The Regional

Nutrition Situation

MILAGROS ELISA V. FEDERIZO

Regional Nutrition Program Coordinator, NCR

Why are we here?

What do we want to happen?

To make

difference in

moving PPAN

2011-2016

forward for

nutrition

improvement

Outline

The PPAN 2011-2016

1 The Nutrition Situation

2

Why invest in

Nutrition?

Challenge 1. Hunger

454,000 hungry families in Metro Manila…

Second Quarter, 2012, SWS Report on Hunger Incidence

16%

Challenge 2. Undernutrition

15 out of every 100

children 0-5 years

old are

Underweight

In Metro Manila…

27 out of every 100

children are

underheight or

stunted

(bansot)

7 out of every 100

children are

thin (buto’t balat)

Source: 2011 Updating of Nutritional Status Survey, DOST-FNRI (using WHO-CGS)

Philippines

20.2%

Philippines

33.6%

Philippines

7.5%

(2011 Updating of NNS, DOST-FNRI (using WHO-CGS)

26 out of every 100

are underweight

Among our school children in Metro Manila…

26 out of every 100

are underheight

8 out of every 100

are thin

Source: 2011 Updating of Nutritional Status Survey, DOST-FNRI (using WHO-CGS)

Philippines

32%

Philippines

33.6%

Philippines

8.5%

(2011 Updating of NNS, DOST-FNRI (using WHO-CGS)

What do the 2011 OPT data tell us…

2.59%

NCR

2.57%

1.88%

1.07%

4.25%

3.04%

4.34% 3.62%

1.39%

2.86%

3.36%

3.19%

0.68% 2.88%

3.09% 3.82%

2.99%

2.51%

Adolescents, 10 to 19 years old

Indicators NCR Philippines

Underheight/ Stunting (H/A)

27.3 35.6

Thinness (BMI) 14.6 12.4

Source: 7th NNS, DOST-FNRI (using WHO-CGS)

Undernutrition among adults

Indicator NCR (%)

Philippines (%)

Chronic Energy

Deficient (BMI)

9.6 11.6

Source: 7th NNS, DOST-FNRI (using WHO-CGS)

Challenge 3.

Poor Maternal Nutrition

19 out of every 100

pregnant women are

underweight

Source: 2011 Updating of Nutritional Status Survey, DOST-FNRI (using WHO-CGS)

Philippines

25%

(2011 Updating of NNS, DOST-FNRI (using WHO-CGS)

12 out of every 100

lactating women are

underweight

Source: 2011 Updating of Nutritional Status Survey, DOST-FNRI (using WHO-CGS)

21 out of every 100

lactating women are

overweight

In Metro Manila…

Philippines

11.9%

Philippines

17.7%

(2011 Updating of NNS, DOST-FNRI (using WHO-CGS)

Maternal Mortality Rate, NCR,

2006-2010

Source: FHSI Report, CHD-MM

Challenge 4.

Overweight and Obesity

12 out of every 100

school children are

overweight

7 out of every 100

school children are

obese

Source: 7th NNS, DOST-FNRI (using WHO-CGS)

Increased risk of

heart disease,

cancer, diabetes,

hypertension, etc.

(2011 Updating of NNS, DOST-FNRI (using WHO-CGS)

Among Adolescents, 10 to 19 years old

Based on BMI: NCR Philippines

Overweight 7.5 4.6

Obese 2.7 1.6

Source: 7th NNS, DOST-FNRI (using WHO-CGS)

25 out of every 100

adults are

overweight

Source: 7th NNS, DOST-FNRI (using WHO-CGS)

Increased risk of

heart disease,

cancer, diabetes,

hypertension, etc.

7 out of every 100

adults are obese

Among Adults

Based on BMI:

NCR (%)

Philippines (%)

Overweight 24.8 21.4

Obese 7.4 5.2

Source: 7th NNS, DOST-FNRI (using WHO-CGS)

Challenge 5.

Deficiencies in Iron, Vitamin A

and Iodine

Age Group NCR Philippines Significance

6 months –

5 y/o

23.7 23.7 moderate

6-12 y/o 19.1 19.8 moderate

Pregnant 48.0 42.5 high

Lactating 39.8 31.4 moderate

13-19 y/o 17.0 14.0 moderate

20-59 y/o 17.3 14.9 moderate

PREVALENCE OF ANEMIA, NCR, PHILIPPINES, FNRI-DOST 7th NNS, DOST-FNRI

Vitamin A

deficiency

disorders

(VADD) still a

public health

significant

problem

35.3 38 40.1

15.216.4

9.516.4

6.40

15

30

45

1993 1998 2003 2008

Percent

6 mos. - 5 years old Pregnant Women Lactating Mothers

VADD . . . Low to deficient serum

retinol

Source: 7th NNS, DOST-FNRI

Iodine deficiency . . . Median

urinary iodine excretion

Recom-mended

level

2003 2008

Pregnant 150 142 105

Lactating 100 111 81

In NCR, pregnant women have

insufficient iodine levels 7th NNS, DOST-FNRI

Challenge 6.

Increasing rates of NCDs

NCDs remain to be among the leading

causes of death in MM

Causes

5-Year Average 2010

2005-2009

No. Rate No. Rate

1. Pneumonia 7,052 64.8 9,133 79.1

2. Ishemic Heart Diseases 7,015 64.4 7,718 66.8

3. Hypertensive Vascular Dis. 4,769 43.8 7,435 64.4

4. Cancer, all forms 4,993 45.9 6,552 56.7

5. Cerebrovascular Diseases 2,174 20.0 3,417 29.6

6. Diabetes Mellitus 2,305 21.2 3,226 27.9

7. TB, all forms 2,853 26.2 2,876 24.9

8. Septicemia 1,275 11.7 2,027 17.5

9. Dis of the Arteries/Arterioles/Capillaries 1,434 13.2 1,809 15.7

10. Other forms of Heart Diseases 2,793 25.7 1,403 12.1

FHSIS Annual Report, CHD-MM

Challenges in NCR

Hunger continues to be a serious concern

Underweight, stunting, wasting continue to be serious nutritional problems

Poor maternal nutrition continues to be a serious concern.

Significant improvements in micronutrient malnutrition, but levels still of public health significance

Challenges

Overnutrition is also increasing among children and is at a high level among adults

Diet-related non-communicable diseases are on the rise

Functionality of BNCs in NCR

Why invest in

Nutrition?

the first 1,000 days

following

conception is a

critical window of

time for growth and

development

Economic Costs of Malnutrition

Child Malnutrition

Illness

Poor Educability

Impaired Mental and

Physical Developmental Absenteeism

Cost of Care

•direct

•indirect

Lower Economic

Productivity

•current (adult)

•future (children)

Premature

Mortality

Adult Malnutrition

Greatest ASSET of a Community

Key to progress and

development

• Improves health and survival

• Increases mental capacity

• Increases worker productivity

Good nutrition

How do we

mitigate hunger

and malnutrition?

Regional Nutrition Committee Chair: Regional Director

Provincial Nutrition Committee

Chair: Governor City Nutrition Committee

Chair: Mayor Municipal Nutrition Committee

Chair: Mayor

Barangay Nutrition Committee Chair: Barangay Captain

National Nutrition Council

Governing Board

National Nutrition Council

Secretariat

Interagency

Technical

Committee

Only 1,111 out of 1,705

barangays 65%

have organized and

functional BNC

Challenge:

• 100% of barangays in NCR with organized and functional BNC chaired by Barangay Captain/Chairperson

• With Barangay Nutrition Action Plan

(BNAP) integrated in the Barangay

Development Plan (BDP)

• Regularly conducts meeting supported

by minutes

• With resolutions/ordinances passed in

support to the nutrition program

Let us work together to end hunger and

malnutrition

50

For more information

National Nutrition Council-NCR

Contact us at: (02) 533-2713

Website: www.nnc.gov.ph

Email: nnc_ncr@yahoo.com

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