State of Nutrition in Region I

Regional Dissemination of the PPAN 2017-2022

16 November 2017
Bangko Sentral ng Pilipinas, CSF, La Union
Where are we in the PPAN
2017-2022 Targets?
 State of Nutrition in the Region

PPAN OBJECTIVES
To reduce the level of child stunting and wasting
Indicator Baseline Target, 2022
Prevalence (in percent) of stunted 33.4 21.4
children under 5 years old*
Prevalence (in percent) of wasted
children:
- Children under 5 years old* 7.1 <5

- Children 6-10 years old 8.4 <5

Source: National Nutrition Survey

 State of Nutrition in the Region

Prevalence of Stunting <5 years old in Region I,

2015

3 out of 10
31.3% are
stunted

Source: National Nutrition Survey

 Regional Nutrition Situation
Prevalence of Stunting among children <5 years old

40
33.4 32.7
31.3 31.2 31.9
35

30
26.7
21.4
25

20

15

10

0
PPAN 2017- National Rate Region I Ilocos Norte Ilocos Sur La Union Pangasinan
2022 Target
 State of Nutrition in the Region
Prevalence of Wasting <5 years old and 6-10 years old in Region I,
2015

6.6% are wasted or thin and

considered to be a public health
problem (<5)

10
9.7% are wasted or thin and
considered to be a public health
problem (5-10)
Source: National Nutrition Survey
 Regional Nutrition Situation
Prevalence of Wasting among children <5 years old and 5-
10 years old, 2015
12 12
10.4 10.6
9.1 9.7
8.9
10 10
7.9 8.4
7.1
8 6.6 8
5.8 5.9 6
4.9 4.9
6 6

4 4

2 2

0 0
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Source: National Nutrition Surv

 Regional Nutrition Situation
Prevalence of Stunted & Severely Stunted Preschool Children, by
Province/City: REGION I, 2016 OPT
Vigan 8.51
Urdaneta 5.31
San Fernando 2.46
San Carlos 7.49
Laoag 2.92
Dagupan 14.93
Candon 14.36
Batac 10.94
Alaminos 12.68
Pangasinan* 5.04
La Union 12.17
Ilocos Sur 9.43
Ilocos Norte 10.81
REGION 1 7.26
0 2 4 6 8 10 12 14 16
 Regional Nutrition Situation
NUTRITIONAL STATUS OF PRESCHOOL CHILDREN,
BY AGE (ht. for age): REGION I, OPT 2016
Combined St. & SSt.

9 8.33 8.24 7.95

8 7.37
7 6.32
5.93
6
4.67
5
4
3
2
1
0
0-5 mos. 6-11 mos. 12-23 24-35 36-47 48-59 60-71
mos. mos. mos. mos. mos.
 Regional Nutrition Situation
Prevalence of Wasted & Severely Wasted Preschool Children, by Province/City:
Region I, OPT 2016 (Weight for Height)

Region 2.74

2.37
Pangasinan
La Union 3.51
Ilocos Sur 2.47
Ilocos Norte 3.28

Vigan City 0.84

Urdaneta City 4.13
San Fernando City 2.08
San Carlos City 4.82
Laoag City 1.07
Dagupan City
5.86
Candon City 3.00
Batac City 3.45
Alaminos City 3.66
0.00 1.00 2.00 3.00 4.00 5.00 6.00
 Regional Nutrition Situation
NUTRITIONAL STATUS OF PRESCHOOL CHILDREN,
BY AGE (Wt. for Lt./Ht.): REGION I, OPT 2016
Combined W. & SW.

6 5.54

5 4.25 4.44
3.78
4
2.96
3 2.46
2.05
2

0
0-5 mos. 6-11 mos. 12-23 24-35 36-47 48-59 60-71
mos. mos. mos. mos. mos.
 State of Nutrition in the Region

PPAN OBJECTIVES
To reduce micronutrient deficiencies to levels below
public health significance
Indicator Baseline Target, 2022

Vitamin A deficiency
Prevalence (in percent) of children 6 20.4 <15
months to 5 years old with vitamin A
deficiency (low to deficient serum
retinol)

Anemia
Prevalence (in percent) of anemia among 11.7 6.0
women of reproductive age*
 Prevalence (%) of anemia by age group and region, Philippines: 2013
Ilocos
Cagayan
Central Luzon
CALABARZON
MIMAROPA
Bicol
W. Visayas
C. Visayas
E.Visayas
N.Mindanao
SOCCSKSARGEN
NCR
CAR
ARMM
CARAGA
Philippines

Children, Children Adolescents, Adults, Elderly,

6 mos-5y 6-12 y 13-19 y 20 - <60y ≥60y
ASSESSMENT CRITERIA
Classification of public health significance of anemia
in populations on the basis of prevalence estimated
from blood levels of hemoglobin, WHO, 2001
Category of public health Prevalence of anemia
significance (%)

Severe ≥ 40.0

Moderate 20.0 – 39.9

Mild 5.0 – 19.9

Low ≤ 4.9
At the Regional Level

• The group most affected by anemia in Ilocos Region

was the elderly at 21.3% which is slightly higher than
the national average of 21.0%
• Moreover, the prevalence of anemia for all age
groups, except for elderly, were between 4.7-9.8%.
This means anemia in Region I was considered a
“mild public health problem” during the survey
period.

-8th National Nutrition Survey

 State of Nutrition in the Region

PPAN OBJECTIVES
To reduce micronutrient deficiencies to levels below public
health significance
Indicator Baseline Target, 2022
Iodine deficiency disorders
Median urinary iodine excretion, ug/L
- Children 6-12 years old 168 ≥100
- Pregnant women 105 ≥150
- Lactating mothers 77 ≥100
Percent with urinary iodine concentration
<50 mcg/L
- Children 6-12 years old 16.4 <20%
- Lactating women 33.4 <20%
Median UIE and proportion of UIE values <50 µg/L
among 6-12 y old children by region
Region Median UIE, UIE <50 µg/L, %
n µg/L
PHILIPPINES 22,588 168
Ilocos 1336 173
Cagayan 995 223
Central Luzon 1818 203
CALABARZON 2028 236
MIMAROPA 1046 136
Bicol 1719 150
W. Visayas 1464 125
C. Visayas 1508 166
E. Visayas 1432 161
Zamboanga Peninsula 1039 68
N. Mindanao 1095 121
Davao 1090 122
SOCCSKSARGEN 1185 137
NCR 1905 220
CAR 864 123
ARMM 1025 128
CARAGA 1039 128
 Median UIE and proportion of UIE values <50µg/L
among 6-12 y old children by region and province
Median UIE,
Region/ Province n µg/L UIE <50 µg/L, %

ILOCOS 1336 173

Ilocos Norte 172 237
Ilocos Sur 194 161
La Union 178 134
Pangasinan 792 175
CAGAYAN 995 223
Cagayan 330 247
Isabela 477 219
Nueva Vizcaya 117 141
Quirino 71 259
CENTRAL LUZON 1818 203
Bataan 123 119
Bulacan 485 258
Nueva Ecija 363 191
Pampanga 432 218
Tarlac 229 232
Zambales 144 128
Aurora 42 112
 Median UIE (µg/L) and proportion of UIE values <50 µg/L
among 6-12 y old children by region: NNS 1998, 2008 & 2013
1998 2008 2013
Region
Median % <50 µg/L Median % <50 µg/L Median % <50 µg/L
PHILIPPINES 71 35.8 132 19.7 168 16.4
Ilocos 82 30.7 159 9.9 173 17.5
Cagayan 83 30.5 233 4.7 223 10.6
Central Luzon 110 23.4 191 10.2 203 11.3
CALABARZON 79 30.5 170 11.9 236 8.1
MIMAROPA 115 28.3 136 19.5
Bicol 56 42.8 135 13.7 150 18.7
Western Visayas 69 38.8 117 24.0 125 23.4
Central Visayas 67 35.2 119 24.5 166 14.7
Eastern Visayas 67 35.9 83 37.7 161 15.4
Zamboanga Peninsula 56 44.6 84 26.0 68 41.1
Northern Mindanao 34 63.9 90 30.4 121 23.6
Davao 63 39.2 68 37.4 122 24.3
SOCCSKSARGEN 58 45.9 109 27.9 137 19.9
NCR 94 21.7 202 13.8 220 8.9
CAR 63 40.1 158 13.8 123 26.4
ARMM 103 24.9 101 17.8 128 20.6
CARAGA 56 44.9 85 36.1 128 18.1
 Progress in the Philippines
towards the elimination of IDD, 1998-2013
Indicator Goal * Achievements
1998 2003 2008 2013
Proportion of households
using adequately iodized salt > 90 25.2 25.7
Median urinary iodine, µg/L
Children, 6 – 12 yrs 71 201 132 168
13- 19 yrs - - 154 134
Adults, 20-59 yrs 100 - 199 - - 137 116
Elderly, ≥ 60 yrs - - 107 80
Lactating women - 111 81 77
Pregnant women 150 - 249 - 142 105 105
Proportion < 50µg/L, % < 20
Children, 6 – 12 yrs 35.8 11.4 19.7 16.4
13- 19 yrs - - 14.7 20.0
Adults, 20-59 yrs - - 17.5 22.4
Elderly, ≥ 60 yrs - - 22.3 33.6
Lactating women - 23.7 34.0 34.3
Pregnant women - 18.0 25.7 27.0
 Distribution of HH Iodine level using
WYD
ARMM 59.4 32.4 6.3
CARAGA 41 44.3 11.2
Socsargen 48.3 41.1 5.3
Davao Region 34.9 49.2 11 4.9
Northern Mindanao 41.3 36.3 17.4 5
Zamboanga Peninsula 81.6 11.9 4.7
Eastern Visayas 18.6 48.8 27.9 4.7
Central Visayas 31.9 48.9 12.9 6.3
Western Visayas 52.8 34.3 9.9
Bicol 49.7 35.4 9.7 5.3
MIMAROPA 57 20.6 14.5 7.8
CALABARZON 39.9 16.4 22.3 21.3
NCR 38.6 18.6 23.7 19.2
Central Luzon 77.2 5.8 8.1 8.9
Cagayan Valley 41.6 23.2 18.3 16.9
CAR 36.8 18.2 24 21
Ilocos region 60.1 20.7 11.6 7.6
Philippines 47.5 26.8 15.2 10.5
0 25 50 75 100
0 to <5 ppm 5 to <15 ppm 15 to <30 ppm 30 ppm and above
 State of Nutrition in the Region

PPAN OBJECTIVES
No increase in overweight among children, reduced
overweight among adolescents and adults
Indicator Baseline Target, 2022
Prevalence (in percent) of overweight
- Children under five years old* 3.8 <3.8
- Children 6 – 10 years old 8.6 <8.6
- Adolescents 9.2 <5
- Adults 31.1 28.0
 State of Nutrition in the Region
Prevalence of Overweight and Obese among children, adolescents
and adults, Region I, 2015

Indicator Baseline/ Target, Region I,

National 2022 2015
Prevalence (in percent) of overweight
- Children under five years 3.8 <3.8 3.3
old*
- Children 6 – 10 years old 8.6 <8.6 9.2
- Adolescents 9.2 <5 11.1
- Adults 31.1 28.0 27.6

Source: National Nutrition Survey

 State of Nutrition in the Region

PPAN OBJECTIVES
Sub-outcome or intermediate outcome targets

• Reduce the proportion of nutritionally-at-risk

pregnant women from 24.8% in 2015 to 20% by
2022 (about 20% reduction between 2013 and
2022 or 0.9M to 0.8M)

• Reduce the prevalence of low birthweight from

21.4% in 2013 to 16.6% by 2022 (to reach the 2025
Global target of 30% reduction)*
 State of Nutrition in the Region
Trends in the prevalence of nutritionally-at-risk pregnant women:
Philippines and Region I, 2011-2015
40 14.4

30
24.8 24.8

25
20 Ilocos Region
Philippines
10
PPAN Target
0 20.0 by 2022
2011 2013 2015

Source: National Nutrition Survey

 State of Nutrition in the Region
Trends in the prevalence of Low Birth Weight among children 0-3.9 years old
(0-47 months): Philippines (2008-2013) and Ilocos region (2008-2013)

15 14.2

11.5
PPAN Target
Prevalence

12.8 12.6 16.6 by

10 11.0
2022
%

5 PPAN Target
11.0% 20.0 old
among children 0-3 years by 2022
were low birth weight in Ilocos region
0
2008 2011 2013
Philippines Ilocos region

Source: National Nutrition Survey

 State of Nutrition in the Region

PPAN OBJECTIVES
Sub-outcome or intermediate outcome targets
• Increase the prevalence of exclusive breastfeeding
among infant 5 mos old from 24.7% in 2015 to 33.3 by
2022

• Increase the percentage of children 6-23 months old

meeting the minimum acceptable diet from 18.6% in
2015 to 22.5% by 2022

• Increase the proportion of households with diets that

meet the energy requirements from 31.7% in 2013 to
37.1% by 2022
 State of Nutrition in the Region

BREASTFEEDING PRACTICES
PERCENTAGE DISTRIBUTION OF EXCLUSIVELY
BREASTFED CHILDREN 0-5 MONTHS

PHILIPPINES 48.8
ILOCOS REGION 49.0

PPAN Target
33.3 by 2022
(limited to 5 month
olds age group)
 State of Nutrition in the Region
Trends of children 6-23 months meeting the Minimum Acceptable
Diet (MAD): Philippines & Region I, 2011-2015
40

30
13.3

20 10.4 Ilocos Region

18.6 Philippines
10 12.1
6.4 PPAN Target
0 22.5 by 2022
2011 2013 2015

Source: National Nutrition Survey

 State of Nutrition in the Region
Mean one-day per capita ENERGY intake and proportion of household
meeting REI for energy by region: Philippines and Region I, 2015

REGION PROPORTION OF HH MEETING

RECOMMENDED ENERGY
INTAKE

Philippines 31.0
Region I 32.6

PPAN Target
37.1 by 2022

Source: National Nutrition Survey

 State of Nutrition in the Region

“PROBLEMS ON
UNDERNUTRITION (Wasting &
Stunting) STILL PERSIST IN THE
REGION WITH GROWING
CONCERN ON OVERNUTRITION
AND MICRONUTRIENT
DEFICIENCIES”
NATIONAL NUTRITION COUNCIL- RO I
DOH Cmpd., Parian, San Fernando City, La Union
Tel #s: (072) 607-6594/ 607-6294
Email: nncregioni@yahoo.com.ph