Advocacy Presentation - Investing in Nutrition in The New Normal2
Advocacy Presentation - Investing in Nutrition in The New Normal2
New Normal
Building Pandemic Resiliency of Local Governments
through Investments in Nutrition
20
10
0 1989 1992 1993 1996 1998 2001 2003 2005 2008 2011 2013 2015 2018 2019
Source: NNS, FNRI-DOST
WASTING STUNTING
5.8% of children under-5 28.8% of children under-5
(800,000) (3.4 Million)
MICRONUTRIENT
OBESITY
2.9% of children under-5 DEFICIENCIES
9.6% among adults (Hidden Hunger)
in ASEAN Countries
Simplifying the problem and the
recommended strategy for LGUs
• Among all forms of malnutrition, stunting is the key
problem to solve
• The program for the First 1000 Days (PPA) is the key
program to reduce and prevent stunting
• Together with the First 1000 Days Program, there are
three other nutrition PPAs that will build increased
resiliency against the pandemic
• All these PPAs exist in one form or the other and can
be implemented and budgeted by the local
governments of all income types
Understanding the First 1000 Days
THE FIRST 1000 DAYS OF LIFE
YOUNGER STAGE
OF INFANCY 180 DAYS
Birth to 6 months
PERCEPTION &
COMPREHENSION
Temporal
Lobe
MEMORY
LANGUAGE
Source: http//www.globalhealthhub.org/2016/09/19mri-evidence-favor-cash-tranfers/
WELL-NOURISHED CHILDREN IN THE
FIRST 1000 DAYS…
Go to earn
Complete 21% more
4.6 more in wages as adults
grades in school
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)
Target Latest
Indicators for the First 1000 Days Coverage Coverage
Source
7.3%
Mongolia 29.8%
(Year 2016)
(Year 2000)
42.1%
Tajikistan (Year 2000)
17.5%
(Year 2017)
33% 19%
Senegal (Year 1993) (Year 2014)
What did Peru do?
(1) Rallied strong political commitment and a clear direction expressed in
measurable, time-bound goals
(2) Improved quality and coverage of nutrition services, especially in rural areas
Q1K Cohort
2018 Q1K Cohort 2018
Stunting Wasting
SUCCESS STORIES IN STUNTING REDUCTION
GAMAY BUYAG FIRST 1000 DAYS PROGRAM
(Bata ang Una sa Yaman ng Gamay)
KEY ACTIONS TAKEN BY LGUs TO
ACHIEVE STUNTING REDUCTION
Leadership of the First 1000 Days Program and the LGU
Nutrition Program
• Establishment of the F1K Program with budget
appropriations and supported by local ordinance
• Scale up implementation and track progress of the six
critical interventions for increased coverage
• Focus on results and stunting outcomes
• Establish information systems for effective monitoring
of results and stunting outcomes, as well as progress
across the six critical interventions
Recommendation for LGUs on
nutrition PPAs in the 2021 AIP
Nutrition PPAs for LGUs to
invest in the 2021 AIP
First 1000 Days Program
1 To reduce and prevent stunting among children
Other supportive programs in health, water and sanitation, and other sectors in the LGU
Pilot Online AIP Workshop with Municipality of Talibon
DILG-DOH-NNC Joint
Memorandum Circular 2019-01
Policies supportive of
scaling up nutrition in the Philippines