Monitoring and Evaluation of

Local Level Plan Implementation

(MELLPI PRO)

Nutrition Policies
Bella M. Basalong
NO III, NNC-CAR
OUTLINE OF PRESENTATION

 Executive Order, Republic Act (RA, EO)

 Department of Health Policies
 National Nutrition Council Governing Board
Resolutions
 Department of Education Policies
 Salt Iodization Board Resolution
Executive Order 51

Milk Code
 EO 51: Milk Code
Title: Adopting a National Code of Marketing of
Breastmilk Substituted, Breastmik Supplements
and related products, penalizing violation thereof,
and for other Purposes
Purpose: To ensure provision of safe and
adequate nutrition for infants by promotion of
breastfeeding and ensuring proper use of
breastmilk substitutes when these are
medically indicated and only when necessary
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations
• Scope and Coverage: The IRR shall apply to
the marketing and practices related to the
following products:
– Breastmilk substitutes and other milk
products; foods and beverages when
marketed as replacement for breastmilk
– Feeding bottles and teats
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations
• No advertising, promotions, sponsorship and
marketing of materials and activities for
breastmilk substitutes for infants up to 24
months
• No financial or material gifts to promote
breastmilk substitutes shall be given by milk
companies nor accepted by health workers
and/or their family members
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations
• Manufacturers/distributors or their
representatives are prohibited from DONATING
and GIVING SAMPLES of the product to the
general public, hospital, health facilities,
personnel and members of their family
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations
• Donations of products not covered by the Milk
Code given by milk companies (in cash or
kind) may only be coursed through the Inter
Agency Committee (IAC) which shall
determine if the it is accepted or not.
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations
• Other related products such as, but not
exclusive of teats, feeding bottles, and
artificial paraphernalia are prohibited in
health facilities
• Neither the container nor the label of milk
products shall have pictures of babies/children
together with their mothers, fathers, siblings,
grandparents, other relatives or caregivers.
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations

• Adulteration and the like is prohibited to prevent

quality deterioration and contamination;
breastmilk substitutes should not be repacked
and sold by distribution outlets by the cup,
bag or in any other form
EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing
Rules and Regulations
• EO 51 Monitoring Team at the Regional/
Provincial/ City/ Municipal and Barangay Levels
( in collaboration with their respective LGUs):
– CHD-CAR
Provincial/City/ Municipal/Barangay Health
Offices
– GOs/NGOs/ Civil Societies
 EO 51: Milk Code
DOH AO 12 s. of 2006: Revised Implementing Rules and
Regulations
• Role of EO 51 Monitoring Team:
– Monitors compliance as well as problems
encountered in the implementation of the Milk Code
– Reviews/acts on reports of violations of the provisions
of the Code
– Verifies reports of violations of the Milk Code
– Monitors labels of products within the scope of the
Code and marketing practices in various distribution
centers
– Recommends sanctions for violations to FDA
– Submits regular reports on the status of the Milk Code
implementation to FDA
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has activities to implement and
monitor compliance to the local
ordinance, resolution or EO and provides
feedback and penalties to violators as
applicable
 RA 10028

Expanded Breastfeeding Act

RA 10028: Expanded
Breastfeeding Act

• Amends REPUBLIC ACT NO. 7600 (An Act of

Providing Incentives to all Government and
Private Health Institutions with Rooming-In and
Breastfeeding Practices and for other Purposes)
RA 10028: Expanded
Breastfeeding Act
 Breastfeeding in the Workplace and Public
Places
• All establishments whether operating for profit
or not, unless exempted by DOLE and CSC
shall have lactation stations
• Private institutions may avail of tax deduction up
to twice the actual amount incurred in
establishing the lactation station
RA 10028: Expanded
Breastfeeding Act
 Breastfeeding in the Workplace and Public Places
RA 10028: Expanded
Breastfeeding Act
 Milk Storage and Milk Banking in Health
Institutions
• Health institutions are encouraged to establish
milk bank
RA 10028: Expanded
Breastfeeding Act
 Breastfeeding Integration in the Curriculum
 Celebration of Breastfeeding Awareness
Month
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has institutionalized compliance
to the law through issuance of local
policy, budget allocation and relevant
facilities
 RA 8976

Philippine Food Fortification

Act of the Philippines
RA 8976: Philippine Food Fortification Act
of the Philippines
RA 8976: Philippine Food Fortification Act
of the Philippines
RA 8976: Philippine Food Fortification Act
of the Philippines
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments
 RA 8172

ACT FOR SALT IODIZATION

NATIONWIDE (ASIN)
RA 8172: ACT FOR SALT IODIZATION
NATIONWIDE (ASIN)
RA 8172: ACT FOR SALT IODIZATION
NATIONWIDE (ASIN)
RA 8172: ACT FOR SALT IODIZATION
NATIONWIDE (ASIN)

SECTION 2. The LGUs shall support the development and

sustainability of the salt industry through:
 formulation of ordinances and information campaigns
promoting the availability and use of iodized salt
 Provision of budget for health and nutrition programs
 Assistance to other government agencies in the
implementation of the salt iodization program
 Monitoring the quality of salt as provided by law through its
respective health officers and nutritionist-dietitians or, in their
absence, through the sanitary inspectors; and
 Establishment and maintenance of a list of salt producers in
their respective territorial jurisdiction
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments
 RA 11148

Kalusugan at Nutrisyon ng
Mag-Nanay Act
RA 11148: Kalusugan at Nutrisyon
ng Mag-Nanay Act
An Act Scaling Up the National and Local health
Nutrition Programs through a Strengthened
Integrated Strategy for Maternal, Neonatal, Child
Health and Nutrition in the First One Thousand
(1,000) Days of life

Program Implementers: DOH in coordination with

NNC, DA and LGUs
RA 11148: Kalusugan at Nutrisyon
ng Mag-Nanay Act
Specific MCHN services are provided:

Postpartum
Women Birth and
Prenatal and
about to Newborn
Period Lactating
Give Birth Period
Women
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments
 DOH AO 10, s. 2010

Revised Policy on Micronutrient

Supplementation to Support
Achievement of 2015 MDG Targets to
Reduce Underfive and Maternal Deaths
and Address Micronutrient Needs of
Other Population Groups
DOH AO 10, s. 2010: Revised Policy on
Micronutrient Supplementation
• Declaration of Policy
– Reiterates the use of Zinc supplement
and reformulated oral rehydration salt in
the management of diarrhea
– Supersedes AO No. 119, s. 2003 on the
updated MS Guide issued in December
2003
DOH AO 10, s. 2010: Revised Policy on
Micronutrient Supplementation

• Role of the RHU

– Provide the necessary micronutrient
supplements according to protocol
(based on the Manual of Operations)
– Advocate among LCEs and other local
officials to allocate budget for MS
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments
 DOH AO 29, s. 2008

Implementing Health Reforms for

Rapid Reduction of Maternal and
Neonatal Mortality
 DOH AO 29, s. 2008: Implementing
Health Reforms for Rapid Reduction of
Maternal and Neonatal Mortality
• Goal: Rapidly reduce maternal and
neonatal mortality through local
implementation of an integrated MNCHN
(Maternal, Neonatal and Child Health and
Nutrition) strategy
 DOH AO 29, s. 2008: Implementing
Health Reforms for Rapid Reduction of
Maternal and Neonatal Mortality
• Local Government Units
a. Adopt and implement MNCHN strategy
b. Reorganize staff to deliver the integrated
MCHN services, in the context of the health
sector reform elements and goals
c. Invest in the development of facilities and
staff
d. Ensure adequate financing
e. Monitor and supervise implementation
f. Ensure sustainability of quality of services
 DOH AO 29, s. 2008: Implementing
Health Reforms for Rapid Reduction of
Maternal and Neonatal Mortality
• Emphasize the following:
– Organization of Service Delivery
Network
• CEmONC (Comprehensive Emergency
Obstetric and Newborn Care) facility
• BEmONC (Basic Emergency Obstetric and
Newborn Care) facility
• Community level service (RHU, health
centers, BHS)
 DOH AO 29, s. 2008: Implementing
Health Reforms for Rapid Reduction of
Maternal and Neonatal Mortality
• MNCHN Services in the following period:

Pre-pregnancy Services

Antenatal Care

Care During Delivery

Postpartum and Postnatal

Care
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments
 NNC GB No. 2, s. 2012

Approving the Revised Implementing

Guidelines on Operation Timbang
Plus
 NNC GB No. 2, s. 2012: Approving the Revised
Implementing Guidelines on Operation Timbang
Plus
Inclusion of length and height
measurement in the annual mass weighing
of preschool children

Length Height
Less than 2 years (0-23 months) 2 years and older
Child who are weak to stand Children capable of standing up
 MELLPI PRO PERFORMANCE LEVEL OF 5
• LGU maintains an inventory of weight
and height measuring equipment and
allocates budget for maintenance and/or
replacement
 NNC GB No. 6, s. 2012

Adoption of the 2012 Nutritional

Guidelines for Filipinos
NNC GB No. 6, s. 2012: Adoption of the 2012
Nutritional Guidelines for Filipinos
 MELLPI PRO PERFORMANCE LEVEL OF 5
• LGU has implemented more than 2
activities in support to the resolution
with multi-stakeholder participation
NNC GB No. 3, s. 2014

Approving and Adopting the

Guidelines on Local Nutrition
Planning
NNC GB No. 3, s. 2014: Approving and Adopting the
Guidelines on Local Nutrition Planning

Plan Preparation and Adoption

(Assessment, Analysis, Adoption, and Allocation)
1.1 Mobilization of LNC or planning core group
1.2 Assessment of Nutrition Situation
1.3 Setting of goals and objectives
1.4 Identification and prioritization of nutrition
intervention
1.5 Preparation of plan of operation
1.6 Designing of monitoring and evaluation
1.7 Plan packaging
1.8 Legislation/adoption and resource allocation
NNC GB No. 3, s. 2014: Approving and Adopting the
Guidelines on Local Nutrition Planning
 MELLPI PRO PERFORMANCE LEVEL OF 5
• LGU updated LNAP has been approved,
budgeted, implemented with a C/MNC
review conducted at least once in the last
3 years
 NNC GB No. 4 s. 2012

Adopting the Underfive Age Group

to describe child Undernutrition in
the Philippines
NNC GB No. 4 s. 2012 “Adopting the Underfive Age Group
to describe child Undernutrition in the Philippines”

Child undernutrition will be expressed and reported

in terms of situation of children underfive years
old, i.e. 0-59 months

Height and weight of children 60-71 months old will

be measured for determination of those needing
interventions
NNC GB No. 1, s. 2017

Approving and Adopting the

Philippine Plan of Action for
Nutrition 2017-2022
NNC GB No. 1, s. 2017 : Approving & Adopting the
Philippine Plan of Action for Nutrition 2017-2022

PPAN 2017-2022 (3 Major Programs)

• Nutrition Specific Programs
• Nutrition Sensitive Programs
• Enabling Mechanisms
NNC GB No. 1, s. 2017 : Approving & Adopting the
Philippine Plan of Action for Nutrition 2017-2022

Nutrition-specific programs
– Address immediate causes of malnutrition

1. Infant and Young Child Feeding

2. Integrated Management of Acute Malnutrition
3. National Dietary Supplementation Program
4. National Nutrition Promotion Program for Behavior Change
5. Micronutrient Supplementation
6. Mandatory Food Fortification
7. Nutrition In Emergencies
8. Overweight and Obesity Management and Prevention
Program
NNC GB No. 1, s. 2017 : Approving & Adopting the
Philippine Plan of Action for Nutrition 2017-2022

Nutrition sensitive programs

1. Farm-to-market roads and child nutrition

2. Target Actions to Reduce Poverty and Generate Economic
Transformation (TARGET) and child nutrition

3. Coconut Rehabilitation Program

4. Gulayan sa Paaralan
6. Family development sessions for child and family nutrition project
7. Mainstreaming nutrition in sustainable livelihood
8. Public works infrastructure and child nutrition
9. Adolescent Health and Nutrition Development
10. Sagana at Ligtas na Tubig sa Lahat (SALINTUBIG) and other programs on
water, sanitation and hygiene
NNC GB No. 1, s. 2017 : Approving & Adopting the
Philippine Plan of Action for Nutrition 2017-2022

Enabling Programs
 Mobilization of Local Government units
 Policy Development for food and nutrition
 Strengthened support to PPAN
 MELLPI PRO PERFORMANCE LEVEL OF 5
• LGU monitors the implementation of
nutrition activities funded by the LGU,
through regular C/MNC meetings,
program reviews of activities throughout
the year by majority of the members
 NNC GB No. 2, s. 2009

Adopting the National Policy on

Nutrition Management in
Emergencies and Disasters
NNC GB No. 2, s. 2009: Adopting the National Policy on
Nutrition Management in Emergencies and Disasters

Local Nutrition Clusters should be

organized
 The Nutrition Cluster

Global Nutrition Cluster

National Level
• National Nutrition
Cluster

Regional Level
• Regional Nutrition
Cluster

Provincial/City
Municipal/ • Local Nutrition Cluster
Barangay Level
TRAINING PACKAGES
PACKAGES
Nutrition in Emergency (NIE)
TRAINING
FOR HEALTH
FOR HEALTH
EMERGENCIES
05\
85
05\
Components of NiE:
Nutrition assessment

IYCF protection, support and promotion

Management of acute malnutrition

Micronutrient supplementation

Other food and non-food interventions

86
 MELLPI PRO PERFORMANCE LEVEL OF 5
• Nutrition Cluster has been formulated
with clarified relational link with the local
DRRMC during emergencies, NiEm Plan
formulated and clear fund resource
 NNC GB No. 3, 2012

Approving the Guidelines on the

Fabrication, Verification and
Maintenance of Wooden Height
Board
NNC GB No. 3, 2012: Approving the Guidelines on
the Fabrication, Verification and Maintenance of
Wooden Height Board
 NNC GB No. 3, s. 2018

Approving the Guidelines on the

selection of Non-Wood Height and
Length Measuring Tool
NNC GB No. 3, s. 2018: Approving the Guidelines on the
selection of Non-Wood Height and Length Measuring Tool

- NNC GB on motion
of the DA (Vice-Chair),
instructed the
secretariat to explore
other materials apart
from wood in view of
the country’s policy on
total log ban
Aluminun-acrylic
height board,
fiberglass, and plastic
are acceptable
measuring tools
 MELLPI PRO PERFORMANCE LEVEL OF 5
• LGU uses verified height and length
measuring tools of wooden/ non-
wooden material as prescribed in the
guidelines and available in all barangays
Deped Memo 233, s. 2016

Strengthening Gulayan sa
Paaralan
Deped Memo strengthening Gulayan sa
Paaralan DM 233, s. 2016
DepED Order 10, s. 2016

Water, Sanitation & Hygiene in

Schools (WinS) Program
DepED Order 10, s. 2016: Water, Sanitation
& Hygiene in Schools (WinS) Program

• Water
– Regular supply of safe drinking water
in school
– Regular supply of clean water for
handwashing Regular monitoring of
water quality
– Rainwater catchment systems shall
be installed in schools
– Daily cleaning & regular maintenance
activities as well as water supply
facilities
DepED Order 10, s. 2016: Water, Sanitation
& Hygiene in Schools (WinS) Program
• Sanitation
– Access to functional toilets with individual
handwashing facilities with soap for boys
and girls
– Safe water shall be supplied in school
canteens
– Adequate water treatment facility
– Proper waste management
– Eliminate breeding grounds for insects
– Food preparation and handling in schools
meet the standards of the Food Safety
Manual
– Practice of school canteen management on
food safety
DepED Order 10, s. 2016: Water, Sanitation
& Hygiene in Schools (WinS) Program

• Health Education
– Build capacity of school personnel
and other stakeholders for effective
management of WinS
– Key concepts of WinS program are
integrated in the curriculum
DepED Order 10, s. 2016: Water, Sanitation
& Hygiene in Schools (WinS) Program

• Deworming
– Deworm all students twice a year
– Parent/Guardian’s consent are
obtained
– Deworming is done on a full
stomach to avoid adverse events
 DepED Order 13, s. 2017

Policy and Guidelines on Healthy

Food and Beverage Choices in
Schools and in DepED Offices
DepED Order 13, s. 2017: Policy and Guidelines on
Healthy Food and Beverage Choices in Schools and
in DepED Offices
 DepED Order No. 59, s.
2017
Weekly
Iron & Folic Acid Supplementation
for Female Adolescents
DepED Order No. 59, s. 2017: Weekly
Iron & Folic Acid Supplementation for
Female Adolescents

• WIFA (Weekly Iron and Folic Acid

Supplementation is a nationwide routine
activity in all public schools targeting
females in Grade 7-10 and those in ALS
• Conducted every July to September (1st
round) and January to March (2nd round)
 DepEd Order NO. 39, s.
2017
Operational Guidelines for School
based Feeding Program
DepEd Order NO. 39, s. 2017: Operational
Guidelines for School based Feeding
Program

Objective: To address undernutrition

among public school children
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments
Salt Iodization Board Resolution No. 1: Adopting
the Strategic Plan of the NSIP 2018-2022

• The plan emphasized ASIN law enforcement at the

local and regional levels
• Local government units (LGUs) are responsible for
issuing local ordinances, monitoring the presence of
iodine in all local salt, maintaining a list of salt
producers, importers, and distributors, and allocating
budget for implementation of the ASIN law
 MELLPI PRO PERFORMANCE LEVEL OF 5
• The LGU has sustained implementation
of relevant activities and regularly
monitors the implementation including
having relevant discussions during
C/MNC meetings and adjustments