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WAR -

AGAINST
MALNUTRITI
MAG WAM TAYO, NOW NA!!!

ON
“SA PPAN: PANALO ANG BAYAN!”
Project Background:
• The Provincial Government of Maguindanao launched a new
project that would help address the problem on malnutrition
among pre-school children, pregnant and lactating mothers and
the elderly. The program called Maguindanao War Against
Malnutrition (Mag WAM Tayo, Now Na).
• Mag WAM is a comprehensive intervention which aims to address
not only the health and nutritional needs of malnourished children
but a provision of livelihood for parents to address the long term
needs of the whole family for a more sustainable food production.
• It will be implemented through convergence of related services by
different stakeholders implementing projects with similar goals
and objectives operating in the province.
Rationale:
• .Malnutrition is seriously affecting our people
• . Malnutrition retards mental and physical development of
our children, weakens their resistance to infections resulting
in unnecessary loss of human lives through high infant and
children mortality rates
• Studies indicate that infants and young children, pregnant
women and nursing mothers are most vulnerable to
malnutrition
• The nutrition program, being concerned with human resource
development is vital and integral part of social reform and
economic development
• Healthy and strong Maguindanaon is our greatest resources,
we have to ensure it now . Today is the right time, not
tomorrow nor other time in the future.
Magnitude of Malnutrition (FNRI 2015)

Magnitude of Malnutrition (FNRI 2015)

Source: Population Children Children Total Total Children PLW


PSA 2015 0 to < 1 under 1-5 Children Number of 6- 23
year old yo under-5 children 6- months
59 mos

2.7% of 10.8% of 4.05% of 4.7% of


pop pop pop pop
MAGUINDAN 1,173,933
AO 31,696 126,785 158,481 146,742 47,544 55,175
Wasted 5.90%
1,870 7,480 9,350 8,658 2,805
Stunted 45.60%
14,453 57,814 72,267 66,914 21,680
Anemic 40% (0 to < 1
yo) 12,678 27,005 6,339
11.3% (1-5
yo) 14,327 14,327
Goals and Objectives:
– The project aims at reducing the prevalence of malnutrition in the
Province of Maguindanao. Specifically it seeks to :
– 1. Address the malnutrition problem of the vulnerable group
especially the below 5 year old children, pregnant and lactating
mothers and the elderly, through promotion of exclusive
breastfeeding for the 1st 6 months, provision of complementary or
supplementary foods, micro-nutrient powder (MNP), vitamins
supplementation to the pregnant women
– 2. Support the UN Millennium Development Goals (MDG) of
eradicating extreme poverty and hunger, and the reduction of child
mortality rate
– 3. Provide livelihood assistance to the family/s with malnourished
members
– 4. Engage Food Processors to the program
– 5.Ensure sustainable food production system, implement resilient
agricultural practices that increase productivity
• By 2020, (After 3 years of implementation)
• reduce by 10%- the number of children under 5 year old who are
stunted (72,000 children: Target 7,200)
• Reduce by 20% the number of children under 5 year old who are wasted
• achieve a 20% reduction in anemia in women of reproductive age (15-
45) (224,000 women : Target 44,800) through provision of micro-
nutrient supplementation
• achieve a 10% reduction of the number of infants born low birth
weight (< 2.5kg) ( 33,000 infants : Target :3,300 ) by intensified
maternal and child health care services by IPHO
• ensure that there is no increase in the number of children who are over
weight ( 6,600 children- less than or equal to present)
• increase to at least 25% for the exclusive breastfeeding in the first 6
months by wide breastfeeding advocacy
• Increase to at least 25% the monthly income of target group
• (8,000 (PPDO_Mag) :Target 10,000) trough livelihood assistance
Services/Interventions:
• 1. promotion of exclusive breastfeeding for the 1 st 6 months and the
complementary feeding
• 2. Conduct of supplemental feeding among malnourished pre-schoolers
• 3.micro-nutrient supplementation or fortification
• 4. dietary diversification
• 5. treatment of severe acute malnutrition
• 6. provision of livelihood assistance
• 7. provision of food packs in the initial stage of project implementation
• 8. conduct of regular Operation Timbang (OPT)
• 9.promotion of sustainable food production
• 10.Sanitation campaign
• 11. Capability Development
Strategies:
• 1. Advocacy and Popularization –Promotion of Mag WAM
• 2. Briefing about War Against Malnutrition (WAM) and close coordination
with the LGUs
• 3.Strengthening of Local capacities – Organization/reactivation of
Nutrition committees ( BNC,MNC,PNC) and recruitment and training of
Barangay Nutrition Scholars (BNS)
• 4. Horizontal and vertical Coordination/ Convergence of Services-Strong
collaboration with concerned agencies, UN-WFP, UNICEF, TAWASUL Phil.,
LGUs and other NGOs
5.Capacity Investment -Capacitation of mothers on Proper Nutrition, child
care and hygiene, Training of implementers
6. Partnership with Community/ Counter parting

• 7.Monitoring and Evaluation-Follow up and regular monitoring of target


group beneficiaries
Implementation Process:
• 1. The program shall be in collaboration with the different stakeholders in
health and nutrition e.g. Line agencies, NGOs, International NGOs, LGUs
• 3. Briefing with the local chief executives (LCEs) about the program shall
be conducted and support will be sought
• 4. Provincial Nutrition Council (PNC) in close coordination with the
Integrated Provincial Health Office in the province shall conduct survey
and master listing of malnourished children ( Under 5 year old) and
coordinate with the barangay officials
• 4.The target children shall be weighed and de wormed prior to the
scheduled feeding. Deworming shall be taken cared of by the partner
midwives.
• 5. Treatment of severe acute malnutrition shall be handled by the IPHO in
hospital as the case may be and by local midwives in case of home-based
patients ( Out-Patients).
• 6. Parent shall be grouped and given orientation in managing the feeding
session especially in the preparation , cooking and feeding. The feeding
will run for six ( 6) months.
• 7. Parents will be briefed in the serving of Ready to Use Therapeutic Foods
(supplemental foods)
• 8. A record book for documentation shall be kept by the mothers to be
supervised by the BNS. Data to be captured include the names of the
children present during the feeding session,
• 9. Children shall be weighed on a monthly basis. This will be properly
recorded for monitoring of their health improvement and as basis for
future decision
• 10. Materials for feeding shall be shouldered by the project and a
counterpart from the parents ( in kind, if available).
• 11. Lessons learned and Best Practices shall be documented
Funding Source:
• The Provincial Government of Maguindanao has allocated a budget for
the implementation of the War Against Malnutrition Project (WAM).
This will basically fund the following:
• 1. Feeding for 6 months of pre-schoolers ( mothers have to do the
preparation, cooking and feeding with supervision of BNS and PNC
• 2.Provision of Ready to Use Therapeutic Foods (RTU)
• 2. Food Packs
• 3. Livelihood assistance
• duck raising, fishing boat, fish processing, corn and rice
• production and technology trainings
• 4. Purchase of Height board
• 5. Food Production
• provision of assorted vegetable seeds, garden tools and the training
for the technology requirement
• 6. Skills Training / Capability Development


Other Sources:
• Collaboration with the following entities with related nutrition and
health interventions:
• 1. Department of Agriculture- Maguindanao
• 2. UN_World Food Programme
• 3. UNICEF
• 4. HOM
• 5. Red Cross
• 6 Local NGOs and Foundations
• 7. Tawasul Philippines
• 8. LGUs
• 9. Congressional Funds
• 10. NNC- ARMM
Monitoring and Evaluation cum Sustainability Mechanism

• 1. Growth monitoring ( regular weighing after each


month of feeding)
• 2.monitoring of food production status
• 3. Reproduction of evaluation tools of nutritional
impact after project implementation (at least 3 years)
Establishment of Base line Data

The Beneficiaries

A. SURVEY and DATA BANKING of


MALNOURISHED CHILDREN aged 0-5 years old
As of March 2017

B. Secondary Data (From IPHO-


Maguindanao, NNS, WFP and other sources)
Big family size, mostly malnourished
A non lactating 20 years old mother carrying
her 1 year old baby boy that weighs only 6.8
kgs
Baby “A” is the youngest child of Daddy “A” . He has a moon shaped face
and bloated abdomen.
Her mother during our visit is not present , we learned that a month ago
was her flight. She chose to leave her children and work abroad as
domestic helper because of poverty.
Farmers earning
P200.00 /day (during
harvest time ) due to
the introduction of
harvester machine
they were displaced.
These two children
live 20 meters away
from the RHU
(Rural Health Unit)
BUT DON’T HAVE
ANY RECORD. Why?
Because their
mothers did not
bring them, not
even once in the
RHU FOR CHECK Up
OR
IMMUNIZATION.
A MOTHER OF 14, (7 DEAD AND 7 ALIVE and pregnant as of the interview).
THE HUSBAND REFUSED to practice FAMILY PLANNING.
ALL OF THEIR CHILDREN ARE MALNOURISHED ( mostly stunted and wasted).
Malnourished siblings and mother
Hi, I’m 2 years of age and
severely malnourished.
My father is a fisherman and
my mom is a housewife.
Our daily income is only
P100.00 ,We are very poor.
Pls. help me to be strong and
healthy.
HI THERE!!! I’m baby
cute.
I have body weakness
and I cant even crawl.
I turned 1 year old
last Jan 2017.
My father is a
fisherman and my
mom is a plain
housewife. They earn
only P150.00 / day
but mind you its not
everyday ;(
And another, they are
not 4P’s member!!!
I’m a mother of 16. I live in a small house with my parents. I just gave birth 5 days ago.
They are my children. They don’t have clothes to wear . I’m a vegetable vendor and I’m
earning 100/day.My husband is s farmer whose income is not enough to meet our
basic needs.
The family of 18 HH members
I’m Baby U and I’m 10 mos. Old. I weighed only 4 kgs and my MUAC is
10. now I am admitted is this District hosp. for so many complications.
PLS. HELP ME!!!!. We belong to the poorest of the poor.
Farmers earning
P200.00 /day (during
harvest time ) due to
the introduction of
harvester machine
they were displaced.
Height Monitoring

This baby girl was found to be stunted.


General Findings:
• 1. Other cases of malnutrition incidence was not
reported due to refusal of the parents to bring their
children to health center, or refusal to accept health
services, some are located in the far flung areas
which are difficult to reach
• 2. Main causes of malnutrition are due to the
following:
• a. poverty ( lack of livelihood opportunity, lack of
production capital, very low daily wage for hired
labor, no land to till, unstable market price of
agriculture products, lack of technical know-how, pro
long dry spill)
• 3. Big family size contributed to malnutrition
incidence
• 4.Parents working overseas somehow affected the
health status of their children, children are left under
the care of the grand parents who have difficulties in
caring children

CAUSES
POVERTY
Problem in
transportation
Contaminated source of water

This small well is a water Drinking source of water


source used by the child
for his bath
Lack of food sources
Expired RUTF (Ready-to-use therapeutic food)
20 meters away from the RHU (Rural Health Unit) and yet family refused for health services
EARLY MARRIAGE/ EARLY
PREGNANCY
Women headed families whose main source of income is
gathering firewood for sale
THANK YOU…SHUKRAN
“There’s a rainbow after the rain”

Prepared by : Provincial Nutrition


Committee (PNC)
Province of Maguindanao