HAPAG-ASA

Integrated Nutrition Program

MALNUTRITION
Physiological condition: Where there is lack, excess or imbalance of nutrients in the body

In which the physical function of an individual is impaired which leads to a point when he/she can no longer maintain an adequate level of performance such as physical work and resist or recover from illness

Two Faces of MALNUTRITION

Undernourished Overweight / obese

Who needs HAPAG-ASA?

The UNDERNOURISHED!

Multicausal Framework of Malnutrition

Source: UNICEF, State of the Worlds Children. 1998

Consequences of Malnutrition

Higher mortality rate Impaired mental development Increased risk of adult chronic disease

Low birthweight baby

Reduced capacity to care for child Inadequate fetal nutrition

Untimely/ inadequate feeding Frequent infections Inadequate food, health and care

Inadequate catch-up growth

Malnourished woman
Higher maternal mortality Reduced mental and physical capacity

Malnourished child
Reduced mental capacity Inadequate food, health and care

Inadequate food, health and care

Malnourished pregnant woman

Inadequate food, health and care

Malnourished adolescent

What is the difference between the Brain Scans of these two under-5 children?
Based on a study conducted by PROF. ASCOBAT GANI (copy of Pictures from World Vision)

Nutrition & Brain Development

Malnutrition & Infection

Well Nourished & Healthy brain

Empty brain is permanent Irreversible loss of opportunity

Smart Child Life in all its fullness

LOST generation/labor

Quality Human Resource Higher income (>7%)

BURDEN

RESOURCES
Based on a study conducted by PROF. ASCOBAT GANI

NUTRITION SITUATION OF FILIPINO CHILDREN

3 out 10 children are undernourished for the past 10 years

NUTRITION SITUATION OF FILIPINO CHILDREN

6th National Nutrition Survey Findings
(FNRI 2003)

7th National Nutrition Survey Findings

(FNRI 2008)

27 out of every 100 or 26.9% of preschool-aged children, 0-5 years old, are underweight 25.6% of children, 6-10 years of age, are underweight.

26 out of every 100 or 26.2% of preschool-aged children, 0-5 years old, are underweight 25.6% of children, 6-10 years of age, are underweight.

These children are suffering from Protein Energy Malnutrition and/or micronutrient deficiencies such as: Vitamin A Deficiency Disorder (VADD) Iron Deficiency Anemia (IDA) Iodine Deficiency Disorder (IDD)

NUTRITION SITUATION OF FILIPINO CHILDREN

From 2003 to 2008, the nutrition situation of Filipino children did not improve. Worse, the prevalence of acute or severe cases of malnutrition increased from 5.3% to 6.1%!
Malnutrition prevalence rate of 5% is considered of public health significance. - WHO

NUTRITION SITUATION OF FILIPINO CHILDREN

Regions With The Highest Prevalence of Malnutrition
2003 NNS 2008 NNS

Among 0-5 years old 1.MIMAROPA 34.2% 1. Bicol 33.8% 2.Cagayan Valley 34.1% 2. Zamboanga Pen. 33.2% 3.ARMM 34% 3. MIMAROPA 33.1% Among 6-10 years old 1.Bicol 36.1% 1. Bicol 34% 2.Eastern Visayas 35% 2. MIMAROPA 33% 3.MIMAROPA 32.2% 3. Western Visayas 32.2 % Malnutrition prevalence rate of 5% is considered of public health significance. - WHO

NUTRITION SITUATION OF FILIPINO CHILDREN

Regions With The Lowest Prevalence of Malnutrition:
2003 NNS 2008 NNS

Among 0-5 years old 1. Central Luzon 21.7% 1.NCR 20.7% 2. NCR 17.8% 2.Central Luzon 20.2% 3. CAR 16.3% 3. CAR 19.9% Among 6-10 years old 1. Cagayan Valley 19.5% 1.Cagayan Valley 19.2. % 2. Central Luzon 17.7% 2.Central Luzon 18.1% 3. NCR 15.7%* 3. CAR 14.5% * NCR 20% Malnutrition prevalence rate of 5% is considered of public health significance. - WHO

A tendency to view hunger as structural, an integral part of

the socio-political situation of the weakest countries, a matter of resigned regret, if not downright indifference It is not so, and it must never be so (Hunger) is the most cruel and concrete sign of poverty. The fundamental right of every person is first and foremost the right to sufficient, healthy and nutritious food supportive of essential right to life itself. Churches are called to defeat hunger in a planned, responsible and regulated manner and to support the sector-wide effort to eradicate it.
Article, ON WORLD HUNGER: POPE DECRIES INDIFFERENCE

A CHRISTIAN RESPONSE: SAVE A CHILD

Fullness of Life through Feeding the Body and Feeding the Spirit

HAPAG-ASA
Integrated Nutrition Program
Christian response to the problem of hunger and malnutrition in the spirit of the Miracle of the Multiplication of Loaves and Fish Launched in July 2005 by Pondo ng Pinoy Community Foundation headed by Archbishop Gaudencio B. Cardinal Rosales, Assisi Development Foundation and Feed the Children Philippines.

LEAD ORGANIZATIONS
Provides assistance in the form of food subsidy to member dioceses. Provides technical assistance to partners who are interested to implement the HAPAG-ASA program Donates the Vitameal that provides the added nutrients to the food of the identified malnourished children Risen Savior Missions donates another kind of food supplement called the MannaPack Food Supplements made and donated to them by Feed my Starving Children Assists in the promotion of the program and in receiving of MannaPack Supplements.

GENERAL OBJECTIVES
To develop the culture of SHARING & LOVING to our neighbors as demonstrated in the Miracle of the Multiplication of loaves & fish (Mt. 14:1321)

To reduce malnutrition prevalence rate among 0 to 12 years old children

To improve capacity of parents to care and provide for basic needs of their children

PROGRAM COMPONENTS
Supplemental Feeding Parents Education Classes
Affective Parenting

Health and Nutrition

Responsible Parenthood-Natural Family Planning and Values

Livelihood

Livelihood and Skills Training

Where do we come in?

Supplemental feeding

Education & livelihood for parents

MECHANICS
Target Recipients - 6 months to 12 years old undernourished children (priority given to younger age group 6 years old & below) - underweight pregnant and lactating women - Children with special condition Feeding Administration - 1 meal a day, 5 days a week for 6 months or a total of 120 days - Food can be complete meal or heavy snacks - Gather children together in one site during snacks time or in between regular meals - Use of food supplements: Vitameal or MannaPack Fortified Rice - Manpower includes parish, NGO, LGU volunteers and most importantly PARENTS OF THE ENROLLED CHILDREN

VITAMEAL
Rice and Lentil food supplement used in feeding malnourished kids Donated by Feed the Children Philippines Costs P1,750.00/bag Manufactured in the US Weighs approx. 2.5 kg/bag and can feed 50 to 100 children One box contains 6bags Must be stored properly (in storage cans once opened) Must be picked up from designated points or centers

MannaPack Fortified Rice

Rice with Soya and Dehydrated Vegetables Donated by Feed my Starving Children through Risen Saviour Missions Manufactured in the US One box contains 36packs Each pack weighes approx. 400g and can feed 6 children or 4 pregnant/lactating Must be picked up from designated points or centers

MannaPack Fortified Potato

(For Special Feeding)

Potato flakes, dried vegetables, soy protein Has 2 variants: MannaPack Potato-W, given 3x a day, 7days a week for 3 months to infants 6 months-1yo and severely malnourished children MannaPack Potato-D, given to diarrhea patients One box contains 36packs Each pack has 12 servings Must be picked up from designated points or centers

MECHANICS
Other Program Components Parents Education Classes - Conducted at least once a week for 6 months

Skills Training and Livelihood Activities - In partnership with other organizations/institutions.

(Please see succeeding slides for list of livelihood partnerships)

Resource mobilization and networking * COUNTERPART: For non-Pondo ng Pinoy partners (NGO, Other Dioceses, LGU), counterpart will be the food where Vitameal / MannaPack Rice will be mixed

Continuing partnerships with: 1. 2. 3. 4. 5. 6. 7. DSWD SEA-K Project TESDA DoLE Ang-Hortaleza Fdn., Inc. Rags to Riches NDA Mr. Ronald Barangan

CANDLE MAKING & WRAPPING

LIQUID & SOAP DETERGENT MAKING

FOOD PROCESSING Tocino

Other skills training: Massage training

Longganisa
Pulvoron Peanut Brittle

Herbal medicine
Weaving waterlilies

Sugar Coated Peanuts

Native Kakanin Pastillas Mayonnaise Patties

Training on Stuffed Toy Making by Mr. Ronald Barangan

Rags To Riches

Ang Hortaleza Fdn. Inc. (Diocese of Novaliches)

National Dairy Authority NDAs Herd Build-Up/Palit-Baka Scheme

- Diocese of Ilagan
- Dairy animals loan (local breed cows), repay in-kind of female cows

Boost the production of local milk

Increase the income of dairy farmers

Overall HAPAG-ASA Structure and Communication Flow HAPAG-ASA INTEGRATED NUTRITION PROGRAM
HAPAG-ASA Secretariat under the ASSISI DEVELOPMENT FDN. DONORS (e.g. Feed the Children Philippines) LIVELIHOOD PARTNERS (e.g. TESDA, DSWD) OTHER SUPPORT GROUPS/PARTNERS (e.g. National Dairy Authority)

DIOCESES

DepEd Regional Offices

DepEd Division Offices

LGUs

NGOs

Parishes/ Churches
Feeding Centers (BECs, School, Community)

Assistance
Feeding Centers (School, Community, Centers)

DepEd District Offices

Feeding Centers (School, Community)

Schools

Implementation

Note: BEC means Basic Ecclesial Community or Community Organizations of the Church

Hapag-Asa Team at the Implementation Level

BEC or Community Coordinator (1 Coordinator)
Parents/Caregivers and other Volunteers Food Preparation Group (2 group leaders)
Marketer and Cook Servers and Cleaners

Nutritional Assessment Group (2 group leaders)

Growth Monitoring Person Attendance checker

Education & Support Services Group (2 group leaders)

Education Classes Coordinator Livelihood Coordinator

A Peek at the Feeding Sites.

Program Launch

Feeding the Kids

Lining up for food

Hand washing

Praying before and after meals

Eating time

Parents Class

Parents Class

Graduation

Fruits of HAPAG-ASA

EFFECTS ON CHILDREN
Physical, mental, emotional and social development Weight gain of 1 to 2 kg per month More active and cheerful children Increased appetite Less sickly Good disposition Improved skin color (pale to rosy cheeks) Improved school attendance and performance

Maria Giray
from Brgy. Rawis, Laoang, Northern Samar

Marites
From Prelature of Infanta Before six months After six months

6.8 kg

12.5 kg

Before six months

After six months

HOW TO AVAIL OF HAPAG-ASA FEEDING PROGRAM

Orientation/Training and Submission of Commitment of Implementation

Preparation of the Diocese/Organization/LGU: Forming of Hapag-Asa Team , Submission of Masterlist and MOA Preparation
Evaluation of Masterlist by Hapag-Asa Secretariat (1)Feedback by the Diocese/Organization on Implementation date and (2) MOA processing
Release of Vitameal/ MannaPack Rice (in tranches depending on partners location)

De-Worming of Qualified Children and Orientation of their Respective Parents Actual Program Implementation: Supplemental Feeding Parents Education Classes

Monitoring & Reports Submission

HAPAG-ASA SECRETARIAT
Assisi Development Foundation Unit 503 Prestige Tower, F. Ortigas Jr. Rd., Ortigas Center, 1605 Pasig City Tel. Nos. 6321001-03 Email. hapagasa@gmail.com Website: www.hapagasafeeding.com

Thank you!!!