The MediumTerm PPAN , 20052010 Prospects for the nutrition situation and MDGs

1
The Medium-Term PPAN , 2005-2010 Prospects for
the nutrition situation and MDGs

• Maria-Bernardita T. Flores
• Deputy Executive Director and
• Officer-in-Charge
• National Nutrition Council

2
OUTLINE
1
Nutrition situation
2
MTPPAN
3
Challenges prospects
4
Nutrition MDGs
3
Nutrition Situation
4
Prevalence of undernutrition, by age and
physiologic age group, 2003
Source 6th National Nutrition Surveys,
DOST-FNRI.
5
Trend in stunting, underweight and wasting among
0-5 y/o children, 1989-2003
Prevalence ()
Source FNRI National Nutrition Surveys
1990-2003
6
Trend in stunting and underweight among 6-10 y/o
children, 1989-90 to 2003
Source FNRI National Nutrition Surveys
1990-2003
7
Trend in underweight using BMI among 11-19 years
old 1993-2003
Prevalence
Source FNRI National Nutrition Surveys 1993,
1998 and 2003
8
Nutritional status of pregnant women, 1998-2003

• ? Nutritionally at-risk
• Not nutritionally at-risk

Source National Nutrition Surveys, FNRI, 1998
and 2003
Based on the FNRI Weight for Height Table for
Pregnant Women
9
Percent distribution of UIE levels by age and
physiologic groups, 1998 and 2003
Prevalence ()
Source National Nutrition Surveys, FNRI,
1998-2003
10
Median and percent distribution of UIE levels by
age and physiologic groups, 2003
Source National Nutrition Survey, FNRI, 2003
11
Prevalence of iron deficiency anemia in selected
population groups, 1998 and 2003
Source National Nutrition Surveys, FNRI, 1998
and 2003
12
Prevalence of vitamin A deficiency in selected
population groups, 1998 and 2003
1998
2003
Source National Nutrition Surveys, FNRI, 1998
and 2003
13
Prevalence of overweight and obesity among
adults, 1998 and 2003
Source National Nutrition Surveys, FNRI, 1998
and 2003
14
Prevalence of overweight among children and
adolescents, 1993-2003
Source National Nutrition Surveys, FNRI, 1993
and 2003
15
MTPPAN 1999-2004 targets performance
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Factors affecting nutritional status
Household income
Ability to obtain food
Resources/ Environment
Food availability
Food availability
Food availability
Nutritional Status
Desire to obtain food
Prices
Import/ Export
Utilization of food by family
Utilization of food
Socio-cultural, demographic factors
Macro secto-ral policies
Environmental quality
Health practices
Health status
Adapted from Per Pinstrup Andersens Causality
of Malnutrition as cited in the Philippine
country paper for the 1992 International
Conference on Nutrition.
17
Distribution of infants by breastfeeding status,
2003
? lt 6 months ? 6 9 months
Percent () Distribution
BF comple-mentary food
BF other milk
Not breast-feeding (BF)
BF water-based liquid/ juice
BF water only
Exclu-sive BF
Source National Demographic and Health Survey,
NSO 2003
18
Adequacy of mean one-day per capita nutrient
intake, 1993 and 2003
Source National Nutrition Survey, FNRI, 1993
2003
19
Subsistence incidence, 2003

Source NSCB.
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Hunger Incidence

• Average of 10.6 from 1998-2005 experienced
  hunger at least once within the immediate past
  three months

21
Trend in proportion of households with per capita
intake below the dietary energy requirement vs.
MDG1 Target 2
Halve of population whose consumption is below
minimum level of dietary energy requirement
Source National Nutrition Surveys, FNRI.
22
Prevalence of underweight among children, 0-5
years old, and per capita GNP growth rate, 1993,
1998 2003
? Underweight 0-5 y/o children ? Per capita
GNP growth rate
Year
Source National Nutrition Surveys, FNRI-DOST,
1993-2003 and Web Statistical Database, National
Statistical Coordination Board
23
Strategies to address malnutrition
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PNP 1974-1977
PNP 1978-1982
FNP 1984-1987
PFNP 1987-1992
PPAN 1993-1998
PPAN 1999-2004
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Programs under various nutrition plans
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National Development Agenda
PPAN
MDGs
Right to Adequate Food
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Goals

• Improved capacity to learn
• Improved health

Improved produc- tivity
Improved quality of life
Improved food security
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Targets
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Targets (continued)
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Targets (continued)
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Key performance indicators for risk factors and
associated lifestyle-related noncommunicable
diseases, 2005-2010
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Key performance indicators for risk factors and
associated lifestyle-related noncommunicable
diseases, 2005-2010
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Strategies

• Food-based interventions
• Focus on adolescent females, pregnant and
  lactating and 0-3 years old children
• Geographical focus to needier areas
• Complementation of nutrition interventions with
  other development interventions

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2. Food Assistance
3. Micronutrient Supplementation
1. Home, School, and Community Food Production
PPAN Programs
5. Food Fortification
35
PPAN Programs
7. Nutrition in Essential Maternal and Child
Health Services
6. Livelihood Assistance
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Facilitating Activities
2. Nutrition Advocacy
1. Human Resource Development
5. Resource Generation Mobilization
4. Research and Development
3. Policy Standards Formulation
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Organization and management
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Operationalization
ANNUAL OPERATIONAL PLANS
NGAs
LGUs
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Monitoring and evaluation
National Nutrition Survey
Philippine Food and Nutrition Surveillance System
PPAN Reporting System
MELLPI
FIVIMS
40
MTPPAN Financial Requirements (Initial Estimates)
41
Challenges and prospects
42
Changing the mindset for nutrition
1
43
Changing the mindset for nutrition
1

• Putting a nutrition perspective in development
  and sectoral programs

poverty
population
gender

• Nutrition objectives
• Nutrition interventions
• Nutrition as indicator

health
agri
44
nutrition
nutrition
45
Repositioning nutrition in the development agenda
2

• Building alliances beyond the usual
• More GO-NGO partnerships

46
Addressing programmatic concerns
3

• Scaling-up efforts for breastfeeding and
  complementary feeding
• Increasing frequency of vitamin A supplementation
• Increasing coverage of iron supplementation

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Addressing programmatic concerns
3

• Improving implementation of nutrition-related
  laws
• Scaling up successful nutrition interventions

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Human Resource Development
4

• Full-time nutrition action officers in LGUs
• BNS in every barangay

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UN Millennium Development Goals

• Eradicate extreme poverty and hunger
• Achieve universal primary education
• Promote gender equality
• Reduce child mortality
• Improve maternal health

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UN Millennium Development Goals

• Combat HIV/AIDS, malaria, other diseases
• Ensure environmental sustainability
• Develop a global partnership for development

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Relationship of nutrition with other MDGs
Improved income
? poverty
? child mortality
Improved health status
Nutrition
Nutrition
? maternal mortality
Improved school performance
? primary education
Gender equality/ women empowerment
Environment
Population
Global partnership
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Conclusion

• Nutrition is indicator and outcome of development
  and is central to the MDGs
• PPAN, a work in progress towards becoming more
  effective
• Put nutrition in the development agenda

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Challenge
2.9 M preschool children
2.7 M school-age children
0.8 M pregnant women
0.5 M lactating women
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Thank you!
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Nutritional status of
Pregnant women
Lactating women
? Overweight ? Normal ? Underweight
? Nutritionally at-risk ? Not
nutritionally at-risk
Source National Nutrition Surveys, FNRI, 1998
and 2003
56
Trend in overweight using BMI among 11-19 years
old 1993-2003
Source FNRI National Nutrition Surveys 1993,
1998 and 2003
57
Trend in prevalence of CED and overweight among
adults, 1993-2003
Source FNRI National Nutrition Surveys 1993,
1998 and 2003
58
Percentage distribution of 11-19 y/o by BMI
classification, by sex 2003
Source 6th National Nutrition Survey, FNRI, 2003
59
Trend vs. MDG 1 Eradicate extreme poverty and
hunger
Target 2 Halve the prevalence of underweight
children by 2015
60
Distribution of adults by age group andBMI
classification, 2003
Source 6th National Nutrition Survey, FNRI, 2003
61
Ten leading causes of mortality, 2002
Source Philippine Health Statistics, 2002
62
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