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PPAN

 

In its first meeting for the year 2017, chaired by Secretary of Health and Chairperson Paulyn Ubial, the NNC Governing Board approved the Philippine Plan of Action for Nutrition 2017-2022 as per NNC Governing Board Resolution No. 1, S 2017 (Approving and Adopting the Philippine Plan of Action for Nutrition 2017-2022).

The approved PPAN includes fighting targets for the plan period as follows:

Outcome Targets

1. Reduce levels of child stunting and wasting:

Indicator1

Baseline

Target, 2022

Prevalence (in percent) of stunted children under 5 years old

33.4 (4.6M)

21.4 (3.3 M)

Prevalence (in percent) of wasted children:

- Children under 5 years old

7.1 (1.0 M)

<5 (0.8 M)

- Children 6-10 years old

8.4

<5

1 Baseline based on 2015 updating national nutrition survey conducted by the Food and Nutrition Research Institute

2. Reduce micronutrient deficiencies to levels below public health significance: 

Indicator1

Baseline

Target, 2022

Vitamin A deficiency.  Prevalence (in percent) of children 6 months to 5 years old with vitamin A deficiency (low to deficient serum retinol)

20.4

<15

Anemia.  Prevalence (in percent) of anemia among women of reproductive age

11.7

6.0

Iodine deficiency disorders

Median urinary iodine excretion, ug/L

   

-   Children 6-12 years old

168

≥100

-   Pregnant women

105

≥150

-   Lactating mothers

77

≥100

Percent with urinary iodine concentration <50 mcg/L

   

-   Children 6-12 years old

16.4

<20%

-   Lactating women

33.4

<20%

1 Baseline based on 2013 national nutrition survey conducted by the Food and Nutrition Research Institute

3. No increase in overweight among children, reduced overweight among adolescents and adults 

Indicator

Baseline

Target, 2022

Prevalence (in percent) of overweight

-   Children under five years old1

3.8 (0.5 M)

<3.8 (<0.6M)

-   Children 6 – 10 years old2

8.6

<8.6

Adolescents1

9.2 (1.7 M)

<5 (1.1 M)

Adults2

31.1

28.0

1 Baseline based on 2015 national nutrition survey conducted by the Food and Nutrition Research Institute
2 Baseline based on 2013 national nutrition survey conducted by the Food and Nutrition Research Institute

Sub-Outcome/ Intermediate Outcome Targets

Indicator

Baseline

Target, 2022

Reduce the proportion of nutritionally-at-risk pregnant women1

24.8

20

Reduce the prevalence of low birthweight3

21.4

16.6

Increase the percentage of infants 5 mos old who are exclusively breastfed1

24.7

33.3

Increase the percentage of children 6-23 months old meeting the minimum acceptable diet1

18.6

22.5

Increase the percentage of households with diets that meet the energy requirements2

31.7

37.1

1 Baseline based on 2015 updating national nutrition survey conducted by the Food and Nutrition Research Institute
2 Baseline based on 2013 national nutrition survey conducted by the Food and Nutrition Research Institute2
3 Baseline based on 2013 National Demographic and Health Survey

To achieve the target, PPAN 2017-2022 will involve the implementation of a mix of nutrition-specific programs that address the immediate causes of malnutrition. These are:

Program/Project

Agency involved

Infant and Young Child Feeding

90% of pregnant women receive counseling support on nutrition;

90% of mothers with infants 0-5 mos old receive counseling support on EBF

90% of mothers with infants 6-11 mos old receive counseling support on complementary feeding

-        Health systems support

DOH, LGUs

-        Community-based health and nutrition support

DOH, NGOs, LGUs, Development Partners (DPs)

-        Maternity Protection and Improving Capacities of Workplaces on Breastfeeding

DOLE, Employers, Employees’ Unions, NGOs, LGUs, DPs

-        Establishment of breastfeeding places in non-health establishments

All agencies, NGOs, LGUs, DPs, CSC

-        Enforcement of the Milk Code

DOH, LGUs

Integrated Management of Acute Malnutrition 

90% of severe acute malnutrition (SAM) cases are treated

90% of near-SAM cases are treated

DOH, NGOs, LGUs, DP

National Dietary Supplementation Program

90% of poor pregnant women who are nutritionally-at-risk receive food supplementation

90% of children 6-23 mos old from poor families receive food supplementation

100% of children in day care centers receive food supplementation

Supplementary feeding expanded to children enrolled in the Supervised Neighborhood Play

100% of severe acute malnutrition cases of school children receive appropriate food supplementation

-        Pregnant women

DOH, NGOs, LGUs, DPs

-        Children, 6-23 months old

DOH, NGOs, LGUs, DPs

-        Children 24 – 59 months old

DSWD, NGOs, LGUs, DPs

-        School-age children

DepEd, NGOs, LGUs, DPs

-        Food plant for producing food supplements

FNRI, LGUs, SUCs, NGOs

National Nutrition Promotion Program for Behavior Change

90% of pregnant women, mothers with infants 0-23 months old and acutely malnourished children receive nutrition information through counseling and nutrition classes

Multi-media nutrition campaign on key desired behaviors implemented

-        In schools

DepEd, NGOs, LGUs, DPs

-        In communities

DOH, DSWD, NGOs, LGUs, DPs

-        In workplace

DOH, DOLE, NGOs, LGUs, DPs

-        Resource center

NNC (coordinator)

Micronutrient supplementation (vitamin A, iron-folic acid, multiple micronutrient powder, zinc)

90% of target population receive vitamin A capsules, iron-folic acid supplements, iodized oil capsules and zinc

-        In health unit

DOH, NGOs, LGUs

-        In schools

DepEd, NGOs, LGUs

-        Communication support

DOH, NGOs, LGUs

Mandatory food fortification (technology development, capacity building, regulation and monitoring, promotion)

90% compliance of industries involved

-        Rice fortification with iron

DOH, DSWD, DepED, NGOs, LGUs, industry

-        Flour fortification with iron and vitamin A

-        Cooking oil fortification with vitamin A

-        Sugar fortification with vitamin A

-        Salt iodization

Nutrition in emergencies

Nutrition-related services delivered to affected population in disaster situations`

DOH, DSWD, National/Local DRRMC, NGOs, LGUs, DPs

Overweight and Obesity Management and Prevention Program

50% of preschool children, school children, and adults covered by healthy eating environment and promotion of healthy lifestyle

-        Healthy Food Environment

-        Promotion of Healthy Lifestyle

-        Weight Management Intervention

DOH, DSWD, DOLE, NGOs, LGUs, industry, CSC, DPs

These programs will be complemented by the Nutrition-sensitive Program that includes existing development projects that will be tweaked to produce nutritional outcomes. The tweaking can be by way of targeting households with undernourished children, or pregnant women or children 0-23 months old for employment, or Targeting areas with high levels of malnutrition for the development project, and serving as a channel or platform for delivering nutrition-specific interventions. Initially, the following projects have been identified for the Nutrition-Sensitive Program:

1. Farm-to-market roads and child nutrition, DA

2. Target Actions to Reduce Poverty and Generate Economic Transformation (TARGET) and child nutrition, DA
3. Coconut Rehabilitation Program, PCA
4. Gulayan sa Paaralan, BPI, DepEd
5. Diskwento caravans in depressed areas, DTI
6. Family development sessions for child and family nutrition, DSWD
7. Mainstreaming nutrition in sustainable livelihood, DSWD
8. Public works infra and child nutrition, DPWH
9. Adolescent Health and Nutrition Development, DOH
10. SALINTUBIG and other water, sanitation and hygiene, DOH, DILG

Enabling programs include 1) Mobilization of LGUs for nutritional outcomes, 2) Policy development for food and nutrition, 3) Strengthened management support to PPAN.

National government agencies, non-government entities, and local government units will implement the PPAN 2017-2022 as specified in the PPAN 2017-2022 National Implementation Plan, the Regional Plan of Action for Nutrition 2017-2022 and the local nutrition action plan.

The PPAN is a companion plan of the Philippine Development Plan. It was formulated under the leadership of the NNC Secretariat. Plan formulation started with the conduct of a nutrition landscape analysis commissioned by NNC with support from Micronutrient Initiative and the United Nations Children’s Fund (UNICEF). The analysis involved document reviews, focus group discussions, key informant interviews, inter-sectoral consultations and validation meetings with a wide range of stakeholders.

The Executive Summary of PPAN 2017-2022 can be found in this link.

 

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