Barangay Nutrition Scholarsin the Community Health Team

Assistant Secretary of Health Maria-Bernardita T. Flores, CESO IIExecutive Director IV

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Legal basis

“To strengthen the Barangay Nutrition Program, there shall be a project under the administration of the National Nutrition Council, which shall provide for one (1) barangay nutrition scholar in every barangay.”

-- Section 1, PD 1569, 1978

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The BNS is . . .

Barangay-based volunteer worker responsible for delivering nutrition services and other related activities such as:• Community health• Backyard food production• Environmental sanitation, • Culture• Mental feeding, and • Family planning to the barangay

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Deployment of BNSsRegion Total NNC

assistRegion Total NNC

assist1 3,551 2,180 7 2,531 2102 2,818 1,294 8 4,184 2323 2,475 647 9 2,340 398NCR 584 77 10 1,994 201CAR 2,161 685 11 1,542 7374A 3,536 1,434 12 1,794 9824B 2,024 755 CARAGA 1,661 3025 2,617 1,082 ARMM 386 3,705 350 Total 39,555 11,566

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Extent of involvement of BNSs in CHTs

• Participation by area = 0 – 100% (very limited source*)

• Average of 78% (very limited source*)

* Based on reports from NCR, CAR, Region 7, Aklan, Antique, Ormoc

City

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BNS Involvement in CHTs

• Assist in the survey and profiling

• Active case finding and follow-up of priority population groups (pregnant, infants, young children) among NHTS families for referral to appropriate health services

• Nutrition education and counseling on infant and young child feeding; also advocacy on family planning

• Distribution of vitamin A and other available micronutrient supplements

• Weigh children monthly

• Provide inputs for reports, assist in preparing reports

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Concerns raised by Aklan PHO

• Positive results of involvement of those in the Nurse Deployment Program in training, monitoring and mentoring CHTs, mas natututukan

• Need for some kind of checklist for midwives on prenatal care for each visit

• The focus on NHTS leaves out other equally needy families in the community

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Thank youVisit, read, fb, watch, email, call NNC @

2332 Chino Roces Ave Extension, Taguig Cityhttp://www.nnc.gov.ph

https://www.facebook.com/nncofficialhttps://www.facebook.com/wastongnutrisyon

http:///www.youtube.com/user/NNC1974info@nnc.gov.ph

Tel. (02)843-0142 Fax. 818-7398

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• Eastern Samar – PNAO not involved, not all BNSs involved;

• Tacloban – City Health initiated; in Tacloban (only those in coastal town)

• Ormoc – mostly monitor the maternal programs, all BNSs trained on CHT, but fast turnover; functions on IYCF, also advocacy on family planning; given puroks

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• Ormoc – but BNSs have many involvements – tapped by other government functionaries; name of potential outstanding CHT member, also involved in reporting, no incentive;

• Aklan – CHT point person per province (supported by CHD); 60% of CHT partners are BNSs, id of children with problems on breastfeeding –refer mn to health center

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• Aklan – not all workers in barangay member of CHT; Nurse Deployment Program – in charge of CHT mas natutunan, na-train ang new CHTs, more focus, regular meeting of NDPs, get honorarium (to be checked), potential bigger role – make them peer counselors on IYCF

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• Antique – capture only NHTS so some clients can be left out; about 54% in CHTs – midwife selected recomendees, (640 total BNSs); tasks as team, masterlisting then profiling, make health plans, monitor health plans, pumunta ba? NDP monitors starting 2014– PHTL monitors, deployed contractuals from RO, region-paid contractual and NDP tutok in CHTs; Php 250/month

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• Start-up fund ---not all used• Disconnect with health service at health

center, health center not able• Need for standards on processes for

prenatal care (for midwife)• Define roles of members of CHT –

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• Some LGUs give Php 500 additional to CHT in Aklan

• BNSs and PhilHealth membership???? • Cebu – knew from the regions; automatice

PhilHealth coverage of barangay workers• RHM, BNS, BHW, prominent member in

community, BSPO, DCWs-• Need checklist of to dos for visits, and what

do

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• R6, late 2010 – varied response – more negative than positive

• R7, BNS who is also BHW gets involved in CHT; Cebu City, Bogo, Dumaguete, (BNS not involved

• but can be part of CHT if BNS also BHW• Pregnancy tracking and IYCF – potential

role of BNS

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• No deliverable of BHWs -- • Why only NHTS? • Tasking of CHTs

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• Work out PhilHealth for BNSs