The Three Sixers

LADERAS | LUANZON | VILLANUEVA

PHILIPPINE PLAN OF ACTION FOR NUTRITION 20112016
CountrysblueprintforachievingameaningfulnutritionalimprovementforallFilipinosandtheGovernmentsresponsetoglobal
commitmenttoeradicatehungerandmalnutrition
Background
IntegralcomponentandacompanionplanofthePhilippineDevelopmentPlan(PDP)
AnchoredontheMillenniumDevelopmentGoals(MDGs)
ProvidesframeworkforimprovingthenutritionalstatusofFilipinos
History
1970NationalFoodandAgriculturalCouncil(NFAC)coordinatedthenutritionprogramwithinthecountryunderPhilippine
FoodandNutritionProgram.
1974CreationofNNC(PD491NutritionActofthePhilippines);ImplementaPhilippineNutritionalProgram(PNP)
19931998MediumtermPhilippineFoodandNutritionProgram(MTPFNP)
19992004PhilippinePlanofActionforNutrition
20052010MediumtermPhilippinePlanofActionforNutrition(MTPPAN)/PPAN
Mediumterm:56years
TransitionfromMTPFNPtoPPAN/MTPPANin1993afterInternationalConferenceonNutritionwhereineachcountrywas
askingtoformulaterespectiveplansofactionfornutrition
Objectives
1. Addressthenutritionsituation
2. Provideguidanceandtrainingforpeople,whethervoluntarilyorbyduty,whodesiretobeinvolvedinnutritionaction
3. Layouttargets,directions,andpriorityactions
Goals
Improvingthequalityofthehumanresourcebaseofthecountryandtoreducingchildandmaternalmortality
Challenges and Goals
1. Hunger
Causes:increasesinpricesoffoodandnonfoodgoods,underemployment,andnaturaldisasters
Strategies
Foodproductionpoliciesandprogramsanddevelopmentandmaintenanceoffacilitiesthatwillallowimproveddistribution
offood
Pursueagriculture,agrarianreform,andtradepolicies
Improveagricultureinfrastructuresandfacilities
Establishkitchengardensinhomes
Stockpilebasiccommoditiesforemergencies
Pursuepoliciesandprogramsthatwillstabilizepricesofnonfoodgoods
Increaseinvestmentinagricultureandgivefarmersaccesstoknowledge
Improveeconomicaccesstofood
Pursueappropriatepoliciesandprogramsthatwillcreateanenvironmentconducivetoinvestments
Pursueappropriatepoliciesandprogramsthatwilldevelopskillsconsistentwiththejobmarketatlocaland
nationallevels
Buildcapacitiesforruraldevelopment
Offfarmandinbetweenseasonsemployment
Employmentofatleastonememberofthepoorhousehold
Creationoflinkswithindustriesandmarkets

 Protectthevulnerablefromfoodinsecuritythroughfoodbasedsafetynets
Convergesocialprotectioninareasmostvulnerabletofoodinsecurityandhunger

2. Underweight,stunting,wasting
Undernutritioninearlylifereduceslearningcapacityintheschoolageandworkingcapacityinadulthood;itisalsothemajor
contributortounderfivemortality
Strategies
Promotionofoptimuminfantandyoungchildfeedingpracticestoreducetheprevalenceofunderweightandstunted
underfivechildren
Adoptionandimplementationofappropriateguidelinesforthecommunitybasedmanagementofacutemalnutritionto
reducetheprevalenceofwastedunderfivechildren
Integrationandstrengtheningofnutritionservicesinantenatalcareservicestoreducetheprevalenceof
nutritionallyatriskpregnantwomen
Deliveryofanintegratedpackageofnutritionservicesintheschoolandalternativeschoolsystemtoreducetheprevalence
ofunderweightchildren610yearsold

3. Micronutrientmalnutrition
VitaminAandIrondeficienciesmayresulttoretardedgrowth,increasedmorbidityduetoinfectionsandincreasedriskof
mortalityespeciallyamongyoungchildrenandpregnantwomen
IDDhasbeenassociatedwithpregnancywastagespecificallystillbirthandmiscarriage,andcongenitalphysicalandmental
defects
Strategies
IncreasingthesupplyandconsumptionofmicronutrientstoreduceormaintaintheprevalenceofvitaminAdeficiencyand
IDDtolevelsbelowpublichealthsignificance;reducetheprevalenceofIDAamonginfants611monthsold,oneyearolds,
pregnantandlactatingwomentolessthanmoderatelevels(<40%)
Micronutrientsupplementation
Foodfortification
PromotionofthehomebasedproductionandconsumptionoffoodsrichinvitaminAandiron
Promotionoftheconsumptionoffortifiedfoods
Continuingadvocacyamongproducersoffortifiedfoodstoensuretheircompliancetorelatedregulations
Preventionandmanagementofrelatedinfections

4. Overnutrition
Overnutritionmaybecomeaseriousissueifnointerventionsareimplementedinordertosolvetheproblem.
Strategies
Promotionofhealthylifestylestopreventtheincreaseofoverweightandobeseindividuals
Healthyeating
Increasedphysicalactivity
Stressmanagement
Avoidanceofsmokinganddrinking

5. Regionaldimension
Thereisprevalenthungerandmalnutritionnationwide.Someregionsaremoreseriouslyaffectedbyoneormoreformsof
malnutrition
6. Factorsaffectingmalnutrition
Resultsfromtheinterplayofvariousfactors;allthesefactorsareimportanttoachievenutritiontargets
Implementation
Jointeffortfortheimplementationandtranslationintoprograms,projects,andactivities,includes:

 Nationalgovernmentagenciesprovisionofneededpolicyandlogisticssupport;sustainandfacilitatenutritionprogram
management(Ex.RA8172ASINLaw)
Localgovernmentunitsplanimplementation(Ex.conductingtrainingforhealthworkers)
Nongovernmentorganizationsinvolvedinplanimplementation
FoodIndustrycompliancetomandatoryandvoluntaryfoodfortification;ensurefoodsafety;involvementandparticipation
inraisingawarenessandconsciousnessonidealnutritionpractices
Academeconductionofresearchforthedevelopmentofmoreeffectiveplans,programs,andprojects;disseminationof
information;trainingofnutritionandhealthworkers
Internationaldevelopmentorganizationscomplementtheresourcesofnationalandlocalgovernments;extension
technicalassistanceandfacilitationnationwideofnutritionimprovement

Monitoring and Evaluation

PhilippineFoodandNutritionSurveillanceSystemprovidestheoverallmechanismformonitoringandevaluatingPPAN
20112016
Includesthreecomponents:
Collection,processing,andanalysisofdata
Assessmentofprogressinachievingplanbasedonchangesinnutritionsituation
Provisionofearlywarningshouldthesituationworsenincertainareasofthecountry
Useofmixstrategiesforassessmentofprogressofplanimplementation
Useofdatainsurveystotrackchangesinthenutritionsituation(suchasNNS,NationalDemographicandHealthSurvey,
FamilyIncomeandExpenditureSurvey)
ProgramImplementationReview(PIR)
NutritionEarlyWarningSystem
FeedbackSystem
MonitoringandEvaluationofLocalLevelPlanImplementation(MELLPI)conductedannuallysince1978;alsotaskedto
evaluatetheperformanceofBNS

References

NationalNutritionCouncil.(n.d.).PhilippinePlanofActionforNutrition20112016AbridgedVersion.Taguig,Metro
Manila,Philippines.
OfficialGazette.(1974).PresidentialDecreeNo.491s.1974.RetrievedSeptember5,2016,from
http://www.gov.ph/1974/06/25/presidentialdecreeno491s1974/
Solon.(1976,July).ThePhilippinenutritionprogramme.Agovernmentandprivateeffort.LesCarnetsdel'Enfarce,7290.
PhilippineInformationAgency.(2009,September1).MediumtermPhilippineplanofactionfornutritionupdated.Retrieved
September5,2016,fromPhilippineInformationAgency:
http://archives.pia.gov.ph/?m=12&sec=reader&rp=3&fi=p090901.htm&no=22&date=09/01/3309
WorldHealthOrganisation.(2012).PolicyPhilippinePlanofActionforNutrition.RetrievedSeptember5,2016,fromWorld
HealthOrganisation:https://extranet.who.int/nutrition/gina/en/node/8483
Cabotaje,M.(n.d.).Philippines.RetrievedSeptember5,2016,fromWorldHealthOrganisation
http://www.wpro.who.int/nutrition/documents/docs/phl.pdf
NationalNutritionCouncil.(n.d.).MonitoringandEvaluationofLocalLevelPlanImplementation(MELLPI).Retrieved
September5,2016,from
http://www.nnc.gov.ph/plansandprograms/philippinefoodandnutritionsurveillancesystem/monitoringandevaluationofl
ocallevelplanimplementationmellpi