NUTRITION

REHABILITATION
PROGRAMME FOR
MALNOURISHED
CHILDREN IN 1
MALAYSIA
INTRODUCTION
 Malnutrition
Refers to deficiencies, excesses or imbalances
in a person’s intake of energy and/or nutrients.

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NATIONAL PLAN OF ACTION FOR
NUTRITION OF MALAYSIA III 2016-2025
(NPANM III)
 NPANM is the framework for action to address food and nutrition challenges
in the country.
 It is the nation’s blue print to promote optimal nutritional well-being of
Malaysians through a series of strategies and activities.
 Objectives :

-To enhance nutritional status

-To strengthen food and nutrition security
-To reduce diet-related non-communicable diseases (NCDs)

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STRATEGIES
1. Foundation Strategy
-Incorporating nutrition objectives, considerations and components into
national development policies and action plans
2. Enabling Strategies
• Promoting maternal, infant and young child nutrition
• Promoting healthy eating and active living
• Preventing and controlling nutritional deficiencies
• Preventing and controlling obesity and other diet-related NCDs
• Sustaining food systems to promote healthy diets
• Supporting efforts to promote food safety and quality
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3. Facilitating Strategies
• Providing standard nutrition guidelines for targeted groups
• Continuous assessment and monitoring of the nutrition situation
• Strengthening food and nutrition research and development
• Ensuring sufficient number of qualified nutritionists and dietitians
• Strengthening institutional and community capacity for nutrition

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 Global
Nutrition
Targets 2025

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NUTRITION PROGRAMMES AND
ACTIVITIES RELATED TO PREGNANT
WOMEN AND INFANTS
1. Nutrition Education & Breastfeeding Promotion for Mothers
• carried out in clinics and hospitals
• emphasises the importance of nutrition during pregnancy and lactating
• Emphesises adequate food intake in terms of quantity and quality for
pregnant and lactating mothers , infant & young children as well as
breastfeeding management.
• encouraged to breastfeed their infants exclusively for the first six months
and continued up to the age of two years.
• Complementary foods should be introduced at the age of 6 months.

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2. Cooking Demonstration on Diet for Mothers and Infants
implemented in health clinics since the establishment of the maternal and
child health services.
educate mothers on ways to prepare balanced diet for pregnant and
lactating mothers and infants and young children.
3. Supplementary Feeding Programme for Pregnant and Lactating Mothers
Full Cream Milk Programme has been implemented since 1970s.
to improve the nutritional intake of mothers
helps to overcome nutritional problems such as poor weight gain and
anaemia among pregnant mothers

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NUTRITION PROGRAMMES
AND ACTIVITIES FOR
CHILDREN 6 YEARS AND
BELOW
1. Rehabilitation Programme for Malnourished Children (Program Pemulihan
Kanak-Kanak Kekurangan Zat Makanan, PPKZM)
Has been implemented since 1989 as an effort to improve the nutritional
status of children aged six months to six years from poor families.
Target population :
• Aged 6 months to below 6 years
• Among low-income households and poor families.
• “hard‐core poor” households beneath the official Malaysian poverty
line
• Underweight by NCHS standard (US National Center for Health Statistic)
• Physically / mentally handicapped

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- Children who meet the criteria are given
 basic food supply to ensure food and nutrition security
 immunisation and treatment
 Health education focusing on child nutrition and personal hygiene are
emphasised to parents

2. Community Feeding Programme

implemented to specifically rehabilitate undernourished children from
the marginalised groups which are the Orang Asli and the Pribumi of
Sarawak
implemented in the remote areas in Perak, Pahang, Kelantan and
Sarawak
run by volunteers from the local community who have been trained by
Ministry of Health.

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* Food Basket
• One food basket will be provided on a monthly basis for children who are
eligible
• Each food basket consists of 2 fundamental materials, which are food items
and multivitamins
• Currently there are 13 packages available in food basket
• C = Rice, Breakfast cereals, rice noodles, chocolate malt powder,
Biscuits,
• P = Eggs, Sardines, anchovies
• F = Margarine, cooking oil
• M = Multivitamins, full cream powdered milk, special milk

• Packages one to twelve are food items which are able to provide 102-140%
of calorie and 204-222% of daily protein requirements
• Package 13 consists of multivitamin and specific milk powder to increase
children’s weight
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NUTRITION PROGRAMMES
AND ACTIVITIES FOR
SCHOOL CHILDREN
1. Pre schoolers (5-6 years)
 Activities include providing technical guidance on nutrition-related
activities such as menu reviewing, healthy and safe meal preparation,
nutrition education and nutritional status monitoring.
2. Primary/Secondary (7 - 17 years)
 Nutrition programmes and activities have been conducted in schools since
the 1970s.
 Activities include the School Feeding Programme (Rancangan Makanan
Tambahan, RMT), School Milk Programme (Program Susu 1Malaysia),
nutrition integration into the school curriculum, monitoring foods sold in
school canteens.
 Nutritional status of the school children are monitored routinely and the
information are recorded in the Student Health Record (Rekod Kesihatan 18
Murid, RKM)
Nutrition Education
 activities to promote healthy eating are also being conducted in various
forms such as dietary counselling, cooking demonstrations and exhibitions.
 Messages are also disseminated through television and cinema trailers and
crawlers, talks on TV and radio to reach of both urban and rural population
 Nutrition messages are also blasted through social media such as
Facebook, Twitter and YouTube
 In early 2015, smartphone application, namely MyNutriApps II:
MyNutriDiari, was introduced to the public to create a calorie conscious
society and regular body weight monitoring especially among adults.

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NPANM II
2006-2015

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INDICAT
OR

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 CASE SCENARIO
 A 2 years old child come for regular growth assessment. Anthropometry
taken & growth chart is plotted.

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SUMMARY
 Nutrition Rehabilitation Programme for Malnourished Children in Malaysia is
to improve the nutritional status of children aged six months to six years
from hard core poor families.
 Food basket (food items + multivitamin) will be provided on a monthly
basis for children who are eligible for a minimum of 6 months.
 Community Feeding Programme is implemented to specifically rehabilitate
undernourished children from the marginalised groups .

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REFERENCES
 nutrition.moh.gov.my/wp-content/uploads/2016/12/NPANM_III.
 http://nutrition.moh.gov.my/en/program-pengawasan-pemakanan-2/
 http://nutrition.moh.gov.my/en/program-pemulihan-kanak-kanak-kekuranga
n-zat-makanan-ppkzm
/
 http://www.who.int/features/qa/malnutrition/en/

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