1 good practices and lessons learned: nutrition in emergencies in the philippines assistant...

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Good Practices and Lessons Learned:

Nutrition in Emergencies in the Philippines

Assistant Secretary of Health Maria-Bernardita T. Flores, CESO IIExecutive Director IV, National Nutrition CouncilChair of the National Nutrition Cluster

DisasterDisruptionsReduced/destroyedproductionLack/limited foodresourcesMassive

populationmigration

Increase ofcommunicablediseases

Malnutrition/death

Production

Distribution

Accessibility

Consumption

BiologicalUtilization

NutritionalStatus

AdaptationsChanged habitsDifferent crops

Price increasesubsistenceEconomizeBarter

Migration ofcertain groups

Changed resourcedistribution withinthe household

Traditional care

Stunting

Food ChainNUTRTION in

EMEREGENCY

Nutrition assessment

IYCF protection, support and promotion

Management of acute malnutrition

Micronutrient supplementation

Other food and non-food interventions

Components of Nutrition in Emergencies

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Management systems . . . Planning . . . service delivery . . . coordination . . . monitoring and evaluation

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Source: http://www.the-ecentre.net/resources/workshop/ materials/349/ PHILIPPINES.pdf

5Source: http://www.the-ecentre.net/resources/workshop/materials/349/ PHILIPPINES.pdf

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Source: http://www.the-ecentre.net/resources/workshop/materials/349/ PHILIPPINES.pdf

07/22/09

Organizational Structure in the DOH

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Haiyan 2013

Bohol Earthquake 201310

Zamboanga Siege 2013

Durian 2006

11Ketsana 2009

Washi 2011

Bopha 2012

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1 Having an overall policy on nutrition in emergencies and related guidelines

NNC Governing Board Resolution No. 1 S 2009 Adopting the National Policy on Nutrition

Management in Emergencies and Disasters

1. Scope, e.g. who should apply the guidelines

2. Objectives of the policy guide

3. Policy statements underlying the provisions of the guidelines

4. Implementing mechanisms Coordination & networking Planning Capacity building

Planning Capacity building Organizational support Social mobilization Advocacy Logistics management Surveillance, monitoring

and evaluation Service delivery

5. Institutional management that lays out the roles of various stakeholders

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Minimum Service Package on Nutrition

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Pre-disaste

rAlert phase

Pre-emptive evacuation

Day 1Day 2-3

Day 3 onwards

Set-up system, capacity building, advocacyUpdate resource inventory, mapping of partners

Activation of partners and teams

Deploy assessment team

Rapid nutrition assessment,

Implement nutrition interventions, information management, referrals, cluster coordination and exit strategy development

Ongoing finalization of guidelines15

Finalization of the policy and guidelines on the community-based management of acute malnutrition

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2 Adoption of the cluster approach and organization of thematic working groups

Government Organizations1. DOH – Health Emergency Management Bureau

8. DSWD – Disaster Response Assistance and Management Bureau

2. DOH - DPCB (Family Health Office)

9. DSWD – Council for the Welfare of Children

3. DOH – National Nutrition Council

10. Department of the Interior and Local Government

4. DOH – Health Facility Development Bureau

11. Department of Trade and Industry

5. DOH – Health Promotion and Communication Service

12. Department of Education

6. Food and Drug Administration 13. Commission on Higher Education

7. DOST – Food and Nutrition Research Institute

National Nutrition Cluster Members17

National Nutrition Cluster MembersUN Agencies and International NGOs1. United Nations Children’s

Fund8. Medecins Sans

Frontieres2. World Health Organization 9. Child Fund3. World Food Programme 10. Merlin4. Save the Children 11. Helen Keller

International5. Plan International 12. World Vision6. Action Against Hunger (ACF)

13. Arugaan

7. Philippine Red Cross

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• National Nutrition Cluster

National Level

• Regional Nutrition Cluster

Regional Level

• Local Nutrition Cluster

Provincial/CityMunicipal/Barangay

Level

Nutrition Cluster19

Cluster working groups

National Nutrition ClusterChair: National Nutrition Council

(Assistant Secretary of Health Maria-Bernardita T. Flores)

Community-based Management of

Acute MalnutritionChair: DOH (Dr. Rosalie Paje)

Infant and Young Child Feeding in

Emergencies Chair: DOH

(Dr. Anthony Calibo)

Assessment and Monitoring

Chair: NNC-NSD (Ms. Hygeia Ceres

Catalina Gawe)

Advocacy and Communications

Chair: NNC-NIED (Ms. Jovita Raval)

Strategic Core GroupMembers: Chairs of the

TWGs, UNICEF, NNC

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3 Setting up of mechanisms for communication

Mechanisms for communication22

Regular meetings

Nutrition Cluster Yahoo Email Group

Advisories for the public and for responders via social media and SMS

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4 Having a system for generating, analyzing and disseminating data for informed action

Cluster partner reporting and mapping Routine

Through Information Management Officers in severe disasters

• SMART (Standardized Monitoring and Assessment of Relief and Transitions) surveys

Data generation and dissemination 24

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5 Vigilance on potential issues related to infant formula donations

Vigilance to issues on milk donations26

Release of Cluster statement on infant formula in disasters

Preparation of position paper in anticipation of an issuance that would allow infant formula donations

Mobilization of alternative sources of breastmilk—milk banks, wet nurses

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6 Linkage with other clusters

Positive results28

Guidelines on camp management provide for spaces for mothers with infants and young children

Content of family food pack changed

Replacement of instant noodles with multi-nutrient growth mix

Addition of canned vegetables

Continuing Actions

Review and updating of the National Disaster Response Plan for Earthquakes and Tsunamis

Formulation of the Nutrition Cluster Strategic Plan for 2015-2022

Continuing organization of local nutrition clusters

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Capacity building on Nutrition in Emergencies at the local level

Strengthening the link of the Nutrition Cluster with the other sub-clusters of the Health Cluster and the other response clusters

Strengthening of information management

Continuing Actions30

Needs for research and innovation31

Indigenous food formulations for Improved family food packs Blanket feeding Management of acute malnutrition

Tools and approaches for participatory planning, monitoring and evaluation

In summary32

1. Policy and guidelines formulation

2. Cluster approach and thematic working groups

3. Mechanisms for communication

4. Information management

5. Protection of breastfeeding

6. Linkage with other response clusters

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Preparedness is key- Good nutrition programs, pre-disaster

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