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 (butot 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: 7
th
NNS, DOST-FNRI (using WHO-CGS)
Undernutrition among adults
Indicator
NCR
(%)
Philippines
(%)
Chronic
Energy
Deficient
(BMI)
9.6 11.6
Source: 7
th
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: 7
th
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: 7
th
NNS, DOST-FNRI (using WHO-CGS)
25 out of every 100
adults are
overweight
Source: 7
th
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: 7
th
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
7
th
NNS, DOST-FNRI
Vitamin A
deficiency
disorders
(VADD) still a
public health
significant
problem
35.3
38
40.1
15.2
16.4
9.5 16.4
6.4 0
15
30
45
1993 1998 2003 2008
P
e
r
c
e
n
t
6 mos. - 5 years old Pregnant Women Lactating Mothers
VADD . . . Low to deficient serum
retinol
Source: 7
th
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
7
th
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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