Better Nutrition in the New Normal Wastong nutrisyon
Better Nutrition in the New Normal Wastong nutrisyon SANA ALL… Local Governments, SAMA ALL! Dr. Azucena “Apet” M. Dayanghirang, MCH, CESE Executive Director, National Nutrition Council Ensuring Food Security and Proper Nutrition to Fight COVID 19, Social Services Accessibility through Good Governance and Inclusive Programs of LGUs (SAGIP LGUs) Webinar Series July 16, 2020
Nutrition and Covid-19 • Malnutrition weakens the immune system • Pre-existing diet-related diseases and obesity increases severity of COVID-19 • Adequate Vitamin D may lessen effect of COVID-19 • Consumption of junk food increases vulnerability to stunting, obesity and associated non-communicable diseases • 2008 global food price crisis led to 50% increase in acute malnutrition among poor children and higher stunting rates • Estimated 10 -45% increase in deaths of under five children and 8 -39% maternal deaths every month with disruptions in health services Source: Nutrition and Covid-19: Nutrition is a Threat-Multiplier. 2020 Global Nutrition Report. 21 May 2020.
Barrier to resilience WASTING STUNTING 5. 6% of children under-5 (800, 000) 30. 3% of children under-5 (3. 4 Million) OBESITY MICRONUTRIENT 4. 0% of children under-5 37. 2% among adults Chronic Energy Deficiency 8% of adults DEFICIENCIES (Hidden hunger) HUNGER 16. 7% FOOD INSECURITY 53. 9%
Philippine Plan of Action for Nutrition 2017 -2022 Ambisyon 2040, Philippine Development Plan and Sustainable Development Goals Reduced wasting among children under -five Reduced stunting among children under-five Improved situation in overweight and obesity Reduced micronutrient deficiencies • Reduced nutritionally- • at-risk pregnant women Increased exclusive breastfeeding • Reduced low birthweight Improved complementary feeding • • Improved food intake Nutrition-sensitive programs Nutrition-specific programs Enabling programs 4
What are the nutritionspecific interventions? Programs that address the immediate causes of malnutrition. Specifically, these are inadequate food intake and intake of food of poor nutrient quality; poor maternal and child caring practices; and disease.
Protect our gains 40 33, 4 30, 3 30 PPAN Targets 28, 8 21, 4 20 10 7, 1 0 5, 6 5, 8 5 3, 9 4 3, 8 2015 2018 2, 9 2019 2020 2021 RNAP PNAP CNAP MNAP BNAP 2022 Source: National Nutrition Surveys, DOST-FNRI. STUNTING WASTING OVERWEIGHT FOR HEIGHT
CONTINUE AND SCALE UP CRITICAL INTERVENTIONS IN THE FIRST 1000 DAYS OF LIFE PREGNANCY 1. At least 4 pre-natal visits in 3 trimesters (1 -1 -2) 2. 180 tablets of Iron-folic acid supplementation 3. Balanced protein-energy dietary supplementation YOUNGER STAGE OF INFANCY (Birth to 5 months) 4. Exclusive breastfeeding for the first 6 months OLDER STAGE OF INFANCY & TODDLERHOOD (6 -24 months) 5. Age-appropriate complementary feeding with continued breastfeeding 6. Micronutrient supplementation (Vit. A, Micronutrient Powder) “Evidence suggests that specific multisectoral, nutrition-specific evidencebased interventions could reduce child stunting by 20%, if scaled to 90% coverage” – World Health Organization (WHO) and Lancet Journal
Nutrition actions for local governments to invest in First 1000 Days Program 1 To reduce and prevent stunting among children 2 Philippine Integrated Management of Acute Malnutrition (PIMAM) 3 Food Production, Livelihood, Employment Generation Programs 4 Enabling Programs To treat and rehabilitate severely wasted children (Nutrition-sensitive Programs) To ensure food security in the household To strengthen governance, capacity, and institutions for effective implementation of nutrition programs including Nutrition in Emergencies
Ensure sustainable healthy diets • Emergency food distribution • Dietary supplementation/ feeding programs • Food subsidies • Upgrade fresh food markets • Home and community food gardens • Nutrition education (phone, online, community workers) Predominantly plant-based; low amounts of animal-based foods, refined grains, highly processed food and added sugars
Issuance of Local Budget Memorandum No. 80 Section 2. 2. 8 Priorities in the use of IRA and other local resources
NNC Local Planning and Budgeting Workshop Series
Pilot Online AIP Workshop with Municipality of Talibon Completed 2021 AIP Output from the Workshop
NNC Online Workshops to Integrate Nutrition in the 2021 AIP Link for LCEs to enlist their LGU planning teams: www. bit. ly/nutrition 2021 aip
Scaling up nutrition by LGUs is key to achieving the target outcomes of the Philippine Plan of Action for Nutrition 2017 -2022
Thank you! NATIONAL NUTRITION COUNCIL 2332 Chino Roces Ave Extension, Taguig City Official website: http: //www. nnc. gov. ph FB Pages: https: //www. facebook. com/nncofficial Youtube acct: http: ///www. youtube. com/user/NNC 1974 Email us at: info@nnc. gov. ph Telephone no. (02)8843 -0142 / Fax no. 8818 -7398
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