natlnuritionsurv2008_fnri
TRANSCRIPT
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
MINDANAO
LUZON
VISAYAS
MARIO V. CAPANZANA, PhD
Director
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
• Introduction• Legal Basis• Methodology• Survey Results• Summary• Conclusion and
Program Implication
Order of Presentation
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
LEGAL BASIS
The FNRI is mandated to:
Undertake research that defines the citizenry’s nutritional status, with reference particularly to the malnutrition problem, its causes and effects, and identify alternative solutions to them;
Develop and recommend policy options, strategies, programs and projects; and
Disseminate research findings and recommendations
EO 128 Section 22.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
EO 352 :
DESIGNATION OF STATISTICAL ACTIVITIES THAT WILL GENERATE CRITICAL DATA FOR DECISION-MAKING OF THE GOVERNMENT AND THE PRIVATE SECTOR
DESIGNATED STATISTICAL ACTIVITY
FNRI is designated to conduct the National Nutrition Survey every five (5) years, at the national and regional levels, and to disseminate the results one (1) year after the reference year
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Target 1c: Reduce by half the proportion of people who suffer from hunger
•1.8 Prevalence of underweight children under- five years of age •1.9 Proportion of population below minimum level of dietary energy consumption
Target 4a: Reduce by two thirds the mortality rate among children under five
•4.1 Under-five mortality rate •4.2 Infant mortality rate•4.3 Proportion of 1 year-old children immunised against measles
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
• Philippine Food Fortification Act of 2000 (R.A. 8976)
• Asin Law (R.A. 8172)
• National Policies on Infant and Young Children (A.O. No. 2005-0014)
• Decade of Healthy Lifestyle (Presidential Proclamation No. 958)
• Reproductive Health, Responsible Parenthood and Population Development Act of 2007 (House Bill 17)
• Anti-hunger Mitigation Program (E.O. 616)
• Child Nutrition Law of 2007 (House Bill 2589)
• Medium Term Philippine Plan of Action for Nutrition
• Medium Term Philippine Development Plan
Outcome:Outcome:PolicyPolicy
RecommendationRecommendation
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Outcome: Outcome: Programs of various Programs of various government agenciesgovernment agencies
• Department of Agriculture: • Gulayan para sa Masa
• Department of Health: • Araw ng Sangkap Pinoy, • Garantisadong Pambata• Accelerated Hunger Mitigation Program• Vitamin A supplementation of children• Task Force on Iron Supplementation andMicronutrient Supplementation Resolution No. 1
• Department of Education: • Food for School Program
• Office of Senator Angara• Oh! My Gulay (OMG!!)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY • UNICEF: Targeting for CPC Areas
• Global Alliance for Improve Nutrition (GAIN)
• WHO / FAO
• USAID / A2Z
• WFP: Food Programme in Mindanao • World Bank
Outcome:Outcome: Intervention Programs Intervention Programs Implemented by International OrganizationsImplemented by International Organizations
Outcome:Outcome: Corporate Programs Corporate Programs
Private Sector
• UNILEVER: • Makulay ang Buhay sa Sinabawang Gulay
• Coca-Cola Company: • Little Red House Project
• CIDS-Kalahi: • Feeding Program
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Home » News » Diocesan Statements
A Pastoral Letter: Ash Wednesday 2010My Brothers and Sisters in Christ,
Ash Wednesday marks the beginning of the most important period in the Church calendar. The forty-day Lenten season that starts today prepares us for Easter…………………… Good deeds and almsgiving consist of self-sacrifice to serve and benefit others………………….You also encourage compassion and charity in your daily life and strengthen your Christian soul. One such good deed is to respond to a call to feed the hungry children in our community…………….
…..In the last 5 years, the pernicious problem of hunger and malnutrition persists in the Philippines. Initial results of 7th National Nutrition Survey conducted in 2008 show that three out of ten Filipino children are hungry and malnourished! They are underweight and underheight, stunted in their growth. Worse, the acute or severe cases of malnutrition are increasing……………………..Hunger and malnutrition are very pressing concerns for our society. As Pope Benedict XVI said to world leaders gathered for the UN Food summit in Rome on November 16, 2009, “Hunger is the most cruel and concrete sign of poverty.” ……
We appeal to you to support HAPAG-ASA in its efforts to care for hungry and malnourished children of our parishes. We encourage you to give to the HAPAG-ASA what had been set aside from your fasting. ………
+GAUDENCIO B. CARDINAL ROSALES, D.D.Archbishop of Manila
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
4 replicates from the Master Sample of 2008 Labor Force Survey (LFS)
1 2 3 4
17 Regions/ 79 Provinces + NCR
1st
Stage
–
Primary Sampling UnitOne barangay or contiguous bgys
with at least 500 HHs
2nd
Stage
–
Enumeration AreaContiguous area in a barangay
with 150-200 HHs
(n=3,377)
33rdrd
StageStage
––
HouseholdsHouseholds36,634 LFS households; 36,634 LFS households;
all household members in all household members in sampled households ( n=191,316)sampled households ( n=191,316)
Multi-Stage Stratified Sampling Design
SAMPLING DESIGN AND COVERAGE
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
All 17 Regions
79 Provinces & NCR
36,634 Households
191,316 Individuals
3,377 Enumeration Areas (EAs)
SCOPE AND COVERAGE
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
NATIONAL PROVINCIAL
Enumeration Areas
3,377
36,634Households
Individuals 40,649 191,316
5,033
852
BREAKDOWN OF COVERAGE
NUTRITION SURVEY COMPONENTS
Anthropometric Survey
Socio-economics and Food Insecurity
Survey
Clinical Nutrition & Health Survey
Biochemical Nutrition Survey
Government Program Participation Survey
Dietary Assessment Survey (Household & Individual Level)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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General Objective:
To update the official statistics on the Philippine food, nutrition and health situation
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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ANTHROPOMETRY
To assess the nutritional status of 0-10 year-old children, 11-19 year- olds, pregnant and lactating women, and other adults 20 years and over using anthropometric indicators of growth
To compare results from previous surveys
Specific Objectives:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Measurement of standing height using microtoise
and recumbent length (<2 years) using infantometer
Measurement of weight using Detecto
weighing scale
Height and weight measurementsANTHROPOMETRY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
To assess anemia among 6 months and over, pregnant and lactating women using hemoglobin
To assess iodine status using UIE among 6-12 years old children, pregnant and lactating women
To compare results from previous surveys
BIOCHEMICAL
Specific Objectives:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Blood sample collection using finger prick and venipunctureUrine sample collection
Collection of blood for hemoglobin determination Urine for Urinary iodine excretion
BIOCHEMICAL
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
To determine systolic and diastolic blood pressure of adults, 20 years and over
To assess prevalence of diabetes and dyslipidemia using fasting blood sugar and lipid profile data among adults 20 years and over
To compare results from previous surveys
CLINICAL AND HEALTHSpecific Objectives:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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Measurement of blood pressure
Blood collection for lipid profile and fasting blood sugar determination
CLINICAL AND HEALTH
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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DIETARY Infant Feeding Practices
To assess current infant feeding practices of Filipino mothers among their 0-23 months old children
Specific Objective:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Interview on infant feeding practices through face-to-face interview
Infant Feeding PracticesDIETARY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
To describe the socio-economic and demographic characteristics of the sample households and individuals
To assess the food insecurity situation using the Radimer – Cornell instrument
To identify the coping mechanisms of food insecure households
Specific Objective:
SOCIO-ECONOMICS AND FOOD INSECURITY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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Face-to-face interview
SOCIO-ECONOMICS AND FOOD INSECURITY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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To determine government program participation among households, children, pregnant women, and lactating mothers
To compare results from previous surveys
To gather information on food labeling, use of essential drugs, and on the awareness and usage of food products with Sangkap Pinoy Sealand iodized salt
GIVERNMENT PROGRAM PARTICIPATION
Specific Objective:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Face-to-face interview
GOVERNMENT PROGRAM PARTICIPATION
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY On-the-spot testing of
household salt using the rapid test kit (RTK)
Laboratory analysis of salt samples using WYD
GOVERNMENT PROGRAM PARTICIPATION
Salt Testing
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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MINDANAO
LUZON
VISAYAS
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Children, 0 to 5 Years OldChildren, 0 to 5 Years Old
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CutCut--off points used in classifying the off points used in classifying the nutritional status of children, 0nutritional status of children, 0--10 10 years old, based on NCHS/WHO years old, based on NCHS/WHO International Reference StandardsInternational Reference Standards
ClassificationClassification
Underweight / Short / ThinAverage / NormalOverweight / Tall
<-2SD-2SD to +2SD>+2SD
CutCut--off Pointoff Point
Weight-for-Age/Height-for-Age/ Weight-for-Height
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
26.2 27.96.1
90.871.071.8
2.0 1.1 2.8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Wt-for-Age Ht-for-Age Wt-for-Ht
Percentage distribution of children, 0Percentage distribution of children, 0--5 5 years old, by nutritional status years old, by nutritional status classification using NCHS/WHO IRS: classification using NCHS/WHO IRS: Philippines, 2008Philippines, 2008
Underweight/ Underheight/ Thin Normal Overweight/ Tall
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Estimated number of malnourished Estimated number of malnourished 00--5 year5 year--old children based on old children based on NCHS/WHO IRS: Philippines, 2008NCHS/WHO IRS: Philippines, 2008
*Using NSO 2008 Projected Population based on 2000 Census
Nutritional Nutritional StatusStatus
PrevalencePrevalence%%
Estimated Estimated No. No.
(in million)*(in million)*
UnderweightUnderheightThinnessOverweight
26.227.96.12.0
3.353.570.780.26
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of underweightPercentage of underweight--forfor--age age children, 0children, 0--5 years old, by single5 years old, by single--age age group: Philippines, 2008group: Philippines, 2008
12.4
30.3 31.328.4
26.428.1
0
5
10
15
20
25
30
35
0yr. 1yr. 2yrs. 3yrs. 4yrs. 5yrs.
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of Percentage of underheightunderheight--forfor--age age children, 0children, 0--5 years old, by single5 years old, by single-- age group: Philippines, 2008age group: Philippines, 2008
8.6
24.427.5
34.235.7 34.8
0
5
10
15
20
25
30
35
40
0yr. 1yr. 2yrs. 3yrs. 4yrs. 5yrs.
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of underweightPercentage of underweight--forfor-- height children, 0height children, 0--5 years old, by 5 years old, by singlesingle--age group: Philippines, 2008age group: Philippines, 2008
6.7
14.0
5.44.1 3.7 3.7
0
5
10
15
20
25
30
0yr. 1yr. 2yrs. 3yrs. 4yrs. 5yrs.
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Prevalence of underweightPrevalence of underweight--forfor--age age children, 0children, 0--5 years old, by single age 5 years old, by single age group: Philippines, 2003, 2005, 2008group: Philippines, 2003, 2005, 2008
11.7
31.2 31.7
29.6 29.2
27.3
10.2
28.9
24.725.6
27.728.7
12.4
30.331.3
28.4
26.428.1
0
5
10
15
20
25
30
35
0 y 1 y 2 y 3 y 4 y 5 y
% p
reva
lenc
e
2003 2005 2008
3.5
18.8
26.4
36.0
3.6
15.8
28.329.4
4.6
19.2
31.429.6
0
5
10
15
20
25
30
35
40
0 to 5 m 6 to 11 m 12 to 17 m 18 to 23 m
% p
reva
lenc
e
2003 2005 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Prevalence of stuntedPrevalence of stunted--forfor--age children,age children,00--5 years old, by single age group: 5 years old, by single age group: Philippines, 2003, 2005, 2008Philippines, 2003, 2005, 2008
8.2
25.4
31.8
37.936.4
38.2
5.4
23.525.5
30.0
34.636.2
8.6
24.4
27.5
34.235.7 34.8
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
0 y 1 y 2 y 3 y 4 y 5 y
% p
reva
lenc
e
2003 2005 2008
6.3
9.9
16.1
34.7
3.0
7.4
19.9
26.7
5.5
11.3
20.1
27.6
0
5
10
15
20
25
30
35
40
0 to 5 m 6 to 11 m 12 to 17 m 18 to 23 m
% p
reva
lenc
e
2003 2005 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Prevalence of thin children, 0Prevalence of thin children, 0--5 years 5 years old, by single age group: Philippines, old, by single age group: Philippines, 2003, 2005, 20082003, 2005, 2008
5.0
3.1
4.0
2.9
4.5 4.2
2.72.1
6.7
5.4
4.13.7 3.7
11.8
5.0
4.0
12.0
14.0
0
2
4
6
8
10
12
14
16
0 y 1 y 2 y 3 y 4 y 5 y
% p
reva
lenc
e
2003 2005 2008
2.3
7.3
9.8
13.7
2.5
6.1
12.7
11.3
4.5
8.6
14.7
13.4
0
2
4
6
8
10
12
14
16
0 to 5 m 6 to 11 m 12 to 17 m 18 to 23 m
% p
reva
lenc
e
2003 2005 2008
39.936.8
34.3 34.5 34.031.4 29.9
26.3 27.930.6
26.924.6 26.2
32.030.829.934.034.5
6.14.85.36.36.05.26.76.65.0
2.02.01.41.00.40.50.40.70.60
5
10
15
20
25
30
35
40
45
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
% p
reva
lenc
e
underheight underweight thinness overweight
Trends in the prevalence of malnutrition Trends in the prevalence of malnutrition among children, 0among children, 0--5 years old, using 5 years old, using NCHS/WHO IRS: 1990NCHS/WHO IRS: 1990--20082008
Present trend and challenges ahead in the reduction Present trend and challenges ahead in the reduction of the prevalence of underweightof the prevalence of underweight--forfor--age among 0age among 0--5 5 yearyear--old children using NCHS/WHO IRSold children using NCHS/WHO IRS
34.5% 34.0%
29.9%
30.8% 32.0% 30.6%26.9%
24.6%
26.2%
17.2%
1990
1991
1992
1993
1994
199519
9619
9719
9819
9920
00200120
0220
0320
0420
052006200720
0820
0920
1020
112012201320
1420
15
MDG-1.29%10
20
30
40
-0.46%
Prevalence of underweight children, Prevalence of underweight children, 00--5 years old, by region: Philippines, 20085 years old, by region: Philippines, 2008
Region
Philippines:
26.2
% P
reva
lenc
e
Prevalence of Prevalence of underheightunderheight children, children, 00--5 years old, by region: Philippines, 20085 years old, by region: Philippines, 2008
Region
Philippines:
27.9% P
reva
lenc
e
Prevalence of thin children, 0Prevalence of thin children, 0--5 years old, 5 years old, by region: Philippines, 2008by region: Philippines, 2008
Region
Philippines:
6.1
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Classification of worldwide prevalence Classification of worldwide prevalence ranges of low weightranges of low weight--forfor--age and low age and low heightheight--forfor--age among children, 0age among children, 0--5 year5 year-- old (WHO, 1995) old (WHO, 1995)
PREVALENCE PREVALENCE GROUPGROUP
Low weightLow weight--forfor--age age (Underweight)(Underweight)
<2020 –
29
30 –
39>40
LowMediumHighVery High
Low heightLow height--forfor--age age ((UnderheightUnderheight/ / Stunting)Stunting)
<1010 –
19
20 –
29>30
Magnitude of Magnitude of underweight underweight children, 0children, 0--5 year5 year-- old, by province: old, by province: Philippines, 2008Philippines, 2008
Phil. Ave.: 26.2Phil. Ave.: 26.2
PREVALENCE PREVALENCE GROUPGROUP
LowMediumHighVery High
No.No.
1113828
%%
1.314.148.735.9
Magnitude of Magnitude of underheightunderheight children, 0children, 0--5 year5 year-- old, by province: old, by province: Philippines, 2008Philippines, 2008
Phil. Ave.: 27.9Phil. Ave.: 27.9
PREVALENCE PREVALENCE GROUPGROUP
LowMediumHighVery High
No.No.
112138
8
%%
14.126.948.710.3
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Children, 6 to 10 Years OldChildren, 6 to 10 Years Old
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
25.6 33.1
66.572.8
1.6 0.4
0%10%20%30%40%50%60%70%80%90%
100%
Weight-for-Age Height-for-Age
Percentage distribution of children, 6Percentage distribution of children, 6--10 10 years old, by nutritional status years old, by nutritional status classification using NCHS/WHO IRS: classification using NCHS/WHO IRS: Philippines, 2008Philippines, 2008
Underweight/ Underheight Normal Overweight/ Tall
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Estimated number of malnourished Estimated number of malnourished 66--10 year10 year--old children based on old children based on NCHS/WHO IRS: Philippines, 2008NCHS/WHO IRS: Philippines, 2008
*Using NSO 2008 Projected Population based on 2000 Census
Nutritional Nutritional StatusStatus
PrevalencePrevalence%%
Estimated Estimated No. No.
(in million)*(in million)*
UnderweightUnderheightOverweight
25.633.1
1.6
2.583.340.16
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of underweightPercentage of underweight--forfor--age age children, 6children, 6--10 year10 year--old, by singleold, by single--age age group: Philippines, 2008 group: Philippines, 2008
29.2 27.625.3
22.4 23.6
0
5
10
15
20
25
30
35
6yrs. 7yrs. 8yrs. 9yrs. 10yrs.
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of Percentage of underheightunderheight--forfor--age age children, 6children, 6--10 year10 year--old, by singleold, by single--age age group: Philippines, 2008 group: Philippines, 2008
34.1 33.8 32.6 31.033.8
0
5
10
15
20
25
30
35
40
6yrs. 7yrs. 8yrs. 9yrs. 10yrs.
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of overweightPercentage of overweight--forfor--age age children, 6children, 6--10 year10 year--old, by singleold, by single--age age group: Philippines, 2008 group: Philippines, 2008
% P
reva
lenc
e
1.7 1.9 1.81.4 1.2
0
2
4
6
8
6yrs. 7yrs. 8yrs. 9yrs. 10yrs.
33.1
32.0
35.8
41.140.839.142.242.8
44.8
25.6
34.2 32.5 30.528.3
30.232.9
22.825.6
0.1 0.2 0.6 0.4 n 0.8 1.3 1.6 1.605
101520253035404550
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
% p
reva
lene
underheight underweight overweight
Trends in the prevalence of malnutrition Trends in the prevalence of malnutrition among children, 6among children, 6--10 years old, using 10 years old, using NCHS/WHO IRS: 1990NCHS/WHO IRS: 1990--20082008
23.6
19.2 18.114.5
20.023.9
33.0 34.032.2
24.7
31.6 30.627.2 26.2 27.8
25.6 26.9
05
10152025303540
Region
Philippines:
25.6
% P
reva
lenc
ePrevalence of underweight children, Prevalence of underweight children, 66--10 years old, by region: Philippines, 200810 years old, by region: Philippines, 2008
28.4 26.923.0
29.4
23.127.6
40.8 39.2 37.835.1
44.7 42.7 40.4 38.1 40.136.9 38.1
05
101520253035404550
Region
Philippines:
33.1
% P
reva
lenc
ePrevalence of Prevalence of underheightunderheight children, children, 66--10 years old, by region: Philippines, 200810 years old, by region: Philippines, 2008
Magnitude of Magnitude of underweight underweight children, 6children, 6--10 year10 year-- old, by province: old, by province: Philippines, 2008Philippines, 2008
Phil. Ave.: 25.6Phil. Ave.: 25.6
PREVALENCE PREVALENCE GROUPGROUP
LowMediumHighVery High
No.No.
3143526
%%
3.817.944.933.3
Magnitude of Magnitude of underheightunderheight children, 6children, 6--10 year10 year-- old, by province: old, by province: Philippines, 2008Philippines, 2008
Phil. Ave.: 33.1Phil. Ave.: 33.1
PREVALENCE PREVALENCE GROUPGROUP
LowMediumHighVery High
No.No.
4183125
%%
5.123.139.732.1
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
PrePre--adolescents / adolescents / Adolescents, Adolescents,
11 to 19 Years Old11 to 19 Years Old
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
UnderweightMildNormalOverweight
<P5P5 to <P15P15 to P85>P85
ClassificationClassification CutCut--off Pointoff Point
CutCut--off points used in classifying the off points used in classifying the nutritional status of adolescents, nutritional status of adolescents, 1111--19 years old based on BMI19 years old based on BMI--forfor-- age (Must, age (Must, et.alet.al))
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
21.7 11.7 17.0
18.114.8
21.1
52.569.0 60.3
4.64.8 4.4
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male Female Both
Percentage distribution of adolescents, Percentage distribution of adolescents, 1111--19 years old, by nutritional status 19 years old, by nutritional status classification using BMIclassification using BMI--forfor--age: age: Philippines, 2008 Philippines, 2008
Underweight Mild Normal Overweight
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Comparison in the prevalence of Comparison in the prevalence of underweight among 11underweight among 11--19 years old by 19 years old by gender: Philippines, 2005 & 2008gender: Philippines, 2005 & 2008
0
5
10
15
20
25
Male Female Both
20.5
11.1
16.0
21.7
11.7
17.0%
Pre
vale
nce
2005 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
0
2
4
6
8
10
Male Female Both
4.9 4.8 4.84.8 4.4 4.6
% P
reva
lenc
e
2005 2008
Comparison in the prevalence of Comparison in the prevalence of overweight among 11overweight among 11--19 years old by 19 years old by gender: Philippines, 2005 & 2008gender: Philippines, 2005 & 2008
Prevalence of underweight adolescents, Prevalence of underweight adolescents, 1111--19 years old by region: Philippines, 200819 years old by region: Philippines, 2008
% P
reva
lenc
e
Philippines:
17.0
Region
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Adults, Adults, 20 years old and above20 years old and above
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CutCut--off points used in classifying the off points used in classifying the nutritional status of adults, 20 years nutritional status of adults, 20 years old and above, based on BMI WHO old and above, based on BMI WHO
Chronic Energy DeficientNormalOverweightObese
<18.518.5 to <25.025.0 to 30.0>30
ClassificationClassification CutCut--off Pointoff Point
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CED Normal Overweight Obese
13.77.2 7.2 11.5 17.7
27.0
57.557.5
56.2
59.762.370.3
14.420.124.8
13.124.4 26.3
4.6 2.46.36.82.9 6.1
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
20-29y 30-39y 40-49y 50-59y 60-69y >70y
Percent distribution of adults, 20 years Percent distribution of adults, 20 years old and over, by age group and BMI old and over, by age group and BMI classification: Philippines, 2008classification: Philippines, 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Comparison in the prevalence of Comparison in the prevalence of CED and overweight among CED and overweight among adults, 20 years & over: adults, 20 years & over: Philippines, 2003 & 2008 Philippines, 2003 & 2008
12.3 11.6
24.026.6
0
10
20
30
40
% p
reva
lenc
e
CED Overweight/Obese
20032008
Prevalence of CED among adults, 20 years old and Prevalence of CED among adults, 20 years old and over, by region: Philippines, 2008over, by region: Philippines, 2008
Region
% P
reva
lenc
e
Philippines:
11.6
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Pregnant and Lactating Pregnant and Lactating MothersMothers
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CutCut--off points used in classifying off points used in classifying pregnant women based on pregnant women based on weightweight--forfor--height (height (MagbitangMagbitang, , 1988)1988)
Nutritionally atNutritionally at--risk risk
Not Nutritionally atNot Nutritionally at--riskrisk<P95<P95
>>P95P95
ClassificationClassification CutCut--off Pointoff Point
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of pregnant Percentage distribution of pregnant women by nutritional status and by women by nutritional status and by age group: Philippines, 2008age group: Philippines, 2008
0102030405060708090
100
< 20 y > 20 y All
35.1 25.1 26.3
64.9 74.9 73.7
Perc
ent
At-risk Not at-risk
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of pregnant Percentage distribution of pregnant women by nutritional status: women by nutritional status: Philippines 2005 and 2008Philippines 2005 and 2008
28.4
71.6
26.3
73.7
0102030405060708090
% P
reva
lenc
e
2005 2008
Nutritionally-at-riskNot nutritionally-at-risk
Prevalence of nutritionally atPrevalence of nutritionally at--risk pregnant risk pregnant women, by region: Philippines, 2008women, by region: Philippines, 2008
Region
Philippines:
26.3
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CutCut--off points used in classifying off points used in classifying nutritional status of lactating mothersnutritional status of lactating mothersbased on BMI for adults (NCHS/WHO, based on BMI for adults (NCHS/WHO, 1978) and BMI1978) and BMI--forfor--age for adolescents age for adolescents (Must, 1991)(Must, 1991)
UnderweightMildNormalOverweightObese
< P5P5 to <P15P15 to P85> P85
< 18.5
18.5 to <25.025.0 to <30.0>
30.0
Adolescents Adults
ClassificationClassification CutCut--off Pointoff Point
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of lactating Percentage distribution of lactating mothers by nutritional status and by mothers by nutritional status and by age group: Philippines, 2008age group: Philippines, 2008
0
20
40
60
80
100
< 20 y > 20 y All
12.9 13.1 13.0
80.4 70.1 70.9
6.7 16.8 16.1Pe
rcen
t
Underweight Normal Overweight
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
13.9
66.3
19.813.0
70.9
16.1
01020304050607080
% p
reva
lenc
e
2005 2008
UnderweightNormalOverweight
Percentage distribution of lactating Percentage distribution of lactating mothers by nutritional status: mothers by nutritional status: Philippines, 2005 and 2008Philippines, 2005 and 2008
Region
Prevalence of underweight lactating mothers, Prevalence of underweight lactating mothers, by region: Philippines, 2008by region: Philippines, 2008
Philippines:
13.0
% P
reva
lenc
e
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Undernutrition (base on weight-for-age and height-for-age) remains to be a public health problem, affecting nearly 3 out of 10 children.
Between 2005 and 2008, the proportion of undernourished children has significantly increased, particularly more prevalent in selected provinces in MIMAROPA, Bicol, and selected areas in Visayas and Mindanao.
Among children, 0 to 10 years oldAmong children, 0 to 10 years old
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
About 2 out of 10 children are overweight (base on weight-for-age). However, this remains to be the same from 2005.
Among children, 0 to 10 years oldAmong children, 0 to 10 years old
Among adolescents, 11 to 19 years Among adolescents, 11 to 19 years oldold
Underweight is nearly 2 out of every 10 adolescents (base on BMI-for-age), with males being more at-risk than females.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Between 2005 and 2008, undernutrition among this age group has significantly increased while overnutrition has decreased.
Regions found to be most at-risk to undernutrition among adolescents are MIMAROPA, Bicol, and Western Visayas.
Among adolescents, 11 to 19 years oldAmong adolescents, 11 to 19 years old
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
About 1 in every 10 adults are chronic energy deficient, while 3 out of 10 are overweight.
The proportion of CED has decreased while overweight and obese has increased between 2003 and 2008.
CED is more prevalent among the regions in Ilocos, Cagayan, MIMAROPA, Bicol, Western Visayas, Zamboanga Peninsula, and ARMM.
Among adults, 20 years old and Among adults, 20 years old and aboveabove
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Between 2005 and 2008, the proportion of nutritionally at-risk pregnant women has significantly decreased.
The nutritionally at-risk pregnant women are mostly found in Ilocos, MIMAROPA, Bicol, Western Visayas, Zamboanga Peninsula, and ARMM.
Undernutrition and overnutrition among lactating mothers have decreased significantly from 2005.
Among pregnant and lactating womenAmong pregnant and lactating women
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
MINDANAO
LUZON
VISAYAS
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
NUTRITIONALANEMIA
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
AGE/ SEX/PHYSIOLOGIC STATE
Normalhemoglobin level
(g/dL)
ASSESSMENT CRITERIAASSESSMENT CRITERIANormal hemoglobin levels, WHO cut-off, 1972
Children: 6 mos
-
6 yrs6.1 -
14 yrs
Adult: MalesFemales (non-pregnant/non-lactating)
Pregnant Lactating Women
11.012.0 13.0 12.0
11.0 12.0
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Epidemiological criteria for assessing severity and magnitude of nutritional anemias
in population,
FAO / WHO, 1992
Percent of population with Hb ≥
40 10 -
39 1 -
9
less than the above cut off points especially women and children
PARAMETERSMAGNITUDE
High Moderate Low
ASSESSMENT CRITERIAASSESSMENT CRITERIA
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Prevalence of anemia by age, sex and physiologic state, 2008Prevalence of anemia by age, sex and physiologic state, 2008No. of Subjects Prevalence (%)
22412
205
2279
20391830
17781488
24362079
19552123
7821011
1516
891
Philippines
6 mos
-
< 1 yr
1 –
5 y
6 –
12 y, M F
13 –
19 y, MF
20 –
39 y, MF
40 –
59 y, MF
≥
60 y, M F
Pregnant
Lactating
Age/Sex/Physiologic State
32.833.4
22.712.7
18.66.8
18.210.4
19.2
19.5
31.4
42.5
20.4
20.955.7
0 10 20 30 40 50 60
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
13.7
10.6
13.6
26.6
41.0
20.8
55.7
23.6
0 10 20 30 40 50 60
Age n Prevalence (%)
2484
205
2279
439425443482474
6 mos
–
5 y
6 mos
-
< 1 y
1 –
5 y
1 y2 y3 y4 y5 y
Prevalence of anemia among children by age, Prevalence of anemia among children by age, 20082008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
55.7
66.2
56.6
49.2
20.929.129.6
25.7
19.8
37.435.6
42.0
0
10
20
30
40
50
60
70
1993 1998 2003 2008
%
6 mos - < 1 y
1 - 5 y
6 - 12 y
Trends in the prevalence of anemia Trends in the prevalence of anemia among children Philippines: 1993, among children Philippines: 1993,
1998, 2003 and 20081998, 2003 and 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
10.6
41.0
53.053.2
26.6
34.836.9
24.823.4
13.718.820.0
13.618.2
14.0
0
10
20
30
40
50
60
70
1998 2003 2008
%
1 y2 y3 y4 y5 y
Trends in the prevalence of anemia Trends in the prevalence of anemia among children, Philippines: 1998, among children, Philippines: 1998,
2003 and 20082003 and 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
43.9 42.5
31.6
50.7
43.6
42.245.7
43.0
0
10
20
30
40
50
60
70
1993 1998 2003 2008
%
Pregnant womenLactating women
Trends in the prevalence of anemia Trends in the prevalence of anemia among pregnant and lactating women among pregnant and lactating women Philippines: 1993, 1998, 2003 and 2008Philippines: 1993, 1998, 2003 and 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of anemiaof anemia11
in thein thePhilippines Philippines by regionby region
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
0.0
100
0.0
Magnitude %
1 FAO-WHO, 1992
National prevalence
19.5%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of anemiaof anemia11
among among preschool preschool children, children, 6 6 mosmos –– 5 yrs5 yrsby regionby region
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
0.0
100
0.0
Magnitude %
1 FAO-WHO, 1992
National prevalence
23.6%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of anemiaof anemia11
among among school school children,children,6 6 –– 12 yrs 12 yrs by regionby region
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
0.0
94.1
5.9
Magnitude %
1
FAO-WHO, 1992
CAR (9.95 %)
National prevalence
19.8 %
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of anemiaof anemia11
among among adolescents,adolescents,13 13 –– 19 yrs19 yrsby regionby region
MIMAROPA(6.9%)
ZAMBOANGAPENINSULA
(8.1%)
DAVAO(9.0%)
BICOL(8.0%)
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
0.0
76.5
23.5
Magnitude %
1
FAO-WHO, 1992
ZAMBOANGAPENINSULA
(8.1%)
BICOL(8.0%)
DAVAO(9.0%)
MIMAROPA(6.9%)
National prevalence
14.0 %
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of anemiaof anemia11
among among adults, 20 adults, 20 –– 59 yrs 59 yrs by regionby region
CENTRAL VISAYAS
(9.3%)
ZAMBOANGAPENINSULA
(9.0%)
NORTHERNMINDANAO
(8.4%)
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
0.0
82.4
17.6
Magnitude %
1
FAO-WHO, 1992
National prevalence
14.9 %
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of anemiaof anemia11
among among elderly, elderly, ≥≥
60 60
yrs yrs by regionby region
CENTRAL LUZON(41.4%)
WESTERN VISAYAS(46.9%)
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
17.6
82.4
0.0
Magnitude %
1
FAO-WHO, 1992
CAGAYAN VALLEY(51.7%)
National prevalence
33.0 %
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of of anemiaanemia11
among among pregnant pregnant women women by regionby region
CENTRAL LUZON(40.7%)
NCR(48.0%)
BICOL(51.1%)
WESTERN VISAYAS(61.5%)
CENTRAL VISAYAS(40.4%)
ARMM(47.3%)
MIMAROPA(49.6%)
SOCCSKSARGEN(49.8%)
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
52.9
47.1
0.0
Magnitude %
1 FAO-WHO, 1992
CAGAYAN VALLEY (60.0%)
National prevalence
42.5 %
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of of anemiaanemia11
among among lactating lactating womenwomenby regionby region
WESTERN VISAYAS(44.5%)
High(≥
40.0)Moderate
(10.0-39.0)Low
(1.0 –
9.0)
11.8
88.2
0.0
Magnitude %
1 FAO-WHO, 1992
CAGAYANVALLEY(58.2%).
National prevalence
31.6 %
Philippines
6 mos
< 1 y
1 –
5 y
6-12 y
Pregnant
Lactating
36364
2990
12089
1542
3103
3260
1998 1998
Total subjects Prevalence of anemia(%)
Increase/(Decrease)Age/
PhysiologicState
* Significant at 0.05 ** Significant at 0.01 NS -
Not Significant
Comparison of prevalence of anemia: Comparison of prevalence of anemia: NNS 1998 and 2008NNS 1998 and 2008
2008 2008
(11.1)**
(0.9 ) NS
( 8.7 )**
(15.8 ) **
(8.2 )**
(14.1 ) **
1998vs
2008
22412
205
2279
3869
1516
891
30.6
56.6
29.6
35.6
50.7
45.7
19.5
55.7
20.9
19.8
42.5
31.6
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
6 mos. -
< 1 yr 55.7 0.75
1 -
5 yrs. 20.9 2.11
Prevalence%
Estimated number of anemic
(in millions)Age/Physiologic Group
6 -
12 yrs. 19.8 2.77
Prevalence of anemia Prevalence of anemia and number of anemic childrenand number of anemic children
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
hHowever, in certain packets of thepopulation, like infants 6 mos
to < 1 y,
1 yr old children, and pregnant women, nutritional anemia is still a major health problem
hOver all, the 2008 NNS showed a decreasing trend in anemia prevalence among Filipinos
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
IODINE DEFICIENCYDISORDER
(IDD)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
The indicator of iodine deficiency “elimination” is a median value of 100 µg/L, that is, 50% of the sample should be above 100 µg/L, and not more than 20% of the samples should be below 50 µg/L.
Epidemiological Criteria Epidemiological Criteria for Assessing Severity of IDD for Assessing Severity of IDD
Based on Median Urinary Iodine Based on Median Urinary Iodine LevelsLevels
MEDIAN VALUE SEVERITY OF IDDµg/L
< 20 severe20 -
49 moderate
50 -
99 mild>
100 No deficiency
ICCIDD, 1994
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
WHO, UNICEF, and ICCIDD, 2007
Epidemiological Criteria for Assessing Epidemiological Criteria for Assessing Iodine Nutrition based on Urinary Iodine Nutrition based on Urinary Iodine Concentrations of Pregnant Iodine Concentrations of Pregnant
WomenWomen
*
The term “excessive” means in excess of the amount required to prevent and control iodine deficiency
POPULATIONGROUP
MEDIAN UIEµg/L
IODINE INTAKEµg/day
< 150
150 –
249
250 –
499
≥
500
Pregnant women Insufficient
Adequate
Above requirements
Excessive*
Epidemiological Criteria for Assessing Iodine Nutrition Epidemiological Criteria for Assessing Iodine Nutrition Based on Median Urinary Iodine Concentrations Based on Median Urinary Iodine Concentrations
in Schoolin School--age Children ( age Children ( ≥≥
6 years)6 years)**
MEDIAN VALUE
µg/L
WHO, UNICEF, and ICCIDD, 2001
Severe iodine deficiencyModerate iodine deficiencyMild iodine deficiencyAdequate iodine nutritionLikely to provide adequate intake for
pregnant/lactating women, but pose a slight risk of more than adequateintake in the overall population
Risk of adverse health consequences(iodine induced hyperthyroidism,autoimmune thyroid diseases)
*
Applies to adults, but not to pregnant women
IODINE STATUSIODINE INTAKEµg/day
InsufficientInsufficientInsufficientAdequateAbove requirements
Excessive
< 2020 -
4950 -
99100 -
199200 -
299
≥
300
Median and percent distribution Median and percent distribution of UIE levels by age of UIE levels by age
and physiologic groups: 2008and physiologic groups: 2008
Children, 6 -
12 yrs
13 –
19 yrs
Adults, 20 –
59 yrs
Elderly, ≥60 yrs
Lactating Women
3805
1904
5186
1108
837
132
154
137
107
81
Age/PhysiologicGroup
No. of subjects
UIE, µg/L
Median
Philippines 13283 133
<20 20-49 50-99 >
100
7.7
5.5
6.4
7.5
14.7
7.6
12.0
9.9
11.8
15.6
19.3
12.7
20.0
18.4
20.1
25.3
25.5
20.9
60.2
66.1
61.6
51.7
40.4
58.8
<20%
Age/PhysiologicGroup
No. of subjects
UIE, µg/LMedian
Median and percent distribution of UIE Median and percent distribution of UIE levels among pregnant women: 2008levels among pregnant women: 2008
<20 20-49 50-99 >
100 >
150
Pregnant women 443 105 10.5 15.3 23.2 32.918.3
41.2
14.7
28.6
15.5
0
10
20
30
40
50
60
70
<100 100-199 200 -299 ≥ 300
UIE, µg/L
%
Frequency distribution of UIE values, Frequency distribution of UIE values, NNS 2008 : PHILIPPINESNNS 2008 : PHILIPPINES
2008Median = 133 µg/L
Prev
< 50 µg/L = 20.3
%
Insufficient AdequateAbove Requirements Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDD,of IDD,1 1
Philippines: Philippines: 2008 2008
1 ICCIDD, 1994
Severe (<20)
Moderate(20 –
49)
Mild (50 –
99)
No deficiency
(≥100)
Magnitude(Median UIE, μg/L)
%
0.0
0.0
29.4
70.6
SOCCSKSARGEN(20.8%)
MIMAROPA( 22.8%)
CENTRALVISAYAS(22.2%)
EASTERN VISAYAS
(85)
CARAGA(93)
NORTHERN MINDANAO
(98)
DAVAO(85)
ZAMBOANGAPENINSULA
(85)
0
10
20
30
40
50
60
70
<100 100-199 200 -299 ≥ 300
UIE, µg/L
%
Frequency distribution of UIE values Frequency distribution of UIE values among 6 among 6 –– 12 y old children, 12 y old children,
NNS 1998, 2003 & 2008 : PHILIPPINESNNS 1998, 2003 & 2008 : PHILIPPINES
NNS 1998
65.4
29.2
5.4
0.1
NNS 2003
23.8 25.9
37.0
13.3
NNS 2008
39.7
26.2
17.516.5
2003Median = 201 µg/L
Prev
< 50 µg/L = 11.4 %
1998Median = 71 µg/L
Prev
< 50 µg/L = 35.8 %
2008Median = 132 µg/L
Prev
< 50 µg/L = 19.7 %
Insufficient Adequate Above Requirements Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDDof IDD1 1 among among children, children, 6 6 –– 12 yrs old 12 yrs old by regionby region
SOCCSKSARGEN(27.9%)
WESTERNVISAYAS(24.0%)
MIMAROPA( 28.3%)
CENTRALVISAYAS(24.5%)
EASTERN VISAYAS
(83)
CARAGA(85)
NORTHERN MINDANAO
(90)
DAVAO(68)
ZAMBOANGAPENINSULA
(84)1 ICCIDD, 1994
Severe (<20)
Moderate(20 –
49)
Mild (50 –
99)
No deficiency (≥100)
Magnitude(Median UIE, μg/L) %
0.0
0.0
29.4
70.6
33.8
18.8
27.719.6
0
10
20
30
40
50
60
70
<100 100-199 200 -299 ≥ 300
UIE, µg/L
%
Frequency distribution of UIE values Frequency distribution of UIE values among 13 among 13 –– 19 y old children, 19 y old children,
2008 : PHILIPPINES2008 : PHILIPPINES
2008Median = 154 µg/L
Prev
< 50 µg/L = 14.7 %
Insufficient AdequateAbove Requirements Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDDof IDD1 1 among among children, children, 13 13 –– 19 yrs old 19 yrs old by regionby region
1 ICCIDD, 1994
Severe (<20)
Moderate(20 –
49)
Mild (50 –
99)
No deficiency (≥100)
Magnitude(Median UIE, μg/L) %
0.0
0.0
11.8
88.2
ZAMBOANGAPENINSULA
(93)
DAVAO(95)
EASTERN VISAYAS(24.5%)
CARAGA(26.4%)
38.3
14.9
30.5
16.2
0
10
20
30
40
50
60
70
<100 100-199 200 -299 ≥ 300
UIE, µg/L
%
Frequency distribution of UIE values Frequency distribution of UIE values among adults, 20 among adults, 20 –– 59 yrs, 59 yrs,
2008 : PHILIPPINES2008 : PHILIPPINES
2008Median = 137 µg/L
Prev
< 50 µg/L = 17.5 %
Insufficient AdequateAbove Requirements Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDDof IDD1 1 among among adults, adults, 20 20 -- <59 yrs <59 yrs old old by regionby region
1 ICCIDD, 1994
Severe (<20)
Moderate(20 –
49)
Mild (50 –
99)
No deficiency (≥100)
Magnitude(Median UIE, μg/L) %
0.0
0.0
29.4
70.6
EASTERN VISAYAS
(80)
ZAMBOANGAPENINSULA
(89)
NORTHERN MINDANAO
(99)
DAVAO(88)
CARAGA(96)
MIMAROPA( 20.3%)
CENTRALVISAYAS(20.0%)
48.4
8.8
31.4
11.5
0
10
20
30
40
50
60
70
<100 100-199 200 -299 ≥ 300
UIE, µg/L
%
Frequency distribution of UIE values Frequency distribution of UIE values among elderly, 60 yrs & over, among elderly, 60 yrs & over,
2008 : PHILIPPINES2008 : PHILIPPINES
2008Median = 107 µg/L
Prev
< 50 µg/L = 22.3 %
Insufficient AdequateAbove Requirements Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDDof IDD1 1
among among elderly, elderly, 60 yrs & over 60 yrs & over by regionby region
1 ICCIDD, 1994
Severe (<20)
Moderate(20 –
49)
Mild (50 –
99)
No deficiency (≥100)
Magnitude(Median UIE, μg/L) %
0.0
0.0
35.3
64.7
EASTERN VISAYAS
(64)
ZAMBOANGAPENINSULA
(65)
NORTHERN MINDANAO
(70)
DAVAO(84)
NCR( 23.7%)
CENTRALVISAYAS(24.3%)
CARAGA(28.1%)MIMAROPA
(93)
CAR(71)
CALABARZON( 22.3%)
WESTERNVISAYAS(25.0%)
Frequency distribution of UIE values Frequency distribution of UIE values among pregnant women, 2003 & 2008 : among pregnant women, 2003 & 2008 :
PHILIPPINESPHILIPPINES
0
10
20
30
40
50
60
70
<150 150-249 250 - 499 ≥ 500
UIE, µg/L
%
52.0
22.525.4
NNS 2003NNS 200867.3
18.113.5
1.3
2008Median = 105 µg/L
Prev
< 50 µg/L =
25.8 %
2003Median = 142 µg/L
Prev
< 50 µg/L = 18.0 %
InsufficientAdequateAbove requirementsExcessive
IODINE INTAKEµg/day
MEDIAN UIEµg/L
< 150150 – 249250 – 499≥
500ICC-IDD 2007
Insufficient Adequate Above Requirements Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDDof IDD among among pregnant pregnant womenwomen11
by regionby region
NORTHERN MINDANAO
(38)
1 ICCIDD, 1997
Severe (<20)
Moderate(20 –
49)
Mild (50 –
149)
No deficiency (≥150)
Magnitude(Median UIE, μg/L) %
0.0
5.9
88.2
5.9
CAGAYAN VALLEY
(157)
Frequency distribution of UIE values Frequency distribution of UIE values among lactating women, 2003 & 2008 : among lactating women, 2003 & 2008 :
PHILIPPINESPHILIPPINES
%
0
10
20
30
40
50
60
70
<100 100-199 200-499 ≥ 500 UIE, µg/L
NNS 2008
59.5
25.7
13.9
0.8
NNS 2003
46.4 29.1
24.7
2003Median = 111 µg/L
Prev
< 50 µg/L = 23.7 %
AdequateExcessive
MEDIAN UIE µg/L
IODINEINTAKEµg/day
≥100≥
500ICC-IDD 2007
2008Median = 81 µg/L
Prev
< 50 µg/L = 34.0%
Insufficient Adequate Above Requirements
Excessive
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Magnitude Magnitude of IDDof IDD among among lactating lactating womenwomenby regionby region
1 ICCIDD, 1994
Severe (<20)
Moderate(20 –
49)
Mild (50 –
99)
No deficiency (≥100)
Magnitude(Median UIE, μg/L) %
0.0
11.8
70.6
17.6
ILOCOS(112)
NCR(128)
CARAGA(49)
CAGAYAN VALLEY
(161)
ZAMBOANGAPENINSULA
(48)
ILOCOS(21.9%)
Progress in the Philippines towards the Progress in the Philippines towards the elimination of IDD, 1998elimination of IDD, 1998--20032003
Indicator Goal * Achievements1998 2003 2008
Proportion of households using iodized salt, %
Median urinary iodine, µg/L
Proportion < 50µg/L, %
> 90
100 -
200
< 20
25.0
71
35.8
56.0
201
11.4
132
19.7
6 – 12 yrs
Pregnant women
Lactating women--
142
6 – 12 yrs
Pregnant womenLactating women
- 18.0
111
105
81
23.725.834.0-
81.1
150 -
249
*
ICCIDD, 2007
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
hhThe iodine status of children, 6 -
12 yrs/13 –
19 yrs and adults, 20 -59 yrs and
60 yrs & over are optimal as indicated by median UIEs
hThe iodine status of pregnant and lactating women is of public health concern
hThe proportion of children, pregnant and lactating women with high UIE levels corresponding to “excessive”
iodine
intake has increased
hhThe proportion of households usingiodized salt has increased
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
MINDANAO
LUZON
VISAYAS
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Assessment criteria for BP Assessment criteria for BP classificationclassification
BPClassification
Systolic BP(mm Hg)
Diastolic BP(mm Hg)
Normal
High Normal
Pre-Hypertension
HypertensionStage IStage II
< 120 and < 80
120-129 or 80-84
130 -139 or 85-89
140 -159 or 90-99 >160 or > 100
Based on The Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure (JNC VII)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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Mean systolic BP and diastolic BP (mm Mean systolic BP and diastolic BP (mm Hg) among adults based on a single visit Hg) among adults based on a single visit BP, by age, Philippines: 2008BP, by age, Philippines: 2008
Age (y)
Mean SBP (mm Hg)
Mean DBP(mm Hg)
20-2930-3940-4950-5960-69>70
Overall
112.2116.1122.6131.2136.2140.2120.7
74.577.781.384.282.581.378.8
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
11.5 18.3
14.717.822.632.5
43.753.9
28.3
27.2
26.1
17.817.818.2
10.3
11.67.4
14.3 15.614.1
13.88.4
19.5
26.724.7
27.1
21.8 28.8
3.72.0
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
20-29y 30-39y 40-49y 50-59y 60-69y >70y
Hypertension Stage 1Pre-Hypertension Hypertension Stage 2
NormalHigh Normal
Percent distribution of blood pressure Percent distribution of blood pressure based on a single visit blood BP among based on a single visit blood BP among adults by ageadults by age
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Trends in the prevalence of hypertensioTrends in the prevalence of hypertensio among adults based on a single visit: among adults based on a single visit: Philippines, 1993 Philippines, 1993 -- 20082008
21.022.0 22.5
25.3
0.0
5.0
10.0
15.0
20.0
25.0
30.0
1993 1998 2003 2008
% P
reva
lenc
e
Hypertension, based on a single visit BP has significantly increased from 2003 to 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Assessment criteria for fasting blood Assessment criteria for fasting blood sugar (FBS) based on WHO sugar (FBS) based on WHO classificationclassification
ClassificationClassification FBS (mg/FBS (mg/dLdL))
DesirableDesirable
Impaired Fasting Impaired Fasting Glucose (IFG) Glucose (IFG)
High FBS High FBS
< 110< 110
110 110 –– 125125
> 125> 125
Based on WHO cut-off
Mean fasting blood sugar (FBS) and Mean fasting blood sugar (FBS) and percent distribution of FBS by agepercent distribution of FBS by age
92.5
91.7
86.3
87.3
90.6
95.1
99.0 0.6
2.7
3.9
4.6
3.7
3.7
1.7
0.4
4.4
9.1
4.8
9.0
5.7
3.2
0% 50% 100%
ALL
>70
60-69
50-59
40-49
30-39
20-29
Percent Mean (mg/dL)
Age Group
79.186.190.095.895.488.388.1
High FBSImpaired Fasting GlucoseDesirable
20-2930-3940-4950-5960-69>70ALL
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Trends in the prevalence of high fasting blood sugar among
adults Philippines: 1998, 2003 and 2008
4.8
3.93.4
0.0
1.0
2.0
3.0
4.0
5.0
6.0
1998 2003 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Assessment criteria for lipid profile Assessment criteria for lipid profile based on ATP III Classificationbased on ATP III Classification
Total Cholesterol (mg/dL)
< 200200 –
239>
240
DesirableBorderline HighHigh
LDL-Cholesterol (mg/dL)
< 130130 –
159>
160
DesirableBorderline HighHigh
HDL-Cholesterol (mg/dL)
< 40>
60LowHigh
Triglyceride (mg/dL)
<150150-199
>200-399>400
DesirableBorderlineHighVery High
Lipid Profile Among Filipino AdultsLipid Profile Among Filipino Adults
High total cholesterol = 10.2%High total cholesterol = 10.2%((>>240 mg/240 mg/dLdL))
High LDLHigh LDL--cholesterol = 11.8%cholesterol = 11.8%((>>160 mg/160 mg/dLdL))
Low HDLLow HDL--cholesterol = 64.1%cholesterol = 64.1%(<40 mg/(<40 mg/dLdL))
High triglyceride = 14.6%High triglyceride = 14.6%((>>200 mg/200 mg/dLdL))
High Density LipoproteinHigh Density Lipoprotein (HDL) (HDL) referred to as referred to as ””good cholesterolgood cholesterol””
Low Density LipoproteinLow Density Lipoprotein (LDL) (LDL) referred to as referred to as ””bad cholesterolbad cholesterol””
Cholesterol is a fatty substance that fills a vital function in the body but it can also increase your risk for heart disease and stroke
Triglycerides are the form in which most fat is stored in the body
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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Comparison in the prevalence of Comparison in the prevalence of dyslipidemia by total cholesterol, LDLdyslipidemia by total cholesterol, LDL-- c, HDLc, HDL--c and triglyceride levels among c and triglyceride levels among adults, Philippines: 2003 and 2008adults, Philippines: 2003 and 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
The prevalence of hypertension among adults based on a single visit was 25.3%, prevalence peaked at age 40-49 years.
Hypertension
The prevalence of high FBS ( > 125 mg/dL) among adults was 4.8 % , peaked at age 50-59 years with a prevalence of 9.0%.
Diabetes Mellitus
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
DyslipidemiaTotal cholesterol, LDL-c and triglyceride levels increased with age, particularly rose between ages 40-60 years.
The prevalence of low HDL-c had remained relatively high from 2003 to 2008.
Overall, dyslipidemia based on total, HDL- cholesterol and triglyceride levels had significantly increased from 2003 to 2008.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
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MINDANAO
LUZON
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FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Operational Definition:Operational Definition:
Infant Feeding PracticesInfant Feeding Practices ––
collective term for collective term for the feeding practices (e.g. breastfeeding, bottlethe feeding practices (e.g. breastfeeding, bottle--
feeding, and complementary feeding)feeding, and complementary feeding)
Current FeedingCurrent Feeding Practices Practices ––
refers to the childrefers to the child’’s s feeding practice at survey timefeeding practice at survey time
BreastfeedingBreastfeeding ––
a method of feeding an infant directly from the breast. This is the best andmost natural way of feeding an infant
WeaningWeaning –
cessation of breastfeeding
Exclusive breastfeedingExclusive breastfeeding –
a feeding method where an infant is given no food or drink other than breast milk (except medication)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
ColostrumColostrum –
the first thick yellowish fluid which comes out from the breast usually during the first 5 days after delivery. It contains anti-bodies that give immunity to the newborn against gastrointestinal and viral infections.
Complementary foodComplementary food –
foods introduced to the child and given progressively until the child becomes accustomed to family food to complement breast milk.
Operational Definition:Operational Definition:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of 0Percentage distribution of 0--23 23 monthmonth--old old childrenchildren: Philippines, 2008 : Philippines, 2008 (n=1,040)(n=1,040)
22.8
27.050.3
0-5 months 6-11 months12-23 months
%%
%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of children, Percentage distribution of children, 00--23 month23 month--old, by current feeding old, by current feeding practice: Philippines, 2008practice: Philippines, 2008
Feeding Practice Percent
Exclusive Breastfeeding
Breastfeeding + Complementary Feeding
Other milk or Other milk + Other Foods
Other Foods
8.6
29.9
55.4
6.2
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DEPARTMENT OF SCIENCEAND TECHNOLOGY
35.9 36.8
27.3
00.5
39.4
59.8
0.3 0.6
21.6
65.7
12.20
10
20
30
40
50
60
70
80
00--5 months5 months 1212--23 months23 months66--11 months11 months
Per
cent
age
Distribution of children by current feeding practice by age group: Philippines, 2008
Exclusive BreastfeedingExclusive Breastfeeding
Breastfeeding + ComplementaryBreastfeeding + ComplementaryFeedingFeeding
Other Milk or Other milk + Other FoodsOther Milk or Other milk + Other Foods
Other FoodsOther Foods
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Ever Breastfed
89.6 %
Not Ever Breastfed
10.4 %
Percentage of ever breastfed Percentage of ever breastfed 0 to 23 0 to 23 monthmonth--oldold
childrenchildren
: Philippines, 2008: Philippines, 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of 0 Distribution of 0 –– 23 month 23 month children by exclusive breastfeeding: children by exclusive breastfeeding: Philippines, 2008Philippines, 2008
Ever Breastfed
89.6 %
Not Ever Breastfed
10.4 %
0 20 40 60 80 100
PERCENT
Exclusively Breastfed
82.8
17.2Not
Exclusively Breastfed
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Ever Breastfed
89.6 %
Not Ever Breastfed
10.4 %
0 20 40 60 80 100
PERCENT
Given Colostrum 89.4
10.6Not Given
Colostrum
Percentage of ever breastfed Percentage of ever breastfed children, 0 to 23 monthchildren, 0 to 23 month--old by giving old by giving of colostrum: Philippines, 2008of colostrum: Philippines, 2008
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Infant feeding practices by Infant feeding practices by distribution of 0distribution of 0--23 months by 23 months by exclusive breastfeeding: Philippines, exclusive breastfeeding: Philippines, 20082008
0.06-71.48-90.010-110.612-151.216-190.020-238.6All 0-23
Not Breastfeedi
ng
Age in Months
Exclusive Breastfeedi
ng<2 14.6
12.333.743.1
60.988.374.484.5
87.361.4
45.6
48.015.4
2-3
4-5
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children by time of Distribution of children by time of initiation of breastfeeding: initiation of breastfeeding: Philippines, 2008Philippines, 2008
Time of Initiation of Breastfeeding Percent
After 1 hour or more
After 1 day or more
After child has been cleaned
Right after delivery while cutting the umbilical cord
46.0
20.9
20.1
11.4
After 1 week or more 1.5
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of Children by reason why Distribution of Children by reason why breast milk was given to child: breast milk was given to child: Philippines, 2008Philippines, 2008
41.7
8.27.6
4.32.8
1.30.22.7
12.035.8
0 10 20 30 40 50 60 70
Economical/no money to buy infant formula
Nutritious/complete food for baby
Safe,convenient and readily available
As advised by physician/other health personne;
Increases immune responses
Foster stronger maternal-child bonding
As advised by friends/relatives
Own Preference
Benefits derived as shown in TV/print media/billboards
Others
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DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children by main Distribution of children by main reason why breastfeeding was reason why breastfeeding was stopped: Philippines, 2008stopped: Philippines, 2008
Reasons Percent
Another pregnancy 9.1
Child refused 7.8
Mother ill/weak/underwent surgery 7.6
Cracked nipple/breast infection 5.4
Child old enough for weaning 2.8
Child ill/weak 2.5
Child abandoned/separated from mother 1.5
Others 2.9
As advised by health personnel/relatives/friends
0.5
Child not gaining weight 0.1
Inadequate milk flow
Working outside home/too busy
34.5
25.5
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
31.664.5
4.0
Infant follow-on/growing-up MilkPowdered, filled milkPowdered, whole milk
Distribution of children by type of Distribution of children by type of milk given: Philippines, 2008milk given: Philippines, 2008
LEGEND:
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children by reason for Distribution of children by reason for choosing kind of milk: Philippines, choosing kind of milk: Philippines, 20082008
40.3
10.6
9.9
8.2
7.4
5.3
2.2
1.3
1.0
13.9
0 10 20 30 40 50
Affordable
Nutritious
"Hiyang sa bata"
As per advice by doctor/health personnel
As per advice of relatives/friends
To make child healthy/active
Always available
To make child intelligent
As per benefits shown by media
Others (own decisin of mother)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children by first Distribution of children by first introductory food given to child: introductory food given to child: Philippines, 2008Philippines, 2008
48.1
4.6
3.7
1.3
1.2
1.1
0.4
1.4
37.2
1.0
0 10 20 30 40 50 60 70
water
solid/semi-solid foods
water + sugar
am
fresh juice
fish soup/broth
vegetable soup/broth
meat soup/broth
milk other than the one presently given
others
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children by reason for Distribution of children by reason for giving first introductory food: Philippines, giving first introductory food: Philippines, 20082008 Reasons Percent
As per advice by relatives/friends 17.7No milk flow 15.1As transition to regular diet 13.5As per advised by health personnel 13.1To familiarize child on taste of food 12.1With Health benefits 8.6Economical 5.0Child is old enough to eat 3.4Nutritious 2.8Own decision 2.6Due to tradition 2.2To satisfy thirst 1.7Mother cannot breastfeed 1.0Preferred by baby 0.8Child with cleft palate 0.2As shown in TV/print media/billboards 0.2
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children when Distribution of children when complementary feeding started and complementary feeding started and mean age of start: Philippines, 2008mean age of start: Philippines, 2008
Complementary Foods Percent Mean Age (in months)
Plain water 86.2 3.0Water + sugar 22.6 4.2Am 36.7 6.2Solid/semi-solid foods 75.4 6.1Fresh fruit juice 50.2 6.7Fish soup/broth 71.3 6.9Meat soup/broth 69.6 6.9Vegetable soup/broth 71.9 6.8Powdered or ready to drink juice
48.0 10.0
Milk other than the one presently given 26.6 10.0
Other liquids 50.3 10.0
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
17.8
2.6
0.9
2.0
1.0
0.3
8.7
Mother FatherBrother SisterGrandparents Other relatives"Yaya" Others
Distribution of children by person Distribution of children by person who feeds the child: Philippines, 2008who feeds the child: Philippines, 2008
LEGEND:
66.7
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
4.8
8.51.5
Distribution of children by reason Distribution of children by reason why mother does not feed the child: why mother does not feed the child: Philippines, 2008Philippines, 2008
Mother working/busyMother working/busy
Others Others
Child is used to him/herChild is used to him/her
Child has appetite when Child has appetite when fed by him/herfed by him/her
LEGEND:
85.6
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Distribution of children by person Distribution of children by person who decides on food to feed the who decides on food to feed the child: Philippines, 2008child: Philippines, 2008
Mother Mother
SisterSister
FatherFather
BrotherBrother OthersOthers
GrandparentsGrandparents
Other RelativesOther Relatives
1.4
0.1
0.2
11.9
0.3
4.8
LEGEND:
81.3
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
35.9
29.7
0
5
10
15
20
25
30
35
40
45
50
Per
cent
age
Comparison of the 2003 and 2008 Duration of Breastfeeding: Philippines, 2008
20082008
20032003LEGEND:
Mean duration of exclusive breastfeeding
2.2 mos 3.0 mos
Mean duration of breastfeeding
4.9 mos 5.6 mos
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Exclusive breastfeeding of 0-5 month old children was only 35.9%. This is implies that only more than 1/3 of the children met the WHO recommendation of exclusive breastfeeding for the first 6 months.
Of the total sample children, the proportion of ever breastfed children was 89.6%. Out of this ever breastfed, 82.8% were exclusively breastfed and 89.4% were given colostrum.
The mean duration of exclusive breastfeeding was 2.3 months. Compared with the 2003 which is 3.0 months, a significant decrease was noted.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Comparing the mean duration of ever breastfeeding, the 2008 was slightly lower at 4.9 months versus 5.6 months in 2008. There was no significant difference between the 2 base year.
Only 17.1% of the sample children were breastfed up to 12-23 months. Again, this is far more short of the recommended length of breastfeeding by WHO which is up to 2 years of age.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Introduction of complementary foods to children was between 4-6 months.
Untimely or early stopping of breastfeeding has been attributed by mothers to their work as well as inadequate flow of breastmilk.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
MINDANAO
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FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Among householdsAmong households……....
Food ProductionFree Medical/Dental ServicesBotika ng Bayan
LEGEND
Tindahan Natin
Senior Citizen Discount Card
Percentage of households participating in Percentage of households participating in government programsgovernment programs
0
10
20
30
40
50
60
70
80
Per
cent
age
13.1
33.934.2
1.83.88.8
15.224.2
19.8
4.7
51.8
Nutrition Education
Food-for-School
Responsible ParenthoodCredit Assistance for LivelihoodSkills TrainingFood-for-Work
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
FoodFood--forfor--School Program School Program ……
….A conditional food transfer program of the government aimed to mitigate hunger and prevent further decline of nutritional status of learners, and to improve their school attendance and academic performance.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households coveredPercentage of households covered**
and not covered by Foodand not covered by Food--forfor--School School ProgramProgram
41.0 %59.0%
Not CoveredCovered
*Covered households (n=21,547) – are households with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
80.2 % 19.8%
Not Recipients Claimed Recipients
Percentage of covered household who Percentage of covered household who respond to question: Is/Are you respond to question: Is/Are you
child/children recipient of the Foodchild/children recipient of the Food--forfor-- School Program?School Program?
Recipients are households (n=4,595) with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months, and received rice as ration
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households who claimed to Percentage of households who claimed to be recipients* of Foodbe recipients* of Food--forfor-- School School Program by frequency of receiving one Program by frequency of receiving one kilo of ricekilo of rice
0
10
20
30
40
50Pe
rcen
tage
Daily Weekly Monthly
47.4
28.624.0
*Recipients are households (n=4,595) with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months, and received rice as ration
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households who claimed Percentage of households who claimed to be recipients* of Foodto be recipients* of Food--forfor-- School School
Program by duration of receiving Program by duration of receiving one kilo of riceone kilo of rice
0
20
40
60
80
100Pe
rcen
tage
Less than 5 months
5 months
More than 5 months
New recipients
75.2
5.014.4
5.4
*Recipients are households (n=4,595) with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months, and received rice as ration
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
0
10
20
30
40
50
60Pe
rcen
tage
Unfortified rice
Do not know
Percentage of households who claimedPercentage of households who claimed to be recipients* of Foodto be recipients* of Food--forfor-- School School
Program by type of rice givenProgram by type of rice given
Fortified rice
51.9
30.9
17.2
*Recipients are households (n=4,595) with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months, and received rice as ration
Percentage of households who claimed Percentage of households who claimed to be recipients* of Foodto be recipients* of Food--forfor--School School
Program by presence of other members Program by presence of other members partaking the rice givenpartaking the rice given
0 20 40 60 80 100
PERCENT
With other members partaking 97.6
Without other members partaking
Given to neighbors
2.1
0.319.8%80.2 %
Not Recipients
Claimed Recipients
*Recipients are households (n=4,595) with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months, and received rice as ration
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
0
20
40
60
80
100Pe
rcen
tage
DSWD Others
Percentage of households who claimedPercentage of households who claimed to be recipients* of Foodto be recipients* of Food--forfor-- School School
Program by sponsor of rice givenProgram by sponsor of rice given
DepED
79.2
14.60.2 6.1
Both DepEd & DSWD
*Recipients are households (n=4,595) with children enrolled in Day Care Centers and in elementary schools under DepEd, for the past 12 months, and received rice as ration
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Food Fortification Food Fortification ProgramProgram……
Sangkap Pinoy Seal (SPS)Sangkap Pinoy Seal (SPS)
…is the local term referring to the Seal given by the DOH to food products that have been certified as fortified singly or in combination of the three essential micronutrients, namely: vit. A, iron and iodine.
Iodized saltIodized salt… ordinary salt to which iodine has been added.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of households Percentage distribution of households by awareness of food products with by awareness of food products with Sangkap Pinoy Seal Sangkap Pinoy Seal **
Awareness Percent
Aware 11.6
Not aware 88.4
*SPS food products are fortified with nutrients at DOH-prescribed level, that is 1/3 of the nutrient requirement
Gave correct example 9.8
Gave incorrect example 1.8
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Proportion of households choosing foodProportion of households choosing food products with products with Sangkap Pinoy SealSangkap Pinoy Seal
when buying processed foods: when buying processed foods: Philippines, 2008Philippines, 2008
INFORMATION YES NO N/A
All survey households
All households who know SPS
8.6 3.0
22.5
88.4
77.5
2.2
2.8
3.9
8.0
9.2
9.5
42.9
60.1Food products endorsed/approved by DOH
Nutritious/good for the body/with added vitamins minerals
Tasty
“masarap”
Easy to prepare
Philippine made/ “pagkaing
Pinoy”
Others (with chemicals, etc.)*multiple response
HouseholdHousehold’’s knowledge* of food products with s knowledge* of food products with Sangkap Pinoy SealSangkap Pinoy Seal
Percent of households who know SPS-seal
Response*
Affordable
“Pampatalino”
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households who are Percentage of households who are aware and using iodized saltaware and using iodized salt
Awareness 78.5
41.9
53.3
AWARENESS / USAGE PERCENT
Usage among all survey households
Presently using
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Trend of household awareness and Trend of household awareness and usage of iodized salt, 1998usage of iodized salt, 1998--20082008
Perc
enta
ge78.5
83.479.567.3
41.949.2
38.124.8
0
20
40
60
80
100
1998 2003 2005 2008
Awareness
Usage
Survey Year
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households by awareness of iodized salt by region
CAR (80.4
)
CAGAYAN VALLEY (84.4)
ILOCOS (78.2)
CENTRAL LUZON (91.4)
NCR (87.9)
CALABARZON (92.0)
BICOL (77.6)
EASTERN VISAYAS (66.9)
WESTERN VISAYAS (57.4)
CENTRAL VISAYAS (70.5)
CARAGA (72.5)
NORTHERN MINDANAO (83.7)
ZAMBOANGA PENINSULA (75.8)
ARMM (29.7)
DAVAO (79.2)
SOCCSKSARGEN (65.4)
MIMAROPA (79.3)
%
%
%
National Estimate = 78.5%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
NORTHERN MINDANAO (52.0)
CAR (53.4)
CAGAYAN VALLEY (57.8)
ILOCOS (26.6)
CENTRAL LUZON (38.0)
NCR (51.5)
CALABARZON (49.1)
BICOL (33.1)
EASTERN VISAYAS (42.8)
WESTERN VISAYAS (32.3)
CENTRAL VISAYAS (35.2)
CARAGA (41.1)
ZAMBOANGA PENINSULA (25.1)
ARMM (16.7)
DAVAO (58.3)
SOCCSKSARGEN (46.9)
MIMAROPA (38.5)
50% and Above
Below 50%
Percentage of households by usage of iodized salt by region
National Estimate = 41.9%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CAR (92.8)
CAGAYAN VALLEY (96.8)
ILOCOS (89.8)
CENTRAL LUZON (52.8) NCR
(82.6)
CALABARZON (65.0)
BICOL (95.0)
EASTERN VISAYAS (97.2)
WESTERN VISAYAS (91.6)
CENTRAL VISAYAS (92.9)
CARAGA (90.6)
NORTHERN MINDANAO (83.0)
ZAMBOANGA PENINSULA (62.8)
ARMM (61.2)
DAVAO (96.3)
SOCCSKSARGEN (96.9)
MIMAROPA (66.3)
Percent of households by positive reaction of salts samples to potassium iodate solution using RTK by region: 2008
* Based on the goal set by the WHO, UNICEF, ICCIDD, 2007
% *%
%
National Estimate = 81.1%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
75.4
24.6
81.1
18.9
0
15
30
45
60
75
90
2005 2008
Positive Negative
Reaction of salt samples to the rapid Reaction of salt samples to the rapid test kit (RTK) and comparison with test kit (RTK) and comparison with
20052005
Perc
enta
ge
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Food Labeling...Food Labeling...
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
53.8
35.1
11.1
0
10
20
30
40
50
60Pe
rcen
tage
Yes Sometimes
Percentage of households by response Percentage of households by response to question: to question: Do you read product labels Do you read product labels
when buying processed foodswhen buying processed foods? ? (n=5,014)(n=5,014)
No
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households who are Percentage of households who are reading product labels by kind of reading product labels by kind of information they are looking in the information they are looking in the labellabel
I - Ingredients
M - Manufacturer
NF - Nutrition FactsED - Expiration Date
BN - Brand Name
O - OthersNW - Net Weight
LEGEND
46.0 45.838.3
28.2
7.14.5
14.7
0
10
20
30
40
50
60
Perc
enta
ge
WHO USUALLY READ
ED NF I BR M NW O43.1 40.1
44.6
25.6
7.23.2
14.7
0
10
20
30
40
50
60
Per
cent
age
WHO SOMETIMES READ
ED NF I BR M NW O
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households who are Percentage of households who are reading nutrition facts by kind of reading nutrition facts by kind of information they are looking forinformation they are looking for
0
10
20
30
40
50
60
70
80Pe
rcen
tage
Nutrients Calories per
Serving
Amount per
Serving
73.4
26.1
10.5
Percent Daily
Values
Others
4.7 7.0
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
10.0
76.6
13.4
0
20
40
60
80
100Pe
rcen
tage
Percentage of households reading Percentage of households reading nutrition facts by response to question: nutrition facts by response to question:
Does nutrition facts influence you in Does nutrition facts influence you in buying a productbuying a product??
No Yes Sometimes
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Essential Drugs...Essential Drugs...…Defined by WHO as “those drugs that satisfy the health care needs of the majority of the population, should be available at all times in adequate amounts and in appropriate dosage, at a price that the community can afford.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of Percentage distribution of households buying essential drugshouseholds buying essential drugs
97.1
2.9
0
20
40
60
80
100Pe
rcen
tage
Buying Not buying
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households who are Percentage of households who are buying essential drugs by place of buying essential drugs by place of
purchasepurchase
Perc
enta
ge
Botika ng Barangay
Drug Store
Hospital Pharmacy
Sari-Sari Store
27.9
Health Center
Other Sources
75.8
4.1 8.8
38.6
1.30
20
40
60
80
100
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of households buying Percentage of households buying essential drugs and by perception essential drugs and by perception
about the costabout the cost
0
10
20
30
40
50
60Pe
rcen
tage
Expensive Just right
Affordable
17.3
47.0
34.5
1.2
Others
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
0
20
40
60
80
100Pe
rcen
tage
Sometimes Available
Always Available
74.4
Percentage of households buying Percentage of households buying essential drugs by availability of the essential drugs by availability of the
drugsdrugs
Not Available
23.6
2.0
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Among childrenAmong children……....
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of children, 0Percentage of children, 0--48 months, 48 months, participating in government programsparticipating in government programs
Newborn Screening (for newly born infants)BCG - (children, 0-3 moths)
LEGEND
DPT - (children, 1-2 months)
OPV – (children, 2-6 months) Hepatitis B – (children, 0-6 months)Measles – (children, 9-48 months)
13.8
86.182.4
85.9 85.3
45.7
0
20
40
60
80
100
Perc
enta
ge
BCG
DPT
OPV
HEPA
B
MEASLES
ImmunizationNewborn Screening
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of children, 0Percentage of children, 0--5 years, 5 years, participating in government programsparticipating in government programs
GM - Growth Monitoring (children, 0 – 5 years)
SF - Supplementary Feeding (children, 3 – 5 years)
OFC - Orally Fit Child (children, 3 – 5 years)
LEGEND
OPT - Operation Timbang (children, 0 – 5 years)
39.5
72.1
18.6 14.3
0
20
40
60
80
100
Perc
enta
ge
GM
OPT SF OFC
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of children participating Percentage of children participating in deworming program of the in deworming program of the
governmentgovernment
59.064.1
0
10
20
30
40
50
60
70Pe
rcen
tage
1-
5 years 6 -
12 years
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
CAR (75.4)
CAGAYAN VALLEY (68.7)
ILOCOS (64.3)
CENTRAL LUZON (47.7) NCR
(56.6)
CALABARZON (45.1)
BICOL (68.7)
EASTERN VISAYAS (78.5)
WESTERN VISAYAS (75.6)
CENTRAL VISAYAS (67.9)
CARAGA (77.6)
NORTHERN MINDANAO (73.1)
ZAMBOANGA PENINSULA (67.4)
ARMM (68.9)
DAVAO (79.2)
SOCCSKSARGEN (74.2)
MIMAROPA (64.5)
Percentage of children, 6-12 years by participation in
deworming program of the government by
regionNational Estimate = 64.1%
%%
%
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Among pregnant and Among pregnant and lactating motherslactating mothers……....
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage of pregnant and lactating Percentage of pregnant and lactating mothers participating in government mothers participating in government programsprograms
42.2
24.8 24.4
2.1
40.0
22.1
100.0
1.90
20
40
60
80
100
Perc
enta
geBreastfeeding Promotion
Toxoid ImmunizationNutrition Counseling
LEGEND
Other Programs
LactatingPregnant
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
The Food Production program had the highest percentage of households claiming participation (51.8%)
The rest of the programs for households included in the survey had participation below 50-percentage points
Among households…
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Among the government programs for children, 0 to 5 years, the program on Immunization specifically BCG, DPT, OPV and Hepatitis B, had the highest percentage of children claiming participation, followed by Operation Timbang and Deworming
About 64% of children aged 6 to 12 years participated in the deworming program of the government
Among children…
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Among pregnant women, less than 50.0% claimed participation in Toxoid Immunization, Nutrition Counseling and Breast feeding Promotion
One hundred percent (100%) of the lactating mothers claimed participation on the Breast Feeding Promotion of the government
Among pregnant and lactating mothers…
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
About 35% of the households claimed reading food labels of which 46.0% looked for expiration date and 45.8% on nutrition facts
About 97% of the households claimed buying essential drugs of which 74.4% said the drugs are always available and they usually buy them in drugstores (75.8%)
Food Labels
Essential Drugs
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Awareness of food products with Sangkap Pinoy Seal is 11.6%
Among those who are aware, 77.5% choose products with SPS when buying processed foods
Food products with Sangkap Pinoy Seal
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Iodized salt survey revealed a relatively high awareness (78.5%) but low in usage (41.9%)
There was a decrease in the proportion of households who are aware and users of iodized salt between 2005 and 2008
Iodized Salt
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
onclusions andonclusions andCCCImplications to Programs
Windows for action:
Review existing health and nutrition programs to address the emerging problem of double burden of malnutrition, especially among children and pre-adolescents / adolescents
Strengthen and integrate efforts to combat malnutrition among children
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
onclusions andonclusions andCCCImplications to Programs
Windows for action:
Ensure adequate maternal nutritional status
Strengthen promotion of exclusive breastfeeding thru 6 months, and appropriate complementary feeding and breastfeeding;
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Frequency of distribution of iron supplements in high-risk areas, and particularly among pregnant and lactating women
Windows for action:
onclusions andonclusions andCCCImplications to Programs
Dietary modification and increased physical activity as part of behavior modification effort to address lifestyle diseases
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Review current policies on health and nutrition, e.g. asin law, food fortification law,
Windows for action:
onclusions andonclusions andCCCImplications to Programs
Need to encourage partnership with various stakeholders on program/project implementation, particularly with the local executives (new) and the food industry
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
United Nations Children’s Fund (UNICEF)Department of Science and Technology-
Grants
in Aid (DOST-GIA) through the PCHRD Department of Health, National Center for
Disease Prevention and Control (DOH- NCDPC), Non-Communicable Disease Office
(DOH-NCDO), National Nutrition Council (DOH-NNC)
Department of Agriculture, Bureau of Agricultural Research (DA-BAR)
Philippine Society of Endocrinology and Metabolism (PSEM)
Wyeth Philippines, Inc.
United Nations Children’s Fund (UNICEF)Department of Science and Technology-
Grants
in Aid (DOST-GIA) through the PCHRDDepartment of Health, National Center for
Disease Prevention and Control (DOH- NCDPC), Non-Communicable Disease Office
(DOH-NCDO), National Nutrition Council (DOH-NNC)
Department of Agriculture, Bureau of Agricultural Research (DA-BAR)
Philippine Society of Endocrinology and Metabolism (PSEM)
Wyeth Philippines, Inc.
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Multi-Sectoral
Task Force (MTF) member organizations headed by Dr. Dante D. Morales
Multi-Sectoral
Task Force (MTF) member organizations headed by Dr. Dante D. Morales
Philippine Lipid and Atherosclerosis Society (PLAS)
Philippine Society of Hypertension (PSH)
Philippine Heart Association (PHA)
Philippine Society of Nephrology (PSN)
Osteoporosis Society of the Philippine Foundation, Inc. (OSPFI)
Philippine Association for the Study of Overweight and Obesity (PASOO)
Philippine Rheumatology Association (PRA)
Philippine Association on Vascular Medicine (PSVM)
Philippine Lipid and Atherosclerosis Society (PLAS)
Philippine Society of Hypertension (PSH)
Philippine Heart Association (PHA)
Philippine Society of Nephrology (PSN)
Osteoporosis Society of the Philippine Foundation, Inc. (OSPFI)
Philippine Association for the Study of Overweight and Obesity (PASOO)
Philippine Rheumatology Association (PRA)
Philippine Association on Vascular Medicine (PSVM)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Philippine College of Physicians (PCP)
Philippine Society of Asthma, Allergy, Immunology (PSAAI)
Philippine College of Physicians (PCP)
Philippine Society of Asthma, Allergy, Immunology (PSAAI)
National Statistics Office (NSO)Local Government Unit-
Department of Interior
and Local Government (LGU-DILG) and their local executives, the Governors, Mayors, and the Barangay
Captains, and their
constituents Dr. Isidoro
David and Dr. Zita
Albacea
DOST Regional Directors, Provincial Science and Technology Officers (PSTO)
National Statistics Office (NSO)Local Government Unit-
Department of Interior
and Local Government (LGU-DILG) and their local executives, the Governors, Mayors, and the Barangay
Captains, and their
constituentsDr. Isidoro
David and Dr. Zita
Albacea
DOST Regional Directors, Provincial Science and Technology Officers (PSTO)
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Regional, Provincial, City and Municipal Nutrition Action Officers
The 36,344 households and their 191,351 members
All technical and non-technical FNRI Staff, Local Researchers, and their Local Survey Aids
Regional, Provincial, City and Municipal Nutrition Action Officers
The 36,344 households and their 191,351 members
All technical and non-technical FNRI Staff, Local Researchers, and their Local Survey Aids
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
FNRI HOME PAGE:
FOOD AND NUTRITION RESEARCH INSTITUTEFOOD AND NUTRITION RESEARCH INSTITUTEDepartment of Science and TechnologyDepartment of Science and Technology
DOST Compd., DOST Compd., BicutanBicutan, , TaguigTaguigMetro Manila, PHILIPPINESMetro Manila, PHILIPPINES
OUR ADDRESS
http://http://www.fnri.dost.gov.phwww.fnri.dost.gov.ph
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
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salamatsalamat popo!!
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
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FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Rationale for the development of the Rationale for the development of the WHO child growth standards (CGS)WHO child growth standards (CGS)
The recommended NCHS/WHO The recommended NCHS/WHO international reference was reinternational reference was re--assessed assessed due to the following:due to the following:
Individual infantsIndividual infants– interferes with sound nutritional
management of breastfed infants, increasing their risk of morbidity and mortality
PopulationsPopulations– provides inaccurate estimates of
undernutrition
and overweight
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
How will the development of How will the development of the WHO child growth the WHO child growth standards (CGS) help?standards (CGS) help?
Reconfirm the right to the “highest attainable standard of health”
Reinforce breastfeeding as the best source of nutrition for infants
Provide an opportunity to strengthen growth promotion programmes
Improve assessment of poor growth and monitoring of progress towards the MDGs
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Percentage distribution of 0Percentage distribution of 0--5 year5 year-- old children by nutritional status old children by nutritional status using CGS/WHO: Philippines, 2008using CGS/WHO: Philippines, 2008
*
* For 0-60 months only
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Comparison of nutritional status of 0Comparison of nutritional status of 0--5 5 yearyear--old children by weightold children by weight--for age for age classification using NCHS IRS and WHO classification using NCHS IRS and WHO CGS: Philippines, 2008 CGS: Philippines, 2008
01020304050607080
NCHS IRS CGS
26.2 21.6
71.8 76.7
2.0 1.7
% P
reva
lenc
e
Underweight Normal Overweight
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Comparison of nutritional status of 0Comparison of nutritional status of 0--5 5 yearyear--old children by heightold children by height--forfor--age age classification using NCHS IRS and classification using NCHS IRS and WHO CGS: Philippines, 2008WHO CGS: Philippines, 2008
01020304050607080
NCHS IRS CGS
27.9 32.3
71.066.5
1.1 1.2
% P
reva
lenc
e
Underheight Normal Tall
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
Comparison in the trends of the Comparison in the trends of the prevalence of underweight among prevalence of underweight among children, 0children, 0--5 years old, using NCHS IRS 5 years old, using NCHS IRS vsvs CGS: 1989 to 2008CGS: 1989 to 2008
34.5 34.029.9 30.8 32.0 30.6
26.924.6 26.2
29.3 28.124.6 25.1 26.7
24.421.4 21.7 21.6
0
10
20
30
40
1989 1992 1993 1996 1998 2001 2003 2005 2008
% P
reva
lenc
e
NCHS IRS CGS
FNRIFOOD AND NUTRITION RESEARH INSTITUTE
DEPARTMENT OF SCIENCEAND TECHNOLOGY
39.936.8
34.3 34.5 34.031.4 29.9
26.3 27.9
45.641.5
39.3 40.4 39.536.4 34.4 33.8 32.3
0
10
20
30
40
50
1989 1992 1993 1996 1998 2001 2003 2005 2008
% P
reva
lenc
e
NCHS IRS CGS
Comparison in the trends of the Comparison in the trends of the prevalence of prevalence of underheightunderheight among among children, 0children, 0--5 years old, using NCHS IRS 5 years old, using NCHS IRS vsvs CGS: 1989 to 2008 CGS: 1989 to 2008