NCM 105:

NUTRITION AND
DIET THERAPY
VIII. Nutrition Education and Counseling: Behavioral Change
IX. Evidence-based Guidelines (EBG) in Nutrition Practice

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 Programs and
Services available in
GO’s and NGO’s

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2021 Nutrition Month Campaign
Objectives
1. Increase the understanding of the
EDUCATE
First 1000 Days of life strategy and
the PPAN as overall framework
2. Facilitate collaboration among various stakeholders
ENCOURAGE for scaled up interventions to fight malnutrition

3. Generate interactions from stakeholders about

ENGAGE nutrition

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Our nutrition situation
WASTING STUNTING
5.6% of children under-5 30.3% of children under-5
(800,000) (3.4 Million)

OBESITY MICRONUTRIENT
4.0% of children under-5 DEFICIENCIES
37.2% among adults
(Hidden hunger)

Chronic Energy HUNGER 21%

Deficiency8% of FOOD INSECURITY 53.9%
adults
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 What is the impact of the pandemic on
NUTRITION?
► Families had limited access to food
► “Ayuda” food items were insufficient to meet nutritional
needs
► Interruptions of nutrition programs and services
► Maternal health services were affected
► Physical inactivity and unhealth behaviors increased
Source: 2020 RNAS. DOST-FNRI.

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Source:
PPAN 2017-2022

Regional Plan of Action for

Nutrition

Local Nutrition Action Plan

(Provincial, City/Municipal,
Barangay)
 PPAN 2017-2022
What are the
nutrition-specific
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.
• Starts from conception up to the first two years of a
child
• “golden window of opportunity” where health,
nutrition, and development foundations are
established
• Its impact:
• Optimum growth and development
• Higher IQ and better performance in school
• Lower risk of diseases and overall better health
• Increased productivity and higher income
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• Reduced child deaths
 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
evidence-based interventions could reduce child stunting by 20%, if scaled
to 90% coverage” – World Health Organization (WHO) and Lancet Journal
Malnutrition can be prevented particularly
during the first 1,000 days of life
1. Antenatal multiple micronutrient supplementation to reduce risk of
stillbirths, low birthweight and small-for-gestational age babies;
2. Provision of supplementary food in food-insecure settings.
3. Use of locally produced, ready to use supplementary and therapeutic food
to manage acute malnourished children;
4. Preventive small-quantity lipid based nutrient supplementation for children
aged 6 to 23 months for positive effects in child growth.

Source: Keats, E. C., Das, J. K., Salam, R. A., Lassi, Z. S., Imdad, A., Black, R. E., & Bhutta, Z. A. (2021). Effective interventions to address maternal and child
nutrition: an update of the evidence. 1 May 2021. The Lancet Child & Adolescent Health, Volume 5, Issue 5, 367-384.

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Malnutrition can be prevented particularly
during the first 1,000 days of life
5. Integrated interventions including diet, exercise, and behavior therapy for
prevention and management of childhood obesity;

6. Nutrition-sensitive programs that yield nutritional benefits including

malaria prevention, preconception care, and water, sanitation, and hygiene
(WASH) promotion; and

7. Improved coverage of interventions to reach the most vulnerable groups.

Source: Keats, E. C., Das, J. K., Salam, R. A., Lassi, Z. S., Imdad, A., Black, R. E., & Bhutta, Z. A. (2021). Effective interventions to address maternal and child
nutrition: an update of the evidence. 1 May 2021. The Lancet Child & Adolescent Health, Volume 5, Issue 5, 367-384.

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Basis for LGU Funding for nutrition
► DILG Memorandum Circular 2018-42 – enjoins all LGUs to prioritize in their
allocation of local funds the PPAN included in their local nutrition action plans
formulated in accordance with the PPAN 2017-2022
► DILG-DOH Joint Memorandum Circular 2019-0001 – Guidelines for integration
of PAPs from the PPAN to the local development plans, investment programs
and budget of LGUs
► DBM guidelines on annual LGU budget preparation that requires LGUs to
prepare local nutrition action plans
► National Budget Memorandum No. 130
► Local Budget Memoranda No. 77 S. 2018
► Local Budget Memoranda No. 80. 2020
► Local Budget Memoranda No. 82. 2021

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Policies and programs that support nutrition

► RA 11148 Kalusugan at Nutrisyon ng Mag-Nanay Act

► RA 11210 105-Day Expanded Maternity Leave Law
► RA 11037 Masustansyang Pagkain para sa Batang Pilipino Act
► RA 10410 Early Years Act
► RA 10028 Expanded Breastfeeding Promotion Act
► RA 8976 Food Fortification Law
► RA 8172 ASIN Law
► EO 51 Philippine Milk Code

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 Platforms for collaboration

► IATF on Zero Hunger

► Launched the National Food Policy under the leadership of the
Office of the Cabinet Secretary
► Involve all government stakeholders to eradicate hunger, achieve
food security, improve the nation’s nutrition situation, and
promote sustainable agriculture.

► Pilipinas Kontra Gutom (PKG) Movement

► National and multisectoral anti-hunger movement with support
from the private sector, NGOs and foundations, CSOs, and digital
and media partners

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 Platform for collaboration

► Scaling Up Nutrition (SUN) Movement

► Global movement to convene different sectors to
implement actions aligning nutrition targets
► SUN Philippines
► Organized sectors including: United Nations, donors, civil
society, business, academe, and government
► Adopted SUN Strategy 3.0 in June

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Current support for nutrition?

Personal Service
development? delivery?

Policies and Nutrition

budgets? education?

Advocate? Don’t care?

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How can stakeholders
support nutrition?

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 Opportunities to support nutrition: National
Government
1. Strengthen policies and programs on scaling up nutrition
interventions
2. Invest in nutrition through inclusion of nutrition programs in the
national annual budget, operational plans, and human
resources
3. Establish more nutrition-sensitive programs to address basic
and underlying causes of malnutrition
4. Prioritize nutritionally vulnerable groups as beneficiaries in
nutrition-specific and nutrition-sensitive government programs
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Opportunities to support nutrition: Local
Government
1. Adopt the PPAN in local nutrition action plan and annual
investment plan
2. Increase support to nutrition programs and its
implementation, with focus on the first 1000 days with
adolescents, pregnant and lactating women, and infants
and young children as primary beneficiaries
3. Ensure delivery of essential health and nutrition programs
in the first 1000 days, as mandated by RA 11148
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Opportunities to support nutrition: Local
Government
4. Improve access of health and nutrition programs in
far-flung areas, geographically-isolated and disadvantaged
areas, urban poor, resettlement areas and indigenous
peoples
5. Coordinate with national government agencies through
the regional offices in capacity building and technical
assistance for implementation of programs on health and
nutrition
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Opportunities to support nutrition: Private
sector
1. Create an enabling work environment for women and children
2. Ensure protection of women in the labor industry by establishing
lactation stations and provision of breastfeeding breaks (RA 10028)
3. Provide and allow expanded maternity leave to encourage proper
postpartum care and exclusive breastfeeding
4. Tweak budget and plans for nutrition-related activities and services
to employees and clientele
5. Comply with EO 51 for manufacturers of breastmilk substitutes

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Opportunities to support nutrition: Media

1. Develop materials for information, education, and

communication of nutrition messages to the public
2. Disseminate factual information on good nutrition through print,
television, radio, digital media, and other media
3. Promote good and healthy nutrition practices in commonly
consumed media like film and television, as well as digital media
4. Encourage the public to participate in national and local health
and nutrition programs
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Opportunities to support nutrition: Civil society

1. Advocate for increased attention to nutrition in the first 1000 days, and
more investment on it

2. Empower communities to support programs for prevention of

malnutrition in the first 1000 days

3. Work with the government in strengthening efforts to address

malnutrition

4. Widen reach of nutrition programs to areas with less access to health

and nutrition programs

5. Join the Scaling Up Nutrition Civil Society Alliance.

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Opportunities to support nutrition: Academe

1. Ensure that nutrition is part of the curricula.

2. Conduct webinars, online fora, and other activities on nutrition
3. Have its extension programs promote good nutrition and encourage the
school and university constituents’ participation
3. Conduct research on nutrition aligned with the PPAN Research Agenda
4. Join the Scaling Up Nutrition Academe Network

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 Opportunities to support nutrition:
Families/Individuals
1. Practice good nutrition in your family
2. Participate in nutrition programs
3. Help others achieve proper nutrition by
doing voluntary work in communities
4. Innovate and think out of the box.

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ACTIVITIES TO SUPPORT NUTRITION MONTH
CAMPAIGN
1. Disseminate Nutrition Month through streamers, websites, and
social media
2. Conduct nutrition webinars and online fora
3. Review and tweak organization plans and budgets to include
nutrition-related activities and services
4. Participate in Nutrition Month activities in your community and
that of the NNC and other agencies with observance of
minimum health standards
5. Do volunteer work in nutrition
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Call to action for nutrition!
Let us all work together to eliminate all forms of
malnutrition, raise a new #Laking1000 generation of
Filipinos achieving their full potential.

Be one of the spoons to advocate for good nutrition

among Filipinos beginning in the first 1000 days of
life!

Sa PPAN, Panalo ang Bayan!

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