transactions  unhealthy food (high- livelihood food gardens
to small farmers and fisherfolk, provision of easy, • Establishment of farmer – household/ community fat, high-sugar, and support (e.g., HAPAG,
affordable and adequate credit programs, and provision of linkages (e.g., KADIWA, Enhanced Partnership high-salt) to children • Targeted rice 4Ps Gulayan
sustainable and climate-smart irrigation facilities; Against Hunger and Poverty) and non-alcoholic grant for 4Ps sa barangay)
• Strengthen local agri-fishery input sources (e.g., nurseries, • Implementation of local palay procurement and rice beverages households  school food
multiplier farms and hatcheries, mariculture parks, etc.); buffer stocking; • Monitoring of: gardens,
• Intensify promotion and adoption of balanced fertilization; • Establishment of trading centers and ensuring  excise tax on sugar-  community
• Promote on-farm diversification strategy; operationalization of existing ones; sweetened beverages food gardens
• Strengthen research, development and commercialization • Completion of the national farm-to-market road (FMR)  EO 51 violations and
of new and modern production-related technologies; network; • Policy development and  workplace
PHILIPPINE
• Pursue digital transformation in agriculture through
promoting smart agriculture technologies such as
• Strengthen linkage of farmers and fisherfolk to
agribusiness and export market;
advocacy for:
 new tax laws on
gardens
 Household
PLAN OF
Philippine Rice Information System (PRiSM), Rice Crop
Manager (RCM); and
• Intensify promotion and use of digital platforms for
marketing, delivery and payment transactions; and
unhealthy food
 tax subsidies on fruit
livestock
production
ACTION FOR
• Mainstream climate-resilient agriculture (e.g., Adaptation
and Mitigation Initiatives in Agriculture (AMIA) Program,
• Adopt needs-based capacity development programs
for small farmers and fisherfolk, as well as FCAs.
and vegetables
 front-of-pack nutrition
NUTRITION
Climate Resiliency and Vulnerability Assessment(CRVA). labelling

2023-2028
INTERVENTIONS FOR BETTER PRACTICES
Nutrition Specific
• IYCF Promotion and • Formulation and implementation of SBCC Plan • Package of counseling service for
Counseling  in the first 1000 days pregnant and lactating to avail maternal
• Breastfeeding  for Children health services
advocacy  School children and their • Formation of community support groups
• Peer/Community parents/caregivers for health behavior promotion
Support for  Adolescents • Parent Effectiveness Session (PES) Program
breastfeeding  Adults and older adults • Program on infant toddler early development
mothers  4Ps Family Development Session • Supervised Neighborhood Play (SNP)
• Enhancement of the  Integrated healthy lifestyle campaign for • Integrating nutrition in the implementation of
Minimum Standards adolescents, adults, and older adults RA 11908
PHILIPPINE
for Breastfeeding • Nutrition education for children, teachers, • Package for non-communicable diseases
PLAN OF
Stations including catering staff, caregivers interventions
ACTION
maintenanceFOR • Child Nutrition Classes • Monitoring of 4Ps conditionality on health
NUTRITION and nutrition
2023-2028
INTERVENTIONS ON MULTI-SECTORAL NUTRITION SERVICES
• Dietary supplementation • OPT Plus and Growth monitoring ● Nutrition Social Behavioral Change
Nutrition Micronutrient
• School-based Feeding • School growth monitoring, Communication
Specific Supplementation
Program screening, referral, and tracking ● Nutrition Education on Building Healthy Habits

NUTRITION SENSITIVE INTERVENTION BY LIFE STAGE

Integrated Maternal Services (RA 11148- Integrated Child Health Services Integrated Child  School  Adolescent  Expanding the
KNMNA-F1KD): (RA 11148 KNMNA-F1KD) Health services integrated health Health and nutrition-related
 Essential Newborn Care  Strengthening the and nutrition Development benefits of Senior
 Nutrition assessment, Pregnancy
(Unang Yakap) use of ECCD services Program Citizen law and
Screening, Referral, and Tracking,  Immunization Checklist for  Healthy Learning  Reproductive other initiatives for
 Maternal Health Services (ANC, MBFHI)  Integrated Management of developmental Institutions health older adults
 Increasing participation of male partners Childhood Illnesses (IMCI) milestones initiative services for  Detection and
in mother and child care  Infant and Toddler Early  Deworming  Healthy Lifestyle adolescents management of
 Nutrition module integrated in learning Stimulation activity within the school  Counseling on acute malnutrition
sessions for parents and care providers  IYCF support groups  Child protection and community mental health among Older Adults

NUTRITION SENSITIVE INTERVENTIONS FOR ALL

 Strengthen Primary Health Care Counseling on Promotion of Healthy Lifestyle  Healthy Food Environment (Marketing  Sustainable
PHILIPPINE
(PHC) by delivering integrated
services across the life cycle
 proper nutrition,  Healthy Diet, Sleep, Physical regulations, healthy food options, menu
labeling)
Livelihood
Program
 avoidance of risk-
PLAN OFCoverage
Common
 Universal Health taking behaviors,
Activity, Stress Management,
Alcohol in moderation and  Healthy setting in community, workplace,  Safety Nets

ACTION
Package
FOR
 Oral Health Programs
 smoking cessation,
 adoption of healthy
Avoid Smoking
 Weight Management
school
 Active transport program
Programs

NUTRITION
 WASH Program
lifestyle practices and
 family health
Program  Advocacy with LGUs on programs for building
2023-2028 healthy habits including open space
INTERVENTIONS FOR ENABLING ENVIRONMENT
NUTRITION SENSITIVE INTERVENTIONS
M&E & INFO SYSTEM GOVERNANCE STRUCTURE FOR COORDINATION CAPACITY DEVELOPMENT
• Institutionalizing an • Development of • Legislation on National • Integrated health and • Establishment of the National
electronic data capture Comprehensive Nutrition Commission nutrition aspect in the Nutrition Training Institute
and recording system for Nutrition Security and strengthening  CDC development • Training Regulations for
pregnancy monitoring Leadership and Philippine Nutrition program Community Nutrition Services
• Development of an Governance Program in Program  establishment of NC II, Barangay Health Services
interoperable all regions and • Regulation and service delivery NC II
multisectoral information constituent LGUs enforcement of policies, network for ECCD • Full time nutrition action officer in
system through the whole-of- protocol and guidelines • Advocacy and all LGUs with additional
• NNIS implementation government approach in • Issuance of local development of personnel
• Monitoring of Nutrition in integrating nutrition legislation and policies integrated adolescent • Capacity building of LNC chairs
Emergency Plan • LGU Mobilization for adopting national laws health and nutrition and members on food and
• Monitoring the PPAN* and policies program and healthy nutrition security
implementation of DepEd • Resource Mobilization • Blue and green spaces lifestyles program • Amendment of PD1569
PHILIPPINE
Order on prohibiting and Alliance building* in local land use plans • Senior Citizen Nutrition • Advocacy and capacity building
unhealthy food in school • Program Convergence prioritized Integrated Program for LGUs, school administrators,
PLAN OF
• Research and Budgeting* Local School Board for school
ACTION FOR
Development nutrition intervention

NUTRITION
2023-2028
 Intergeneration cycle of malnutrition and poverty

Death Illness Poor cognitive development Low educational attainment Low productivity Low income Poverty

Problem: ALL Forms of Malnutrition in ALL life Stages

Poor Practices and Behavior Poor access or unavailability of Poor

Food Insecurity
1.Low number of households and
barangays with backyard/community
garden
2. High incidence of unemployment/
underemployment
3. Large family size
4. Limited budget to buy basic food
needs.
1.Expansion and maintenance of functional
backyard/community garden
2. Provide livelihood programs and Job
placement (Ordinance No.___), for
unemployed/under employed individuals
PHILIPPINE
3. Family planning
4. Distribution of food voucher to targeted
1. Poor complementary feeding
practices
2. Low utilization of Nutrition Services:
2.1. Maternal
2.2. Child
2.3. Adolescent
2.4. Adult
2.5. Senior Citizens
3. Poor promotion/campaign for
healthy diet consumption
4. Lack of Parental support for Nutrition
5. Practices in superstitious beliefs
1.Continue promotion of Exclusive
breastfeeding through mother support 21
group
2. Conduct of seminars/lectures on
EBF and appropriate CF
3. Monitoring of pregnant women to
Multisectoral nutrition-related
interventions
1. Poor access to integrated and
quality nutrition services by
nutritionally vulnerable groups
2. Unhealthy food environment
3. Insufficient WASH facilities in Day
Care Centers
1.Dietary Supplementation Program
for NAR pregnant women, CUF and
SC
2. Integrated maternal health services
3. Health and nutrition services for
senior citizen
4. Social Behavior Change and
Communication Plan (SBCC)
Enabling Environment
1. Designated nutrition focal point
(i.e. NAO, LNPC, BNS etc.)
2. Limited competencies of nutrition
program implementers and workers
3. No/poor implementation of
nutrition and nutrition related
policies
1.Nutrition and nutrition-related
policies implemented and monitored
2. Issuance of EO organizing LNC
3. Capacity building for nutrition focal
points, LNC and nutrition volunteers
4. Implementation of DTP on nutrition

PLAN OF
groups
5. Cash/food for work project
include prenatal check-ups &
micronutrient supplementation
5. Nutrition sensitive programs (PPAs
of unit/dept or LNC members)
ACTION FOR
6. Implementation of HAPAG Program
7. Continue Organic Vegetables Tyange
4. Innovate Nutrient densed foods (eg. Corn
rice, Ampalaya Juice etc.)

NUTRITION
8. In Support of EO. 51 5. Ensure integration of Nutrition Education
in Schools curriculum
6. Information dissemination on proper
2023-2028 Nutrition
PROBLEM TREE
 Annex B

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 Annex B

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 Annex B

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 Annex B

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 Annex B

PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028
 MARAMING
SALAMAT!
PHILIPPINE
PLAN OF
ACTION FOR
NUTRITION
2023-2028