UPDATED

GUIDELINES ON
LOCAL NUTRITION
PLANNING
SECTIONS

01 Background
02 Guidelines objectives
03 Scope of Application
04 Local Nutrition Planning Defined
A. Importance of local nutrition planning
B. Timing of plan formulation
C. Mobilization
SECTIONS
05 Activities for plan preparation,
formulation, and adoption
A. Assess the nutrition situation
B. Set the plan’s goals and outcome objectives
C. Select interventions and develop the
implementation plan
D. Estimate budgetary requirements
E. Prepare the monitoring and evaluation plan
F. Plan packaging
G. Approval of the plan
H. Integrating the LNAP into the Local Development
Plans
I. Integrating the LNAP into the Annual Investment
Program
J. Setting the plan to action
Guidelines objectives
1. To define processes and tools that will facilitate the formulation of a
provincial, city and municipal nutrition action plan that is harmonized
with national and local development planning and budgeting.
2. To guide local nutrition committees in formulating a nutrition action
plan that would address the existing nutritional problems in their locality
3. To guide the LGUs in the adoption of problem-based and geographic-
based perspective in local investment programming;
4. To define the roles and responsibilities of the nutrition committee and
its members and other stakeholders in the development of the LNAP.
5. To provide the process and mechanisms for the partnership between
the National Government Agencies, private and business organizations.
SCOPE OF APPLICATION
The updated guidelines shall apply to:
• All NNC-Central Office and Regional Offices
• Members of the National Nutrition Council Governing Board
• Other National Government Agencies
• Local Government Units
• Development Partner Organizations
• Non-government Organizations
• Scaling Up Nutrition (SUN) Networks.
• Partnership of NNC-BARMM with the Ministry of Health and or with the Chief
Minister and any existing framework on development planning which is in
accordance with the relevant provisions under RA 11054
 Provincial/City/Municipal Nutrition Action Plan

(Inclusive years)

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 (as applicable)
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 20__ - 20__
Chapters of the LNAP
I. Introduction
II. Vision and Mission
III. Provincial/Municipal/City Nutrition Situation Analysis
IV.Outcome Targets
V. Programs, Projects, and Activities
VI.Implementation Plan
VII.Estimates of Budgetary Requirements
VIII.Resource Mobilization Strategy
IX. Arrangements for Organization and Coordination
X. Monitoring and Evaluation Scheme
Annexes: Nutrition in Emergency Plan, Directory of Local Nutrition Committee, Project Briefs
 Local nutrition planning defined
IMPORTANCE TIMING MOBILIZATION
1. Determines integrated,
synchronized, coordinated, and LNAP Bringing the members of
focused actions for nutrition best prepared in the first the LNC together, under
improvement
2. Sectoral, community and private semester of an election the leadership of the
sector involvement year LCE, to formulate the
3. Allocates budget and other
resources
LNAP
4. Efficient and effective utilization AIP
of resources formulated within the first Organization of local
5. Prevents overlaps and
duplication semester of the year prior planning core group
6. Links nutrition with local (LCPG)
development planning and
budgeting
7. Provides LNC with a guide for
implementing nutrition projects,
assessing, and evaluating efforts
and generating resources
 Local Nutrition Planning Core Group
1. Heads of LGU agencies or departments or offices involved in delivering nutrition and
related services
a. Agriculture
b. Health
c. Social Welfare and Development
d. Disaster Risk Reduction and Management
e. Gender and Development
f. Local Government Operations Office
2. Head of the Provincial/City/Municipal Planning and Development Office
3. Head of the Budget Office
4. Representative from national government agencies that have not been devolved like
Department of Education
5. Representative from NGOs implementing social development projects that benefit many
of the nutritionally-at-risk or affected groups and communities
6. Representatives from the SUN Networks (if already organized)
 SUMMARY OF ACTIVITIES FOR NUTRITION PLANNING
1 Mobilization of local nutrition
committee or local nutrition
5 Preparation of the
implementation and financial
planning core group (LPCG) plan

Designing of monitoring and

2 Assessment of nutrition
situation
6 evaluation

3 Setting of goals and

objectives/targets 7 Plan packaging

4 Identification and prioritization

of nutrition interventions
8 Legislation/adoption and
resource allocation
a. Assess the nutrition situation
1. What forms of malnutrition exist?
2. How many are malnourished?
3. Who are the malnourished?
4. Where are the malnourished?
5. What are the causes of malnutrition?
6. What have been done to address malnutrition? How
effective have these been?
7. What resources are available to address malnutrition?
8. What constraints could affect the implementation of
nutrition interventions?
Sample modified problem tree
B. Set the plan’s goals and outcome objectives
PPAN 2023-2028 outcome targets:
A. To reduce undernutrition among infants, young children,
school-age children, and pregnant women;
B. To manage/address overweight among children,
adolescents, and adults;
C. To reduce levels of micronutrient deficiencies to
accepted levels (as may be applicable to the LGU); and
D. To improve infant and young child feeding practices
E. To reduce food insecurity.
Outcome Targets of the LNAP 2023-2025
Baseline (%) Targeted change
Indicator
(specify year) Year 1 Year 2 Year 3
Targets for Undernutrition
Prevalence of low birth weight
(LBW) infants
Prevalence of stunted children
6-23 months old
Prevalence of stunted children
0-59 months old
Prevalence of wasted children
0-59 months old
Prevalence of wasted children
5-10 years old
Prevalence of nutritionally at-
risk (NAR) pregnant women

Prevalence of chronic energy

deficient older adults, 60 y/o
and over
Outcome Targets of the LNAP 2023-2025
Baseline (%) Targeted change
Indicator
(specify year) Year 1 Year 2 Year 3
Targets for Overnutrition
Prevalence of overweight
children under five years
old
Prevalence of
overweight/obese children
5-10 years old
Prevalence of
overweight/obese
adolescents
Prevalence of
overweight/obese adults
Outcome Targets of the LNAP 2023-2025
Baseline (%) Targeted change
Indicator
(specify year) Year 1 Year 2 Year 3
Targets for Micronutrient Deficiencies (as applicable)
Prevalence of anemia among
pregnant women
Prevalence of anemia among
women of reproductive age
Prevalence of children 6 months to
5 years old with vitamin A deficiency
Median UIC (in μg/l) of pregnant
women
Median UIC (in μg/l) of lactating
women
Proportion of children 6-12
years old with urinary
iodine levels below 50 μg/l
Median UIC (in μg/l) of children 6-12
years old
Percentage of households using
adequately iodized salt
Table 1. Outcome Targets of the LNAP 2023-2025
Baseline (%) Targeted change
Indicator
(specify year) Year 1 Year 2 Year 3
Targets for Infants and Young Child Feeding Practices (as applicable)
Prevalence of exclusively
breastfed infants at 5
months
Prevalence of infants and
young children with
Minimum Acceptable Diet
(MAD)
Prevalence of children 6-
23 months with Minimum
Diet Diversity (MDD)
Table 1. Outcome Targets of the LNAP 2023-2025
Baseline (%) Targeted change
Indicator
(specify year) Year 1 Year 2 Year 3
Targets for Food Security
Prevalence of households
meeting 100%
recommended energy
intake
Prevalence of moderately
and severe food insecure
households
 PMNP: A Multisectoral Convergence Approach to
Nutrition and LGU Mobilization for Nutrition % pregnant women who have received
complete FeFO4 supplements

5 Project Development Indicators % pregnant women who received

prescribed ANC services from first
trimester, with at least 4 ANC visits

Increase utilization of % HHs in participating bgys. w/

nutrition-specific and convergence of priority N-SPEC
interventions & N-SEN interventions
nutrition-sensitive
interventions
% of children 6-23 months of age in
project areas who meet minimum
adequate diet (MAD)
Improve key nutrition ● % infants exclusively breastfed until
behaviors known to 5th month and 29 days
● % infants 6-8 mos. old who have
reduce stunting in initiated & received complementary
feeding & continue BF
targeted regions

% target households with access to

improved toilets
 Administration of the Performance Based Grants for LGUs

PBG Indicators
TRACT 4 Increased access of HHs to convergent nutrition-specific and sensitive services

A. Improved Service Delivery of essential health and nutrition Interventions

PBG No.1 % of children age 0-2 years in program areas receiving age-appropriate feeding.
Modified PBG 1a. Proportion of infants exclusively breastfed up to 6th month
Modified PBG 1b. Percentage of infants 6 to 8 months old who have initiated and received complementary feeding and continue
breastfeeding
PBG No.2 Percentage of pregnant women in project areas receiving prescribed antenatal care services from the first trimester of
pregnancy.
Modified PBG 2. % of pregnant women with at least 4 ANC visits
PBG No. 3 Percentage of HHs in participating barangays with convergence of priority nutrition-specific services and nutrition-
sensitive interventions
B. Improved Multisectoral Nutrition Planning and Management at LGU Levels
PBG No. 4 Percentage of participating LGUs with approved Local Nutrition Action Plan (LNAP) budgets and expenditures in
accordance to plans
Modified PBG No. 4 The Project municipality has an approved LNAP with allocated budgets, and utilized according to plan.
PBG No. 5 Percentage of barangays with updated nutrition information on the status of HHs with pregnant and lactating women
and children under 5 years old
PBG No. 6 Percentage of primary healthcare facilities scoring at least 95% on the Quality Checklist in participating local
government units (LGUs)
Modified PBG No. 6 The RHU has at least 95% of total score in the Quality Checklist
Three references for calculating the estimated number of
affected population by 2025:

1) Projected Populations by Region, Province,

City/Municipality for 2020 – 2025 by DOH
2) Multipliers for age-specific population (NNC Memorandum
No. 2019-003) and
3) DOH Department Memorandum 2018-0381
Multipliers/Factors to compute Age-Specific Population
Projections by region and province
C. Select interventions and develop the
implementation plan
Nutrition PPAs should follow the the 8-life stage categorization of the
PPAN 2023-2028 namely:
1. Pregnant and Lactating Mothers
2. Infant and Young Children (0-23 months old)
3. Preschool Children (<5 years old)
4. School-aged children (5-10 years old)
5. Adolescents (10-19 years old)
6. Adults (20-59 years old)
7. Older Adults (60 years old and above), and
8. All population group (families, individuals)
Updated Provincial/City/Municipal Implementation Plan Matrix
Agency/ Committee/ Target Location
Baseline/ Fund
Program/Project/Activity Unit/ Individual PPAN Non-PPAN
Coverage Group Y1 Y2 Y3 Source
Responsible areas areas
PREGNANT AND LACTATING WOMEN
Nutrition Specific
Apparently Healthy
● Micronutrient Supplementation (Iron Folic
Acid, Vitamin A)
● Counseling
In Need of Treatment and Management
● Dietary Supplementation
● Micronutrient Supplementation
Nutrition Sensitive
● Provision of pre-natal and post-natal care
● Maternal mental health
INFANT AND YOUNG CHILDREN (0-23 MONTHS OLD)
Nutrition Specific
Apparently Healthy
● Newborn screening
● Appropriate feeding (IYCF)
In Need of Treatment and Management
● Appropriate Feeding
● Micronutrient Supplementation (vitamin A,
Iron)
● Management of Acute Malnutrition
● Dietary supplementation (complementary
feeding for children >6 months old)
Updated Provincial/City/Municipal Implementation Plan Matrix
Agency/ Committee/ Target Location
Baseline/ Fund
Program/Project/Activity Unit/ Individual PPAN Non-PPAN
Coverage Group Y1 Y2 Y3 Source
Responsible areas areas
INFANT AND YOUNG CHILDREN (0-23 MONTHS OLD)
Nutrition Specific
● Routine immunization
● Provision of baby-friendly space
● Mother-Baby Friendly Health Facility
Initiative (MBFHFI)
● Early Child Development (developmental
milestones)
PRESCHOOL CHILDREN (<5 YEARS OLD)
Nutrition Specific
Apparently Healthy
● Appropriate feeding (IYCF)
In Need of Treatment and Management
● Management of Acute Malnutrition
● Dietary supplementation (complementary
feeding for children >6 months old)
Nutrition Sensitive
● Routine immunization
● Child Protection
● Early Child Development (CDCs, SPs, etc.,
developmental milestones)
● Classroom education
Updated Provincial/City/Municipal Implementation Plan Matrix
Agency/ Committee/ Target Location
Baseline/ Fund
Program/Project/Activity Unit/ Individual PPAN Non-PPAN
Coverage Group Y1 Y2 Y3 Source
Responsible areas areas
SCHOOL AGED CHILDREN (5-10 YEARS OLD)
Nutrition Specific
Apparently Healthy
● Appropriate feeding/balanced diet
In Need of Treatment and Management
● Management of Acute Malnutrition
● Dietary supplementation (complementary
feeding for children >6 months old)
Nutrition Sensitive
● Child Protection
● Classroom Education
ADOLESCENTS (10-19 YEARS OLD)
Nutrition Specific
Apparently Healthy and In Need of Treatment and Management
● Nutrition Counseling
● Adolescent Health and Preconception
Nutrition
Nutrition Sensitive
● Healthy and Family Planning Services
● Classroom Education and Alternative
Learning Modules
● Adolescent Programs (e.g., establishment
of teen centers)
● Mental Health Programs
Updated Provincial/City/Municipal Implementation Plan Matrix
Agency/ Committee/ Target Location
Baseline/ Fund
Program/Project/Activity Unit/ Individual PPAN Non-PPAN
Coverage Group Y1 Y2 Y3 Source
Responsible areas areas
ADULTS (20-59 YEARS OLD)
Nutrition Specific
Apparently Healthy
● Nutrition Counseling
In Need of Treatment and Management
● Nutrition Counseling
● Nutrition Support to CED (e.g., iron
supplement to WRA, food assistance)
● Disease Prevention and Management
Nutrition Sensitive
● Livelihood
● Gender and Development
● Healthy and Family Planning Services
(WRA)
● Social Safety Nets
● Alternative Learning Modules
OLDER ADULTS (60 YEARS OLD AND ABOVE)
Nutrition Specific
Apparently Healthy and In Need of Treatment and Management
● Nutrition Counseling
● Nutrition Support for Older Adults
Nutrition Sensitive
● Socioeconomic Programs for Older Adults
Updated Provincial/City/Municipal Implementation Plan Matrix
Agency/ Committee/ Target Location
Baseline/ Fund
Program/Project/Activity Unit/ Individual PPAN Non-PPAN
Coverage Group Y1 Y2 Y3 Source
Responsible areas areas
ALL POPULATION GROUPS (FAMILIES, INDIVIDUALS)
Nutrition Specific
Apparently Healthy and In Need of Treatment and Management
● Nutrition Counseling/Education
● Individual nutrition assessment
● Nutrition SBCC
● Physical activity
● Weight management
● Food Fortification
● Nutrition in emergencies
Nutrition Sensitive
● Water, Sanitation and Hygiene (WASH)
● Agriculture and Food Security
● Mental Health
 PMNP Essential Nutrition-Specific and Nutrition-Sensitive Services
PROJECT
DEVELOPMENT ESSENTIAL NUTRITION-SPECIFIC AND NUTRITION-SENSITIVE SERVICES
OBJECTIVE
INCREASE NUTRITION SPECIFIC
UTILIZATION OF Essential Maternal (Safe Motherhood) and Newborn Care Services
NUTRITION SPECIFIC
ANTENATAL INTRAPARTUM POSTPARTUM
AND NUTRITION
SENSITIVE ● Antenatal Check-ups ● Early Essential Newborn Care ● Postpartum Check-ups
● Reproductive Health Services for ● Reproductive Health Services for
INTERVENTIONS
Women of Reproductive Age (WRA) Women of Reproductive Age (WRA)
● Nutrition Counseling ● Nutrition Counseling
● Dietary Supplementation ● Micronutrient Supplementation for
● Micronutrient Supplementation Women and Infants
● Dietary Supplementation for Women
and Children 6 Months to 2 Years Old
Micronutrient Supplementation for ● Vitamin A ● Zinc
WRA and Children <5 YO ● Iron and Folic Acid ● Micronutrient Powder (MNP)
Management of Acute Malnutrition (Mid Upper Arm Circumference Tapes, Ready-to-Use Supplementary and
Therapeutic Foods)
Integrated Management of Childhood Illness (IMCI)
Immunization Services
Deworming Services
NUTRITION SENSITIVE
● Water, Sanitation, and Hygiene (WASH)
● Early Childhood Care and Development (ECCD)
 PMNP Essential Nutrition-Specific and Nutrition-Sensitive Services
PROJECT
DEVELOPMENT ESSENTIAL NUTRITION-SPECIFIC AND NUTRITION-SENSITIVE SERVICES
OBJECTIVE
IMPROVE KEY NUTRITION SPECIFIC
NUTRITION Infant and Young Child Feeding (IYCF) Counseling
BEHAVIORS KNOWN
TO REDUCE STUNTING Breastfeeding Counseling Complementary Feeding Dietary Supplementation for
IN TARGETED Counseling Children 6 Months to 2 Years Old
REGIONS Child Growth Monitoring and Promotion for Children
Nutrition in Emergencies
A condensed package of services shall be administered during emergencies. Specifically, these are the following:
a. Provision of reproductive health services and basic primary care services for women and children;
b. Nutrition and IYCF Services (Counseling, Micronutrient Supplementation, and Dietary Supplementation for Mothers and
Children in Evacuation Centers);
c. Management of moderate and severe acute malnutrition;
d. Breast Milk and Food relief; and
e. Child Growth Monitoring.
D. Estimate budgetary requirements
Three-year Budget Estimates, Funded and Unfunded by Program/Project/Activity
Program/Project/Activity Cost estimate Total Funded Fund Unfunded
Y1 Y2 Y3 cost Portion Source Portion
estimate by LGU

Resource mobilization strategy for unfunded programs/projects/activities

Program/Project/Activity Describe possible Important Agency to lead the
with no secure funding sources of information actions to mobilize
additional relevant to secure the resources
resources funding
E. PREPARE MONITORING AND EVALUATION PLAN
Monitoring and Evaluation of the Three-Year LNAP
How to collect Person Frequency of Schedule
Data
Level data (Method) in-charge data
Source
collection
General Objective
Outcome Objective 1
Outcome Objective 2
Sub-outcome
objective 1
Sub-outcome
objective 2
F. PLAN PACKAGING Provincial/City/Municipal Nutrition Action Plan

(Inclusive years)

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 (as applicable)
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 20__ - 20__

Chapters of the LNAP

I. Introduction
II. Vision and Mission
III. Provincial/Municipal/City Nutrition Situation Analysis
IV. Outcome Targets
V. Programs, Projects, and Activities
VI. Implementation Plan
VII.Estimates of Budgetary Requirements
VIII.Resource Mobilization Strategy
IX. Arrangements for Organization and Coordination
X. Monitoring and Evaluation Scheme

Annexes: Nutrition in Emergency Plan, Directory of Local Nutrition Committee, Project Briefs
G. APPROVAL OF THE PLAN
The plan should be approved by LNC through a resolution that indicates such
approval as well as a commitment to translate the plan into action.

All members of the LNC should sign the resolution as an indication of ownership
and commitment to operationalize the plan. A sample resolution along the
adoption of the LNAP can be accessed in the guidelines.

The plan should then be presented to the incoming or incumbent local chief
executive and to the Sanggunian along with a Resolution seeking for approval of
the plan.
h. INTEGRATING THE LNAP INTO THE LOCAL
DEVELOPMENT PLANS
The five steps that should be followed in integrating PPAN-based programs
and projects in the PDPFP / CDP / LDIP are the following:
a. Identify existing projects
b. Review existing projects against standards
c. Define composition of PPAs to meet standards and outcomes
d. Examine coherence of the nutrition program design
e. Use NGA-mandated and other sectoral/thematic plans as
reinforcing platforms to secure budgetary resources for PPAN-based
projects.
i. Integrating the LNAP into the AIP
Annual Investment Plan for Nutrition
AIP Program/ Implementing Schedule of Expected Funding AMOUNT
Reference Code Project/ Office/ Implementation Outputs Source
Unit (In Thousand Pesos)
Activity Description
Start End Personnel MOOE Capital TOTAL
Date Date Services Outlay
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

8+9+10
3000-1 NUTRITION
3000-1-1 First 1000 Days
Program
3000-1-2 Philippine Integrated
Management of
Acute Malnutrition
3000-1-3 Nutrition in
Emergencies
3000-1-4 Nutrition-Sensitive
Programs
3000-1-5 Enabling Program
j. Setting the plan to action
The plan should then be implemented by the LGU departments or offices,
national agencies or entities concerned. The programs, projects, activities
and interventions may be adjusted in response to the evolving situation.

Members of the LNC shall ensure that their respective plans reflect their
contribution to the LNAP and the nutrition targets, along with the
appropriate budgetary contribution and allocation.

The plan should also be used as a tool for advocacy in engaging partners in
its implementation.
Thank you!