NUTRITION PROGRAM

Common nutritional deficiencies

1. Vitamin A
2. Iron
3. Iodine
NUTRITIONAL PROGRAM
GOAL
To improve the quality of life of Filipinos through:
1. better nutrition
2. improved health
3. increased productivity
NUTRITIONAL PROGRAM
OBJECTIVES
Reduction in:
1. The proportion of Filipino households with intake
below 100% of the dietary energy requirement from
53.2% to 44%.
2. Underweight among pre school children
3. Stunting among pre school children
4. Chronic energy deficiency among pregnant women
NURITIONAL PROGRAM
4. Prevalence of overweight, obesity and non-
communicable diseases
5. Reduction in the prevalence of iron deficiency disorder
among lactating mothers
6. Elimination of moderate and severe IDD among school
children and pregnant women
7. Reduction in the prevalence of low birth weight
NUTRITION PROGRAM
STRATEGIES
1. Food based interventions for sustained improvements
in nutritional status
2. Life-cycle approach with strategic attention to 0-3
years old children, adolescent females and
pregnant/lactating women
3. Effective implementation of nutrition interventions
with other services
4. Geographical focus to needier areas

NUTRITION PROGRAM
PROGRAMS AND PROJECTS
1. MICRONUTRIENT SUPPLEMENTATION
- Address to the health and nutritional needs of
infants and children to improve growth and survival
- Araw ng Sangkap Pinoy 2x a year distribution of
vitamin A
- Garantisadong pambata or Child Health Week
(adopted to provide micronutrient supplements to 6-
71 months old preschoolers on nationwide scale


NUTRITION PROGRAM
2. FOOD FORTIFICATION
- the addition of essential nutrient to a wide variety of
consumed food products at level above its natural
state

NUTRITION PROGRAM
-food fortification act of 2000
-provides mandatory fortification of staples namely :
flour with iron and Vit. A
cooking oil and refined sugar with Vit. A
rice with iron
-voluntary fortification of processed foods through
sangkap pinoy
NUTRITION PROGRAM
3. ESSENTIAL MATERNAL AND CHILD HEALTH SERVICE
PACKAGE
- ensures the right of the child to:
Survival
Development
Protection and Participation

NUTRITION PROGRAM
- Includes the delivery of essential maternal and child
health through:
Breast feeding
Complementary feeding
Micronutrient Supplementation
NUTRITION PROGRAM
4. NUTRITION INFORMATION, COMMUNICATION AND EDUCATION
- includes:
* promotion to nutritional guidelines for Filipinos
* training of health workers
5. HOME, SCHOOL AND COMMUNITY FOOD PRODUCTION
- includes:
* establishment of kitchens, gardens in homes, schools, and in
communities in urban and rural areas to serve as source of additional
food for the home.


NUTRITION PROGRAM
* establishment of demonstration centers and nurseries
and distribution of planting materials.
6. FOOD ASSISTANCE
- includes:
* based complementary feeding for wasted/stunted
children and pregnant women with delivering low birth
weight.

NUTRITION PROGRAM
(rice distribution is done in school)
* food discounts were provided through Tindahan
Natin Program
7. LIVELIHOOD ASSISTANCE
- provision of credit and livelihood opportunities to
poor household through linkage with lending and
financial institutions.
- functional literacy training helps in this endeavor

UNIVERSAL SUPPLEMENTATION OF VITAMIN A
TARGET PREPARATION DOSE/DURATION REMARKS
Infants
6-11 months
100,000 IU 1 dose only One capsule
is given
anytime
during 6-11
mos but
usually given
at 9 mos
during the
measles
immunization
Children 21-71
months
200,000 IU 1 capsule every six
months
SUPPLEMENTATION TO HIGH RISK CHILDREN
TARGET/ILL
NESS
PREAPARATIONS DOSE/DURATION
MEASLES
Infants
(6 11 mos)
Pre-school
children



100,000 IU

200,000 IU



One capsule given
upon diagnosis,
regardless of when the
last dose of VAC was
given
SUPPLEMENTATION TO HIGH RISK CHILDREN
TARGET PREPARATIONS DOSE/DURATION
SEVERE
PNEUMONIA
PERSISTENT
DIARRHEA
MALNUTRITION
Infants (6 mos -11
mos)
100,000 IU

100,000 IU

100,000 IU

One capsule given
upon diagnosis,
except when the
child was given
VAC less than 4
weeks before
diagnosis
SUPPLEMENTATION TO HIGH RISK CHILDREN
TARGET PREPARATIO
NS
DOSE/DURATION
SEVERE
PNEUMONIA
PERSISTENT
DIARRHEA
MALNUTRITION
(12-71 MONTHS)
200,000 IU

200,000 IU

200,000 IU
One capsule given
upon diagnosis,
except when the child
was given VAC less
than 4 weeks before
diagnosis
SUPPLEMENTATION TO HIGH RISK CHILDREN
TARGET PREPARATIONS DOSE/DURATION
MALNUTRITION
(6 yrs to 12 yrs old
children)
200,000 IU One capsule given
upon diagnosis,
except when the child
was given VAC less
than 4 weeks before
diagnosis
SUPPLEMENTATION FOR PREGNANT WOMEN AND POST
PARTUM WOMEN
TARGETS PREPARATIO
N
DOSE DURATION REMARKS
PREGNANT
WOMEN
10,000 IU 1 Cap/tab of
10,000 IU
twice a week
Start from the
4
th
month of
pregnancy until
delivery
Vit A 10,000 IU
should not be
given to pregnant
women who are
already taking pre-
natal vitamins or
multiple
micronutrients
tablets that also
contain vit A
POST-
PARTUM
WOMEN
200,000 IU 1 Capsule
200,000 IU
One dose only
within 4 weeks
after delivery
Vit A of 200,000 IU
should not be
given to pregnant
women
TREATMENT SCHEDULE FOR XEROPHTHALMIA FOR ALL AGE
GROUPS
TARGETS PREPARATION DOSE/DURATION
6 11 months


12 59 months
100,000 IU


200,000 IU
Should be given
immediately upon
diagnosis, 1 capsule
given the next day &
1 capsule 2 weeks
after
TREATMENT SCHEDULE FOR XEROPHTHALMIA FOR PREGNANT
WOMEN
TARGETS PREPARATION DOSE/DURATI
ON
REMARKS
Pregnant
Women with
Nightblindness
10,000 IU One capsule/tablet
once a day for 4
weeks upon
diagnosis
Do not give Vit. A
10,000 IU if
prenatal vitamins or
multiple
micronutrient
tablets containing
vitamin A are to be
given. Vit. A can be
given regardless of
age of gestation if
pregnant woman
has night blindness.
IRON SUPPLEMEMNTATION FOR PREGNANT AND LACTATING
WOMEN
TARGETS PREPARATIONS DOSE/DURATION REMARKS
Pregnant
women
Tablet (coated)
containing 60 mg
elemental iron (EI)
with 400 mg Folic
acid
1 tablet once a day
for 6 mos or 180 days
during the pregnancy
period Or 2 tablets
per day (120 mg EI)
if prenatal
consultations are
done during the 2
nd

and 3
rd
trimester
A dose of 800
mcg of folic
acid is stilll
safe to the
pregnant
women
Lactating
women
Tablet (coated)
containing 60 mg
elemental iron
with 400 mcg
Folic acid
1 tablet once a
day for 3 months
or 90 days
IRON SUPPLEMEMTATION TO INFANT 6 11 MONTHS
OF AGE
TARGET PREPARATYION DOSE/DURATION
Low birth
weight




Infants 6 11
months
Drops: 15mg
elemental iron/0.6




Drops containing
15 mg elemental
iron/0.6 ml
0.3 ml once a day to
start at two months of
age until 6 months
when complementary
foods are given.

0.6 ml once a day for 3
months
IRON SUPPLEMENTATION TO PRE SCHOOL AND SCHOOL
CHILDREN
TARGETS PREPARATION DOSE/DURATION
Children 1-5
years old



Children 6-11
yrs old
anemic and
underweight
Syrup containing 30
mg elemental iron/5
ml


Syrup containing 30
mg elemental iron/5
ml
1 tbsp. once a day for 3
months or 30 mg once a
week for 6 months with
supervised
administration

2 tbsp. once a day for 6
months
IRON SUPPLEMENTATION TO OTHER POPULATION
GROUPS
TARGETS PREPARATION DOSE/DURATION
Adolescent
girls (10-19
yrs.)



Older persons
Tablet containing
60 mg elemental
iron with 400 mcg
folic acid (coated)

Tablet containing
60 mg elemental
iron with 400 mcg
folic acid (coated)
One tablet once a day




One tablet once a day
IODINE SUPPLEMENTATION TO SPECIFIC POPULATION
GROUPS
TARGETS PREPARATION DOSE/DURATION
Women 15-45
yrs old

Children of
school age

Adult males
Iodized oil capsule
with 200mg iodine

Iodized oil capsule
with 200 mg iodine

Iodized oil capsule
with 200 mg iodine
1 capsule for 1 year


1 capsule for 1 year


1 capsule for 1 year