Message of the Mayor

Greetings!

Malnutrition remains a challenge in our municipality as evidenced by

the Expanded National Nutrition Survey (ENNS) 2019 survey results.
The presence of malnutrition in our municipality such as being
underweight, stunting, wasting, and overweight will have short-term
and long-term ill effects on our municipality.

Malnutrition like other social issues requires the whole-of-nation,

whole-of-government, and whole-of-society approach to achieve
reduction or elimination. The Local Government of Las Nieves with its mandate has
implemented evidence-based and science-based practices to address the nutrition challenges in
the municipality. With the creation of the Municipal Nutrition Action Plan (MNAP) which is
consistent with the Philippine Plan of Action for Nutrition (PPAN) giving emphasis on the
nutrition-specific, nutrition-sensitive, and enabling programs, the Municipal Nutrition Council
(MNC) hopes that malnutrition is a thing in the past.

This document is a manifestation of the collective effort to address malnutrition in the

municipality. As this document follows the planning approach in addressing the nutrition
challenges, it seeks to guide the implementing agencies in order to achieve the vision, mission,
and goal of the municipality for its constituents.

KAREN S. ROSALES
Municipal Mayor

i
 Acknowledgement

We gratefully acknowledge the support and guidance of the Provincial Nutrition Action
Office headed by Ms. Silverjoy B. Tejano,DM most particularly Ms. Emelyn Flor L. Fabiaña and
Ms. Alfie Semonette P. Pabillore, without their supervision and encouragement this Municipal
Nutrition Action Plan will not be able to realize.

We are also grateful to the members of the Municipal Nutrition Council headed by Hon.
Karen S. Rosales for their support and guidance in crafting this plan and allocating appropriate
budgets for the realization of various programs, projects and activities.

Finally, we extend our gratitude to the Sangguniang Bayan Members headed by

Municipal Vice Mayor Hon. Vergilio R. Escasiñas for their untiring support to the nutrition
program.

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Table of Contents
Ch I: Vision, Mission, and Introduction..........................................................................................1
Vision and Mission......................................................................................................................2
Vision.......................................................................................................................................2
Mission....................................................................................................................................2
Introduction..................................................................................................................................3
Land Area in Las Nieves, by Barangay...................................................................................3
Municipal Population...............................................................................................................3
Economic Status......................................................................................................................4
Social Services.........................................................................................................................4
Environmental Sanitation........................................................................................................5
Ch. II: Nutrition Status....................................................................................................................7
The Nutrition Situation................................................................................................................8
The Irreversible and Later Life Complications........................................................................8
The Likelihood of Under Five Mortality.................................................................................9
Overweight and Obesity........................................................................................................11
The Short and Long Term Problem of Nutrition Program....................................................12
Nutritionally-At-Risk Pregnant Women................................................................................13
Nutrition Problem Tree..............................................................................................................15
Municipal Nutrition Action Score Card....................................................................................16
The Nutrition Action Score Card...........................................................................................17
Existing Interventions................................................................................................................17
Ch. III. Goals, Objectives, Workplan to Implement PPAs, Monitoring and Evaluation, and
Budgetary Requirements...............................................................................................................20
Goal and Objectives...................................................................................................................21
Goal........................................................................................................................................21
Objectives..............................................................................................................................21
Outcome Target.........................................................................................................................22
Nutrition Specific and Nutrition Sensitive Interventions..........................................................23
NUTRITION OPERATIONAL PLAN 2023-2025.......................................................................36
Annexes.........................................................................................................................................41
Functionality of Local Nutrition Committee.................................................................................42

iii
Tables

Table 1. Land Area per Barangay....................................................................................................3

Table 2. Municipal and Barangay Population, 2020.......................................................................4
Table 3. Household with Access to Safe Drinking Water...............................................................5
Table 4. Household with Access to Basic Sanitation Facility.........................................................5
Table 5. Household with Access to Sanitary Waste Management..................................................6
Table 6. Children 0-59 months old who are Stunting and Severely Stunting, 2022.......................8
Table 7. Children 0-59 months old who are Moderately Wasted and Severely Wasted, 2022.......9
Table 8. Children 0-59 momths old who are Overweight and Obese............................................11
Table 9. Outcome Target...............................................................................................................22
Table 10. Nutrition Specific and Nutrition Sensitive Intervention................................................23
Table 11. Nutrition Operation Plan 2023-2025.............................................................................36
Table 12.Functional Local Nutrition Committee...........................................................................42

Figures

Figure 1. Stunting and Severely Stunting Map................................................................................9

Figure 2. Moderately Wasting and Severely Wasting Map...........................................................11
Figure 3. Overweight and Obese Map...........................................................................................12
Figure 4. Stunting and Wasting Quadrant.....................................................................................13
Figure 5. Nutrition Problem Tree..................................................................................................15
Figure 6. Municipal Nutrition Action Scorecard...........................................................................16
Figure 7. Philippine Plan of Action Framework............................................................................17

iv
Ch I: Vision, Mission, and Introduction

1
Vision and Mission

Vision

We Envisioned Having Well-Nourished Families Happily Living in a Healthy, Peaceful and

Progressive Las Nieves

Mission

To improve the quality of life through the provision of quality health and nutrition services, food
accessibility and security, access to livelihood programs, and living in a secured environment.

2
Introduction

The Municipality of Las Nieves, Agusan del Norte lies in the coordinates of 125.5992
longitudes and 8.731667 latitudes (latitude 8°46’0”N – longitude 125°30’0”E). It is bounded on
the east by the Municipality of Sibagat in the province of Agusan del Sur, on the west by
Gingoog City, on the north by the City of Butuan and the Municipality of Buenavista and on the
south by the Municipality of Esperanza, Agusan del Sur.

Land Area in Las Nieves, by Barangay

The Municipality of Las Nieves has a total land area of 58,311 hectares; of which 48,
332.0 hectares or 82.89% is forestland and 9,979 hectares or 17.11 % is alienable and disposable
land. It comprises of 21 barangays on which 16 barangays are located in the forestland. Of the
16 barangays, five (5) barangays are totally located in forestland areas namely, Barangays
Balungagan, Casiklan, Ibuan, Lawan-lawan, and Marcos Calo. Barangay Lawan-lawan occupies
the largest coverage with approximately 42.67% or 24,882 hectares while Barangay Poblacion
covering 259 hectares registered the smallest with merely .044%.

Table 1. Land Area per Barangay

Alien or Disp Forestland % Alien or % of Barangay
Barangay Grand Total
(ha) (ha) Disp (ha) Area to Total
Ambacon 372 0 372 100.00% 0.64%
Balungagan 0 928 928 0.00% 1.59%
Bonifacio 309 1720 2029 15.23% 3.48%
Casiklan 0 5715 5715 0.00% 9.80%
Consorcia 203 952 1155 17.58% 1.98%
Durian 483 7327 7810 6.18% 13.39%
E.G. Montilla 474 0 474 100.00% 0.81%
Ibuan 0 3153 3153 0.00% 5.41%
Katipunan 1191 152 1343 88.68% 2.30%
Lawan-Lawan 0 24882 24882 0.00% 42.67%

Lingayao 1599 1081 2680 59.66% 4.60%

Malicato 466 14 480 97.08% 0.82%
Manigalao 642 1560 2202 29.16% 3.78%
Marcos Calo 0 445 445 0.00% 0.76%
Mat-i 646 18 664 97.29% 1.14%
Pinana-an 601 0 601 100.00% 1.03%
Poblacion 221 38 259 85.33% 0.44%
Rosario 515 167 682 75.51% 1.17%
San Isidro 574 0 574 100.00% 0.98%
San Roque 813 180 993 81.87% 1.70%
Tinucoran 870 0 870 100.00% 1.49%
Grand Total 9979 48332 58311 17.11% 100%
Source: DRRM Plan

Municipal Population

Below is the list of barangays and their respective population in the year 2020 based on the
latest PSA survey conducted.

The barangay with the highest population is Barangay Durian and the barangay with the
lowest population is Barangay San Roque.

3
Table 2. Municipal and Barangay Population, 2020
LAS NIEVES 30,240
Ambacon 1,386
Balungagan 871
Bonifacio 1,223
Casiklan 2,032
Consorcia 1,383
Durian 3,003
Eduardo G. Montilla (Camboayon) 1,517
Ibuan 1,070
Katipunan 1,093
Lingayao 2,713
Malicato 1,258
Maningalao 1,761
Marcos Calo 876
Mat-i 2,304
Pinana-an 1,586
Poblacion 1,525
Rosario 1,622
San Isidro 1,295
San Roque 524
Tinucoran 1,198
Source: https://psa.gov.ph/content/2020-census-population-and-housing-2020-cph-population-
counts-declared-official-president

Economic Status

The Municipal of Las Nieves is a second-income class municipality as declared by the

Department of Finance - Bureau of Local Government Finance (BLGF).

The source of funds for the annual operating expenses of the municipality is the National
Tax Allotment (NTA) with an amount of 290,187,618.00 or 98.16% and the Local Source
contribution with an amount of 5,446,497.00 or 1.84%.

Social Services

As mandated by the Local Government Code of 1991, the municipality has been
implementing services and facilities for the general welfare of its constituents. These services
and facilities include but are not limited to the following:

1. Agriculture
2. Forestry
3. Health Services
4. Social Welfare
5. Information Services
6. Public Markets
7. Public Cemetery
8. Tourism
9. Police Station
10. Fire Station
11. Engineering Services

4
Environmental Sanitation

Environmental Sanitation plays a big role in the success of reducing malnutrition in the
municipality as it contributes to the nurturing environment where a growing and developing
human being attempt to thrive. Access to safe sources of water drinking, sanitary toilet facility,
and satisfactory solid waste disposal are the basic and essential indicators for human survival.

Access to Safe Drinking Water

The table below illustrates the access of households to the sources of a safe drinking
water. Only 41% or 4 out of 10 of the total household in the municipality has access to level 3 or
the safely managed drinking water. The risk of water-borne related diseases such as diarrhea,
acute gastro enteritis, and the likes is relatively high.

Table 3. Household with Access to Safe Drinking Water

Total Households with Access to Safe Drinking Water
Barangays Number of
Level 1 % Level 2 % Level 3 % Total %
Household
Ambacon 320 30 9% 13 4% 275 86% 318 99%
Balungagan 204 30 15% 174 85% 0 0% 204 100%
Bonifacio 258 0 0% 258 100% 0 0% 258 100%
Casiklan 508 18 4% 251 49% 202 40% 471 93%
Consorcia 379 70 18% 40 11% 230 61% 340 90%
Durian 406 0 0% 392 97% 2 0% 394 97%
E.G. Montilla 318 0 0% 295 93% 189 59% 484 152%
Ibuan 222 119 54% 102 46% 0 0% 221 100%
Katipunan 222 29 13% 4 2% 146 66% 179 81%
Lawan-Lawan 135 0 0% 124 92% 0 0% 124 92%
Lingayao 669 335 50% 31 5% 286 43% 652 97%
Malicato 236 34 14% 26 11% 176 75% 236 100%
Maningalao 327 45 14% 264 81% 10 3% 319 98%
Marcos Calo 180 0 0% 154 86% 25 14% 179 99%
Mat-i 451 102 23% 52 12% 281 62% 435 96%
Pinanaan 285 17 6% 49 17% 204 72% 270 95%
Poblacion 343 0 0% 0 0% 333 97% 333 97%
Rosario 280 270 96% 1 0% 9 3% 280 100%
San Isidro 289 2 1% 223 77% 44 15% 269 93%
San Roque 100 95 95% 0 0% 0 0% 95 95%
Tinucoran 299 43 14% 48 16% 199 67% 290 97%
Total 6431 1239 19% 2501 39% 2611 41% 6351 99%
Source: Sanitary Inspector Report, 2021

Access to Basic Sanitation Facility

The table below shows the number and percentage of household with access to basic
sanitary facility. The data represents the predisposition of the community to acquiring diseases
food-borne and vector-borne diseases. The Fingers, Fomites, Feces, Flies, and Food also known
as the Five “F” is a chain of which Water, Sanitation and Hygiene related diseases originate.

In the municipality, there are still exist 2 out of 10 households with no sanitary toilet
facility. Having no sanitary toilet facility does not only affect the human health condition but as
well as the individual self-esteem.

Table 4. Household with Access to Basic Sanitation Facility

Households with Access to Basic Sanitation Facility
Pour/ Flush
Total Pour/ Flush Ventilated
Toilet
Barangays Number of Toilet Improved
% connected to % %
Household connected to Pit Latrine
sewerage
septic tank (VIP)
system
Ambacon 320 69 22% 0 0% 241 75%

5
 Households with Access to Basic Sanitation Facility
Pour/ Flush
Total Pour/ Flush Ventilated
Toilet
Barangays Number of Toilet Improved
% connected to % %
Household connected to Pit Latrine
sewerage
septic tank (VIP)
system
Balungagan 204 135 66% 0 0% 69 34%
Bonifacio 258 0 0% 0 0% 201 78%
Casiklan 508 69 14% 0 0% 401 79%
Consorcia 379 45 12% 0 0% 334 88%
Durian 406 0 0% 0 0% 279 69%
E.G. Montilla 318 0 0% 0 0% 189 59%
Ibuan 222 0 0% 0 0% 145 65%
Katipunan 222 0 0% 0 0% 222 100%
Lawan-Lawan 135 0 0% 0 0% 95 70%
Lingayao 669 55 8% 0 0% 493 74%
Malicato 236 11 5% 0 0% 225 95%
Maningalao 327 0 0% 0 0% 297 91%
Marcos Calo 180 0 0% 0 0% 166 92%
Mat-i 451 0 0% 0 0% 451 100%
Pinanaan 285 0 0% 0 0% 249 87%
Poblacion 343 266 78% 0 0% 67 20%
Rosario 280 16 6% 0 0% 247 88%
San Isidro 289 0 0% 0 0% 289 100%
San Roque 100 0 0% 0 0% 85 85%
Tinucoran 299 0 0% 0 0% 236 79%
Total 6431 666 10% 0 0% 4981 77%
Source: Sanitary Inspector Report, 2021

Satisfactory Waste Management

The table below describe the municipal and barangay status on waste management.
Waste management akin to the sanitary toilet facilities and access to safe drinking water. The
percentage coverage of these indicators will summarize the level of risk against water, sanitation,
and hygiene related diseases. The municipality of Las Nieves has 3 out of 10 households with no
satisfactory solid waste management. The risk is low but still there is the probability of
outbreaks.

Table 5. Household with Access to Sanitary Waste Management

Household with
Total Number of
Barangays Satisfactory Waste Percent
Household
Management
Ambacon 320 300 94%
Balungagan 204 170 83%
Bonifacio 258 155 60%
Casiklan 508 258 51%
Consorcia 379 310 82%
Durian 406 209 51%
E.G. Montilla 318 279 88%
Ibuan 222 184 83%
Katipunan 222 214 96%
Lawan-Lawan 135 39 29%
Lingayao 669 535 80%
Malicato 236 220 93%
Maningalao 327 238 73%
Marcos Calo 180 143 79%
Mat-i 451 209 46%
Pinanaan 285 175 61%
Poblacion 343 336 98%
Rosario 280 258 92%
San Isidro 289 280 97%
San Roque 100 92 92%
Tinucoran 299 256 86%

6
 Total 6431 4860 76%
Source: Sanitary Inspector Report, 2021

7
Ch. II: Nutrition Status

8
The Nutrition Situation

The Irreversible and Later Life Complications

“Stunting reflects chronic undernutrition during the most critical periods of growth and
development in early life.”

It is defined as the percentage of children, aged 0 to 59 months, whose height for age is
below minus two (2) standard deviations (moderate stunting) and minus (3) three standard
deviations (severe stunting) from the median of the WHO Child Growth Standards.

Stunting is associated to underdeveloped brain, with long-lasting harmful consequences,

including diminished mental ability and learning capacity, poor school performance in
childhood, reduced earnings and increased risks of nutrition-related chronic diseases, such as
diabetes, hypertension, and obesity in future.

Stunting eat first the growth and development of the child and then the brain
development. This is why a stunted child has less brain mass than a normal child and that causes
the child to have delayed brain development such as cognition, comprehension and other brain
activities.

Barangay Durian has the highest percentage of stunting and severely stunting with 39.93
percent or 3 out of 10 under five-year-old children are stunted or severely stunted while the
Barangay Maningalao has the lowest percentage of stunting and severely stunting with 6.94
percent.

Table 6. Children 0-59 months old who are Stunting and Severely Stunting, 2022
Number of Stunting +
Normal
Stunting + Severely
No. Barangay Height for Remarks
Severely Stunting
Age
Stunting Rate
1 Ambacon 94 8 7.84 Low
2 Balungagan 55 28 33.73 Very High
3 Bonifacio 110 31 21.99 High
4 Casiklan 172 30 14.85 Medium
5 Consorcia 96 14 12.73 Medium
6 Durian 176 117 39.93 Very High
7 E.G. Montilla 88 31 26.05 High
8 Ibuan 49 22 30.99 Very High
9 Katipunan 74 14 15.91 Medium
10 Lingayao 205 42 17.00 Medium
11 Malicato 60 20 25.00 High
12 Maningalao 134 10 6.94 Low
13 Marcos Calo 73 15 17.05 Medium
14 Mat-I 128 40 23.81 High
15 Pinana-an 114 17 12.98 Medium
16 Poblacion 81 7 7.95 Low
17 Rosario 45 21 31.82 Very High
18 San Isidro 97 22 18.49 Medium
19 San Roque 29 13 30.95 Very High
20 Tinucoran 91 14 13.33 Medium
Las Nieves 1971 516 20.75 High
Source: Operation Timbang 1st Round, 2022

9
Figure 1. Stunting and Severely Stunting Map

Source: Operation Timbang 1st Round, 2022

The Likelihood of Under Five Mortality

“The nine to twelve times more likely to die than normal children when hospitalize.”

Wasting is a serious health and nutrition problem for children aged 0-59 months old.
Wasting is defined as low weight-for-height. It often indicates recent and severe weight loss,
although it can also persist for a long time. It usually occurs when a person has not had food of
adequate quality and quantity and/or they have had frequent or prolonged illness.

Moderately wasting also known as Moderate Acute Malnutrition (MAM) and Severely
Wasting or Severely Acute Malnutrition (SAM) also known as Marasmus are both worst form of
undernutrition. The MAM or SAM child is likely to die before reaching five years of age than a
normal child due to weak immune system, lower nutrients reserve, lower fluids and electrolytes.
Pneumonia and diarrhea are the common causes of death.

Barangay Poblacion has the highest percentage of under-five-year old children with
MAM and SAM status with 12.50 percent and Barangay Bonifacio has the lowest percentage of
under-five-year old children with MAM and SAM status with 0.73 percent.

Table 7. Children 0-59 months old who are Moderately Wasted and Severely Wasted, 2022

Number of
Moderately
Moderately
Normal Wasted +
Wasted +
No. Barangay Weight for Severely Remarks
Severely
Length/Height Wasted
Wasted
Rate
Stunting
1 Ambacon 99 3 2.94 Low
2 Balungagan 78 4 4.88 Medium
10
 Number of
Moderately
Moderately
Normal Wasted +
Wasted +
No. Barangay Weight for Severely Remarks
Severely
Length/Height Wasted
Wasted
Rate
Stunting
3 Bonifacio 136 1 0.73 Very Low
4 Casiklan 198 4 1.98 Very Low
5 Consorcia 105 4 3.67 Low
6 Durian 271 12 4.24 Low
7 E.G. Montilla 122 2 1.61 Very Low
8 Ibuan 68 1 1.45 Very Low
9 Katipunan 83 5 5.68 Medium
10 Lingayao 233 7 2.92 Low
11 Malicato 76 1 1.30 Very Low
12 Maningalao 143 2 1.38 Very Low
13 Marcos Calo 76 8 9.52 High
14 Mat-I 161 8 4.73 Low
15 Pinana-an 124 4 3.13 Low
16 Poblacion 84 12 12.50 High
17 Rosario 67 4 5.63 Medium
18 San Isidro 118 1 0.84 Very Low
19 San Roque 39 3 7.14 Medium
20 Tinucoran 100 5 4.76 Low
Las Nieves 2381 91 3.68 Low
st
Source: Operation Timbang 1 Round, 2022

11
Figure 2. Moderately Wasting and Severely Wasting Map

Source: Operation Timbang 1st Round, 2022

Overweight and Obesity

Overweight and obesity are defined as abnormal or excessive fat accumulation that may
impair health. Overweight is weight-for-height greater than 2 standard deviations above WHO
Child Growth Standards median and obesity is weight-for-height greater than 3 standard
deviations above the WHO Child Growth Standards median.

Obese and overweight children is high risk in developing no communicable diseases such
as hypertension and diabetes mellitus as they grow older and gain more weight.

The Barangay with the highest percentage of overweight and obesity is Marcos Calo with
8.43.

Table 8. Children 0-59 momths old who are Overweight and Obese
Normal Number of Overweigh
No. Barangay Weight for Overweigh t + Obese Remarks
Length/Height t + Obese Rate
1 Ambacon 99 0 0.00 Very Low
2 Balungagan 78 6 7.14 Medium
3 Bonifacio 136 4 2.86 Low
4 Casiklan 198 2 1.00 Very Low
5 Consorcia 105 2 1.87 Very Low
6 Durian 271 16 5.57 Medium
7 E.G. Montilla 122 2 1.61 Very Low
8 Ibuan 68 3 4.23 Low
9 Katipunan 83 4 4.60 Low

12
 Normal Number of Overweigh
No. Barangay Weight for Overweigh t + Obese Remarks
Length/Height t + Obese Rate
10 Lingayao 233 8 3.32 Low
11 Malicato 76 3 3.80 Low
12 Maningalao 143 0 0.00 Very Low
13 Marcos Calo 76 7 8.43 Medium
14 Mat-I 161 6 3.59 Low
15 Pinana-an 124 4 3.13 Low
16 Poblacion 84 4 4.55 Low
17 Rosario 67 4 5.63 Medium
18 San Isidro 118 0 0.00 Very Low
19 San Roque 39 0 0.00 Very Low
20 Tinucoran 100 1 0.99 Very Low
Las Nieves 2381 76 3.09 Low
st
Source: Operation Timbang 1 Round, 2022

Figure 3. Overweight and Obese Map

Source: Operation Timbang 1st Round, 2022

The Short and Long Term Problem of Nutrition Program

Stunting and Wasting are both major problems of our municipality. Stunting is a long
term problem and wasting is a short term. Both needs immediate attention. Nutrition problem
is an economic problem.

13
 Stunting produce low grade human resources. Stunted children will have an early
onset of non-communicable diseases. Stunted are also poor at academic due to delayed brain
development. It will take 19 years to mold high quality human beings but the golden window
of opportunity rest when the child is less than 2 years of age.

Wasting is a threat to the lives of under-five years old children. Death due to
pneumonia and diarrhea are secondary to wasting.

The below figure illustrate the wasting and stunting problem of our municipality. The
priority barangays are those who belong in the high stunting and high wasting quadrant. These
barangays contribute largely to the high percentage of malnutrition in our municipality.

Figure 4. Stunting and Wasting Quadrant

Stunti ng - W a s ti ng Cha l l e ng e
5 High Stunting, Low Wast-
Balungagan High Stunting, High Wast-
ing
4.5 ing
Rosario
4 Durian Ibuan
Stunting + Severely Stunting

Mat-I
3.5 San Roque
Bonifacio
3 E.G. Montilla
Malicato
2.5
San Isidro Consorcia
2 Marcos Calo
Tinucoran Casiklan Katipunan
1.5
Ambacon Pinana-an
1 Lingayao Poblacion
Maningalao
0.5 Low Stunting, Low Wast-
Low Stunting, High Wast-
ing
0 ing
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5

MODERATELY Wasting + Severely Wasting

Source: Operation Timbang 1st Round, 2022

Nutritionally-At-Risk Pregnant Women

Nutritionally-At-Risk (NAR) Pregnant Women are those pregnant women who are either of the
following signs such as Low Body Mass Index (BMI), with anemia, and who are pregnant
teenagers.

Among the 20 Barangays, San Roque has the highest NAR Pregnant Women and followed by
Pinana-an, San Isidro and Tinucoran.

Total
Number of Number of Percentage of
Number of
Number of pregnant Number of Pregnant Nutritionally
Nutritionally
No. Barangay Pregnant women pregnant Women -At-Risk
-At-Risk
Women who are teenager with Low Pregnant
Pregnant
anemic BMI Women
Women

1 Ambacon 13 0 2 0 2 15%
2 Balungagan 15 0 1 0 1 7%
3 Bonifacio 30 0 7 1 8 27%
4 Casiklan 21 2 4 0 6 29%
5 Consorcia 25 3 4 0 7 28%

14
 Total
Number of Number of Percentage of
Number of
Number of pregnant Number of Pregnant Nutritionally
Nutritionally
No. Barangay Pregnant women pregnant Women -At-Risk
-At-Risk
Women who are teenager with Low Pregnant
Pregnant
anemic BMI Women
Women

6 Durian 35 0 3 0 3 9%
7 E.G. Montilla 18 0 5 0 5 28%
8 Ibuan 19 0 3 0 3 16%
9 Katipunan 17 0 4 0 4 24%
10 Lingayao 46 1 9 0 10 22%
11 Malicato 13 0 3 0 3 23%
12 Maningalao 15 0 2 2 4 27%
13 Marcos Calo 9 0 2 0 2 22%
14 Mat-I 32 0 10 2 12 38%
15 Pinana-an 22 2 8 0 10 45%
16 Poblacion 25 0 1 2 3 12%
17 Rosario 6 0 1 0 1 17%
18 San Isidro 22 5 4 1 10 45%
19 San Roque 6 2 1 0 3 50%
20 Tinucoran 7 1 2 0 3 43%
Las Nieves 396 16 76 8 100 25%
Source: FHSIS Report, 2021

15
 Nutrition Problem Tree

Figure 5. Nutrition Problem Tree

16
Municipal Nutrition Action Score Card

Figure 6. Municipal Nutrition Action Scorecard

Source: Zuellig Foundation

17
 The Nutrition Action Score Card

Malnutrition is an overwhelming and difficult problem to overcome. Malnutrition as a

whole is a towering problem but if we slice it into manageable and doable pieces we will be able
to solve it.

Above is an illustration of the causes of malnutrition in our municipality. These causes

are divided into six building blocks namely Nutrition Leadership and Governance, Nutrition
Financing, Nutrition Human Resource, Medicines, Vaccines and Technology, Nutrition
Information System, and Health and Nutrition Service Delivery.

The green color represents our local health and nutrition system is functional. It is all a
matter of maintaining your good stature. The yellow color represents that while the specific
service is available, it is not yet functioning to its fullest potential. This can be improved through
continued capacity development and necessary investments in terms of human resources or
organizational and/or physical infrastructure. The red color ring the alarm bells, our local
government have a lot of work to do. This means that there are specific services that are not
available in your area, or are not functioning at all.

Existing Interventions

Philippine Plan of Action for Nutrition

Figure 7. Philippine Plan of Action Framework

The PPAN framework illustrated above is a guide to the Municipal Nutrition Council.

Programs, Projects and Implementing Office Source of Fund

Activities
1. Enabling Programs
a. Capacity Development
a.1. Hiring of Job
Elimination of
Order Barangay Mayor’s Office
Malnutrition - 5% GAD
Nutrition Scholars
a.2. Hiring of Mayor’s Office MLGU
Admin Aide

18
 Programs, Projects and Implementing Office Source of Fund
Activities
personnel as
Municipal
Nutrition Program
Coordinator
(MNPC)
b. Capability
Development
b.1. Training of
newly hired BNS Elimination of
MNAO
on Basic Nutrition Malnutrition - 5% GAD
Course for BNS
b.2. Training of RHU
BNS on Maternal Fully Devolved
Nutrition, Infant Function – Health
and Young Child Services
Feeding
b.3. Training of Fully Devolved
BNS on Function – Health
Philippine Services
Integrated RHU
Management on
Action
Malnutrition
b.4. Training of
BNS and MNPC
PNAO PLGU
on Idol Ko Si
Nanay
b.5. Training of
MNPC and
PNAO PLGU
Sanitary Inspector
on Salt Testing
b.6. Training of PNAO PLGU
MNAO and
MDDRMO on
Nutrition in
Emergencies
b.7. Training of PNAO PLGU
BNS and MNPC
on TOT of Basic
Nutrition Course
for BNS
c. Functional Municipal
Nutrition Council Elimination of
MNAO
i. MNC Meeting Malnutrition - 5% GAD

d. Existing Monitoring
and Evaluation Activities
Mayor’s Office LGU
i. ADI

2. Nutrition-Specific
Program
2.a. Revitalize community
MNAO
gardening

19
 Programs, Projects and Implementing Office Source of Fund
Activities
2.b. Intensify social
behavioral change MNAO
activities
2.c. Implementation of
MNAO
PIMAM program
2.d. Micro nutrient
supplementation

i. Vitamin A
Supplementation (6-59
months old)
Fully Devolved
RHU Function – Health
ii. Iron + Folic Acid
Services
Supplementation (Pregnant
Women)

iii. Calcium Carbonate

Supplementation (Pregnant
Women)
2.d. Dietary
Supplemental Feeding

i. 6-23 months old

Elimination of
Children MNAO, MSWDO,
Malnutrition - 5%
ii. 24-59 months DepEd
GAD, MSWDO,
iii. 5-9 years old
DepEd
iv. Nutritionally-At-Risk
Pregnant Women
3. Seeds Distribution MAO

3. Nutrition-Sensitive
Program
1. Road Repair and
Concreting (Farm-to- MEO LGU
Market Road)
2. Cash for Work
MSWDO
Program
3. Food/ Product
MAO
Processing Facility
4. WinS Program DepEd
5. Zero Open Defection
RHU 5% GAD
(ZOD) Program
6. Maternal and Child
Care Services
i. Prenatal and Postnatal RHU
Care
ii. Immunization

20
Ch. III. Goals, Objectives, Workplan to Implement PPAs, Monitoring and Evaluation, and
Budgetary Requirements

21
Goal and Objectives

Goal
After 3 years of nutrition program management, the municipality will be able to create a
municipality with high quality human resource.

Objectives

Outcome
Reduce Stunting and Severely Stunting Rate of 0-59 months old children from 20.75% to 10% in
the Municipality by 2025.

Output

After 3 years of nutrition program management, the municipality will be able to:
1. Enact and adopt various policies related to nutrition.
2. Establish and/or re-establish functional nutrition council.
3. Govern efficiently and effectively the nutrition program through function local nutrition
council.
4. Implement quality health and nutrition services.

22
Outcome Target

The table below illustrate the outcome target of the LNAP CY 2023-2025. This table will be the
guide of the Municipal Nutrition Committee and of the Barangay Nutrition Council in achieving
the visions and goals of the nutrition program.

Table 9. Outcome Target

Baseline Proposed Targets
No. Indicators Basis for Targets
(%) 2023 2024 2025
Prevalence of low 30% reduction by 2025
2.02%
birth weight (LBW) from 2021 levels based 1.41% 0.99% 0.69%
1 (2021)
infants on WHA targets
Reduce by 50% the
number of stunted
children under 5 y/o by
Prevalence of
20.75% 2025 from 2022 level 17.29 14.41
2 stunted children 10.38%
(2022) and further reduce to % %
under five years old
<5% (low public health
significance) based on
WHO threshold
Reduce to <5% by 2025
Prevalence (%)
3.57% (low public health
3 wasted children 3.39% 3.22% 3.06%
(2022) significance) based on
under five years old
WHA targets
Reduce by 2.7% per
Prevalence (%) of
year (average percent
nutritionally at-risk 25% 24.33 23.67
4 change of targets from 23.03%
(NAR) pregnant (2021) % %
0.5 point reduction per
women
year)
Prevalence (%) of Reduce t0 <2.5% by
2.98%
5 overweight children 2025 based on WHA 2.74% 2.52% 2.32%
(2022)
under five years old Target
3.2% rate of reduction
Prevalence (%) of
4.04% per year based on past
6 anemia among 3.94% 3.82% 3.70%
(2021) trend and mild public
pregnant women
health problem by 2025
Increase by 5.8% per
Percentage of
year based from
exclusively 87.5% 90.30 95.54 100.00
7 performance
breastfed infants at (2021) % % %
of other countries (EBF
5 months
among 0-5 mos.)
Source: FHSIS Report, 2021 and e-OPT Report 2022

23
 Nutrition Specific and Nutrition Sensitive Interventions

Table 10. Nutrition Specific and Nutrition Sensitive Intervention

Agency/ Committee/ Unit/ Outcome

Life Stage Services
Individual Responsible Indicator

Nutrition Specific
Pregnant Women
Quality Prenatal Care:
1st Visit - 1st Trimester
MHO
2nd Visit - 2nd Trimester
3rd Visit - 3rd Trimester
Provision of Iron + Folic Acid Supplementation MHO
Provision of Calcium Carbonate Supplementation MHO
Preparation of Birth and Emergency Plan MHO
Counseling of pregnant women on maternal nutrition, infant and young child
MNAO
PREGNANT AND feeding
1, 4, 5, 7
LACTATING WOMEN
Early detection and Management of Nutritionally-At-Risk Pregnant Women MNAO

Dietary Supplementation Feeding to identified NAR Pregnant Women MNAO, MHO

Provision of Ready-to-use Supplemental Food (RUSF) identified nutritionally-

MNAO, MHO
at-risk pregnant women
Conduct Home Visitation to identified pregnant women MNAO, MHO
Creation of Breastfeeding Support Group MNAO, MHO
Establishment/ Strengthening Breastfeeding support and counseling MNAO, MHO
Nutrition Sensitive

24
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Referral of sick pregnant women to RHU for further medical management MNAO, MHO
Deworming of pregnant women MNAO, MHO

Enrollment of pregnant women to Philippine Health Insurance Corporation

MNAO, MHO
(PhilHealth)
Counselling on proper handwashing, environmental sanitation, and personal
MHO, MSWDO, MNAO
hygiene
Availability of lactation stations in workplaces, both in the government and in
MHO, MEO
the private sector
Provision of counselling and psychosocial support to parents and caregivers
with priority to high-risk pregnant women and adolescent females belonging to MHO, MSWDO, MNAO
the poorest of the poor families
Promotion of the consumption of iodized salt and foods fortified with
MHO
micronutrients deemed necessary
Nutrition Specific
Provision of baby-friendly practices during delivery in line, and in compliance
with the MBFHFI and essential newborn care protocol of the DOH in all MHO
INFANT AND YOUNG facilities providing birthing services
CHILDREN (0-23 2,3,5
MONTHS OLD) Provision of early and continuous skin-to-skin contact to all full-term babies
and continuous kangaroo care for small babies born preterm and low birth
MHO
weight, in compliance with the newborn protocol of the DOH in all facilities
providing birthing services

25
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Maintenance of non-separation of the mother and her newborn from birth for
MHO
early breastfeeding initiation and rooming-in for exclusive breastfeeding

MHO
Administration of newborn screening and newborn hearing screening

Availment and utilization of appropriate PhilHealth benefit packages for the MHO
newborn including the preterm, LBW and small babies
Growth and development monitoring and promotion in health facilities and at
MNAO
home
Exclusive Breastfeeding for 0 - 5 months MHO
Provision of nutrition counseling on complementary food preparations and
MHO
feeding to mothers and caregivers

100,000 IU Vitamin A supplementation to 6-11 months old children MHO

200,000 IU Vitamin A Supplementation of 12-23 months old children MHO

Provision of Micronutrient powder (MNP) to 6-23 months old children MNAO, MHO

Early detection and Management of Moderately Acute Malnourished (MAM)

and Severely Acute Malnourished (SAM) 6-23 months old children using MNAO, MHO
PIMAM guidelines
Routine Immunization MHO

26
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Timely introduction of safe, appropriate, and nutrient-dense quality

complementary food with continued and sustained breastfeeding for all infants
from 6 months up to 2 years of age, with emphasis on the use of suitable, MHO, MSWDO, MNAO
nutrient-rich, home-prepared, and locally available foods that are prepared and
fed safely

IYCF counseling on continued breastfeeding and appropriate

MHO, MNAO
complementary feeding
Deworming of 12-23 months old children MHO
Nutrition Sensitive

Social welfare support to improve access to health and nutrition services such
as, but not limited to, dietary supplementation, complementary food, other
healthy food products and commodities, assessment and referral for
MNAO, MHO, MSWDO
development delays and other disabilities for early prevention, treatment and
rehabilitation for infants 6 months and above who belong to the
poorest of the poor families

Provision of locally available grown crops, vegetables and fruits in addition to

other agricultural products to be used in complementary feeding and dietary MAO
supplementation

27
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Availability of potable sources of water, counselling of household members on

handwashing, environmental sanitation, and personal hygiene, and support for MHO, MNAO
sanitation needs of households to reduce food, water, and vector-borne diseases

Protection against child abuse, injuries, and accidents including the provision of
MSWDO
first aid, counselling and proper referrals
Nutrition Specific
Growth and development monitoring and promotion in health facilities and at
MNAO
home
Dietary supplemental feeding to 6-23 months old children MNAO
Dietary supplemental feeding to 24-59 months old children MSWDO
100,000 IU Vitamin A supplementation to 6-11 months old children MHO

PRESCHOOL CHILDREN 200,000 IU Vitamin A Supplementation of Under 5 years old children MHO
2,3,5
(<5 YEARS OLD)
Deworming of 24-59 months old children MHO
Early detection and Management of Moderately Acute Malnourished (MAM)
and Severely Acute Malnourished (SAM) Under-5-year old children using MNAO, MHO
PIMAM guidelines

Provision of Micronutrient powder (MNP) to 24-59 months old children MHO

Nutrition Sensitive
Tooth brushing Drill MHO

28
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Availability of potable sources of water, counselling of household members on

handwashing, environmental sanitation, and personal hygiene, and support for MHO, MNAO
sanitation needs of households to reduce food, water, and vector-borne diseases

Social welfare support to improve access to health and nutrition

services, assessment and referral for development delays and other disabilities
MHO, MNAO, MSWDO
for early prevention, treatment and rehabilitation for children below 5 years old
who belong to the poorest of the poor families

Provision of locally available grown crops, vegetables and fruits in addition to MAO
other agricultural products
Protection against child abuse, injuries, and accidents including the provision of
MSWDO
first aid, counselling and proper referrals
Nutrition Specific
Conduct Social Behavioral Change Communication activities to Adolescent
MNAO, DepEd
Group on Nutrition related subject

SCHOOL AGED Dietary supplemental feeding to malnourished school age children DepEd
CHILDREN (5-10 YEARS 2,3,5
OLD) Management of moderate and severe acute malnutrition using national
guidelines and proper referral to higher level health facilities as appropriate for DepEd, MHO, MNAO
treatment and management, especially those with serious medical complications

Nutrition Sensitive
29
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Gulayan sa Paaralan DepEd

Management/ Referral of sick children for appropriate care MNAO, MHO

Availability of potable sources of water, counselling of household members on

handwashing, environmental sanitation, and personal hygiene, and support for MHO, MNAO, DepEd
sanitation needs of households to reduce food, water, and vector-borne diseases

Social welfare support to improve access to health and nutrition

services, assessment and referral for development delays and other disabilities
MHO, MNAO, MSWDO
for early prevention, treatment and rehabilitation for children age 5-10 years old
who belong to the poorest of the poor families

Provision of locally available grown crops, vegetables and fruits in addition to MAO
other agricultural products
Protection against child abuse, injuries, and accidents including the provision of
MSWDO
first aid, counselling and proper referrals
Nutrition Specific
Conduct Social Behavioral Change Communication activities to Adolescent
MNAO, DepEd, MHO
Group on Nutrition related subject
ADOLESCENTS (10-19 Provision of Iron Supplements Adolescent Children DepEd, MHO
2,3,5
YEARS OLD)
Management of moderate and severe acute malnutrition using national
guidelines and proper referral to higher level health facilities as appropriate for DepEd, MHO, MNAO
treatment and management, especially those with serious medical complications

30
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Nutrition Sensitive
Gulayan sa Paaralan DepEd
Management/ Referral of sick adolescent for appropriate care MNAO, MHO

Provision of micronutrient supplements according to guidelines of the DOH, in

DepEd, MHO
partnership with the Department of Education

Conduct U4U activity MHO, MPO

Counselling on proper handwashing, environmental sanitation, and personal
MHO, MNAO, DepEd
hygiene
Counselling on proper nutrition, mental health avoidance of risk-taking
behaviors, smoking cessation, adoption of healthy lifestyle practices and family DepEd, MHO
health
Family Planning Provision MHO, MPO
Nutrition Specific
Conduct Social Behavioral Change Communication activities to Adolescent
MNAO, MHO
Group on Nutrition related subject
Creation of Breastfeeding Support Group MNAO, MHO
Nutrition Sensitive
ADULTS (20-59 YEARS Conduct Social Behavioral Change Communication activities to Adult Group
MNAO, MHO 2,3,5
OLD) on Smoking Cessation
Conduct Social Behavioral Change Communication activities to Adult Groupon
MNAO, MHO
Lifestyle related diseases
Conduct Social Behavioral Change Communication activities to Adult Group
MNAO, MHO
on Lifestyle related diseases
Blood Sugar Monitoring MHO
31
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Cholesterol Monitoring MHO

Counselling on, and utilization of, modern methods of family planning, and
MHO, MPO
access to reproductive health care services as defined in RA 10354

Provision of livelihood for adults who belong to the poorest of the poor families MAO

Provision of locally available grown crops, vegetables and fruits in addition to MAO
other agricultural products
Gender and Development MSWDO, MPO, MHO
Alternative Learning Modules MSWDO, DepEd
PhilPEN Assessment MHO
Nutrition Specific
Counseling on proper nutrition, mental health, avoidance of risk-taking
behaviors, smoking cessation, adoption of healthy lifestyle practices and family MNAO, MHO
health
Assessment of health and nutrition status as well as nutrition support for the
MHO
OLDER ADULTS (60 elderly
YEARS OLD AND Nutrition Sensitive 2,3,5
ABOVE) Immunization of Senior Citizen (Flu and Pneumococcal Vaccine) MHO
Blood Sugar Monitoring MHO
Cholesterol Monitoring MHO

Social welfare support to improve access to health and nutrition services

MHO, MSWDO, MNAO
belonging to the poorest of the poor families, including those with disabilities

32
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Counselling on proper handwashing, environmental sanitation, and personal

MHO, MNAO
hygiene
Referral of sick Senior Citizen for appropriate care MNAO, MHO
Nutrition Specific
Establishment/ Maintenance of Community Gardening MNAO, BNC, MAO
Establishment/ Maintenance of F.A.I.T.H Garden MNAO, BNC, MAO
Distribution of small and large ruminants to families with malnourished
MAO
children

Distribution of seeds and seedlings to families with malnourished children MAO

ALL POPULATION Distribution of fingerlings to families/ associations in the Barangays MAO

GROUPS (FAMILIES, 2,3,5
Monitoring of Sangkap Pinoy Seal in Sari-sari Store MNAO
INDIVIDUALS)
Conduct "Bantay Asin" Activity MNAO, MHO
Cash for Work MSWDO
Nutrition Sensitive
Water, Sanitation and Hygiene (WASH)
Access to Safe Drinking Water MHO
Sanitary Toilet Facility MHO
Solid Waste Management MHO
Establishment/Maintenance of Breastfeeding Area MHO
Orientation of Municipal Nutrition Committee on Nutrition Program
MNAO
Management
ENABLING PROGRAMS ALL
Orientation of Barangay Nutrition Council on Nutrition Program Management MNAO
33
 Agency/ Committee/ Unit/ Outcome
Life Stage Services
Individual Responsible Indicator

Training of Health and Nutrition Personnel on Nutrition in Emergencies MNAO

Training on Maternal Nutrition, Infant and Young Child Feeding (MNIYCF) MNAO

Training on Philippine Integrated Management of Acute Malnutrition MNAO

Wages of Job Order Barangay Nutrition Scholar MNAO
Procurement of Office and other operational supplies MNAO
Monthly BNS Meeting MNAO
MNC Meeting MNC
Nutrition Month Celebration MNAO
Travel Expenses Allowance MNAO
Procurement of WYD Machine for salt Testing and Kits MNAO

34
Monitoring and Evaluation

Person In- Frequenc

How to
Charge/ y
Covera collect
Projects/ Programs/ Activity Office of Data Schedule
ge data
Responsib Collectio
(Method)
le n
ENABLING PROGRAMS
Payroll,
Hiring/ Re-hiring of Job Order Barangay Twice a
100% Certificate of MNAO January and July
Nutrition Scholars year
BNS
Photos,
Attendance March, June,
MNC Meeting 100% Sheet, MNAO Quarterly September,
Minutes of the December
Meeting

Photos,
Attendance Every Thursday
BNS Meeting 100% Sheet, MNAO Monthly of the 4th week
Minutes of the of the month
Meeting

Photos,
Attendance
Every month of
Preparation of Annual Operation Plan 100% Sheet, MNAO May
May
Minutes of the
Meeting
Budget
Obligation March, June,
MNAO,
Annual Nutrition Budget Utilization 100% and Quarterly September,
MBO
Disbursement December
Report
Photos,
Attendance
MNC, Once a
Nutrition Month Celebration 100% Sheet, July
MNAO year
Minutes of the
Meeting
NUTRITION-SPECIFIC
PROGRAMS

Conduct Social Behavioral Change Photos and

100% MNAO Monthly Jan-Dec
Communication (SBCC) Activities Attendance

Twice a January and

Operation Timbang 100% OPT Report MNAO
year October
Registry book
Conduct Dietary Supplementary Feeding and other
100% MNAO 3 Months March - May
to 6-23 months old children related
documents
Registry book
Conduct Dietary Supplementary Feeding and other 12 January -
100% DSWD
to 24-59 months old children related Months December
documents
Registry book
Conduct Dietary Supplementary Feeding and other 12 January -
100% DepEd
to School Age children related Months December
documents

Registry book
Conduct Dietary Supplementary Feeding
and other
to Nutritionally-At-Risk Pregnant 100% MNAO 4 Months March - June
related
Women
documents

Deworming of Under Five Year Old Twice a

80% FHSIS Report MHO January and July
Children Year
MHO, Twice a
Deworming of School Age Children 80% FHSIS Report January and July
DepEd Year
January-
Vitamin A Supplementation 95% FHSIS Report MHO Monthly
December
Complete Iron + Folic Acid January-
75% FHSIS Report MHO Monthly
Supplementation December

35
Complete Calcium Carbonate January-
75% FHSIS Report MHO Monthly
Supplementation December
MNAO
Monthly Growth and development January-
100% Monthly MNAO Monthly
monitoring December
Report
MNAO
Monthly MNP provision to household January-
100% Monthly MNAO Monthly
with under 5 children December
Report
January-
Conduct Routine Immunization 95% FHSIS Report MHO Monthly
December
NUTRITION-SENSITIVE
PROGRAMS
Twice a
Tooth Brushing Drill 100% LBAC Form 3 MHO January and July
year
MNAO
January-
Referral of household with sick member 100% Monthly MNAO Monthly
December
Report
January-
Conduct FBS Activity 100% FHSIS Report MHO Quarterly
December
MNAO
Establishment and Maintenance of January-
100% Monthly MNAO Monthly
community garden December
Report

36
 NUTRITION OPERATIONAL PLAN 2023-2025

Table 11. Nutrition Operation Plan 2023-2025

Number Identified TARGET Budget Requirements
PROGRAMS, PROJECTS Agencies Source of
Schedule Location Remarks
and ACTIVITIES Involved Projecte Percentag 2024 2025 Fund
Actual Number 2023
d e
1. Enabling Program
a. Orientation of Municipal
Specific
Nutrition Committee on MNAO 20 Members 20 100% Butuan City 0.00 250,000.00 0.00
month
Nutrition Program Management
b. Orientation of Barangay January –
Nutrition Council on Nutrition MNAO 23 Barangays 23 Barangays 100% Decembe Butuan City 0.00 0.00 400,000.00
Program Management r
c Training of Rural Health January –
Midwives on Lactation RHU, MNAO 9 RHM 9 RHM 100% Decembe Butuan City 0.00 150,000.00 0.00
Management r
d. Training of Health and January –
Nutrition Personnel on RHU, MNAO 35 personnel 35 personnel 100% Decembe Butuan City 0.00 120,000.00 0.00
Nutrition in Emergencies r
Health
e. Training on Maternal January – Services -
Nutrition, Infant and Young RHU, MNAO 35 personnel 35 personnel 100% Decembe Butuan City 114,680.00 0.00 114,680.00 Fully
Child Feeding (MNIYCF) r Devolved
Functions
Health
f. Training on Philippine January – Services -
Integrated Management of RHU, MNAO 35 personnel 35 personnel 100% Decembe Butuan City 114,680.00 0.00 114,680.00 Fully
Acute Malnutrition r Devolved
Functions
January –
g. Wages of Job Order 1,1915,400.0 1,1915,400.0 1,1915,400.0
MNAO 23 23 100% Decembe Las Nieves 5% GAD
Barangay Nutrition Scholar 0 0 0
r

January –
k. Procurement of Office and
MNAO 2 procurement 2 procurement 100% Decembe Las Nieves 130,000.00 130,000.00 130,000.00 5% GAD
other operational supplies
r

January –
l. Monthly BNS Meeting MNAO 12 meetings 12 meetings Decembe Las Nieves 78,000.00 78,000.00 78,000.00 5% GAD
r

37
 Number Identified TARGET Budget Requirements
PROGRAMS, PROJECTS Agencies Source of
Schedule Location Remarks
and ACTIVITIES Involved Projecte Percentag 2024 2025 Fund
Actual Number 2023
d e

MNC
m. MNC Meeting 20 members 4 meetings 100% Quarterly Las Nieves 30,000.00 30,000.00 30,000.00 5% GAD
members

n. Nutrition Month Celebration MNC 1 100% July Las Nieves 60,000.00 60,000.00 60,000.00 5% GAD

January –
25 Nutrition 25 Nutrition Agusan del
o. Travel Expenses MNC 100% Decembe 130,000.00 130,000.00 130,000.00 5% GAD
Staff Staff Norte
r
2. Nutrition-Specific Program 0.00 0.00 0.00
A. First 1000 Days 0.00 0.00 0.00
a Maternal Nutrition, Infant and
Young Child Feeding 0.00 0.00 0.00
(MNIYCF)
a.1. Conduct Social
Behavioral Change (SBC)
Communication Activities:
January -
a. Senior Citizen
MNAO 23 Barangays 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
b. Pregnant Women
r
c. School-Children
d. Adolescent
e. Women’s Group
January -
a.2. Creation of Breastfeeding MNAO, RHU 23 Barangays 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
Support Group r
0.00 0.00 0.00
a.c. Dietary Supplemental
00.00 0.00 0.00
Feeding
January -
Based on OPT
a. 6-23 months old children MNAO 23 Barangays 100% Decembe Las Nieves 96,000.00 250,000.00 250,000.00 5% GAD
Result
r
January -
b. 24-59 months old children MSWDO 23 Barangays 23 Barangays 100% Decembe Las Nieves 2,610,000.00 2,610,000.00 2,610,000.00 MSWDO
r
January -
c. Undernourished School
DepEd 23 Barangays 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
age children
r
d. Nutritionally-at-risk Based on OPT January -
MNAO 23 Barangays 100% Las Nieves 100,000.00 200,000.00 200,000.00 5% GAD
Pregnant Women Result Decembe

38
 Number Identified TARGET Budget Requirements
PROGRAMS, PROJECTS Agencies Source of
Schedule Location Remarks
and ACTIVITIES Involved Projecte Percentag 2024 2025 Fund
Actual Number 2023
d e
r
c. Micronutrient
0.00 0.00 0.00
Supplementation
a. Iron + Folic Acid January -
Supplementation for Pregnant RHU 23 Barangays 100% Decembe Las Nieves 85,000.00 200,000.00 200,000.00 5% GAD
Women r
b. Calcium Carbonate January -
Supplementation for Pregnant RHU 23 Barangays 100% Decembe Las Nieves 0.00 200,000.00 200,000.00 5% GAD
Women r
January -
c. Iron supplement for 23 RHU 23 Barangays 100% Decembe Las Nieves 0.00 120,000.00 120,000.00 5% GAD
months old and below children r
d. Micronutrient Powder January -
Supplementation for 6-59 RHU 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
months old children r
B. Philippine Integrated January -
Management of Acute 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
Malnutrition (PIMAM) r
a. Early detection and RHU, MNAO
January - RUTF
management of 0-59 months
23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00 Distribute
old children who are MAM and
r d by DOH
SAM
3. Nutrition-Sensitive
0.00 0.00 0.00
Program
January -
DepEd,
a. Gulayan sa Paaralan 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
MNAO, MAO
r
January -
b. F.A.I.T.H. Gardening MAO, MNAO 23 Barangays 100% Decembe Las Nieves 0.00 50,000.00 50,000.00
r
January -
c. Access to Safe Drinking
RHU 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
Water
r
January -
d. Sanitary Toilet Facility RHU 23 Barangays 100% Decembe Las Nieves 50,000.00 100,000.00 100,000.00 5% GAD
r
January -
e. Wash in School Program DepEd 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00 DepEd
r
January -
MEO, RHU,
f. Establishment/Maintenance 23 Barangays 100% Decembe Las Nieves 0.00 0.00 200,000.00
MNAO
of Breastfeeding Area r

39
 Number Identified TARGET Budget Requirements
PROGRAMS, PROJECTS Agencies Source of
Schedule Location Remarks
and ACTIVITIES Involved Projecte Percentag 2024 2025 Fund
Actual Number 2023
d e
g. Distribution of Seeds to January -
household with malnourished MAO 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
children r
h. Distribution of small animals January -
to household with malnourished MAO 23 Barangays 100% Decembe Las Nieves 0.00 0.00 0.00
children r
January -
i. Deworming of 12-59 months
RHU 23 Barangays 100% Decembe Las Nieves 0.00 200,000.00 200,000.00
old Children*
r
j. Deworming of Pregnant
RHU 23 Barangays 100% Jan & Jul Las Nieves 0.00 100,000.00 100,000.00
Women
January -
k. Procurement of Salt Testing
RHU 23 Barangays 100% Decembe Las Nieves 0.00 100,000.00 100,000.00
Machine (WYD)
r
January -
l. Procurement of Salt Testing
RHU 23 Barangays 100% Decembe Las Nieves 0.00 50,000.00 50,000.00
Kits
r
Prepared by:

ABRAHAM M. HEWE, RN ROSEMARIE DOLORES C. RUELAN, MD, MPM JOVER A. MANLIGUEZ, EnP
MNAO MHO MDRRMO

CYNTHIA T. BINONDO GERARDO B. BUELAN, EnP LEONCIA R. CALANG

MLGOO MPDO MSWDO

40
 LEONITO C. PASQUITO CECILIA N. SANTIAGO ENRIQUE F. MUSICO
MAO MBO ACCOUNTANT OFFICE

AVELINA C. DOQUESA DELFIN GUMADLAS DANILO N. BAJAO

District I Supervisor District 2 Supervisor District 3 Supervisor

FREDERIC LUMANTAS HON. AVELINA S. ROSALES HON. DOMINGO S. MULIG

ABC President SB Committee Chair on Health SB Committee Chair on Education

HON. VERGILIO R. ESCASIÑAS

Municipal Vice Mayor

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 Approved:

HON. KAREN S. ROSALES

Municipal Mayor

42
Annexes

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Functionality of Local Nutrition Committee

Table 12.Functional Local Nutrition Committee

FUNCTIONALITY OF LOCAL NUTRITION COMMITTEES
Key Activities Indicator MNC BNC

a. Members of Local Nutrition Committee trained/

x x
completed training on Nutrition Program Management
Capacity Development
b. MNAO and Barangay Nutrition Scholars completed
/ x
training on Basic Course for Barangay Nutrition Scholar

Program Planning

a. Local Nutrition Committee meetings regularly held at

1. Organization/ Re-Organization/ least once every quarter presided by the local chief x x
Strengthening of Local Nutrition executive or designated representative
Committees
b. Minutes of meetings documented and filed / x

2. Conduct of Nutrition a. OPT Plus & School Weighing Report updated / /

Assessment
b. Nutrition Situation report prepared / /
a. NAP integrated into the local development plan with
/ /
3. Formulation of Nutrition budget
Action Plan
b. NAP is integrated in the Annual Investment Plan / /

4. Resource Generation and a. Funds allocated and expended for nutrition and related
/ /
Mobilization activities from annual budget

Delivery of nutrition and related

services (counselling on
breastfeeding, organization of
breastfeeding support groups,
conduct of nutrition education
activities, vitamin A and Iron a. Target groups provided with nutrition and related
/ /
Supplementation to preschool interventions
children and pregnant women;
distribution of seeds, seedlings,
fingerlings, and small animals to
families with underweight
children; supplemental feeding)

a. Monitoring visits conducted and documented at least

/ /
twice a year

b. Quarterly monitoring report prepared and submitted to

x
Provincial Nutrition Office/ NNC-Regional Office
Monitoring and Evaluation

c. Program Implementation Review conducted at least

once a year with documentation and submitted to x
Provincial Nutrition Office/ NNC-Regional Office

Source: DILG Memorandum Circular No. 2018-42

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