Draft LNAP

as of ____ 2019

The 2020-2022 Provincial/City/Municipality Nutrition Action Plan

Province/City/Municipality of ___________
1. Cover Page with Logo of the LGU
2. Table of Contents
3. Acronyms
4. Message from the Provincial Governor/Mayor as Chairperson of the
Provincial/Municipal/City Nutrition Committee
5. Message from the Vice-Chairperson of the Provincial/Municipal/City Nutrition
Committee (as applicable)
6. Provincial/Municipal/City Nutrition Committee Resolution Adopting the LNAP
2020-2022

Contents of the Plan

Chapter of the LNAP Corresponding Workshop Output/Remarks

I. Introduction Drafted
II. Provincial/Municipal/City Nutrition
Nutrition Situation Analysis output
Situation Analysis
III. 2022 Outcome Targets Obtain from Worksheet 4

IV. The LNAP 2020-2022 Projects Obtain from Worksheet 5

V. The LNAP Implementation Plan For completion

VI. Estimates of Budgetary Requirements

a. Table ___. Accomplished Project
Summary sheet
b. Table ___. Accomplished Distribution
of Cost Sheet
VII. Resource Mobilization Strategy
VIII. Arrangements for Organization and
Coordination
IX. Monitoring and Evaluation Scheme
Annexes
A. Project Briefs
Obtain from “Budget Forward Estimates”
Sheet of Costing Workbook
Obtain from “Distribution of Costs 2020”
Sheet of Costing Workbook
Obtain from Worksheet 7
Drafted, for review and editing of the LGU
Drafted, for review and editing of the LGU
Accomplished Project Briefs
Provincial / City /
Municipality
Nutrition
Action Plan
2020 – 2022
Municipality of Aroroy

Logo
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Table of Contents

I. INTRODUCTION...................................................................................................................................8

II. NUTRITION SITUATION ANALYSIS......................................................................................................10

III. 2022 OUTCOME TARGETS..............................................................................................................11

IV. ________ LNAP 2020-2022 PROJECTS...........................................................................................14

V. WORKPLAN TO IMPLEMENT PROGRAMS, PROJECTS, AND ACTIVITIES.............................................17

VI. ESTIMATES OF BUDGETARY REQUIREMENTS FOR _______ LNAP 2020-2022...............................18

VII. RESOURCE MOBILIZATION STRATEGIES FOR THE LNAP.................................................................22

VIII. ARRANGEMENTS FOR ORGANIZATION AND COORDINATION.......................................................23

IX. MONITORING AND EVALUATION SCHEME....................................................................................24

ANNEXES...................................................................................................................................................26

Directory of Members of the Local Nutrition Committee...................................................................26

Members of the Planning Team.........................................................................................................26

Project Briefs....................................................................................................................................27

REFERENCES..............................................................................................................................................28

(Note: right-click, update field/table when done)

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List of Tables

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List of Figures

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ACRONYMS
BNS – Barangay Nutrition Scholar
DILG – Department of the Interior and Local Government
DOH – Department of Health
FHSIS – Field Health Service Information System
FNRI – Food and Nutrition Research Institute
F1K – First 1,000 Days
GIDA – Geographically Isolated and Disadvantaged Areas
IFA – Iron Folic Acid
IP – Indigenous People
LGU – Local Government Unit
LNAP – Local Nutrition Action Plan
NDHS – National Demographic and Health Survey
NEDA – National Economic and Development Authority
NGO – Non-government Organizations
NiEm – Nutrition in Emergencies
NAO – Nutrition Action Officer
NNC – National Nutrition Council
NNS – National Nutrition Survey
PDP – Philippine Development Plan
PNC – Provincial Nutrition Committee
PPAN – Philippine Plan of Action for Nutrition
RPAN – Regional Plan of Action for Nutrition
 

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Message from the Provincial Governor/City/Municipal Mayor

Chairperson of the Provincial/Municipal/City Nutrition Committee

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Message from the Vice-Chairperson of the

Provincial/Municipal/City Nutrition Committee (as applicable)

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Provincial/Municipality/City Nutrition Committee Resolution Adopting the LNAP

2020-2022

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I. INTRODUCTION

1. The 2022 target outcomes of PPAN 2017-2022 cannot be achieved without all LGUs
improving their nutrition program in their provinces, cities and municipalities. The LGU action is
imperative if the nation is to change the nutrition landscape in the country which the National
Nutrition Council (NNC) calls alarming.

2. Malnutrition is associated with half of child mortality in the Philippines and more than half of
child morbidity.

3. Stunting in particular affects 4.6 million under five-year-old children equivalent to every one
in three Filipino child today. The negative impact of stunting on the brain development of the
child is well established. The brain of stunted children is 40 percent smaller than those of the
normal child. And the frontal lobe responsible for analysis, communication and memory are
severely degraded in the brains of stunted children. On the other hand, individuals with
reduced functioning of the ventral prefrontal cortex of the brain, especially during childhood,
tend to have severe antisocial behavior and impaired moral judgment.

All told, the children who survived but had stunting when they were 0-24 months old have
finish less schooling years, less income from work and have less healthier families. The cost of
malnutrition in the Philippines is about 4B US dollars every year roughly about 3 percent of our
GDP. The cost is like having a Yolanda every year devastating the country’s precious assets – our
young people and future citizens.

4. Stunting is not the only form of malnutrition affecting our country. Wasting affects about 1
million children equivalent to 7.8 percent of children under five. The Philippines is second to
shortest in ASEAN, 9th in the global burden in stunting and 10th in wasting. Overweight and
obesity is on the rise among children 0-5 and several micronutrient deficiencies are above
public health norms of the WHO including Vitamin A, iron deficiency and iodine.

5. The Regional Plan of Action for Nutrition 2019-2022 of Region ___ and that of the other 16
regions have been completed detailing and committing the outcomes to be delivered by

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sectoral agencies by end 2022. The war against stunting and malnutrition cannot be won
without the 1,700 LGUs in the Philippines joining hands and taking action in their own locality.
There are good examples of highly performing LGUs who have achieved good results in
nutrition and have sustained them over. These highly performing LGUs have signified intention
to guide LGUs willing to take the journey to ascend in nutrition programming for results.

6. This Provincial/Municipal/City Nutrition Action Plan and investment is ________ contribution

to the LNAP of the Province of _____, RPAN 2019-2022 of Region ___, PPAN 2017-2022, to the
PDP 2017-2022 and Ambisyon Natin 2040 and finally the SDG of the United Nations.

7. The Provincial/Municipal/City Nutrition Action Plan for 2020-2022 is a plan formulated by the
leadership of the Provincial Governor/Municipal/City Mayor with the Provincial/Municipal/City
Nutrition Committee members and the constituent elected leadership in the LGUs covered by
the province/municipality/city.

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II. NUTRITION SITUATION ANALYSIS

(Insert “Nutrition Situation Analysis” output here)

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III. 2022 OUTCOME TARGETS

The Provincial/Municipal/City Plan of Action for Nutrition 2020-2022 of _________ is aligned

with the over-all vision of the province/municipality/city of ___________. The P/C/M Plan also
supports the goals of the Regional Plan of Action for Nutrition for Region ___ and the Philippine
Plan of Action for Nutrition 2017-2022 to improve the nutrition situation of the country as a
contribution to: (1) the achievement of Ambisyon Natin 2040 1, (2) reducing inequality in human
development outcomes, and (3) reducing child and maternal mortality.

Table __. 2022 Outcome Targets (Obtain from Worksheet 4 (Excel))

Indicator 2022 Outcome Targets

Outcome targets
Prevalence of stunted children Reduce the level of stunted children under-five years old
under five years old from the baseline of 25.9 % in 2019 to 18.1% by 2022.

Prevalence of wasted children Reduce the level of wasted children under-five years old
under five years old from the baseline 7.2% in 2019 to 3.6 2022.

Prevalence of wasted children 6-10 Reduce the level of wasted children 6-10 years old from
years old the baseline of 13.3% to 10% by 2022.

Prevalence of overweight children Reduce the level of overweight children under-five years
under five years old old from the baseline of 7.2% in 2019 to 3.6% by 2022.

Prevalence of overweight children Reduce the level of overweight children 6-10 years old
6-10 years old from the baseline of 3.2% in 2019 to 2.4% by 2022.

Prevalence of overweight among Reduce the level of overweight adolescents from the
adolescents baseline of 1.8% in 2019 to 1.4% by in 2022.

Prevalence of overweight among Reduce the level of overweight adults from the baseline
adults of 22.8% in 2019 to 20.7% by 2022.

Sub-outcome targets

Prevalence of nutritionally-at-risk Reduce the level of nutritionally-at-risk pregnant women

pregnant women from the baseline of 27.6% in 2019 to 20.7% by 2022.

Prevalence of low birthweight Reduce the level of low birthweight from the baseline
of .2 in 2019 to 0% by 2022.
1
Ambisyon Natin 2040 is the Philippines’ long-term vision, i.e. “By 2040, the Philippines shall be a prosperous, predominantly middle-class
society where no one is poor, our people shall live long and healthy lives, be smart and innovative, and shall live in a high-trust society. The
Philippines hereby aims to triple real per capita income, and eradicate hunger and poverty by 2040, if not sooner” (Executive Order 05, October
2017).

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Indicator 2022 Outcome Targets

Percentage of infants 5 months old Increase the percentage of infants 5 months old who are
who are exclusively breastfed exclusively breastfed from the baseline of 73.4% in 2019
to 91.8% by 2022

Key Strategies to Achieve LNAP 2022 Targets

To achieve the 2022 outcome targets, the following key strategies will be implemented:
1. Focus on the first 1000 days of life. The first 1000 days of life refer to the period of
pregnancy up to the first two years of the child. The LNAP will ensure that key health,
nutrition, early education and related services are delivered to ensure the optimum
physical and mental development of the child during this period.

2. Complementation of nutrition-specific and nutrition-sensitive programs. The regional

planners ensured that there is a good mix of nutrition-specific and nutrition-sensitive
interventions in the LNAP. Nutrition-specific interventions “address the immediate
determinants2 of fetal and child nutrition and development”. Nutrition-sensitive
interventions, on the other hand, were identified in order to address the underlying
determinants of malnutrition (inadequate access to food, inadequate care for women
and children, and insufficient health services and unhealthy environment).

3. Intensified mobilization of local government units. Mobilization of LGUs will aim to

transform low-intensity nutrition programs to those that will deliver targeted nutritional
outcomes.

4. Reaching geographically isolated and disadvantaged areas (GIDAs) and communities

of indigenous peoples. Efforts to ensure that LNAP programs are designed and
implemented to reach out to GIDAs and communities of indigenous peoples will be
pursued.

5. Complementation of actions of national, sub-national and local governments. As LGUs

are charged with the delivery of services, including those related to nutrition, the
national and sub-national government creates the enabling environment through
appropriate policies and continuous capacity building of various stakeholders. This
twinning of various reinforcing projects in the LNAP will provide cushion for securing
outcomes in case of a shortfall/ gaps in the implementation of one of the programs.

2
Immediate determinants include adequate food intake and nutrient intake, care giving and parenting practices, and low burden of infectious
diseases. (Executive Summary of the Lancet Maternal and Child Nutrition Series, 2013).

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IV. ________ LNAP 2020-2022 PROJECTS

Worksheet 5. Municipal projects for the LNAP and the integration of the PPAN programs in the PDPFP / CDP / LDIP / AIP

The 12 PPAN programs3 will be embodied in the Local Nutrition Action Plan (LNAP) in all LGUs being mobilized in integrating PPAN programs in
the PDPFP, CDP, and LDIPs. However, given the importance of highlighting the First 1000 Days as a banner program and the need for limiting
P/P/As that will compete in the long list of projects and the final inclusion in the LDIPs of LGUs, it is important to combine some of the 12
programs under five key headings without missing any of the 12 PPAN programs.

To facilitate the listing of PPAN-based projects and activities, the following Table 1 shows the corresponding short titles to be used in mapping
each of the 12 PPAN programs under the five key program headings.

Table 1. PPAN programs and their corresponding short titles

PPAN Program Short Title
1. Philippine Integrated Management of Acute Malnutrition PIMAM
2. Infant and Young Child Feeding IYCF
3. Micronutrient Supplementation MSP
4. National Nutrition Promotion Program for Behavior Change NutriPromotion
5. National Dietary Supplementation Program DSP
6. Overweight and Obesity Management and Prevention Program OOMP
7. Mandatory Food Fortification FoodForti
8. Nutrition in Emergencies NiEm
9. Nutrition-sensitive Projects NSP
10. Mobilization of local government units for nutrition outcomes LGUMob
11. Policy development for food and nutrition PolicyDev
12. Strengthened management support to the PPAN 2017 – 2022 MgmtSupp

3
The 12 PPAN programs are as follows: 1) Philippine Integrated Management of Acute Malnutrition, 2) Infant and Young Child Feeding, 3) Micronutrient
Supplementation, 4) National Nutrition Promotion Program for Behavior Change, 5) National Dietary Supplementation Program, 6) Overweight and Obesity
Management and Prevention Program, 7) Mandatory Food Fortification, 8) Nutrition in Emergencies, 9) Nutrition-sensitive Projects, 10) Mobilization of local
government units for nutrition outcomes, 11) Policy development for food and nutrition, 12) Strengthened management support to the PPAN 2017 – 2022.

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Table 2. PPAN based programs/projects to be included in the LNAP and integrated to the local plans and budgets

PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

1. Philippine Integrated Management of Acute Malnutrition (PIMAM)

Projects / activities
1.1. Training on PIMAM 41 bgys MHO GAD, MCPC
1.2. Active case finding and master listing 41 bgys RHM, NDP, BNS, BHW
of SAM and MAM cases
1.3. Organization of Out-Patient As identified RHM, NDP, BNS, BHW, MHO, NNC
Therapeutic Care (OTC) MNAO, MHO
PIMAM
1.4. Organization of Targeted As identified RHM, NDP, BNS, BHW, MLGU, NNC
Supplementary Feeding (TSF) MNAO
1.5. Management, referral, follow-up, As identified RHM, NDP, BNS, BHW, MLGU
review and reporting of SAM cases MNAO, MHO
1.6. Provision of supportive supervision to 41 bgys RHM, NDP, MNAO MLGU
barangays
2. First 1000 Days Program
(includes the following PPAN programs: Infant and Young Child Feeding, Micronutrient Supplementation, National Nutrition Promotion Program for
Behavior Change, National Dietary Supplementation Program component for pregnant women and children 6-23 mos. as well as enabling programs
such as LGU mobilization, policy development, and strengthening management support)

Pregnancy (9 months or 270 days)

IYCF 2.1. Early Pregnancy Tracking and 41 RHM, NDPs, BHW, BNS
enrollment to antenatal care services

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

1. Intensive pregnancy tracking and
enrolment to antenatal care
services
2.2. Conduct of nutrition assessment and
counselling
2.3. Provision of Iron–Folic Acid 41 RHM, NDPs, BHW, BNS DOH, MLGU, BLGU
Supplements (Directly-observed
MSP
supplementation)
1. Procurement of Iron-Folic Acid
2.4. Dietary supplementation of 41 bgys RHM, NDPs, BNS, MLGU, NNC, PNC
DSP nutritionally-at-risk pregnant women in BHW, MNAO
priority barangays
Infancy (0 to 6 months or 180 days)
2.5. Exclusive breastfeeding 41 bgys RHM, NDPs, BHW, BNS
2.6. Organization, training and mobilization
of Breastfeeding/IYCF support groups
2.7. Conduct of Nutrition Classes
IYCF
2.8. Establishment and operationalization
of lactation/breastfeeding stations
2.9. Home visitation and IYCF counselling
by health and nutrition workers and
breastfeeding support groups
NBS 2.10. New Born Screening
Toddlerhood (6 to 23 months or 550 days)

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

IYCF 2.11. Complementary feeding with 41 RHM, NDPs, BHW, BNS MLGU, BLGU
continued breastfeeding
DSP 2.12. Dietary supplementation for children 6 41 RHM, NDPs, BHW, BNS MLGU, BLGU
to 23 months old MNAO
2.13. Vitamin A supplementation for RHM, NDPs, BHW, DOH
MSP
children 6 to 23 months old BNS, MNAO
2.14. Micronutrient powder (MNP) RHM, NDPs, BHW, DOH
MSP
supplementation for children 6 to 23 BNS, MNAO
months old
General Support to the F1K Program
2.15. Establishment of the First 1000 Days
LGUMob Program in the LGU:
1. Learning Visit to Q1K Program of 41 bgys MNC, BNCs MLGU, BLGU
Quezon Province
2.16. Mobilization of all barangays for the
First 1000 Days:
1. Meeting with the Punong 41 bgys MNC MLGU
LGUMob Barangays and BNCs
2.17. 2.17. Strengthening the BNCs for F1K 41 bgys MNC MLGU, BLGU
2.18. program management
2.19. 2.18. Designation of F1K barangay 41 bgys Punong Barangay MLGU, BLGU
2.20. coordinators
MgmtSupp 2.19. Information Management in the
F1K (e.g. creation of database and
monitoring system for all enrolled
beneficiaries for ease of tracking)

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

1. Adoption of the F1K Database/ 41 bgys MHO MLGU
Information Management System
2.20. Strengthening of health delivery
system for F1K (e.g. assessment of
compliance to standards of F1K in all
the RHUs of the province or specific
MgmtSupp LGU, review meetings with health and
nutrition service delivery teams)
1. Review of compliance to F1K 41 bgys MHO, MNAO MLGU
standards by all health and
nutrition service delivery teams
(RHM, BNS, BHW, NDPs)
2.21. Planning for integration of results 41 bgys MHO, MNAO MLGU
in RHU operations
2.22. Training of health workers and
MgmtSupp volunteers to become IYCF peer
counsellors
1. See 2.6
Nutri 2.23. Health and nutrition promotion
Promotion and education:
1. Conduct of Nutrition classes 41 bgys RHM, NDP, BNS, MLGU, NNC, BNC
Teacher-Facilitators,
MNAO
2. Nutrition Integration in Pre- 41 bgys PMC Team MLGU
Marriage Counseling (PMC)
sessions

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

3. Conduct of Nutrition Month 41 bgys MNC, DepEd, BNC MLGU, BLGU
Activities
4. IEC Campaign Selected bgys MHO, MNAO, Masbate MLGU, MGP
Gold Project

2.24. Policy and ordinance support for

F1K
(e.g. advocacy with SB/SP, passage of
local ordinances on adoption of F1K
and establishment of the program)
MNC, BNC
1. Review/updating of policies and
ordinances on nutrition and F1K
MNC
PolicyDev 2. Meeting and advocacy with the SB
Committee on Health Chairperson
and the Sangguniang Bayan
MNC
3. Passage of local ordinance
adopting RA 11148 (Kalusugan at
Nutrisyon ng Mag-Nanay or F1K
Act) and establishing the F1K
program

MgmtSupp 2.25. Advocacy for stronger 41 bgys MNC, BNC MLGU

enforcement and compliance
monitoring of ordinances and policies
on breastfeeding, rooming-in

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

1. Strengthening advocacy and
monitoring of implementation of
local ordinances on breastfeeding
(EO 51) and rooming-in (RA 10028)
2.26. Communication support for F1K
(e.g. development, reproduction,
distribution of F1K materials,
MgmtSupp mobilization of media groups)
1. Nutriskwela Radio Station
El Oro Radyo MNAO NNC, MLGU
2. Mobilization of media group for F1K

2.27. Improvement of the supply chain

management
MSP (e.g. coordination meetings with 41 bgys MNAO, MHO, RHM, DOH, NNC, MLGU
service delivery teams on status of NDP
supplies)

2.28. Establishment of complementary

food production processing plant
DSP 1. Coordinate production of Bigas- Food Processing MNAO, MAO MLGU, DOST-FNRI
Monggo (BigMo) Complementary enter
Blend with Aroroy Food Processing
Center
Other projects identified for the F1K program:

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

1. _________________________

2. _________________________

3. _________________________

3. National government agency (NGA) funded programs

(includes the following PPAN programs: National Dietary Supplementation Program component for day care centers and schools, Overweight and
Obesity Management and Prevention Program)

3.19. Dietary supplementation in Child 41 bgys MSWDO, ECCD DSWD (already funded from
DSP
Development Centers (Day Care) and coordinator National Government)
Supervised Neighborhood Plays (SNPs)
DSP 3.20. School-based Feeding Program (SBFP) 47 elementary DepEd, Kusina ng DepEd (already funded from
schools Kalinga National Government)
OOMP 3.21. Promotion of Healthy Lifestyle All bgys /schools LGU, MHO, BNC DOH (already funded from
National Government)
4. Nutrition-sensitive Programs4
NSP 4.19. Home food production 41 bgys MAO MLGU, PAO
4.20. Gulayan sa Paaralan 47 schools DepEd DepEd, MLGU

4
Examples include Farm to Market Roads, Livestock and Small Animal Dispersal, Seed Distribution and Home Gardening, Special Area for Agricultural Development (SAAD),
Village-level Farm-focused Enterprise Development (VLFED), Pantawid Pamilyang Pilipino Program (4Ps), Sustainable Livelihood Program (SLP) and other livelihood programs
initiated by the national government agencies and/or the LGU.

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

4.21. Farm-to-Market Roads Target bgys DPWH, DPWH, MLGU
4.22. U4U Teen Trail (for early pregnancy
prevention)
4.23. Conduct of training on KATROPA
(Kalalakihang Tapat sa Responsabilidad
at Obligasyon sa Pamilya)
4.24. Community-Led Total Sanitation Prog. Identified bgys MHO, SI MLGU, BLGU
4.25. Potable Water Supply System Identified bgys MLGU,
4.26. Sustainable Livelihood Programs
4.27. Sustainable Training Programs
4.28. Responsible Parenting/Family Devt. 41 bgys RHM, NDP, Population
Sessions Officer, Pantawid
Pamilya
5. Enabling Programs
(includes the following PPAN programs: Mobilization of local government units for nutrition outcomes, Policy development for food and nutrition,
Strengthened management support to the PPAN 2017-2022 which will also include the Mandatory Food Fortification and Nutrition in Emergencies)

LGUMob Mobilization of local government units for

nutrition outcomes (e.g. advocacy efforts
within LGU, Sanggunian, Punong Barangays,
establishing an incentive and awards system
for barangays)
5.19. Search for the Greenest and Cleanest 41 bgys MNC, MAO MLGU

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

Barangay
5.20. Search for the “Best Nutrition Program 41 bgys MNC MLGU, PNC
Implementor” among barangays
5.21.
5.22.
5.23.
Policy development for food and nutrition
(e.g. adoption of national policies and other
local level issuances for food and nutrition)
5.24. Adoption of resolution on Nutrition in
Emergencies
PolicyDev
5.25. Passage of resolution on home food
production
5.26. Passage of resolution on exclusive
breastfeeding
5.27.
Strengthened management support to the
PPAN 2017-2022 (e.g. operationalizing the
LGU nutrition office, regular meetings of the
LGU nutrition committee, program
implementation reviews, among others)
MgmtSupp 5.28. MNC meetings MNC members LCE, MNAO MLGU
5.29. BNS meetings All BNS MNAO MLGU

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PPAN PPAN-based programs / projects to be included Coverage of Agency / committee / NGA-mandated or other
Program in the LNAP and integrated to the PDPFP, CDP, projects / unit / individual sectoral/thematic plan /
Short Title LDIP, and AIP activities responsible for project General Fund / sources
implementation and where the project can be
monitoring integrated to secure local
investments, as applicable

(Column 1) (Column 2) (Column 3) (Column 4) (Column 5)

5.30. Barangay Nutrition Evaluation 41 bgys MNC MLGU
Mandatory Food Fortification5
5.31. Regular salt testing in markets and
FoodForti stores (Monitoring of compliance)
5.32. Advocacy campaign on the use of 41 bgys
fortified foods
Nutrition in Emergencies6
5.33. Training on Nutrition in Emergencies All BHWs & BNS MDRRMO MLGU, BLGU
NiEm 5.34. Nutrition Cluster Meetings NC Members MDRRMO MLGU
5.35.
5.36.

5
Included as component of Enabling Program – strengthened management support for LNAP 2020-2022, since the key role of LGUs in RA 8976 and RA 8172 is
on monitoring
6
Included as component of Enabling Program – strengthened management support for LNAP 2020-2022, particularly in strengthening the functionality /
capacity of local nutrition committees which are also the local nutrition clusters

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V. WORKPLAN TO IMPLEMENT PROGRAMS, PROJECTS, AND ACTIVITIES

Table 3. Provincial/City/Municipal Implementation Plan

TARGETS Funding Source

Agency/ies
Project Title and Major Activities (NGA, LGU,
Responsible 2020 2021 2022
Others)
Project 1.
Major Activities

Project 2.
Major Activities

Project 3.
Major Activities

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VI. ESTIMATES OF BUDGETARY REQUIREMENTS FOR _______ LNAP 2020-2022

Table__ presents the budget estimates for the 12 projects included in the LNAP as well indicates both funded
and unfunded components of the budgetary requirements.as the respective budget share of each program to
the total LNAP budget. The budget estimated for 2020-2022 for all 12 programs amount to PhP ___, with an
annual average of about PhP ____. The funded portion is PhP ___ representing ___ percent of total, while the
unfunded portion amounts to PhP ___ representing ___ percent. Financing come mostly from General
Appropriations and Local Budgets from IRA. The funding shortfalls will be generated mainly from Tier 2
budget process and financing from development partners working in the region and provisions from local
sources. These budgets will require annual review and adjustments in line with the regional and national
processes for the preparation of investment plans.

Table ___. Summary of Budgetary Requirements for Project, by Year (Obtain from “Budget Forward
Estimates” Sheet of Costing Workbook)

         
SUMMARY OF PROJECT COST ESTIMATES FOR FY 2020-2022

City / Municipal Level

         
Project Project Title Total Cost Estimate (PhP)
Number 2020 2021 2022
Incremental increase per year
10.00% 10.00%
1. Infant and Young Child 23
Feeding 2,700.00 255,970.00 281,567.00
2. Integrated Management of 2
Acute Malnutrition ,500.00 2,750.00 3,025.00
3. Dietary Supplementation 2,33 2, 2,
Projects 7,466.00 571,212.60 828,333.86
3.1. Dietary Supplementation for 93 1, 1,
pregnant women 0,970.00 024,067.00 126,473.70
3.2. Dietary Supplementation for 1,40 3, 3,
children 6-23 months 6,496.00 043,005.00 347,305.50
3.3 Dietary Supplementation for care of MSWDO  
preschool children in CDCs -
and SNPs
3.4. School-based care of DEPED  
supplementary feeding -
4. Nutrition Promotion Project 15

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for Behavior Change 0,000.00 165,000.00 181,500.00

5. Micronutrient 40
Supplementaion (vitamin A, 0,000.00 440,000.00 484,000.00
iron-folic acid, multiple
micronutrient powder, zinc)
6. Mandatory Food 6
Fortification 0,000.00 66,000.00 72,600.00
7. Nutrition in Emergencies 11
2,050.00 123,255.00 135,580.50
8. Overweight and Obesity 2
Management and 0,000.00 22,000.00 24,200.00
Prevention Project
9. Nutrition-Sensitive Projects 22
8,000.00 250,800.00 275,880.00
10. Mobilization of Local 69
Government Units for 4,200.00 763,620.00 839,982.00
Delivery of Nutritional
Outcomes
11. Policy development for food 5
and nutrition 2,250.00 57,475.00 63,222.50
12. Strengthened management 1,33 1, 1,
support for LNAP 9,800.00 473,780.00 621,158.00
effectiveness
   
  TOTAL COST OF PPAN- 5,628 6, 6,
BASED PROJECTS OF THE ,966.00 191,862.60 811,048.86
CITY / MUNICIPALITY FOR
2020-2022 (PhP)
         

Table ____. Distribution of project costs for 2020 to NGA-mandated and other/sectoral thematic plans, and
unfunded costs (Obtain from “Distribution of Costs 2020” Sheet of Costing Workbook)

DISTRIBUTION OF PROJECT COSTS TO NGA-MANDATED AND OTHER SECTORAL / THEMATIC PLANS

City / Municipal Level

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NGA-MANDATED   SHORT TITLE TOTAL COSTS

PLANS (PhP)
1 Action Plan for the Protection of Children Children 2,166
,496.00
2 Aquatics and Fisheries Management Plan AquaFisheries
-
3 Annual Culture and the Arts Plan CultureArts
-
4 Anti-Poverty Reduction Plan Anti-Poverty
-
5 Local Coconut Development Plan CoconutDevt
-
6 Local Disaster Risk Reduction Management DRRM 60
Plan ,250.00
7 Food Security Plan FoodSec
-
8 Forest Management Plan ForestMgmt
-
9 Gender and Development Plan GAD
-
10 Integrated Area Community Public Safety PublicSafety
Plan -
11 Local Entrepreneurship Development Plan EntrepDevt
-
12 Sustainable Area Development Plan SusAreaDevt
-
13 Local Tourism Plan Tourism
-
14 Small and Medium Enterprise Development SME Devt
Plan -
15 Strategic Agriculture and Fisheries SAFDZ
Development Zones Plan -
16 Solid Waste Management Plan SolidWasteMgm
t -
17 Watershed Management Plan WatershedMgm
t -
18 Ancestral Domain Sustainable AncestralDom
Development and Protection Plan -
19 Plan for Persons with Disabilities PWDs
-
20 Forest Land Use Plan ForestLandUse
-
21 Local Climate Change Action Plan ClimateChange
-
22 Peace and Order Public Safety Plan PeaceAndOrder

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OTHER SECTORAL /   SHORT TITLE TOTAL COSTS

THEMATIC PLANS (PhP)
1 Nutrition Action Plan Nutrition-Direct 1,380
,820.00
2 Information and Communications ICTech
Technology Plan -
3 Local Shelter Plan Shelter
-
4 Plan for the Elderly Elderly
-
5 Plan for Health and Family Planning PHFP
-
6 Coastal Management Plan CoastalMgmt
-
7 Information Strategic and Management InfoStratMgmt
Plan -
8 People’s Plan People Plan
-
9 Business Plan / Strategy Business Plan
-
10 Capacity development Agenda / HRMD CapDev / HRMD
Plan -
11 Transportation Management Plan TranspoMgmt
-

OTHER FUND SOURCES SHORT TITLE TOTAL COSTS

(PhP)
1 Local Investment Plan for Health LIPH
-

No definite source of funding Unfunded 757

,200.00

  TOTAL COSTS OF PPAN-BASED PROJECTS OF   4,364

THE CITY / MUNICIPALITY FOR 2020 (PhP) ,766.00

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VII. RESOURCE MOBILIZATION STRATEGIES FOR THE LNAP

Table ___. Resource mobilization strategy for possibly unfunded PPAN-based projects/activities (Obtain from
Worksheet 7)

Table ___ shows the funding shortfalls of the LNAP. The total funding shortfall for the three-year period 2020-
2022 amounts to PhP _____. The funding gap can be addressed in the various resource mobilization strategies
outline below requiring the leadership within the P/C/MNC.

Projects/activities with Describe possible Important information Agency to lead the

no secure funding sources of relevant to secure funding actions to mobilize
additional (e.g. priorities of the funding the resources,
resources agency, window available to specifying timelines
(specify agency, secure funding, requirements to and support needed
year and possible secure funding, local conduit of from other
the agency)
amount) stakeholders
1. Procurement of MHO 2021 Salt tester machine-an Municipal Health
WYD KITS P 60,000.00 important process indicator to Office
determine the iodine level in
Iodized salt
2. Diabetes Screening MHO 2021 Sugar Screening for Pregnant Municipal Health
for Pregnant 153,000.00 Woman is important to Office, Nutrition Office
Woman prevent complications during
the pregnancy
3. Healthy MHO 2020 Hire Zumba Instructor for the Municipal Health
Lifestye(Zumba) 20,000.00 whole year to facilitate Zumba Office
Activity twice a week
4. Cleanest and MHO, 2020 Program that encourage the Municipal Health
Greenest Barangay 130,000.00 41 Barangay to promote Office
cleanliness and Eco-friendly
Community and also to
promote healthy living.
5. Mobilization of 1st MHO 2022 This mobilization promotes MHO, Nutrition Office
1000 days 394,200.00 the welfare of the mother as
well the new born child, first
1000 days of a child is
important to be monitored
and have support from our
local government to avoid
Malnutrition, Stunted and
Wasted children
6. Procurement of MHO, 2021 184000 MHO Nutrition Office
additional Salter
Scale for 41
barangays

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Projects/activities with Describe possible Important information Agency to lead the

no secure funding sources of relevant to secure funding actions to mobilize
additional (e.g. priorities of the funding the resources,
resources agency, window available to specifying timelines
(specify agency, secure funding, requirements to and support needed
year and possible secure funding, local conduit of from other
the agency)
amount) stakeholders
7.

8.

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VIII. ARRANGEMENTS FOR ORGANIZATION AND COORDINATION

The Implementation Plan of Province/City/Municipality Nutrition Action Plan defines the individual
institutional accountability for each of the projects and common accountabilities with respect to outcome
targets. The P/C/MNAP then consists of individual and shared accountabilities to deliver outputs and
outcomes. The delivery of outcomes and outputs which entail institutional resources and are ultimately the
responsibility of the accountable agencies.

Institutional accountabilities also include accountability for coordination of the LNAP. The
Provincial/Municipal/City Nutrition Committee, as the counterpart body of the Regional Nutrition
Committee of Region ____ as well as the NNC Governing Board, shall primarily serve as the mechanism to
oversee the progressive implementation of the LNAP. This function covers integrating and harmonizing
actions for nutrition improvement at the provincial level. It will be composed of the same agencies as the
NNC Governing Board and the Regional Nutrition Committee with additional member agencies as may be
needed and appropriate for the province/city/municipality. The LNC will continue to coordinate nutrition
actions at the provincial, city, and municipal levels.

The functions of the Local Nutrition Committee are: to formulate, coordinate, monitor, and evaluate the
provincial/city/municipal nutrition action plan. It also extends technical assistance to lower level local
nutrition committees along nutrition program management. The membership of the LNC may be expanded
to include stakeholders/partners deemed to contribute to the effective implementation of the LNAP and
achievement of set nutrition outcomes supported by an enabling policy issuance. It may create technical
working groups and other similar inter-agency groups to address particular issues and strengthen
interagency coordination.

In the discharge of each local coordination function including of the LNAP, processes have been instituted in
the past and will continue to be harnessed for the delivery of the LNAP. The P/M/C/NC shall facilitate the
following: 1) formulation of the Annual Provincial/City/Municipal Operational or Work and Financial Plan to
support the implementation of LNAP; 2) convening of the LNC quarterly meetings; and 3) annual program
implementation review of the LNAP.

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IX. MONITORING AND EVALUATION SCHEME

The overall implementation plan/provincial results matrix (for province) is the reference document for
designing the monitoring system including annual program implementation reviews, mid-term reviews and
the end-of-plan evaluation.

As a management tool, the management meetings and quarterly reporting of the Local Nutrition
Committee will be used as a platform for LGU monitoring of the LNAP. While the report is important, it is
the discussion at the LNC that is more vital in terms of ensuring that
corrections/revisions/improvements/enhancement are undertaken by individual agencies and the LNC as a
whole in response to the emerging issues and problems in implementation. The management decision in
the quarterly meetings will guide the Regional Nutrition Committee and the NNC Regional office in following
up LNAP implementation.

At the end of each year, the LNC will convene an annual Program Implementation Review (PIR) which is
conducted every last quarter of the year. This will allow LNC member agencies and local government units
to integrate revisions to the program/s for the coming budget year. The PIR, benefiting from initial annual
progress reports from the agencies, undertakes a rigorous and reflective analysis of the experience in the
implementation for the year to design improvements in the Plan for the following year. In the course of the
implementation year, the Provincial Nutrition Office will collect important nuggets of lessons that can guide
the planning for the coming year in addition to what will be brought by the agencies in the PIR.

The midterm review of the PPAN 2017-2022 is planned in 2019/2020. NNC in consultation with the 17
regions may opt to conduct regional mid-term reviews for the RPAN. Determination to undertake this in
the 36 focus provinces will be a joint decision of the RNC and the provinces.

Each of the NNC Regional Office working hand in hand with the Nutrition Surveillance Division (NSD) and
the Nutrition Policy and Planning Division (NPPD) of NNC will determine whether individual evaluation of
every province will be undertaken in 2022 in time for the review of the PPAN and the formulation of the
successor National Plan 2023-2028. In case the decision for every region to have its own RPAN evaluation,
then the RNPC will endeavor to prepare early for such exercise and coordinate the participation of with
their respective PPAN focus provinces in the exercise.

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Table ____ Provincial Results Matrix (Insert provincial results matrix here)

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ANNEXES

Directory of Members of the Local Nutrition Committee

Members of the Planning Team

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Project Briefs
PROJECT BRIEF
PROJECT BRIEF #1

Project Title : Mobilization of Local Government Units for F1K Delivery

of Nutrition Outcomes

Location : Municipal-wide

Implementing Agency : Municipal Nutrition Office

Municipal Health Office

Start Date and Duration : Jan 2020 to December 2022

Project Cost : P

I. Rationale
The Philippines recognizes the alarming state of malnutrition in the country. The 2015
Updating of the National Nutrition Survey revealed that stunting stood at 33.4% affecting 4.6
million under-five years old; wasting among the same age group was estimated at 7.1%
equivalent to about 1 million children while overweight and obesity for children was reported
to be about 3.8% equivalent to 0.5 million children under-five years old. Malnutrition has
significant negative consequences particularly in terms of poor health, lost human capital, and
decreased economic productivity. In recognition of this alarming state of malnutrition, current
national policies7 declares the need for all sectors at all levels to work together in addressing all
forms of malnutrition in the country particularly stunting 8.
The Philippine Plan of Action for Nutrition (PPAN) 2017-2022 identified 36 focus provinces
having the highest prevalence of stunting to be prioritized for nutrition program management
to ensure achievement of planned outcomes. Based on the same survey, the stunting rate of
Masbate is at 48% which is significantly higher than the national and regional averages (33.4%
and 40.2% respectively) affecting an estimated 59,816 children under-five years old. The
province ranked second in provinces in the Bicol Region with stunting prevalence. This lists
Masbate as one of the PPAN focus provinces. The Municipality of Aroroy mirrors the nutrition
situation of the province.

7
These national policies include the Philippine Development Plan and the Philippine Plan of Action for Nutrition
(PPAN) 2017-2022, Republic Act 11037: “Masustansyang Pagkain para sa Batang Pilipino Act”, Republic Act 11148:
“Kalusugan at Nutrisyon ng Mag-Nanay Act”, among others.
8
Stunting is the result of long-term nutritional deprivation and often results in delayed mental development, poor
school performance and reduced intellectual capacity.

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The PPAN calls for an enabling program designed to assist the nutrition-specific programs and
projects9 to be achieved with greater degree of efficiency and effectiveness. One of the major
projects along this line is the mobilization of local government units for delivery of positive
nutritional outcomes. The mobilization of LGUs is designed to move the 36 PPAN focus
provinces and their constituent local government units into action to produce the desired
nutritional outcomes - reduce/prevent all forms of malnutrition in the municipality/city and
constituent municipalities and cities particularly stunting during the first 1,000 days of life (F1K).
The mobilization will aim to convert LGUs with low-intensity nutrition programs to ones that
deliver nutritional outcomes during the six-year period of the PPAN. LGU mobilization as a
project is expected to facilitate convergence of services, requiring the engagement and
involvement of national government agencies, the Municipal government and the sectoral units
and other partner agencies of the barangays being mobilized.
II. Project Objectives

The over-all objective of the project is to mobilize ALL constituent barangays towards the
delivery of positive nutrition outcomes particularly during the first 1,000 days. More
specifically, the project aims to:

1) Increase the level of awareness and understanding and political support of all Punong
Barangay on the rationale of investing in nutrition particularly on the first 1,000 days
and in providing leadership for scaled up nutrition action

2) Build the capacities of Punong Barangays and the local nutrition committees of all
constituent municipalities and cities in the management of quality nutrition programs
particularly on the first 1,000 days and in delivering and sustaining positive results for
nutrition

3) Provide opportunities for learning from performing LGUs through a peer learning
approach and conduct of learning exchange/visits

4) Provide supportive supervision to all constituent barangays on local nutrition planning

and in integrating F1K and nutrition in major local policies, local development and
investment plans as well as in the functionality of local nutrition committees

5) Document and disseminate good practices and actions on nutrition/F1K as a tool for
LGU mobilization

6) Develop and implement an incentives and awards system for well performing barangays
and local implementers
9
These are interventions or programs that address the immediate determinants of maternal, fetal, infant and child
nutrition and development and low burden of infectious diseases

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7) Increase in the number/percentage of constituent barangays moving up one notch

higher in the local nutrition committee functionality scale 10

III. Project Outputs

1) All Punong Barangays are covered by advocacy/interface activities towards increased

understanding the rationale of investing in nutrition particularly on the first 1,000 days
and in providing leadership for scaled-up nutrition action
2) All Punong Barangays and local nutrition committees of constituent municipalities and
cities are covered by capacity building activities in managing quality nutrition programs
particularly on the first 1,000 days and in delivering and sustaining positive nutrition
outcomes
3) Nutrition/F1K champions coming from the ranks of performing LCEs/LGUs on nutrition
capacitated as LGU mobilizers through a peer learning approach
4) Nutrition integrated in local development plans and policies such as the
Municipal/City/Barangay Development Plans, Local Development Investment Plans, the
Executive Legislative Agenda and other sectoral plans
5) A comprehensive and sustainable municipal/city-wide project on the first 1,000 days
developed and institutionalized (see Annex 1)
6) Good practices/actions on nutrition and F1K documented and disseminated as a
mobilization tool
7) Well performing barangays and nutrition program implementers recognized and
provided incentives through an incentives and awards system on nutrition
8) Increased number of LGUs with functional local nutrition committees
IV. Project Major Activities and Implementation Schedule

The project on mobilization of LGUs for F1K and delivery of nutritional outcomes
consists of five reinforcing major activities as shown in below.

# Major Activities Timetable

Conduct of consultative and planning meetings with January 2020 and continuing up to
1
internal and external project stakeholders 2022

10
Functionality of Local Nutrition Committees is determined using the Guidelines on Establishing a Database on Functional Nutrition
Committees developed by NNC and supported by DILG Memorandum Circular 2015-19 issued on 26 February 2015

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 Draft LNAP
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# Major Activities Timetable

Capacity building and management of nutrition/F1K February 2020 and continuing up

2
champions as LGU mobilizers to 2022

Conduct of advocacy/interface activities February/March 2020 and

3 continuing up to 2022
with LCEs and nutrition teams

Conduct of capacity building programs including May 2020 to August 2020

4 learning exchange with performing LGUs on F1K and
nutrition (e.g. Quezon Province Q1K program)

Establishment of the municipal/city/barangay F1K June 2020 to October 2020

Strategy supported with policy issuance to include
5 the creation of F1K, designation/deployment of F1K
coordinators, conduct of social preparations and
baseline survey

Provision of supportive supervision on local nutrition March 2020 continuing to October

6 planning, integrating nutrition in local plans and 2022
policies and in local nutrition committees
functionality (includes conduct of workshops on
local nutrition planning)

Documentation, compilation and dissemination of July 2020 and annually up to 2022

7
good practices/actions on nutrition/F1K

Provision of incentives and awards for performing December 2020 and annually up to
8
barangays and community workers and volunteers 2022

Conduct of monitoring and evaluation activities December 2020 and annually up to

9 including annual PIR for project adjustments and 2022
scaling up

V. Project Management and Organization

Project implementation and management will be spearheaded by the Municipal/City
Nutrition Office (M/CNO). It shall ensure the active participation of other sectoral agencies
including the DILG Municipal/City Office and the LGUs. The Municipal/City Nutrition Committee
shall serve as the oversight structure for the implementation of the project. The M/CNO shall
report to the Municipal/City Nutrition Committee the status of project implementation and
important lessons that can guide the planning and implementation for the coming year.
VI. Estimates of Budgetary Requirements

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The total estimated cost requirements for the three year project implementation (2020-
2022) amounts to P _______ broken down by activity as follows:
Table 2. Estimates of Budgetary Requirements by Activity, by Year and Source of Funds

Agency Budgetary Requirements Source of

# Activity
Responsible 2020 2021 2022 Funds

Securing approval and M/CNO,

1 funding for the project Office of the
Mayor

Conduct of consultative and M/CNO

planning meetings with
2
internal and external project
stakeholders

Capacity building and M/CNO

management of
3
nutrition/F1K champions as
LGU mobilizers

Conduct of M/CNO with

advocacy/interface activities nutrition/F1K
4
with LCEs and nutrition champions
teams
5 Conduct of nutrition M/CNO with
leadership and governance assistance
training programs including from NNC
learning exchange with RO
performing barangays on
nutrition/F1K
Provision of supportive M/CNO, P-
supervision on local nutrition DILG, M/CNC
planning, integrating
nutrition in local plans and
6 policies and in local nutrition
committees functionality
(includes conduct of
workshops on local nutrition
planning)

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Agency Budgetary Requirements Source of

# Activity
Responsible 2020 2021 2022 Funds

Documentation, compilation M/CNO

and dissemination of good
7
practices/actions on
nutrition/F1K
Provision of incentives and M/CNO,
awards for performing Office of the
8
barangays and local nutrition Mayor
program implementers
Conduct of annual PIR and M/CNO,
monitoring and evaluation M/CNC
9
activities for project
adjustments and scaling up

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PROJECT BRIEF #2

Project Title: Farm to Market Roads

Project Location: Municipality -wide

Proponent: Municipality
Implementing Agency: Municipal Planning and Development Office
Municipal Nutrition Office

Start Date and Duration: June 2020 to December 2022.

Beneficiaries: Food insecure and nutritionally vulnerable families

Total Project Cost: Php. xx,xxx,xxx

I. Rationale

The nutrition-sensitive program consists of a set of projects implemented by various local,

regional, and national government agencies, with key participation of the Local Government
Units, that have objectives other than nutritional and are redesigned to contribute to the
achievement of nutritional outcomes by addressing underlying determinants of maternal, fetal,
infant, and child nutrition and development, such as those pertaining to food security, social
protection, adequate caregiving resources at the maternal household and community levels;
access to health services and a safe and hygienic environment, and incorporate specific
nutrition goals and actions. Nutrition-sensitive programs can serve as delivery platforms for
nutrition-specific interventions, potentially increasing their scale, coverage, and effectiveness.

One of the projects under the nutrition-sensitive program is the Farm to Market Road project.
The Agriculture and Fishery Modernization Act (AFMA) of 1997 or Republic Act No. 8435,
mandated the construction and upgrading of farm-to-market roads as one of the priority
infrastructure interventions with significant impact in increasing agricultural productivity and
reducing losses by Filipino farmers. The farm to market road project holds the potential for
tweaking to become nutritionally sensitive in its employment of workers for construction from
locally identified food insecure and nutritionally vulnerable households within the LGU.

The opportunity for tweaking the farm to market road project is expressed in Republic Act No.
6685 (Localization of workers for construction) which states: “All private contractors, including
subcontractors, to whom awards are made for the undertaking of national and local public
works projects funded by either the National Government or any local government unit
including foreign-assisted projects must hire at least fifty percent (50%) of the unskilled and
thirty percent (30%) of the skilled labor requirements from the unemployed bona fide and

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actual residents in the province, city and municipality who are ready, willing and able as
determined by the governor, city mayor or municipal mayor concerned where the projects are
to be undertaken.”

In the Municipality/City of Aroroy, a total of 86 kilometers of roads are yet to be developed,

providing food insecure and nutritionally vulnerable households in the municipality with the
opportunity for employment in the construction of farm to market roads. Food insecure
households are put into a disadvantage in attaining the daily nutritional needs, which in the
long term may lead to maternal and fetal malnutrition, and the irreversible effects of
malnutrition brought about by childhood stunting. The inability to buy food drives the
household to compromise food quality and quantity rendering members of the household,
especially children aged 6-23 months, and pregnant and lactating women, put to risk for
malnutrition.

The Farm to Market road project will be able to improve the agriculture and economic situation
of the community while at the same time improving the overall food security of the targeted
poor households. Such project will provide additional income to poor households which can be
used to provide the daily nutritional needs of the family members, especially the nutritionally-
vulnerable which include pregnant and lactating women, infants and children aged 6-23 mos. In
addition, nutrition education along with continuous follow-up and monitoring by the Barangay
Nutrition Scholar/s will ensure that the increase in income is translated into good nutrition
practices in the targeted households. With the construction of these farm to market roads,
social and economic advantages are expected. Income will increase along with the improved
access to markets, social services are also made more accessible, and improved health and
nutrition can be secured among the beneficiaries.

II. Project Objectives

From the period 2020 to 2022, employ able-bodied workers coming from locally
identified food insecure and nutritionally vulnerable families in the construction of all
farm to market road projects in the Municipality/City of Aroroy that will provide for
increased income, which together with enhanced knowledge, skills, and practices on
proper nutrition, facilitate improved food security and nutritional status of children in
the targeted households. These pre-selected workers from food insecure and
nutritionally vulnerable families can constitute at least 50% of the total workforce an
LGU is entitled to originate from its constituents.

III. Project Outputs

1. All farm to market road projects in the municipality employ workers from identified
food insecure and nutritionally-disadvantaged households

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2. At least 50% of the total workers for each farm to market road project come from
identified food insecure and nutritionally disadvantaged households contributing to
increased income, improved capacity to buy food, and enhanced knowledge, skills, and
practices on proper nutrition

3. A system to ensure adequate nutrition education and mentoring of all families involved
in the nutrition-sensitive farm to market road project is established and fully operational
resulting in effective coaching and mentoring on maternal and infant and young child
nutrition and proper meal management within households

4. At least 75% of the participating families in the nutrition-sensitive farm to market road
projects have enhanced knowledge, skills, and practices on maternal and infant and
young child nutrition, and have improved levels of food security and nutritional status of
children of these households

5. The municipality/city have issued local policies institutionalizing nutrition-sensitive farm

to market road projects and other related projects.

IV. Project Major Activities and Implementation Schedule

The project consists of six major activities that are implemented sequentially as shown in Table
1 below.
Table 1. Activities and Timetable

# Major Activities Timetable

Consultative meetings and forging of January 2020
1
agreements between the MPDO and the MNO
Selection/identification and of target families January 2020
and recruitment of workers belonging to food
2
insecure and nutritionally disadvantaged
families
Orientation of workers, target families, and February 2020
3 other relevant sectors and individuals involved
in the project
Implementation of the project February 2020, continuing to
4
2022
Nutrition education to beneficiaries, follow-up, February 2020 continuing to
5
and monitoring by BNS 2022
First six months evaluation of results and August 2020, continuing to
6 continued monitoring and adjustments to 2022
ensure expected outcomes

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V. Project Management and Organization

This project is led by the Municipal Planning and Development Office and the Municipal
Nutrition Office who will take the lead in identifying the project beneficiaries, conduct the
follow up, and assist in project monitoring. Project implementation status, issues, and concerns
will be discussed in the Local Nutrition Committees for remedial actions.
VI. Estimates of Budgetary Requirements

The total estimated cost requirements of the initiative for the three-year implementation
(2020-2022) amounts to P__________ broken down by activity as follows:

Agency/ies Budgetary Requirements Source of

Activity
Responsible 2020 2021 2022 Funds
1 Consultative meetings MPDO,
and forging of MNO
agreements between
the MPDO and the
MNO
2 Selection/identification MNO
and of target families
and recruitment of
workers belonging to
food insecure and
nutritionally
disadvantaged families
3 Orientation of workers, MNO
target families, and
other relevant sectors
and individuals
involved in the project
4 Implementation of the MPDO
project
5 Nutrition education to MNO
beneficiaries, follow-
up, and monitoring by
BNS
6 First six months MPDO,
evaluation of results MNO
and continued follow-
up, monitoring and
adjustments to ensure
expected outcomes

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as of ____ 2019

PROJECT BRIEF
Project Title : Integrated Management of Acute Malnutrition

Location : MUNICIPALITY OF AROROY

Implementing Agency : Municipal Health Office

Start Date and Duration : Jan 2020 to December 2022

Project Cost : P

I. Rationale
The 2015 National Nutrition Survey (NNS) estimates acute malnutrition/wasting among
under-five years old Filipino children at 7.2% 11. This is equivalent to about 1 million children and is
considered a public health significance. The Municipal wasting prevalence is also 7.2%.
Severe and moderate acute malnutrition or wasting is associated with increased risk of
health and nutrition deterioration and even death for infants and young children, in addition to
growth retardation and impaired psychosocial and cognitive development. In the long run, it results
to overall poor individual productivity and economic gains.
Based on same 2019 NNS, the prevalence of wasting of children under-five years old in the
municipality is 7.2% - higher than the national prevalence, and affecting an estimated 9,00 children.
This list makes Aroroy ranked 5 on prevalence of wasting in the province of Masbate.
Yet, acute malnutrition is preventable and treatable but only when sufficient support is
accessible and given at the right time during calamities and even in normal situations. Services for
the treatment and management of severe acute malnutrition (SAM) and moderate acute
malnutrition (MAM) are delivered through in-patient treatment centers, out-patient treatment
centers and target supplementary feeding program sites12.
Given this alarming situation and in support to the PPAN program Philippine Integrated
Management of Acute Malnutrition or PIMAM, there is a need for the province to establish and/or
strengthen the integrated management of acute malnutrition (IMAM)) within the health system to
achieve set service targets and deliver outcomes.

11
Assessment criteria in determining magnitude and severity of: wasting: <2.5% - very low, 2.5% to < 5%- low, 5% to <
10% - medium, 10% to <15% - High, ≥15% - Very High (WHO 2018)

12
These are provided for in the National Guidelines on the Management of Severe Acute Malnutrition (SAM) for Under-
Five Children and the National Guidelines on the Management of Moderate Acute Malnutrition (MAM) for Under-Five
Children

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The IMAM project will entail three major complementary activities: 1) establishment of
inpatient therapeutic care (ITC) for SAM and outpatient therapeutic care (OTC) for SAM and MAM as
well as support the establishment of the same in the priority constituent LGUs; 2) training of health
and nutrition human resource; and 3) coordination and monitoring the progress of project
implementation
Constituent LGUs with high incidence and magnitude of poverty, high prevalence of wasting,
most vulnerable to shocks and disasters, with GIDA and with IP communities will be prioritized for
the three-year project implementation.
II. Project Objectives

The over-all objective of the project is to establish and strengthen the integrated
management of acute malnutrition within the municipal health system and in at least 80% of its
barangay to achieve the service target of at least 90% of SAM and 90% of MAM cases
treated/rehabilitated.

Specific objectives:

1) Capacitate 100% of municipal health and nutrition human resources and at least 80% of
barangays are trained on the appropriate competencies to identify, treat and manage acute
malnutrition both under routine health program and during emergencies

3) Organize Inpatient Therapeutic Care (ITC), Outpatient Therapeutic Care (OTC), and targeted
Supplementary Feeding (TSFP) for the treatment and management of SAM and MAM cases
to ensure timely delivery of quality services both under routine health program and during
emergencies

3) Ensure the effective implementation of the mechanism, standards and procedures for the
supply and logistics management (planning, procurement, storage, allocation, distribution
and monitoring) to ensure that commodities are available at treatment point

4) Establish a functional mechanism for coordinating and monitoring the progress of

interventions and activities on the management of acute malnutrition both under routine
health program and during emergencies while at the same time track achievement of the
service target of least 90% of SAM and 90% of MAM cases treated/rehabilitate

5) Ensure the regular and timely provision of technical support and supportive supervision to
IMAM program managers and implementers

6) Establish partnership with existing food plants for the utilization of complementary foods
produced for non-availability of Ready-to-Use Supplementary Food (RUSF)

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III. Project Outputs

1) Established/Strengthened the treatment and management of acute malnutrition within the

provincial, municipality and city health system to facilitate achievement of service target of
at least 90% of SAM and and 90% of MAM cases treated/rehabilitated

2) 100% of provincial health and nutrition workers and at least 80% of constituent
municipalities and cities are trained on the appropriate competencies to identify, treat and
manage acute malnutrition both under routine health program and during emergencies

3) 100% of SAM and MAM cases identified through active case finding

4) Inpatient Therapeutic Care (ITC), Outpatient Therapeutic Care (OTC), and targeted
Supplementary Feeding (TSFP) for the treatment and management of SAM and MAM cases
organized for the timely delivery of quality services both under routine health program and
during emergencies

5) Prescribed RUTF, RUSF and other commodities are available at all times at treatment points
through improved supply chain management

6) A mechanism for coordinating and monitoring the implementation of the integrated

management of acute malnutrition both under routine health program and during
emergencies established and functional

7) Regular and timely technical support and supportive supervision provided to IMAM program
managers and implementers

8) Complementary foods produced by existing food plants utilized for non-availability of RUSF

IV. Project Major Activities and Implementation Schedule

The implementation of the project consists of the major activities shown in Table 1 below.
Table 1. Major Activities and Timeframe

# Major Activities Timeframe

1 Conduct of consultative and regular meetings Starting January 2020 up to 2022
Conduct of orientation sessions among entities January 2020 up to 2022
2
involved in project implementation
3 Planning for the trainings (selection of target March 2020 and annually up to
barangays and participants, invitation, securing 2022
funds, venue, trainors/facilitators, supplies and

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# Major Activities Timeframe

materials, etc)
4 Conduct of actual training April 2020 and annually up to 2022
5 Organization of ITC, OTC and TSF 2020
6 Improve case finding at barangay levels 2020 to 2022
Improvement of the supply chain management of 2020 to 2022
7 SAM and MAM commodities to ensure availability at
treatment points
Establish linkage and partnership with existing food 2020 to 2022
8
plants for use of complementary foods
Review of severe malnutrition cases13 (validation of
9 nutritional assessment, interview, referral, follow up February 2020 and annually up to 2022
nutritional assessment, counselling)
Development, reproduction and dissemination of 2020 to 2022
10
IMAM protocols, IEC materials, collaterals, etc.
Conduct of regular monitoring visits and Regularly as scheduled starting 2020
11
provision of continuing supportive supervision up to 2022
Conduct of annual implementation review end- 2020 to 2022
12 of-project evaluation for adjustments, re-
planning and scaling up

IV. Project Organization and Management

Project management will be led by the Provincial Health Office with support from the
Provincial Nutrition Office and in close coordination with Department of Health and the National
Nutrition Council (as lead and co-lead of the National Program Management Team 14). The PHO shall
ensure that project management is done in partnership with development partners, NGOs, sectoral
agencies, LGUs, and the existing delivery network. The implementation of the project shall follow
the protocols stipulated in the National Guidelines/Master Plan of Operations on the Management
of Severe and Moderate Acute Malnutrition.
The Provincial Nutrition Committee which also acts as the Provincial Nutrition Cluster
remains to be the IMAM coordinating structure that shall oversee the province-wide
implementation of IMAM. The Provincial Health Office shall report to the Provincial Nutrition
Committee the status of project implementation and important lessons that can guide the planning
and implementation for the coming year.
V. Estimates of Budgetary Requirements

The total estimated cost requirements of the project for the three-year implementation (2020-2022)
amounts to P _______ broken down by activity as follows:

13
The review of severe malnutrition cases shall be undertaken in compliance to the protocols set by DOH
14
Provides the overall direction and policy support in the implementation of the PIMAM program.

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Table 2. Estimates of Budgetary Requirements by Activity, by Year and Source of Funds

Agency/ies Budgetary Requirements

Source of
# Activity Responsibl
2020 2021 2022 Funds
e
Conduct of consultative and MHO-
regular meetings GENERAL
1 MHO
FUND
MOOE
Conduct of orientation sessions MHO
among entities involved in GENRAL
2 MHO
project implementation FUND -
MOOE
Planning for the trainings MHO
(selection of target GENERAL
barangays and participants, FUND-
3 MHO MOOE
invitation, securing venue,
trainors/facilitators, supplies
and materials, etc)
Conduct of actual training MHO-
GENERAL
4 MHO
FUND-
MOOE
Organization of ITC, OTC and
5 MHO PHO
TSF
Improve case finding by LGUs MHO and
6
barangays
Improvement of the supply
chain management of SAM and
7 MHO
MAM commodities to ensure
availability at treatment points
Establish linkage and
partnership with existing food
8 MHO
plants for use of
complementary foods
Review of severe malnutrition
cases (validation of nutritional
MHO
9 assessment, interview, referral,
barangays
follow up nutritional
assessment, counselling)
10 Development, reproduction MHO
and dissemination of IMAM
protocols, IEC materials,

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 Draft LNAP
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collaterals, etc.
Conduct of regular
monitoring visits and
11 MHO
provision of continuing
supportive supervision
Conduct of annual
implementation review end-
12 of-project evaluation for MHO
adjustments, re-planning
and scaling up

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 Draft LNAP
as of ____ 2019

REFERENCES

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