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Iycf Strat Paper 25 April 2010_asecmbtf

Jun 03, 2018

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    BHIC Conference Room29 April 2010

    NNC Strategies for Infant and

    Young Child Nutrition

    Consultation Workshop for the 63rdWHA

    Assistant Secretary Maria-Bernardita T. Flores, CESO IIExecutive Director IV

    National Nutrition Council

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    OUTLINE

    NNC Actions

    Facilitating & hindering factors

    Key Challenges

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    NNC Actions

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    Updated MTPPANfor 2008-2010

    Directional plan to speed

    up improved nutrition by2010

    Targets for PEM, VADD,IDD and IDA retained

    Focus on pregnantwomen and children 0-2years old

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    PPAN DIRECTIONS 2008-2010 Intensify promotion of desirable IYCF and

    caring practices

    Organization of support groups

    Training of peer counsellors for one-on-oneand group counselling

    Multi-media promotion

    Protect nutritional status of women andchildren in emergency situations

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    Accelerated Hunger Mitigation Program Framework

    Unavailable or insufficient food to eat HUNGER No money to buy food

    Increase foodproduction

    Enhance efficiency oflogistics & food delivery

    Put more money inpoor peoples pockets

    Promote goodnutrition

    Demand SideSupply Side

    a) Conduct socialmarketingDOH, NNC/LGUs

    b) Promoteexclusivebreastfeeding,appropriate

    complementaryfeeding, andincreasedconsumption ofvegetables DOH, NNC,LGUs

    c) Nutritioneducation inschoolsDepED

    Productivityprograms includinglivestock, crops,marine regeneration(mangrove andcoastal fisherydevelopment), farmfamily (Gulayan ng

    Masa) and irrigation- DA, DENR, NIA

    a) Barangay Food Terminal& Tindahan NatinDA,NFA, DSWD

    b) Ports (RORO)-maximumuse of private ports,shipping - DOTC/PPA

    c) Farm to market roadsDPWH, DA, DAR, AFP

    d) Efficient local transportLGUs/Leagues ofP/C/M/B, DILG, PNP

    e) Food for SchoolProgram - DepED,DSWD, NFA

    f) Creation of NGO net-work to support feedingprograms - DSWD

    g) Community tradeablerice certificates - NFA

    a) Improve productivity in coconutareas (coconut coir, virgincoconut oil & other value-adding products, coconetproduction)DA, PCA ( CIIF)

    b) More aggressive micro-financingMicrofinanceProgram Committee

    c) Maximize employmentopportunities in construction &maintenance of farm-to-marketroads, irrigation and roadsidemaintenanceDPWH, MMDA,PNP, NIA, DAR, DA, AFP

    d) Aggressive trainingTESDA,DOLE, DSWD, CHED

    e) Upland land distribution (4M hafor jatropha, rubber)DAR,DENR

    Hunger Mitigation Measures

    Managepopulation

    ResponsibleParenthoodDOH,POPCOM,LGUs/ ULAP/Leagues ofP/C/M/B

    http://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Increase%20Food%20Production_post14June07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Increase%20Food%20Production_post14June07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Enhance%20Logistics%20and%20Food%20Delivery_post14June07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Enhance%20Logistics%20and%20Food%20Delivery_post14June07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Put%20More%20Money_post14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Put%20More%20Money_post14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Put%20More%20Money_post14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Promo_14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Promo_14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/RP_NFP_Pre%20Cab_Presn_June.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/RP_NFP_Pre%20Cab_Presn_June.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/RP_NFP_Pre%20Cab_Presn_June.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Promo_14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Put%20More%20Money_post14june07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Enhance%20Logistics%20and%20Food%20Delivery_post14June07.ppthttp://c/Documents%20and%20Settings/Acer%20Valued%20Customer/Desktop/AHMP%20ManCOn-03july/Increase%20Food%20Production_post14June07.ppt
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    Overall strategy

    Breastfeeding as an anti-hunger andanti-poverty intervention

    Focusfirst on Priority One Provinces

    Scale

    Eventual coverage of all provinces

    Coverage of all cities and municipalities

    50 percent of barangays

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    Overall strategy

    Capacity building as core strategy, with

    mass media support

    Coverage of those in health system and

    peers, e.g. successful breastfeeding

    mothers

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    Accomplishments, 2007 2009,

    CoverageArea Target Actual PercentP1 provinces 11 P

    181 M/C

    2,634 B

    10 P/NCR

    170 M/C

    2,300 B

    100

    93

    87P2 provinces 16 P

    297 M/C

    2,157 B

    16 P

    272 M/C

    2,206 B

    100

    91

    102

    P3 provinces 23 P483 M/C

    3,029 B

    23 P445 M/C

    2,585 B

    10092

    85

    Maguin-danao

    5 P

    115 M/C2,502 B

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    Accomplishments, 2007

    2009, Number trainedArea Target Actual Percent

    P1

    provinces

    11,103 9,260 83

    P2

    provinces

    13,712 10,902 80

    P3provinces

    9,583 7,901 82

    Total 34,308 28,063 81

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    AHMP Targets vs Total

    RequirementsProvinces Cities/Mun Barangays

    Philippines 80 1,634 42,023

    AHMPareas

    50 andNCR

    961 7,820

    AHMP

    areas

    targeted for2010

    Same 50

    NCR

    5 ARMM

    115 18,473

    Target

    2011-2012

    25 543 13,146

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    Other related activities

    IYCF indicators in NNC and LGUawards systems

    Infants exclusively breastfed from 0-6 mos

    Infants given complementary food not laterthan 6 months

    Accredited MBFHI

    Provision of complementary foods

    Campaign on breastfeeding promotion

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    Manual onlactation

    management

    Breastfeedingpromotion andsupport in baby-friendly hospitals

    Modules, manuals, syllabus

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    Other related activities

    Advocacy for breastfeeding rooms in

    regional offices of national government

    agencies, e.g. Region 8 RDC resolution

    IYCF concerns in Nutrition Month

    2003 on breastfeeding

    2004 on complementary feeding

    2010 on complementary feeding

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    Other related activities

    AHMP/Promote Good Nutrition

    implementation review in P1 provinces

    Development of IYCF counseling cards/

    flipchart for barangay implementors

    (with HKI)

    IYCF in the MDG-F program on child

    food security and nutrition

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    IYCF integrated in activities

    BNS & D/CNPC Convention

    Development of continuing education

    module for BNS focusing on MNCHN

    strategy

    Development of Nutrition Legislative

    Agenda for 15thCongress

    Advocacy for breastfeeding rooms ingovernment offices through issuance of

    resolution by RDC

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    Facilitating factors

    Passage of RA 10028 An act Expandingthe Promotion of Breastfeeding, Amendingfor the Purpose Republic Act No. 7600,Otherwise Known As An Act Providing

    Incentives to All Government and PrivateHealth Institutions with Rooming-In andBreastfeeding Practices and For otherPurposes

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    Hindering factors

    Not enough trainers

    Difficult to meet IEC requirements atlocal level

    Inadequate use of IEC materials

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    Hindering factors

    Lack of peer counseling protocol; LGUs

    need clear roles and functions of

    breastfeeding support groups; thosetrained not internalize concept

    Change in local workers due to

    elections, need train new workers

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    Prospects

    Continue with initiatives, in framework of

    MTPPAN and the strategic plan on

    IYCF

    Important to pool resources and

    synchronize efforts

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    Facilitating factors

    Passage of RA 10028 An act Expanding

    the Promotion of Breastfeeding, Amending

    for the Purpose Republic Act No. 7600,

    Otherwise Known As An Act ProvidingIncentives to All Government and Private

    Health Institutions with Rooming-In and

    Breastfeeding Practices and For otherPurposes

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    Key Challenges

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    Thank You!