Bicol Region Nutrition Plan 2012-2016

Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Region V, Legazpi City

BICOL REGION
NUTRITION STRATEGIC PLAN,
2012-2016

October 2012

Bicol Region Nutrition Strategic Plan, 2012-2016 I 2

TABLE OF CONTENTS

Content Page

Introduction 4

The Systems Model 5

MTPPAN 2011-2016 6

Nutrition Situation of the Bicol Region 7

Health Statistics in Bicol Region 11

Force Field Analysis 13

Strategic Plan 14

A. Vision of RNC

a. Organizational Vision 14

b. Social Vision 14

B. Mission of RNC 14

C. Core Values 14

D. SWOT Analysis 14

Key Results Areas and Success Indicators 15

A. Organization and Management 16

B. Policy Recommendation & Advocacy 17

C. Partnership Building 18

D. Resource Management 19

E. Capability Building 20

F. Service Delivery 20

Regional Strategic Thrusts 23

Our Core Strategies 23


Content Page

Operational Plans for Year 1: May December 2012 24

A. Organization and Management 24

B. Policy Recommendation & Advocacy 24

C. Partnership Building 24

D. Resource Management 25

E. Capability Building 25

F. Service Delivery 25


INTRODUCTION

The 2011-2016 Philippine Development Plan of Action and Medium
Term Philippine Plan of Action for Nutrition (MTPPAN) under the Aquino
administration aim to address the gaps of the past plan period 2005-2010 as well
as meet the current and future challenges of development on a national scale.

The MTPPAN is integral to the Philippine Development Plan, under
Chapter 8 on Social Development, together with concerns on health, population,
education, housing, social protection, and asset reform. It lays the solid
groundwork from which to draw up a plan for nutrition in all regions of the
country which is mandated of all the regional offices of the National Nutrition
Council.

Hence, it becomes imperative for the Bicol Region to formulate a
Regional Nutrition Strategic Plan for the next five years (2012-2016). This
document aims to present that planthe 2012-2016 Regional Nutrition
Strategic Plan of the Bicol Region which is the product of a strategic planning
workshop held at the Mayon Spring Resort, Sto. Domingo, Albay from April 17
to 18, 2012.

This document is the final output of a collaborative act among different
individuals, representatives from agencies and LGU partners that comprise the
Regional Nutrition Committee (RNC) of the Bicol Region.

The regional plan serves as a guide for all nutrition stakeholders both
local and nationalso that they may move in one and the same direction with
clear targets, improved capabilities and a stronger drive to succeed in all
nutrition endeavours in the Bicol Region.


THE SYSTEMS MODEL

The strategic planning framework begins with the ideal future vision that the
organization wants to achieve (output). It then works backward to the present and plans the
strategies to achieve the vision.

Output defines the ideal future success in the organizations own terms: Where does it want
to be in the future at time X?

Inputs of assessments of where the organization is today are the primary means to develop
core strategies to achieve its ideal vision.

Throughput consists of a set of specific actions to ensure successful implementation of the
plan.

Strategic planning must start with the output (outcomes, ends, desired results or goals),
since the organization wants to be proactive in creating its ideal future. This is what
distinguishes it from traditional long- range and other forms of planning. They usually start
with the presentfocusing primarily on problem-solving existing issuesrather than having
a vision of success and profitability to achieve.

In the systems model, it is also understood that the system operates within a dynamic
and ever-changing environment that brings opportunities, constraints and demands on the
organization. Adapting to these external forces to achieve success is a constant challenge for
the organization.


Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Region V, Legazpi City

BICOL REGION NUTRITION STRATEGIC PLAN, 2012-2016

EXECUTIVE SUMMARY

INTRODUCTION

The 2011-2016 Philippine Development Plan of Action and Medium Term Philippine
Plan of Action for Nutrition (MTPPAN) under the Aquino administration aim to address the
gaps of the past plan period 2005-2010 as well as meet the current and future challenges of
development on a national scale. (Please refer to Annex 1)

The MTPPAN is integral to the Philippine Development Plan, under Chapter 8 on
Social Development, together with concerns on health, population, education, housing, social
protection, and asset reform. It lays the solid groundwork from which to draw up a plan for
nutrition in all regions of the country which is mandated of all the regional offices of the
National Nutrition Council.

Hence, it becomes imperative for the Bicol Region to formulate a Regional Nutrition
Strategic Plan for the next five years (2012-2016). This document aims to present that plan
the 2012-2016 Regional Nutrition Strategic Plan of the Bicol Region which is the product of
a strategic planning workshop held at the Mayon Spring Resort, Sto. Domingo, Albay from
April 17 to 18, 2012 and follow-up meetings afterwards.

This document is the final output of a collaborative act among different individuals,
representatives from agencies and LGU partners that comprise the Regional Nutrition
Committee (RNC) of the Bicol Region.

The regional plan serves as a guide for all nutrition stakeholders both local and
nationalso that they may move in one and the same direction with clear targets, improved
capabilities and a stronger drive to succeed in all nutrition endeavours in the Bicol Region.


NUTRITION SITUATION OF THE BICOL REGION

Poor nutrition as a result of inadequate food intake has been identified as one of the leading
causes of undernutrition among Bicolano preschool children.
Results of the 2011 Updating of nutritional status of children (0-5 years old) conducted by the
Food and Nutrition Research Institute of the Department of Science and Technology (FNRI-
DOST) showed that in the Bicol Region:
Among preschoolers, 0-5 years old (Please refer to Table 1)
25 out of every 100 preschoolers are underweight
37 out of every 100 preschoolers are stunted/underheight
8 out of 100 preschoolers are wasted or thin
3 out of 100 preschoolers are overweight for height
Table 1. Prevalence of malnourished children, 0-5 year old (0-60 months) by province,
using WHO-CGS, 2011*

Region/Province Underweight Stunting Wasting Overweight for
Height
Philippines 20.2 33.6 7.3 4.8
Bicol Region 25.3 36.8 8.4 3.3
Albay 26.3 30.5 10.7 4.8
Camarines Norte 30.4 43.2 8.3 2.1
Camarines Sur 22.5 34.5 6.8 3.6
Catanduanes 27.3 51.2 9.8 0
Masbate 22.9 43.1 5.9 1.8
Sorsogon 28.2 36.0 10.4 3.9
* Source: FNRI DOST, Nutritional Status of Filipino Children and Population Groups, 2011

Among school-age children, 5-10 years old (Please refer to Table 2)
40 out of every 100 preschoolers are underweight
37 out of every 100 preschoolers are stunted
12 out of 100 preschoolers are wasted or thin
3 out of 100 preschoolers are overweight for height

Table 2. Prevalence of malnourished children, 5.08-10 year old (61-120 months) by
province, using WHO-CGS, 2011 *

Region/Province Underweight Stunting Wasting Overweight for
Height
Philippines 32.0 33.6 8.5 4.3
Bicol Region 39.6 36.6 11.6 2.7
Albay 41.0 34.1 14.2 1.8
Camarines Norte 38.2 37.9 11.3 5.1
Camarines Sur 36.6 33.8 12.7 3.2
Catanduanes 29.9 37.0 7.9 5.0
Masbate 45.3 45.8 5.7 1.5
Sorsogon 40.9 34.4 14.0 2.6

Table 3. Percentage distribution of 121-228 months old children by province and by
Height-for-age classification using the WHO-CGS, Philippines, 2011

Region/Province Underheight Normal Tall
Philippines 35.7 64.1 0.1
Bicol 39.3 60.7 0.0
Albay 37.9 62.1 0.0
Camarines Norte 38.0 62.0 0.0
Camarines Sur 37.4 62.5 0.1
Catanduanes 44.0 56.0 0.0
Masbate 45.8 54.2 0.0
Sorsogon 36.8 63.2 0.0

In the Bicol region, only 3/5 or 61 of 100 children 10-19 year old have normal height for their
age.

Table 4. Percentage distribution of 121-228 months old children, by province and by
BMI-for-age classification using the WHO Growth Reference: Philippines, 2011

Region/Province Thin Normal Overweight Obese
Philippines 12.7 80.6 5.0 1.7
Bicol 14.9 82.1 2.1 0.9
Albay 17.4 78.6 2.5 1.6
Camarines Norte 15.9 81.7 2.3 0
Camarines Sur 15.6 81.0 2.2 1.2
Catanduanes 10.6 86.7 2.0 0.7
Masbate 11.2 87.3 1.0 0.4
Sorsogon 14.7 82.2 2.5 0.5

Using BMI, 82 of 100 children 10-19 year old have normal nutritional status. However, 3 of
100 children are at least overweight.

Table 5. Prevalence of Chronic Energy Deficiency, Overweight and Obesity among
Adults, 19.08 years and over using the WHO Classification by province:
Philippines, 2011

Region/Province Chronic Energy
Deficient
Overweight Obese
Philippines 10.6 21.6 5.9
Bicol 12.2 17.5 4.1
Albay 11.7 17.7 4.3
Camarines Norte 16.3 16.4 3.0
Camarines Sur 11.5 18.9 4.2
Catanduanes 10.2 15.9 3.2
Masbate 9.7 14.6 3.6
Sorsogon 15.1 18.0 5.0


In the Bicol region, there are more overweight adults 19 years old and over than adults
suffering from chronic energy deficiency.

Iron Deficiency Anemia (IDA)
The 2008 National Nutrition Survey showed that anemia remains prevalent in Bicol
Among the 6 months to 5 years old children, 25 in every 100 are
anemic; higher than the national prevalence of 24 in every 100.
For the 6-12 years old children, 15 in every 100 are anemic; lower than
the national prevalence of 20 in every 100.
Among 13-19 years old, the region has low prevalence of anemia at 8
in every 100; lower than the national prevalence of 14 in every 100.

Anemia Prevalence
Among pregnant women, there is a high prevalence of anemia with 51 in
every 100
Among lactating mothers, 24 in every 100 are anemic, indicating moderate
prevalence
For the 20-59 year old adults, 11 in every 100 are anemic, indicating moderate
prevalence

At the regional level, the 2009 OPT (Operation Timbang) Results submitted by the
Provincial Nutrition Committees of the Bicol Region reveal that those children aged 0-71
months old who are below normal continued to drop from 2005 to 2009, from 21.37% to
18.03%, using the International Reference Standard (IRS) Classification. Using the WHO-
Child Growth Standards (CGS), it further dropped to 15.98% in 2010 and 14.86% in 2011.
2005 2006 2007 2008 2009
Below Normal 21.37 20.89 20.27 20.35 18.03
Above Normal 2.19 2.35 1.85 1.75 1.44
0.00
5.00
10.00
15.00
20.00
25.00
P
r
e
v
a
l
e
n
c
e

(
%
)
Prevalence of Malnutrition among 0-71 months
children Bicol Region
2005 2009, using IRS


2010 2011
Underweight 15.98 14.86
Overweight 1.27 1.31
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
P
r
e
v
a
l
e
n
c
e
Figure 1: Prevalence of Malnutrition among 0-71 months children
Bicol Region
2010 2011, WHO-CGS

This positive trend in the nutritional status of the region is good news. However,
these improved results have to be sustained through the formulation of the local nutrition
action plan, budget allocation, plan implementation and monitoring & evaluation at all levels.

Despite the reduction on the magnitude of malnutrition in 2011, the province of Camarines
Sur ranks first as to the highest number of underweight preschool children with a prevalence
rate of 19.08%, followed by Catanduanes (18.03%), Masbate (16.45%), Albay (14.91%),
Sorsogon (13.0%) and Camarines Norte (12.97%) with the least number of underweight
preschool children aged 0-5 years old. (Please refer to Attachment 1).
Looking at the nutritional status of School Children, School Year 2011-2012 Baseline Data,
results show that there were 49,883 (5.54%) school children who are severely wasted,
14.43% (129,812) are wasted, 78.36% (705,135) are of normal status, 1.37% (12,328) are
overweight, and 0.30% (2,681) are considered obese. (Please refer to Attachment 2).


HEALTH STATISTICS IN BICOL REGION
Table 1. CAUSES OF INFANT MORTALITY
Leading Causes of Infant Mortality
Number and Rate per 1000 Livebirths
Bicol Region, 2006-2010 vs 2011
Causes
5-Year Average 2006-2010 2011
No. Rate No. Rate
1. Pneumonias 308 2.64 336 2.78
2. Prematurity 85 0.73 157 1.30
3. Septicemia 124 1.06 123 1.02
4. Congenital Anomalies 98 0.84 88 0.73
5. Asphyxia Neonatorum 32 0.27 74 0.61
6. Diarrheas 59 0.51 32 0.26
7. Seizure Disorder 32 0.27 25 0.21
8. Disease of the Heart 20 0.17 25 0.21
9. Asphyxia, etiology
unknown 20 0.17 13 0.19
10. Asthma, all forms 9 0.08 16 0.13
11. Neoplasms, all forms 5 0.04 9 0.07
12. Malnutrition 16 0.14 9 0.07
*Source: DOH-CHD Bicol Vital Health Statistics 2006-2010 vs 2011
Pneumonias still topped the list among the ten leading causes of infant mortality in 2011
including malnutrition. In 2011, a total of 1,172 registered infant deaths were recorded
posting a rate of 9.69 per 1,000 livebirths. The highest infant mortality (IMR) was noted in
Camarines Norte at 15.30 per 1,000 livebirths.

Table 2. CAUSES OF MATERNAL MORTALITY

Leading Causes of Maternal Mortality
Number and Ratio per 100,000 Livebirths
Bicol region, 2006-2010 vs 2011

Causes
5-Year Average 2006-2010 2011
No. Rate No. Rate
1. Complications related to
pregnancy, occurring in the
course of labour, delivery and
post delivery period
78 66.83 71 58.71
2. Hypertensive disorders in
pregnancy, childbirth and
delivery
29 24.85 16 13.23
3. Pregnancy with abortive
outcome
2 1.71 4 3.31

Topping the causes of maternal deaths in 2011 are complications related to pregnancy.
However, comparing it to the past 5-year average, same cause decreased by 7 % from 78 per
livebirths to 71 per 100,000 livebirths in 2011.
Table 3. CAUSES OF MORBIDITY
Leading Causes of Morbidity
Number and Rate per 100,000 Population
Causes
5-Year Average 2006-2010 2011
No. Rate No. Rate
1. Acute Upper Respiratory
Infection
242429 4440.74 293958 5291.68
2. Hypertension 42889 785.63 33021 594.43
3. Influenza 30544 559.50 25804 464.51
4. Acute Watery Diarrhea 34238 627.16 23045 414.84
5. Kidney Diseases 14075 257.84 20469 368.47
6. Acute Lower Respiratory Tract
Infection and Pneumonia
74673 1367.84 18989 307.09
7. Bronchitis 40610 743.88 16489 296.83
8. Musculo skeletal Disorders 4819 88.27 14943 269.00
9. Asthma, all forms 13914 254.87 14382 258.90
10. Anaemia, all forms 9108 116.84 10597 190.76

Most of the identified leading causes of morbidity in 2011 are infectious and respiratory -
related in nature.
Table 4. CAUSES OF MORTALITY
Leading Causes of Mortality
Number and Rate per 100,000 Population

Causes
5-Year Average 2006-2010 2011
No. Rate No. Rate
Disease of the Heart 3887 71.20 4307 77.53
Pneumonias 3572 65.43 3483 62.70
Hypertension 1749 32.04 2354 42.38
Neoplasms, all forms 1547 28.34 1513 27.24
Tuberculosis, all forms 1475 27.02 1357 24.43
Trauma/injuries 1351 24.75 1353 24.36
Kidney 614 11.25 953 17.16
Cerebro Vascular Accident 755 13.83 791 14.24
Diabetes 664 12.16 757 13.63
Septicemia 515 9.43 595 10.71

Out of the ten identified leading causes of mortality in 2011, six have posted an increase,
three of which are diseases of the circulatory system.

From the FORCE FIELD ANALYSIS conducted during the actual Strategic
Planning Workshop, the following factors were identified as Restraining Forces that hinder
in the improvement of the nutrition situation in the region:

1. Non-functional Local Nutrition Committee;
2. Non- localization/Mainstreaming of National Policies;
3. Lack of sound policies on nutrition;
4. Sustainability of nutrition program;
5. Unemployment and underemployment;
6. Change of barangay leaders every election period;
7. Unequal allocation and distribution of funds from government and NGOs for nutrition
program;
8. Limited budget for nutrition at the municipal level;
9. Inadequate nutrition workers;
10. Unstandardized selection criteria for nutrition workers in the LGUs
11. Inaccuracy of data due to lack of skills;
12. Large family size;
13. Climate change that affects production level;
14. Poverty;
15. Minimal financial support to BNS and other nutrition workers;
16. Delay in submission of reports;
17. Absence of full time nutrition officer;
18. Socio-political disparity;
19. Politicized BNSs;
20. Uncertain/Inadequate supply of micronutrients and equipments;
21. Beneficiaries attitudes/behaviour;
22. Lack of political will and poor policy implementation;
23. Nutrition is not a priority;
24. Manpower ratio;
25. Lack of logistic support;
On the other hand, the Driving Forces that have helped in the improvement of the nutrition
situation of the region are the following:

1. Convergence of projects;
2. Budget allocation;
3. Sustainability of projects;
4. Strong support of stakeholders
(internal and external);
5. Feasible and doable plan;
6. Comprehensive monitoring and
evaluation;
7. National policies;
8. Committed and skilled nutrition
workers;
9. Good reward system or
recognition;
10. Best practices;
11. Performance accountability;
12. Active and functional RNC and
NNC;
13. Committed Service Providers;
14. Supportive LCE;
15. Networking;
16. Organized CNCs, MNCs and
BNCs;
17. Livelihood opportunities;
18. Responsible parenthood/FP
sessions;
19. Active and supportive
RTWG/RNC;
20. Some LGUs are supportive;
21. Full disclosure of funds/finances.

STRATEGIC PLAN

Vision of RNC
a. Organizational Vision:
The Regional Nutrition Committee (RNC) is the prime mover of
competent, dedicated and service-driven stakeholders pursuing
nutritionally secure Bicolanos.
b. Social Vision:
Bicolanos enjoying food-secure, optimal and sustainable health and
nutrition.

Mission of RNC
Regional Nutrition Committee is an inter-agency network committed
to harmonized actions that ensure effective and efficient implementation of
nutrition policies and programs through:

a. Collaboration with government and private agencies in partnership
with LGUs;
b. Policy and program coordination;
c. Advocacy;
d. Training;
e. Resource Generation and Mobilization; and
f. Partnership and alliance building.

Core Values
1. C Commitment
We have deep dedication and love for service
2. R Respect for Human Rights
We give value to every person
3. E Equality
We serve everyone with fairness
4. A Accountability and Truthfulness
We are honest and open in the performance of our work and
responsible in the execution of duties and use of resources
5. T Teamwork
We provide support to one another, working cooperatively,
respecting each others views, and creating a work environment with
optimism.
6. E Excellence in Work
We work with good quality, appropriate and timely services

SWOT Analysis
1. Strengths
a. Harmonized working group
b. Incentives/Awards for the barangay and municipal levels
c. Good linkage with partners
d. Monitoring and evaluation tools
e. Established organizational set-up
f. Majority support from LGUs
g. Multi-agency involvement
h. Sharing of good practices

i. Committed nutrition partners
j. Organized and functional nutrition committees

2. Weaknesses
a. No permanent Regional Nutrition Evaluation Team members
b. Overlapping of schedules (RNET- Technical Working Group)
c. Lack of orientation of Regional Nutrition Evaluation Team
(RNET) members
d. Inadequate logistic support (manpower, services)
e. No permanent Nutrition Action Officers
f. Fast turnover of Barangay Nutrition Scholars and other
volunteer workers due to politics

3. Opportunities
a. Country Program for Children Phase 7 (CPC 7)
b. Supplemental Feeding of Day Care Children
c. Pantawid Pamilyang Pilipino Program (4Ps)
d. Province-wide Investment Plan for Health
e. Aquino Health Agenda
f. United Nation Population Fund (UNFP)
g. Non-Government Organizations supporting nutrition
h. Poverty reduction program of the present administration
i. Regional Nutrition Committee is represented in Regional
Development Council for policy formulation
j. Funding support from Local Government Units and Non-
Government Organizations
k. Capacity building among nutrition workers
l. Organized Local Nutrition Committees

4. Threats
a. Climate change
b. Change of leadership in the national, regional, municipal and
barangay levels
c. Multi-function of Nutrition Action Officers
d. Lack of support from Local Chief Executives
e. Nutrition not a priority of some Local Chief Executives
f. Disasters

Key Result Areas and Success Indicators

The following Key Result Areas (KRAs) were identified:
1. Organization and Management
2. Policy Recommendation and Advocacy
3. Partnership Building
4. Resource Management
5. Capability Building
6. Service Delivery


For each KRA, success indicators were determined for 2012-2016:

KEY RESULT AREA SUCCESS INDICATORS
1. Organization &
Management
2012 2013 2014 2015 2016
1. Membership to
Regional Nutrition
Committee (RNC)

No. of agencies and
associations in the
Regional Nutrition
Committee
21 22 22 24 25
80% of agencies regularly
& actively attending
meetings
17 18 18 19 20
2. % of Local
Government Units
with functional
nutrition committees
6P, 7C,
86M
(80%)
1735B
(50%)
6P, 7C
90M
(85%)
1909
(55%)
6P, 7C
96M
(90%)
2082
(60%)
6P, 7C
102 M
(95%)
2256
(65%)
6P, 7C
107 M
(100%)
2430
(70%)
3. % of Local
Government Units
with full time
Nutrition Action
Officer (NAO)
0P,2C,12
M
(12%)
0P, 2C
15 M
(14%)
0P, 3C
16 M
(16%)
0P, 3C
19 M
(18%)
OP,4C
20M
(20%)
Program Development
1. % of Local
Government Units
with Nutrition
Action Plan as part
of Economic
Legislative Agenda
6P, 7C,
86M
(80%)
6P, 7C
107M
(100%)
Maintained Main-
tained
Main-
tained
2. % of Local
Government Units
with documented
Best Practices
2P, 2C
8M
(10%)
3P, 3C
18M
(20%)
4P, 4C
20M
(30%)
5P, 5C
38M
(40%)
6P, 7C
47 M
(50%)
3. Regional Nutrition
Committee (RNC)
Strategic Plan
formulated
1 strat plan
review
strat plan
review
strat plan
review
strat plan
formula-
tion
4. Regional Nutrition
Committee (RNC)
Annual Operation
Plan (AOP)
formulated

1

1

1

1

1
Monitoring & Evaluation
6P, 7C
20 M
6P, 7C
22 M
6P. 7C
25 M
6P. 7C
28 M
6P, 7C
30 M
% of Regional Nutrition
Committee members
regularly submitting bi-
annual reports
17
(80%)

Main-
tained
23
(90%)
Main-
tained
25
(100%)

KEY RESULT AREA
SUCCESS INDICATORS
2012 2013 2014 2015 2016
% of Province & City
participating in Monitoring
in Evaluation of Local
Level Plan Implementation
(MELLPI)
6P, 7C
(100%),
19M
60B
6P, 7C
(100%),
19M
60B
6P, 7C
(100%),
19M
60B
6P, 7C
(100%),
19M
60B
6P, 7C
(100%),
19
60B
% of Regional line -
agencies, Academe, NGOs
joining MELLPI
13
(60%)
15
(70%)
18
(80%)
22
(90%)
25
(100%)
LGU as Consistent
Regional Outstanding
Winner in Nutrition

1

1
Regional Nutrition
Awarding Ceremony
(RNAC) conducted
1 1 1 1 1

2. Policy Recommendation
& Advocacy
2012 2013 2014 2015 2016
100% Local Government
Units pass resolutions to
allocate funds for nutrition of
at least 5% of General Fund
48 LGUs
(40%)
72 LGUs
(60%)
84 LGUs
(70%)
108 LGUs
(90%)
120
LGUs
(100%)
20 LGUs with creation of
plantilla positions for full-
time Nutrition Action
Officers by end of CY-2016

4 LGUs

8 LGUs

12 LGUs

16 LGUs

20 LGUs
Establishment of
malnutrition wards in 30
government hospitals
10 govt.
hospitals
20 govt.
hospitals
30 govt.
hospitals
30govt.
hospitals
30 govt.
hospitals
100% establishment of
breastfeeding room in LGUs
20%
(23
LGUs)
35%
(40
LGUs)
55%
(63 LGUs)
80%
(91
LGUs)
100%
(120)
100% government & private
hospitals to be a certified
mother-baby friendly facility
20%
(22 govt
&
private)
40%
(44)
60%
(66)
80%
(88)
100%
(110)
100% strict compliance on
nutrition policies intended for
school canteens (govt &
private), Hospital canteens
and sari-sari stores
- ASIN law
- No selling of non-
fortified food
products in school &
hospital canteens
- Sangkap Pinoy
Schools
100%
(elem &
h.s.)

Hospital
canteens-
100%

Sari-sari

stores-
100%
Sustained

Sustained

Sustained
Sustained

Sustained

Sustained
Sustained

Sustained

Sustained
Sustained

Sustained

Sustained


2. Policy Recommendation
& Advocacy (cont.)
2012 2013 2014 2015 2016
100% regular monitoring of
nutrition-related programs &
services
100% 100% 100% 100% 100%
Institute incentives for 100%
members of RTWG on
technical assistance-rendered
(monitoring & evaluation,
resource person, etc.)
100% 100% 100% 100% 100%

KEY RESULT AREA SUCCESS INDICATORS (2012-2016)
3. Partnership Building 100 % of Local Government Units and three
(3) nutrition organizations: Bicol Region BNS
Association, Inc. (BRBNSA, Inc.), Bicol
District / City Nutrition Program Coordinators
Assn. (BIDA), Bicol Association of Nutrition
Action Officers Organizations (BANAO)
actively involved in RNC for implementation
of nutrition programs.
Participation of partners particularly NGOs and
private organizations through resource
augmentation and replication of best practices.
Organized breastfeeding support for six (6)
provinces and seven (7) cities in Region V
Established partnership through MOAs /
MOUs
Strengthened collaboration with lead
government agencies in nutrition
Established partnership with tri media

KEY RESULT
AREA
SUCCESS INDICATORS
3. Partnership
Building
2012 2013 2014 2015 2016
End of 2012, 13
LGUs & 3
organizations
actively
attending RNC
meeting and
other activities.
By end of
2013, a MOA
signed
between RNC
or LGUS and
NGO
partners.
Sustained
13 LGUs
& 3
organiza-
tions
Sustained
13 LGUs
and 3
organi-
zations
Sustained
13 LGUs
and 3
organiza-
tions
End of 2012,
conduct a survey
for NGOs
partners for
possible external
funding in
nutrition.
By end 2013
solicited
support
financial and
technical
support from
NGOs
partners.
Sustained Sustained Sustained

KEY
RESULT
AREA
SUCCESS INDICATORS
3. Partnership
Building (cont.)
2012 2013 2014 2015 2016
By end of 2012,
conducted
stakeholders
analysis or
identified
nutrition
programs or
services of
partners.
By end of
2013, all
provinces and
cities have
organized
breast-feeding
support
groups in
their area.
Sustained Sustained Sustained
By end of 2012,
conducted a
year-end
assessment of
program
implemented by
partners.
Sustained Sustained Sustained Sustained
By end of 2012,
established
linkages with the
media.
Sustained Sustained Sustained Sustained

KEY
RESULT
AREA
SUCCESS INDICATORS
4. Resource
Management
2012 2013 2014 2015 2016
Php.180,000
fund
allocation
(incentive
allowance) for
20 official
RNET
members by
2012-2016
Allocation of
Php. 30,000 for
20 RNET
members

Allocation of
Php. 30,000
for 20 RNET
members

Allocation
of Php.
40,000 for
20 RNET
members

Allocation of
Php. 40,000
for 20 RNET
members

Allocation
of Php.
40,000 for
20 RNET
members

Fund
allocation of
Php. 324,000
for Capacity
Building,
exposure trip,
etc

Php. 17,000
allocation for
capacity
building/
orientation
workshop

Php. 17,000
allocation for
capacity
building/
orientation
cum
consultation
workshop
Cross Visit
funding of
Php.
250,000

Php. 20,000
allocation for
capacity
building/
orientation
cum
consulta-tion
workshop
Php. 20,000
allocation
for capacity
building/
orientation
cum
consulta-tion
workshop


KEY
RESULT
AREA
SUCCESS
INDICAT
ORS

5. Capability
Building
2012 2013 2014 2015 2016
Identify type
of participants
for training
Nutrition &
allied
workers/
participants
Nutrition
& allied
workers/
participants
Nutrition &
allied
workers/
participants
Nutrition &
allied
workers/
participants
Nutrition &
allied
workers/
participants
No. of batches
identified/
Training
15-20
batches/yr.
15-20
batches/yr.
15-20
batches/yr.
15-20
batches/yr.
15-20
batches/yr.
At least 30
participants/
Batch
20-30
participants/
training
20-30
participants/
training
20-30
participants/
training
20-30
participants/
training
20-30
participants/
training
Amount of
funds
identified per
training & the
fund source
P750/
participant
live out
P1,800/
participant
live-in
P750/
participant
live-out
P1,800/
participant
live- in
P750/
participant
live-out
P1,800/
participant
live-in
P750/
participant
live-out
P1,800/
participant
live-in
P750/
participant
live-out
P1,800/
participant
live-in
Project
proposals &
modules
finalized &
approved
4 proposals/
modules
prepared &
approved
4 proposals/
modules
prepared &
approved
4 proposals/
modules
prepared &
approved
4 proposals/
modules
prepared &
approved
4 proposals/
modules
prepared &
approved
No. of re-echo
trainings
conducted to
direct
beneficiaries
(mothers,
caregivers,
etc.)
60-80 re-
echo trngs.
Conducted
60-80 re-
echo trngs.
conducted
60-80 re-echo
trngs.
conducted
60-80 re-echo
trngs.
conducted
60-80 re-echo
trngs.
conducted

KEY RESULT
AREA
SUCCESS INDICATORS
6. Service
Delivery
2012 2013 2014 2015 2016
Supplementary
feeding
Micronutrient
supplementation
Deworming
Infant & young
child feeding &
complementary
feeding
Health & Nutrition
Education
Reduction of
underweight
0-5 year-old
children from
14.86 to
13.75%
Reduction
of under-
weight 0-5
year-old
children
from 13.75
to 12.64%
Reduction
of under-
weight 0-5
year-old
children
from 12.64
to 11.53%
Reduction
of under-
weight 0-5
year-old
children
from 11.53
to 10.42%
Reduction
of under-
weight 0-5
year-old
children
from 10.42
to 9.31%
Reduction of
thin 0-5 year-
old children
Reduction
of thin 0-5
year-old
Reduction
of thin 0-5
year-old
Reduction
of thin 0-5
year-old
Reduction
of thin 0-5
year-old

KEY RESULT
AREA
SUCCESS INDICATORS
6. Service
Delivery (cont.)
2012 2013 2014 2015 2016
Establishment of
backyard and
community
gardens
Growth monitoring
& promotion
from 8% to
7.6%
children
from 7.6%
to 7.2%
children
from 7.2%
to 6.8%
children
from 6.8%
to 6.4%
children
from 6.4%
to 6.0%
Day Care Children
(3-4 year-old
preschool children)
provided with
supplementary
feeding
Growth monitoring
and promotion
96,244 DCC
provided
with supple-
mentary
feeding
142,480 of
DCC
provided
with
supplemen-
tary feeding
165,598 of
DCC
provided
with
supplemen-
tary feeding
211,834 of
DCC
provided
with supple-
mentary
feeding
188,716 of
DCC
provided
with
supplemen
-tary
feeding
Utilization of
fortified food
products (school
canteen)
100% from
2012 to 2016
sustained sustained sustained sustained
4Ps children
beneficiaries
provided with
health & nutrition
services
85% covered
by 2012
87%
covered by
2013
89%
covered by
2014
93%
covered by
2015
95%
covered
by 2016
Organized &
functional
breastfeeding (BF)
support groups
25% of
barangays
with
functional
BF support
groups
50% of
barangays
with
functional
BF support
groups
75% of
barangays
with
functional
BF support
groups
All
barangays
with
functional
BF support
groups
All
barangays
with
functional
BF support
groups
Under 5 children
given Vitamin A
supplementation
85% of 12-
59 PS given
Vit. A
supplement-
ation
90% of 12-
59 PS given
Vit. A
supplement-
ation
95% of 12-
59 PS given
Vit. A
supplement-
ation
All 12-59
PS given
Vit. A
supplement-
ation
sustained
School children
provided with
various nutrition
services
Reduce
prevalence
rate of
wasted and
severely
wasted
Public
School
Children
from 19.97%
to 18.17%
Reduce
prevalence
rate of
wasted and
severely
wasted
Public
School
Children
from
18.17% to
16.37%
Reduce
prevalence
rate of
wasted and
severely
wasted
Public
School
Children
from
16.37% to
14.57%
Reduce
prevalence
rate of
wasted and
severely
wasted
Public
School
Children
from
14.57% to
12.77%
Reduce
prevalence
rate of
wasted and
severely
wasted
Public
School
Children
from
12.77% to
10.97%


KEY
RESULT
AREA
SUCCESS INDICATORS
6. Service
Delivery
(cont.)
2012 2013 2014 2015 2016
Supplemen-
tary Feeding
At least 60%
or 63,276
wasted &
severely
wasted kinder
& Grades 1-3
provided with
supplemen-
tary feeding
for 100-120
feeding days
At least 80%
of wasted &
severely
wasted
kinder &
Grades 1-3
provided
with
supplemen-
tary feeding
for 100-120
feeding days
100% of
wasted &
severely
wasted
kinder &
Grades 1-3
provided
with
supplemen-
tary feeding
for 100-120
feeding days
sustained Sustained
Deworming

40% of
children in
Public Elem
Schools
dewormed to
improve
nutritional
status
55% of
children in
Public Elem
Schools
dewormed to
improve
nutritional
status
70% of
children in
Public Elem
Schools
dewormed
to improve
nutritional
status
85% of
children in
Public Elem
Schools
dewormed to
improve
nutritional
status
All children
in Public
Elem
Schools
dewormed
to improve
nutritional
status
Provision of
hot meals by
school canteen
At least 25%
of schools
with canteens
implement
supplementary
feeding
program
At least 50%
of schools
with
canteens
implement
supplemen-
tary feeding
program
At least75%
of schools
with
canteens
implement
supplemen-
tary feeding
program
100% of
schools with
canteens
implement
supplemen-
tary feeding
program
Sustained

Growth
monitoring
and promotion
(GMP)
70% of the
barangays
with accurate
weighing scale
& 40 % with
length/ height
board
80% of the
barangays
with accurate
weighing
scale & 60 %
length/height
board
90% of the
barangays
with
accurate
weighing
scale & 80
% length/
height board
100% of the
barangays
with
accurate
weighing
scale &
length/height
board
All brgys
with
accurate
weighing
scale &
length/ht
board
20% of the
public
elementary
schools with
detecto scale
30% of the
public
elementary
schools with
detecto scale
50% of the
public
elementary
schools with
detecto scale
70% of the
public
elementary
schools with
detecto scale
90% of the
public
elementary
schools with
detecto scale
Utilization of
fortified food
products in
school canteen
All elementary
and High
School with
canteens
Sustained Sustained sustained Sustained

KEY
RESULT
AREA
SUCCESS INDICATORS
6. Service
Delivery
(cont.)
2012 2013 2014 2015 2016
Dental care
services for 6-
12 years old
children in
public school
Reduction of
dental caries
experiences
from 83.18%
to 81.66%
Reduction of
dental caries
experiences
from 81.66%
to 80.14%
Reduction of
dental
caries
experiences
from
80.14% to
78.62%
Reduction of
dental
caries
experiences
from 78.62%
to 77.10%
Reduction of
dental
caries
experiences
from
77.10% to
75.58%
Health and
Nutrition
Education
100% of E/S
and H/S with
Nutrition
concepts
integrated in
all subject
areas
Sustained Sustained sustained Sustained
Establishment
of school
gardens &
nurseries

25 % of public
elementary
schools with
functional and
sustained
school kitchen
gardens
50% of
public
elementary
schools with
functional
and
sustained
school
kitchen
gardens
75 % of
public
elementary
schools with
functional
and
sustained
school
kitchen
gardens
All public
elementary
schools with
functional
and
sustained
school
kitchen
gardens
All public
elementary
schools with
functional
and
sustained
school
kitchen
gardens

Regional Strategic Thrusts

1. To strengthen public and private partnership to support nutrition program;
2. To intensify coordination among stakeholders for the efficient and effective
delivery of nutrition program services;
3. Strongly and persistently advocate with LCEs in the formulation of nutrition
policies and directions for efficient implementation of nutrition program;
4. To develop a comprehensive capacity building program for stakeholders;
5. To promote and replicate good nutrition practices in the Bicol region;
6. To provide incentive award/recognition to performing stakeholders/DLCEs on
Nutrition Program implementation:

Our Core Strategies
1. Intensify coordination of public-private partnership and advocacy of LCES
and provide incentives/recognitions for the effective and efficient delivery of
the nutrition program;
2. Develop a comprehensive capacity building program and well-
developed best nutrition practices.


Operational Plans for Year 1: May December 2012

KEY RESULT AREA
SUCCESS
INDICATORS
TARGET WHEN
1. Organization &
Management

Consultative meeting of the
Regional Nutrition Committee
RNC consultative
meeting conducted
1 June
Assess functionality of
nutrition committees at
provincial, municipal &
barangay levels
Assessment of Local
Nutrition Committees
functionality conducted
6P, 7C June-Dec.
Lobby w/ ABC president
(prov. & city levels) for the
organization/
reactivation of BNC
Barangay Nutrition
Committees
organization/reactivation
coordinated
6P, 7C July-Dec.
Lobby w/ Sanggunian
Panlalawigan & Panlungsod
for creation of plantilla
position for Nutrition Action
Officer (NAO)
Nutrition Action Officers
plantilla position
coordinated
6P, 7C July-Dec.
Coordinate & lobby w/
P/C/MPDOs for inclusion of
nutrition program in the ELA
by province/city/municipality
Local nutrition program
funded and incorporated
in the ELA by LGUs
6P, 7C Oct.-Dec.
Conduct training of P/CNAOs
on process documentation
Training on Process
Documentation
conducted
2 Nov.
Conduct annual operational
plan of RNC Strategic Plan
RNC Annual Operation
Plan formulated
1 July
Provide logistics support of
participating agencies in the
MELLPI
Logistics support
provided
As needed 3
rd
quarter
Recognize & provide
incentives to outstanding
LGU performers
LGU outstanding
nutrition performers
recognized
1 October

KEY RESULT
AREA
WHAT
SUCCESS
INDICATORS
WHO WHEN
2. Policy
Recommendation &
Advocacy
Develop,
coordinate, monitor
nutrition-related
polices
9 nutrition-related
polices developed,
coordinated &
monitored
RNC,
RSDC and
LGUs
June 2012

December
3. Partnership
Building
Organize BF
support groups w/
assistance of health
service providers,
rural health
midwives, health
workers & BNS
For 6 provinces &
7 cities
RNC,
health
workers
May-Dec
2012

KEY RESULT AREA WHAT
SUCCESS
INDICATORS
WHO WHEN
4. Resource
Management
Allocate incentive
allowance
Php.30,000 fund
allocation
(incentive
allowance) for 20
RNET official
members
RNET
members
4
th
quarter
of 2012
(after
completion
of MELLPI
Provision of funds
for
trainings/workshop
and cross visits
Fund allocation of
Php. 17,000 for
Capacity Building
RNET
Members
2
nd
quarter
of 2012
(before
conduct of
MELLPI)

KEY RESULT AREA SUCCESS INDICATORS WHO WHEN
5. Capability Building Four (4) identified trainings
conducted
Program
Coordinator
2012
Nutrition & allied
workers/participants in the training
identified
Program
Coordinator
2012
20-30 participants trained per
training
Program
Coordinator
2012
60-80 echo trainings conducted -do- 2012
70-80% of direct beneficiaries
practicing the desired behaviours
derived from the trainings
conducted
-do- 2012
One continuing education for
Regional Nutrition Committee
conducted quarterly
-do- 2012

KEY RESULT
AREA
WHAT
SUCCESS
INDICATORS
WHO WHEN
6. Service
Delivery
Supplemental feeding

Reduction of
underweight 0-5 year
old children from 14.86
% to 9.3 % by 2016
BNS,BHW,
RHM
Oct
2012
Garantisadong
Pambata
Improved haemoglobin
levels of children,
pregnant and lactating
women
RHM, BHW,
BNS,
DCW/BNC
On-
going
Health and Nutrition
Education and
information
Increased health and
nutrition awareness of
every family
RHM, BHW
BNS,
MNAO,
On-
going
Infant and young
child feeding and
complementary
feeding
Increased the number
of EBF infants and
decreased
undernutrition
Health &
nutrition
volunteers in
IYCF
On-
going
Establishment of
backyard and
community garden
Increased food security
and calorie intake
among households
BNCs,
BNS,BHW
On-
going

KEY RESULT
AREA
WHAT
SUCCESS
INDICATORS
WHO WHEN
6. Service
Delivery
(cont.)
Supplemental feeding

Decreased Prevalence
Rate of Severely
wasted and wasted
Public School Children
from 19.97% to
10.97% by 2016
School
Nurses
Parents/
Teachers
July
2012

Deworming Program At least 40% of
children in public
elementary schools are
dewormed; delivered
within an integrated
school health
Program
Teachers/
Parents
School
Nurses
July
2012

Establishment of
school gardens &
nurseries

25% of public
elementary schools
with functional and
sustained school
kitchen gardens
Parents/
Teachers
On-
going

Dental Health Reduce prevalence rate
of dental caries among
children by 1.52%
School health
and nutrition
personnel,
teachers,
doctors,
nurses,
midwives ,
and dentist
On-
going

Health and Nutrition
Education
Nutrition concepts
integrated in all subject
areas in elementary and
secondary levels
School
Health &
Nutrition
personnel,
Teachers
On-
going

Growth monitoring
and promotion
20% of the barangays,
elementary schools
detecto weighing scale
School
Health &
Nutrition
personnel,
Teachers
On-
going

70% of the barangays
with accurate weighing
scale & 40 % with
length/ height board
BNS, BHW,
Midwives
On-
going

Bicol Region Nutrition Plan 2012-2016

Загружено:

Сведения о документе

Исходное описание:

Оригинальное название

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

Bicol Region Nutrition Plan 2012-2016

Загружено:

Авторское право:

Доступные форматы

Republic of the Philippines

Вам также может понравиться