MDG 1 Hunger Mitigation �A Reaction by 9vAzUmed

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									MDG 1 Hunger Mitigation
—A Reaction
   Maria-Bernardita T. Flores, CESO IV
   Executive Director
   National Nutrition Council




                                         1
    Notes on the reactions

Based on

   Policy paper

   Presentation



                             2
    Very good presentation

   Completes the perspective and
    positions the policy paper in the
    context of MDG 1 on eliminating
    hunger and poverty




                                        3
Agreement
with almost
all of the
key points
              4
        Agreement with almost all of
        the key points

   Continuing high burden of
    undernutrition and unwanted
    consequences

   Focus on undernutrition from
    pregnancy and first two years of life
    as health niche

                                            5
            Prevalence of underweight, stunting, and wasting
            by single age group, 0-5 years old, 2005
                 40

                                                                            <1 y      1y

                                                                            2y        3y
Prevalence (%)




                                                                            4y        5y


                 20




                 0
                      Underw eight                     Stunting                        Wasting




                       Source: 2005 Updating of the nutritional status of Filipino children and selected   6
                       population groups, DOST-FNRI.
       Agreement with almost all of
       the key points . . .
   Define nutritional outcomes
   Integrate recommended interventions in
    F1 package of services, regulation,
    financing, and reform
   Integrate interventions for nutrition
    outcomes in service packages
   Improve policies to account for
    nutritional outcomes
                                             7
Updated MTPPAN 2008-
2010 covers many of the
operational concerns
                                     MTR
Regional PPAN MTRs
                                  Process
      Enhanced
       MTPPAN Assessment Report
       Program Directions 2008-2010


               National PPAN MTR to generate
              consensus on policy and program
                         adjustments


                         Updated MTPPAN
                            2008-2010
                                                9
Some
proposed
refinements
              10
1. Measures of hunger should include:
      Quantitative or qualitative measures of
       food consumption
      Use of a food threshold or the amount of
       money needed to provide for basic food
       needs of a family
   Height, weight and clinical indices are indirect
      measures
                                                  11
2. Change in paradigm of health and
   nutrition not as outcomes of poverty
   but as integral part of poverty
   alleviation, and that investments in
   health and nutrition complement
   economic growth & development
                                      12
                                     3. Household size also linked with
                                            being food-poor or having
                                            incomes below the food
                          40                threshold
% of food-poor families




                                                                                     30.6
                          30                                                                       30.3
                                                                              25.3

                                                                       20.4
                          20
                                                               14.8

                                                         9.5
                          10                       5.6
                                             3.6
                               1.3    2.3

                           0
                                1      2      3     4     5      6       7       8          9   10++
                                                         Family size
4. Indicate the synergism between
   health and nutrition




                                    14
Another way
of looking at
things
                15
   Accelerated Hunger-Mitigation
    Program

       Aims to mitigate hunger, and not to
        improve the nutrition situation

       Rice distribution and supplementary
        feeding in school helps improve
        attendance




                                              16
Accelerated Hunger-Mitigation Program Framework
     Unavailable or                            No money to
 insufficient food to eat     HUNGER            buy food



                      Hunger Mitigation Measures


 Supply Side                                       Demand Side

 Increase food                       Put more money in
 production                          poor people’s pockets
                                     Promote good nutrition
 Enhance efficiency of
 logistics & food delivery           Manage population
                                                                 17
EO 616, Anti-Hunger Task Force
(Sec. 2.1 – Composition)
 1. DAR         3. DBM          10. DSWD
    1.1 PARC-   4. DENR         11. DOTC
        DAR        4.1 PFC          11.1 PPA
 2. DA          5. DepED        11. NEDA
    2.1 BAI     6. DOH          12. Office of the
    2.2 BFAR                        President
                   6.1 POPCOM
    2.3 BPI                         12.1 CHED
                   6.2 NNC
    2.4 CIIF                        12.2 NAPC
                7. DILG
    2.5 NFA                         12.3 MMDA
                   7.1 PNP
    2.6 NIA                     13. PCFC
                8. DOLE
    2.7 PCA                     14. AFP
                   8.1 TESDA
                                15. CBCP
                9. DPWH
                                                18
    Exercise wisdom

   Balance political with technical
    considerations of solutions to
    development problems

   Watch out and seize
    opportunities for furthering
    health and nutrition concerns

                                       19
We welcome dialogues
for role clarification
                    20
   Openness to dialogue and clarify
    role delineation between NNC and
    NCDPC and maybe even other
    DOH units
        Promotion of IYCF
        Food fortification coordination
        Nutrition education and behavior
         change communication
        Concerns on maternal health
        Nutrition in emergencies

                                            21
   Role of coordinating agency

       Nurture participatory process

       Ensure coherence and congruence
        of nutrition policy directions and
        strategic thrusts among agencies

       Influence resource allocation



                                             22
   Challenges to effective coordination
       “Competing” equally pressing
        concerns

       Mechanism for dynamic sharing
        information
            Within an agency
            Among agencies

       Two-way street


                                        23
   Communicate nutrition interventions
    to LGUs as part of coherent national
    strategy, consistently, regardless of
    ownership; but settle ambiguities at
    the national level.


                                            24
    Concluding statements
   Consider favorably
        The recommendations of the policy paper
         and presentation
        Our suggested refinements

   Critical review of the updated MTPPAN
    2008-2010
   Start of dialogue on role clarification

                                               25
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