Barangay Nutrition

Action Plan Formulation

Bella M. Basalong, MPH, MDM

OIC RNPC, NNC-CAR
 What is BNAP?

Why do we need to prepare BNAP?

Flow of When do we prepare the BNAP?

discussion
Who prepares the BNAP?

How to prepare the BNAP?

What is Barangay Nutrition
Action Plan?

• BNAP is the barangay version of the Philippine Plan of

Action for Nutrition (PPAN), the country's directional
framework for nutrition improvement. The BNC
formulates and manages the implementation of the
BNAP
 Module 3 Session 3

Philippine Plan of Action for

Nutrition (PPAN)

Regional Plan of Action for

Nutrition (RPAN)

Provincial Nutrition Action Plan

(PNAP)

City/Municipal Nutrition Action

Plan (CNAP/MNAP)

Barangay Nutrition Action Plan

(BNAP)
Nutrition Action Plans at Different
Administrative Levels

4
 Module 3 Session 3

Country’s blueprint Philippine Plan of Action for

Nutrition (PPAN)

Regional Plan of Action for

Nutrition (RPAN)

Provincial Nutrition Action Plan

(PNAP)
Doable actions
depending on the City/Municipal Nutrition Action
situation of the Plan (CNAP/MNAP)
LGUs
Barangay Nutrition Action Plan
(BNAP)
Nutrition Action Plans at Different
Administrative Levels

5
Why do we need to prepare
BNAP?

• Promote sectoral, community and private sector

involvement
• Allocate budget and other resources for efficient use
• Prevent overlaps and duplication of programs in the
barangay
• Provide guide to the BNS on the nutrition projects
Letter of Instruction 441, s. 1976
BNAP is an attachment to the Brgy Budget
Local Budget Memo no. 82, s. 2021
When do we prepare BNAP?
• BNAP should be prepared before the budgeting period
(BNAP is an attachment of the Barangay Budget)
• BNAP should be updated/ reviewed after the conduct of
the OPT Plus on the said year
• Three-year BNAP should be prepared before the Barangay
Development Planning (BNAP should be integrated in the BDP)
Who prepares the BNAP?

• BNAP is prepared by the Barangay Nutrition

Committee
• A planning core group can be organized to prepare the
draft plan and present to the BNC members for review and
approval
How to prepare the BNAP?
 Phase 1
Nutrition Plan Preparation and Adoption
(Assessment, Analysis, Adoption & Allocation)

Program 1.1
1.2
Mobilization of LNC or planning core group
Assessment

Management 1.3
1.4
Setting of goals and objectives
Identification and prioritization of intervention

Cycle
1.5 Preparation of plan of operation
1.6 Designing monitoring and evaluation
1.7 Plan Packaging
1.8 Legislation/adoption and resource allocation
Phase 2
Action, Activation and Adjustment
(Implementation)

2.1 Transforming the Plan into

Phase 4 Action
Re-planning - Activation of implementing
organizations and institutional
arrangements
4.1 Re-planning (Adjustment of - Supervision and coordination
GO and Re-strategizing) - Reporting of performance

2.2 Delivery of services/intervention

2.3 Innovative activities/good practices

Phase 3
Monitoring and Evaluation
3.1 Monitor Results
3.2 Report and use findings
3.3 Sustain the M&E System
Nutrition Phase 1
Program Plan Preparation and Adoption
Management
(Assessment, Analysis, Adoption & Allocation)
Cycle
1.1 Mobilization of LNC or planning core group
1.2 Assessment
1.3 Setting of goals and objectives
1.4 Identification and prioritization of intervention
1.5 Preparation of plan of operation
1.6 Designing monitoring and evaluation
1.7 Plan Packaging
1.8 Legislation/adoption and resource allocation
 Mobilization of barangay nutrition
committee or barangay nutrition planning
core group
• Activate core group composed of but not limited to the following:
Midwife, BNAO, BNS, BHW, Principal, CDC or Day Care Worker,
Kagawad on Health, member NGO representative if any
 Assessment of nutrition situation

• Be informed and to understanding the situation or

condition of nutrition in a certain area
Questions to answer to assess
the nutrition situation
1. What forms of malnutrition exist?
2. How many are malnourished?
3. Who are the malnourished?
4. Where are the malnourished?
5. What are the causes of malnutrition?
Questions to answer to assess
the nutrition situation
6. What have been done to address
malnutrition? How effective have these
been?
7. What resources are available?
8. What constraints could affect the
implementation of nutrition
interventions?
 Nutrition Situation Assessment
What forms of malnutrition exist?

How many are malnourished?

Who are the malnourished?

Where are the malnourished?

What are the causes of malnutrition?

 Nutrition Situation Assessment

What forms of malnutrition exist?

• Stunting
• Wasting
How many are malnourished? • Overweight &
Obesity
Who are the malnourished? • Underweight
• Micronutrient
Deficiency
Where are the malnourished?

What are the causes of malnutrition?

What forms of malnutrition exist?
WASTING STUNTING
Low weight for height Low height for age

OBESITY MICRONUTRIENT
4.0% of children under-5 DEFICIENCIES
37.2% among adults (Vitamin A Deficiency,
Iodine Deficiency
Disorders, Iron
UNDERWEIGHT Deficiency Anemia)
Low weight for age
 Nutrition Situation Assessment

What forms of malnutrition exist? • Stunted and Severely

Stunted- 130 children
• Wasted & Severely
How many are malnourished? Wasted- 20 children
• Overweight & Obese-
20 children
Who are the malnourished? • Underweight- 30
children

Where are the malnourished? Underfive Children

measured: 250
What are the causes of malnutrition?
 Nutrition Situation Assessment

What forms of malnutrition exist?

How many are malnourished? • Children of low income

families
• Children cared of by
Who are the malnourished? their grandparents
• Children with parents
Where are the malnourished? who with low
educational attainment
What are the causes of malnutrition?
 Nutrition Situation Assessment

What forms of malnutrition exist?

How many are malnourished? • Near the river

• In slum areas
• In the subdivisions
Who are the malnourished? • **plot the exact
location/ house in the
Where are the malnourished? barangay nutrition spot
map
What are the causes of malnutrition?
Spot map
 Nutrition Situation Assessment

What forms of malnutrition exist?

• Low family income
How many are malnourished? • Inadequate food
production
Who are the malnourished? • Unemployment
• Large family size
Where are the malnourished? • Limited knowledge
on childcare
What are the causes of malnutrition?
CAUSAL MODEL/ PROBLEM TREE
Death
Illnesses Low functional Unemployment &
Poor learners literacy underemployment
Poor resistance to
infection in school

Underweight children,
0-5 years old

Inadequate Poor health status/

food intake Presence of Illness

Food Insecurity Inadequate care for Insufficient health

mothers and children services, unhealthy
environment and poor
personal hygiene
• Inadequate food • Poor infant and • Limited health
production young child feeding supplies
• Limited money to practices • Poor sanitation
buy food • Limited knowledge • Lack of potable
• Unemployment on child care water supply
• Large family • Vices of parents • Poor personal
size hygiene
• Inadequate health
human resource
 Nutrition Situation Assessment

What have been done to address malnutrition? How

effective have these been?

What resources are available?

What constraints could affect the implementation of

nutrition interventions?
 Setting Goals and Objectives

• A goal is a general statement to aim for but is not detailed enough for
planning activities (no timeline). It is a broad definition of what your
organization aims/wants to achieve usually in the long term.
• A goal should be aligned with the LGUs vision and mission
 Setting Goals and Objectives
• An objective is a concrete and specific statement of desired
achievement. It is more focused and concretely worded
statements about end states, most usually stated with a time
dimension and client population specified.
Objectives may be classified either as:
a. General, specific, and activity objectives; and
b.Outcome, output or input objectives.
 Setting Goals and Objectives
Sample objectives:
E.g. underfive children measured: 200
stunted and severely stunted: 40 children or 20%
• Number: To reduce the number of stunted and severely
stunted underfive children from 40 children to 34 children
at the end of the year
• Prevalence: To reduce the prevalence of stunting among
underfive from 20% to 17% at the end of the year
 Setting Goals and Objectives

Specific Specific and measurable

To reduce the prevalence of stunting
Measurable
Achievable Specific
among underfive children from
Realistic
measurable
Time-bound Time bound
20% to 17% in one year.
realistic
 Barangay Nutrition Action Plan
Goal and Objectives
• Goal:

• Objectives:
• Reduce the number of stunted and severely stunted underfive children
from 40 children to 34 children at the end of the year
• Improve the nutritional status of all 5 wasted and severely wasted
underfive children to normal end of the year
• Reduce the number of underweight & severely underweight underfive
children from 20 children to 10 children at the end of the year
• Reduce the number of overwight and obese underfive children from 10
children to 5 children at the end of the year
 Identification and prioritization of
intervention
Nutrition Intervention
Any policy, program, project or activity that will
contribute to change or improve nutrition situation
The PPAN serves as guide in identifying appropriate and
evidence-based nutrition intervention
Philippine Plan of Action for Nutrition
Nutrition Specific
Interventions

Nutrition
Sensitive
Interventions
Preparation of Plan
Work Plan template for 3 years
Work Plan template for 1 year
Annual Investment Plan
Annual Investment Program (AIP)
According to Program/Project/Activity by Performance Area
Province/City/Municipality/Barangay : _______________________________

Period of Type of Expenditure and Project

AIP Progra Implementation Cost
Referenc m/ Lead Expecte Source
of Person-
e Project/ Agency Starting Ending d Result Funds nel Capital TOTAL
Code Activity date date Service MOOE Outlay
s
 Designing monitoring and
evaluation
Evaluation
• Systematic assessment of effectiveness and efficiency
of the project achievements based on the set objectives

Monitoring
• Regular follow-up of the implementation of planned activities
• Answers how well the plan is proceeding
 Sample M and E Plan
M & E indicators based on the causes of malnutrition
Person Frequency of
How to collect
Goals and Objectives Type of Indicator Data Source In data
data
charge collection

Goal Impact indicator

Healthy children, healthy Under-five mortality
community in progressive rate RHU health statistics documentation MHO Monthly
Malinao

General Outcome/ Outcome Outcome indicator

Objective Prevalence of
At the end of three years, the underweight RHM
prevalence of underweight BNS/MNAO Nutrition
OPT BNS Quarterly
among 0-5 years old will Office
MNAO
decrease from 27% to 20%.

Specific / Output indicator

Output Objective 1 12 training Every
To conduct 12 training sessions on conducted per year Training/ Project Reporting /
MNAO Scheduled
IYCF for (would be) mothers report Documentation
training
yearly
 Plan Packaging
Legislation and resource allocation
BASIC FORMAT OF BNAP 3 YEAR PLAN
Cover Page
I. Introduction
II. Vision & Mission
III. Barangay Situation Analysis/ Barangay Nutrition Profile
IV. Goal and Objectives
V. Programs and Projects
VI. Budgetary Requirements (AIP)
****attach resolution adopting the plan
SAMPLE BUONG BNAP

Change with Barangay Logo

SAMPLE BUONG BNAP
 Barangay ________
• Vision:

• Mission:
 Barangay Nutrition Action Plan
Goal and Objectives
• Goal: Improved quality of life through improved nutritional well-
being.
• Objectives:
• Reduce the prevalence of stunting among underfive children from
30% to 20% by 2025
• Reduce the prevalence of wasting among underfive children from
5% to 1% by 2025
• Reduce the prevalence of underweight among underfive children
from 20% to 10% by 2025
• Reduce the prevalence of overweight and obesity among
underfive children from 3% to 2% by 2025
• BNAP\LNAP Matrix for Brgy 8-5-20.xls
Annual Investment Plan
Annual Investment Program (AIP)
According to Program/Project/Activity by Performance Area
Province/City/Municipality/Barangay : _______________________________

Period of Type of Expenditure and Project

AIP Progra Implementation Cost
Referenc m/ Lead Expecte Source
of Person-
e Project/ Agency Starting Ending d Result Funds nel Capital TOTAL
Code Activity date date Service MOOE Outlay
s
Sample resolution, for
the 3 year BNAP, put
BNAP for 2023-2025
 Plan Packaging
Legislation and resource allocation
BASIC FORMAT OF BNAP 1 YEAR PLAN

Cover Page

I. Barangay Situation Analysis/ Barangay Nutrition Profile

III. Goal and Objectives

V. Programs and Projects

VI. Budgetary Requirements (AIP)

*****attach resolution adopting the plan

SAMPLE BUONG BNAP

Change with Barangay Logo

SAMPLE BUONG BNAP
Annual Investment Plan
Annual Investment Program (AIP)
According to Program/Project/Activity by Performance Area
Province/City/Municipality/Barangay : _______________________________

Period of Type of Expenditure and Project

AIP Progra Implementation Cost
Referenc m/ Lead Expecte Source
of Person-
e Project/ Agency Starting Ending d Result Funds nel Capital TOTAL
Code Activity date date Service MOOE Outlay
s
Additional references
 Stunting among underfive children

Inadequate Poor health status/

food and nutrient
food intake intake Presence of Illness

Food Insecurity Inadequate care for mothers and Insufficient health services, unhealthy
children environment

• Low income •Non-exclusive breastfeeding

•Early cessation of breastfeeding •Poor hygiene
• Unemployment •Congested area
• Low educational attainment of •Early introduction of complementary feeding
•Limited knowledge and skills on child rearing •Poor environmental sanitation
parents •Sharing of toilet facility
• Large family size •Poor feeding practices
•Poor nutrition of mother during pre-conception, •Unsafe storage and preparation of
pregnancy and lactation foods
•Infection experienced by mother during pregnancy
•IUGR and preterm birth
• Delayed initiation
•Teenage pregnancy
Sample Causal Model on
Overweight/ Obesity

Overweight and Obesity among 0-59 months

children

Unhealthy/ Excessive food intake Poor physical activity

• Overexposure of children to television

• Overindulgence of caregivers (esp. and other electronic gadgets
grandparents) on the child’s excessive and • Lack of motivation of parents/
unhealthy food choices caregivers for physical activity/ exercise
• Lack of parental/caregivers guidance on the • Limited space for games that promotes
child’s food intake physical activity
• Lack of awareness of parents or caregiver on • Unsafe environment for
proper child feeding and care
• Poor knowledge of caregivers/ parents on
proper nutrition
• Easy access to fast food chains and processed
foods
CAUSAL MODEL/ PROBLEM TREE
Death
Illnesses Low functional Unemployment &
Poor learners literacy underemployment
Poor resistance to
infection in school

Underweight children,
0-5 years old

Inadequate Poor health status/

food intake Presence of Illness

Food Insecurity Inadequate care for Insufficient health

mothers and children services, unhealthy
environment and poor
personal hygiene
• Inadequate food • Poor infant and • Limited health
production young child feeding supplies
• Limited money to practices • Poor sanitation
buy food • Limited knowledge • Lack of potable
• Unemployment on child care water supply
• Large family • Vices of parents • Poor personal
size hygiene
• Inadequate health
human resource
OBJECTIVE TREE SAMPLE

Zero prevalence of
undernutrition

Adequate food Good health status/

intake Absence of Illness

Food Security Proper care for mothers Sufficient health services,

and children healthy environment and
good personal hygiene

• Improved food • Improved infant and • Adequate health

production young child feeding supplies
• Increased practices • Improved sanitation
earning capacity • Adequate • Available supply of
of families knowledge on child potable water
• Controlled care • Improved practice of
family size personal hygiene
• Employment • Increased health
opportunities human resource
available