MTPPAN 2011-2016

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Philippine

Plan ofAction for

N t iti

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Republic of the Philippines

NATIONAL NUTRITION COUNCIL

NNC GOVERNING BOARD

Resolution No. 1, Series of 2012

Approving and Adopting

the Philippine Plan of Action for Nutrition (PPAN) 2011-2016

WHEREAS,the social contract of His Excellency, President Benigno Simeon C.

Aquino III is focused on institutional reform, economic stability and inclusive growth;

WHEREAS,the Philippine Development Plan 2011-2016 under chapter 8 translatesinclusive growth by ensuring improvement in the lives of all Filipinos through

equitable access to adequate and quality social services and assets;

WHEREAS, consistent with the international commitment to achieve theMillenniumDevelopment Goals (MDGs), the overall goal of the PPAN is to contribute toimproving the quality of the human resource base of the country and to have

substantial decreases in child and maternal and overall disease burden;

WHEREAS,recognizing the right to food is a moral and legal right, PPAN upholds

that food and nutrition is a right of every individual and in every nutrition intervention

rights is essential part of a holistic process;

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NNC GOVERNING BOARDResolution No. 1, Series of 2012

Approving and Adopting the Philippine Plan of Action for Nutrition (PPAN) 2011-2016

RESOLVED FURTHER, for the National Nutrition Council Secretariat to ensure

that the PPAN 2011-2016 is disseminated as widely as possible to enable stakeholders

to align their efforts along the priority concerns;

RESOLVED FURTHER, for the National Nutrition Council to monitor and to

ensure that this resolution is fully implemented.

Approved this 12th

day of January 2012.

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NNC GOVERNING BOARDResolution No. 1, Series of 2012

Approving and Adopting the Philippine Plan of Action for Nutrition (PPAN) 2011-2016

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Philippine Plan of Actionfor Nutrition 2011-2016ContentsChallenges .......................................................................................................................................... 1

Hunger ........................................................................................................................................... 1

Underweight, stunting, wasting ....................................................................................................... 2

Micronutrient malnutrition .............................................................................................................. 3

Overnutrition .................................................................................................................................. 6

Regional dimension ........................................................................................................................ 7

Factors affecting undernutrition ...................................................................................................... 8

Objectives .......................................................................................................................................... 9

Hunger ........................................................................................................................................... 9

Underweight-for-age, stunting, wasting ........................................................................................... 9

Vitamin A deficiency .................................................................................................................... 10

Anemia ......................................................................................................................................... 10

Iodine deficiency disorders .......................................................................................................... 10

Overweight and obesity ................................................................................................................ 10

Guiding principles ............................................................................................................................ 10

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Philippine Plan of Action for Nutrition 2011-2016

List of figuresFigure

1 Trends in hunger incidence, 1998-2010. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

2 Trend in percent of underweight-for-age children 0-59 months oldcompared with MDG target . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

3 Causes of under-five child mortality, global . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Prevalence (in percent) of vitamin A deficiency among children 6-60 months old,and pregnant and lactating women . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Percent of children 6-12 years old with urinary iodine excretionless than 50 mcg/L, Philippines, 1998, 2003, 2008 . . . . . . . . . . . . . . . . . . . . . . . 4

6 Median urinary iodine excretion among pregnant

and lactating women in mcg/L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

7 Prevalence of anemia among children, Philippines,

1993, 1998, 2003 and 2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

8 Prevalence of overweight-for-age among childrenunder-five years old, 1990-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

9 Prevalence of overweight and obesity among adults, Philippines,2008, based on body mass index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

10 Framework on causes of maternal and child undernutrition . . . . . . . . . . . . . . . . 8

11 National Nutrition Council Structure for Coordination . . . . . . . . . . . . . . . . . . . . 23

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Republic of the Philippines

Philippine Plan of Action for Nutrition(PPAN) 2011-2016

The past years have seen a shift in the nutrition-development paradigm from one thatrecognizes good nutrition not simply as a by-product of development but as an importantinput to development. This recognition is not empty as it draws from evidence of the far-reaching negative consequences of undernutrition in the early years of life on capacity tolearn, to be economically productive in adulthood, and even on the development of non-communicable diseases like hypertension and diabetes.

Thus, efforts to address nutritional problems should be parallel to efforts to address poverty

and achieve inclusive economic growth and development to create mutually reinforcingeffects. Furthermore, nutrition should be treated as a concern by itself, and one that cutsacross and through various sectors.

Challenges

H ti t b i

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Figure 1. Trends in hunger incidence, 1998-2010

Source: Social Weather StationsBased on responses to the question, Nitong nakaraang tatlong buwan, nangyari po ba kahit minsan naang inyong pamilya ay nakaranas ng gutom at wala kayong makain? Kung oo, nangyari po ba yan ngminsan lamang? Mga ilang beses o madalas o palagi?

In the last 3 years or so, these disasters have become much more severe with the resultingdisplacement more protracted. The resulting displacement from home, property andlivelihood as well as the negative effect of disasters on agricultural production and incomesfurther increased the risk of increasing hunger incidence.

Underweight, stunting, wasting continue to be serious nutritional problems

Th 2008 i l i i h d i ifi d li i h l f

0

14

28

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As noted earlier, undernutrition, particularly early in life, reduces learning capacity in the

school-age and economic productivity in adulthood.

Figure 2. Trend in percent of underweight-for-age children 0-59 months oldcompared with MDG target

Source of data on trends in underweight-for-age is based on the national nutrition surveys conducted bythe Food and Nutrition Research Institute of the Department of Science and Technology

U d h ldh d h l b d f d b h l b

27.3

26.6

23.8

23.6

25.6

23.0

20.720.0 20.6

27.3

13.7

0

20

40

1990 2001 2010 2015

Trend Target

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Significant improvements in micronutrient malnutrition, but levels still of public

health significance

The 2008 national nutrition survey reported significant gains as levels of vitamin A deficiencyamong pregnant and lactating women (Figure 4) and iodine deficiency disorders amongchildren 6-12 years old, indicative of the situation for the population (Figure 5) registeredprevalence rates below public health significance.

Figure 4. Prevalence (in percent) of vitamin A deficiency among children 6-60

months old, and pregnant and lactating women

Source: National nutrition surveys conducted by the Food and Nutrition Research Institute of the Department ofScience and Technology

Note: Vitamin A deficiency is based on serum retinol. Per WHO guidelines, a prevalence of 15% or moreindicates a public health problem deficient

35.3

3840.1

15.2

16.4

22.2

17.59.5

16.4 16.5

20.1

6.4

0

25

50

1993 1998 2003 2008

6 mos. - 5 years old

Pregnant Women

Lactating Mothers

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Figure 6. Median urinary iodine excretion among pregnant and lactating

women in mcg/L

Source: National nutrition surveys conducted by the Food and Nutrition Research Institute of the Department of

Science and TechnologyNote: Iodine deficiency in a population is determined based on median urinary iodine excretion (should

not lower than the prescribed level

Figure 7. Prevalence of anemia among children, Philippines, 1993, 1998, 2003and 2008

0

45

90

135

180

Pregnant women Lactating women

150

100

142

105111

81

WHO recommen dation 2003 2008

60.0

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Overnutrition is also increasing among children and is at a high level among

adults

Overnutrition and obesity among children, while at relatively low levels, has been steadilyincreasing and could increase further if not addressed adequately (Figure 8). About one-fifthof adults 20 years old and over were reported to be overweight, with highest levels amongthose who are 30-59 years old (Figure 9). Overweight and obesity are among the risk factorsassociated with diabetes, hypertension, and cardiovascular diseases.

Figure 8. Prevalence of overweight-for-age among children under-five yearsold, 1990-2008

Source: National nutrition surveys conducted by the Food and Nutrition Research Institute of the Department ofScience and Technology

1.1 1.1

2.11.7 1.7

2.31.9

2.9

3.5

0

10

1990 1992 1993 1996 1998 2001 2003 2005 2008

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Regional dimension

Hunger and malnutrition are prevalent nationwide. However, some regions are moreseriously affected by one or more forms of malnutrition (Table 1 and Attachment 1).

Table 1. Regions with high levels of malnutrition using different indicators

Region

Under-five children Anemia4 IDD5 Over-weightandobesityamongadults6

Under-weight-

for-age1Stunting2 Wasting3 6 mos.

5 yPreg-nant

Preg-nant

Lacta-ting

1 x x x x x2 x x x x xxCAR x x x x x x3 x x xx x x xNCR x x xx x x

4-A x x x x x x4-B x x x x xx x x5 x x x x xx x x6 x x x x xx x x7 x x xx x x x8 x x x x x x x x9 x x x x x x x10 x x x x x x x x

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Factors affecting undernutrition

Undernutrition results from the interplay of various factors (Figure 10), with inadequatedietary intake and disease as immediate causes. However, underpinning these immediatecauses are underlying ones related to household food security, health services andenvironmental quality and care practices. However, these factors cannot be isolated frombasic causes related to formal and informal institutions, economic structure, and potentialresources.

Thus, addressing all these factors are important to achieve nutrition targets.

Figure 10. Framework on causes of maternal and child undernutrition

Immediate

causes

Maternal and

childundernutrition

Inadequate

dietary intakeDisease

Household food

insecurity

Unhealthy householdenvironment and poor

health servicesInadequate care

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Goals

To contribute to improving the quality of the human resource base of the country and toreducing child and maternal mortality.

Objectives

Hunger

Indicator2008

(Baseline)Target

by 2016*

Households with inadequate calorie intake 66.7 32.8*

Targeted reduction of households with inadequate calorie intake is based on an annual percentage pointreduction of 4.23 from 2008 to meet the MDG target by 2015, and extended to 2016

Underweight-for-age, stunting, wasting

IndicatorBaseline(2008)

Target by2016

Prevalence (in percent) of underweight under-five children 20.6 12.7

Prevalence (in percent) of stunted under-five children 32.3 20.9

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Vitamin A deficiency, percent of population with low to deficient serum retinol,

mol/L

Population Group 2008 2016*

Preschool children, 6-60 months old 15.2 < 15%

Pregnant women 9.5 < 15%

Lactating women 6.4 < 15%*Target is to keep prevalence rates below WHO levels of public health significance

Anemia, percent with hemoglobin level below recommended level

Population Group 2008 2016*

Infants 55.7 < 40%

One-year old children 41.0 < 40%

Pregnant women 42.5 < 40%Lactating women 31.4 < 40%*Target is to bring levels to levels considered as moderate based on the WHO criterion

Iodine deficiency based on urinary iodine excretion (UIE), g/L

Indicator 2008 2016*

Children, 6-12 years old

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3. Priority given to those with less access and most nutritionally at-risk4. Evidence-based interventions and strategies, with bias to local research5. Good governance is at the center of efforts for nutrition improvement

Directions

1. Contribute to the reduction of disparities related to nutrition through a focus onpopulation groups and areas highly affected or at-risk to malnutrition, specifically:

a. Pregnant women, infants, and children 1-2 years oldb. Families with pregnant women, children 0-2 years old, and underweight

children 0-5 years old

c. Local government units (LGUs) with high levels of child undernutrition or atrisk to increased levels of undernutrition

2. Increase investments and go to scale in effective interventions that could impactmore significantly on undernutrition among under-fives

a. Promotion of optimum infant feeding and young child feeding practicesanchored on exclusive breastfeeding in the first six months of life, theintroduction and use of complementary foods that are calorie- and nutrient-

th

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6. Strengthen the linkage of nutrition with other sectors of development and convergewith existing sectoral efforts, e.g. conditional cash transfer, universal health carecoverage, agriculture development, labor and employment, among others.

7. Strengthen and nurture interagency structures for integrated and coordinatedimplementation of nutrition and related services at national and local levels

8. Strengthen system for planning, monitoring and evaluation of nutrition planimplementation at national and local levels

9. Formulate and implement a nutrition research agenda

Strategies and priorities for action

Strategies to address nutrition problems are a mix of services that are specific to the form ofmalnutrition and those that would impact on all forms of undernutrition. Strategies related

to governance, i.e. policy, plan and program formulation and coordination, monitoring andevaluation as well as research and policy advocacy also cut across all forms of malnutrition.The following describe these key strategies while Attachment 2 contains target outputs orintermediary outcomes.

Promotion of optimum infant and young child feeding practices in varioussettings to reduce the prevalence of underweight (from 20.6% in 2008 to

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7. Home fortification of complementary food through the use of multiple micronutrientpowder

8. Multimedia campaign on IYCF-related concerns9. Integration of IYCF concerns in the curriculum of primary, secondary and tertiary

education

Adoption and implementation of appropriate guidelines for the community-

based management of acute malnutrition to reduce the prevalence of wastedunder-five children from 6.9 percent in 2008 to less than 5% (not of publichealth significance) in 2016

Actions will include:

1. Active identification of cases of acute malnutrition particularly in protracted disastersituation

2. Setting up and use of a referral system for acute malnutrition cases with infections3. Building capacities of health care facilities and the community to provide the

appropriate medical and dietary interventions

4. Provision of appropriate medical and dietary interventions

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3. Provision of safe drinking water and sanitary toilet facilities4. Sustained implementation of the Essential Health Care Program, which includes the

promotion of sanitary practices including personal hygiene and handwashing and bi-annual deworming

5. Growth monitoring and promotionAt the same time, modules on nutrition and food safety and sanitation in the AlternativeLearning System including the curriculum developed for indigenous peoples

Increasing the supply and consumption of micronutrients to reduce ormaintain the prevalence of vitamin A deficiency and iodine deficiencydisorders to levels below public health significance; reduce the prevalence ofanemia among infants 6-11 months old, one-year -olds, pregnant andlactating women to less than moderate levels (

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3) Adoption of the WYD testing for quality assurance and investing inthe needed equipment and supplies accordingly

4) Implementation of internal on-site quality assurance system5) Increasing accredited laboratories for salt testing in different parts of

the country

c. Provision of support to salt industry along technology development andimprovement, quality assurance systems, and incentives related to

investment priorities1) Assistance to salt producers and traders in developing and setting up

and maintaining quality control systems, including the training ofplant managers on quality control and assurance

2) Assessment and implementation of viable incentives from thenational and local governments

3) Strengthening the provision of effective incentive structures to saltproducers, traders, and importers

4) Organization of salt cooperatives5) Facilitating access to fortificant, and qualitative and quantitative test

kit

d. Strengthened implementation of voluntary food fortification to sustain thefortification of processed foods with one or more of vitamin A, iron, or iodine

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Increasing food supply at the community level and economic access to the

available food supply to decrease the percentage of Filipino households withinadequate calorie intake from 66.7% in 2008 to 34.7% in 2016

1. Increasing food supply at the community and household levels through foodproduction policies and programs and the development and maintenance of facilitiesthat will allow improved distribution of food

a. Pursue appropriate agriculture, agrarian reform, and trade policies andprograms that will ensure stable supply of key food commodities ataffordable prices

1) Implement the Food Staples Self-Sufficiency Roadmap for 2011-20162) Ensure availability of staples at affordable prices3) Raise productivity, diversify production, promote value-adding to

products, develop markets and sharpen regulatory competence

4) Optimize operations of mariculture and broaden the aquaculturebase

5) Enhance farmer access to knowledge and innovation, assetsparticularly land and water; markets, to enable farmers to pool theiroutputs and sell to large purchasers, and credit

b. Improve agriculture infrastructures and facilities (irrigation, post-harvestfacilities, ports development, construction of farm-to-market roads, land and

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2. Improving economic access to fooda. Pursue appropriate policies and programs that will create an environment

conducive to investments that will also generate sustainable jobs throughpublic-private partnership

1) Transform agrarian reform beneficiaries into viable entrepreneurs2) Direct or indirect creation of employment opportunities both at the

industry and SME levels

3) Promote creation of permanent employment side by side withemergency employment

4) Support micro-entrepreneurs by establishing relationships withneighboring communities as service providers or building capacitiesas potential supply chain

b. Pursue appropriate policies and programs that will develop skills that areconsistent with the job market at national and local levels

3. Build capacities for rural developmenta. Off-farm and in-between seasons employment (product development,

packaging and marketing)

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2. Wellness programs with a nutrition component in elementary and secondary schoolsand in the workplace

3. Enforcement of the school policy regulating school canteens on the sale of coladrinks and snack foods in line with the promotion of good nutrition

4. Installation of appropriate infrastructure like walking and running lanes, bicyclelanes to promote physical activity

5. Use of a network for referrals for a comprehensive program for weight reductiona. Network of nutritionist-dietitians, pediatricians, child psychologists for

overweight and obese children

b. Teen centers for adolescentsc. Network of nutritionist-dietitians and endocrinologists for overweight and

obese adults

6. Appropriate nutritional care of older persons.

A range of strategies to contribute to the achievement of all nutrition outcomes

1. Prevention and management of infections particularly diarrhea, pneuomonia, malariaand schistosomiasis

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b. Training, monitoring, and coaching on the proper measurement and use ofinformation generated to promote optimum growth

5. Ensuring universal health insurance coverage6. Managing population size, growth and distribution, including appropriate birth

spacing

7. Coordination and integration of efforts for addressing hunger and malnutritiona. Organization and operations of coordinating structures for nutrition at

national and local levels, specifically the NNC Governing Board, the SaltIodization Board, local nutrition committees, and subject matter-specifictechnical working groups.

b. Formulation of PPAN strategic plans, updated PPAN 2011-2016 and annualoperational plans at national and local levels that could involve theformulation of programs along the priorities of action, e.g.

1) Program on Infant and Young Child Feeding2) Food Fortification Program3) Micronutrient Supplementation Program4) Nutrition education5) Home, School and Community Food Production Program6) Healthy Lifestyle Program7) Hunger Mitigation Program8) Water, Sanitation and Hygiene Program

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2) Policies, guidelines, and standards ona) Operation Timbang Plusb) Growth monitoring of preschool and school childrenc) Nutrition planning at national and local levelsd) Nutrition educatione) Integration of nutrition considerations in development and

sectoral policies, programs, and projects

f) Strengthening the gender perspective of nutrition actiong) Community-based management of acute malnutritionh) Guidelines to implement the policy on nutrition

management in emergencies

h. Conduct of research for informed decision making on nutrition action toinclude but not limited to the following:

1) Causality of thinness among school-age children2) Causality of undernutrition among boys3) Nutrition conditions of children with disabilities, in institutions, and

out-of-school youth

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Plan implementation, monitoring and evaluation

Plan implementation

Implementing and translating the PPAN 2011-2016 into specific programs, projects, andactivities will be the joint effort of selected national government agencies, local governmentunits, nongovernment organizations, the food industry, the academe, and internationaldevelopment organizations.

While plan implementation will be the primary responsibility of local government units,national government agencies will provide the needed policy support, continuously buildcapacities for nutrition program management (that will include the range of processes relatedto planning, monitoring, evaluation and coordination), and the provision of various forms oflogistics support especially to poor municipalities and provinces. The involvement ofnational government agencies in implementing PPAN 2011-2016 will be further concretized inthe PPAN 2011-2016 investment plan and integrated in the agencys annual budget proposal.

Nongovernment organizations will also be involved in plan implementation through theirspecific nutrition and related programs and projects in close coordination with relevantnational government agencies and the local governments in their areas of operation.

The food industrys main involvement will be along compliance to legislation on mandatoryand voluntary food fortification. It will also continue to ensure the safety of foods that itmanufactures and markets. It will also be involved and participate in efforts for continuouslyraising awareness and consciousness on desirable nutrition and related practices ascontained in the Nutritional Guidelines for Filipinos.

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Assessing progress of plan implementation will use a mix of strategies that include a system

for regular reporting horizontally (within one level) and vertically (from one level to the nexthigher level), conduct of regular meetings of the various committees in the nutrition policyand coordination structure, and the conduct of field visits for first-hand observation ofoutputs, activities, and interaction with implementors and beneficiaries.

Determining changes in the nutrition situation will use extensively the results of existingnational survey systems. These survey systems include the national nutrition survey of theFNRI-DOST, the National Demographic and Health Survey, Family Income and ExpenditureSurvey, and the Annual Poverty Indicator Survey, among others.

It will likewise strengthen related local systems at the local level, particularly the OperationTimbangPlus system as well as the system for Monitoring and Evaluation of Local Level PlanImplementation (MELLPI).

Plan implementation will be assessed through the conduct of annual programimplementation review (PIR) at the national and local levels. A mid-term review will beconducted at the middle of the plan cycle in time for the assessment of the NEDA PIR for the

assessment of the Philippine Development Plan, and an end-term review in the last year ofthe planning cycle in preparation for plan formulation for the next development planningcycle. The regular program review will enable stakeholders to make appropriate decisions toenhance or modify program strategies. It will involve discussions and sharing of goodpractices to identify emerging opportunities for nutrition improvement and quickly respondto implementation issues.

An appropriate nutrition early warning system will be set up at both national and local levels

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Figure 11. National Nutrition Council Structure for Coordination

National Nutrition Council

Secretariat

National Nutrition Council

Governing Board

Regional Nutrition Committee

Chair: Regional Director*

Municipal Nutrition Committee

Chair: Municipal Mayor

Provincial Nutrition CommitteeChair: Governor City Nutrition Committee

Chair: City Mayor

Technical

Committee

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The NNC Governing Board draws its mandate from various policy instruments as listed

below.

EO 234, which has the effect of a law :

1. Formulate national food and nutrition policies and strategies for nutritionalimprovement;

2. Coordinate the planning, and monitor and evaluate the implementation of theintegrated national food and nutrition program;

3. Coordinate the release of funds for nutrition programs and projects as well as therequests for grants and loans by government and non-government agencies involvedin the food and nutrition program; and

4. Call on any department, bureau, office, agency, and other instrumentalities ofgovernment for assistance in the form of personnel, facilities, and resources as theneed arises.

EO 616, April 2007. Oversee implementation of the Accelerated Hunger-Mitigation Program(AHMP) to ensure that hunger-mitigation measures are in place.

SDC Resolution No. 1 series 2003. Lead in ensuring the achievement of MDG goals andtargets on hunger and malnutrition

RA 8976, 2000. Determine need for continued mandatory fortification; which nutrients,which staples or food vehicles

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7. Develop and implement a comprehensive advocacy, information and educationstrategy for the PPAN; and

8. Provide technical, financial, and logistics support to local government units andagencies for the development and implementation of nutrition programs andprojects.

NNC Technical Committee

The NNC Technical Committee is composed of heads of major department bureaus andagencies involved in nutrition and appropriate non-governmental organizations. It providestechnical assistance to the Board and NNC Secretariat and facilitates inter-agency and intra-agency coordination, supervision and monitoring, and implementation of nutrition policiesand programs.

When needed, the NNC Governing Board and Council Secretariat may also create TechnicalWorking Groups (TWGs), task forces, ad hocbodies, and other interagency bodies as may beneeded to address particular issues and strengthen interagency collaboration.

Regional Nutrition Committee

At the regional level, the Regional Nutrition Committee will continue to coordinate nutritionaction at the local level.

It will be composed of the same agencies as the NNC Governing Board with additionalmember agencies as may be needed and appropriate for the region.

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Provincial Nutrition

Committee

City/Municipal Nutrition

Committee

Barangay Nutrition

Committee2. Formulates the provincial

nutrition action plancomplementary to andintegrated with other plansof the LGU and higher levelplans

2. Formulates thecity/municipal nutritionaction plan complementaryto and integrated with otherplans of the LGU and higherlevel plans

2. Formulates the barangaynutrition action plancomplementary to andintegrated with other plansof the LGU and higher levelplans

3. Coordinates, monitors andevaluates planimplementation andrecommends and adoptsappropriate actions



4. Organizes groups toimplement nutritionintervention activities

4. Mobilizes resources toensure the plan isimplemented



5. Holds at least quarterlymeetings to monitorprogram performance



6. Extend technicalassistance to municipalnutrition committees onnutrition program

6. Extend technical assistanceto barangay nutritioncommittees on nutritionprogram management and


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pp

27

Attachment 1Regional breakdown of selected nutrition indicators

Prevalence rate of various forms of undernutritionbased on the 2008 national nutrition survey conducted by the Food and Nutrition ResearchInstitute of the Department of Science and Technology

Children 0-5 years old Thinnessamong

6-10 yearolds

Anemia % withUIE

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28

Prevalence rate of various forms of overweight and obesitybased on the 2008 national nutrition survey conducted by the Food and NutritionResearch Institute of the Department of Science and Technology

Overweightchildren 0-5

years old

6-10 years old 10-19 years old 20 years and above

Overweight Obesity Overweight Obesity Overweight ObesityPhilippines 3.3 6.5 4.6 26.6

I 3.6 3.5 3.0 5.5 1.9 19.5 3.5

II 3.4 3.2 3.3 4.6 1.3 18.7 3.6

III 5.1 4.1 4.3 5.5 2.3 23.8 6.0

IV-A 3.9 4.7 4.0 6.6 2.0 23.3 6.0

IV-B 2.5 2.3 0.9 2.4 0.9 16.8 3.7

V 1.6 1.9 0.8 2.4 0.2 17.5 3.0

VI 3.2 2.7 2.5 2.7 1.2 16.2 3.2

VII 2.2 2.8 1.7 3.7 1.8 22.4 5.6

VIII 1.8 2.8 1.5 2.6 0.8 20.9 6.1IX 2.0 1.9 1.5 2.2 1.3 19.2 4.7

X 2.2 3.7 1.8 3.5 1.0 23.1 6.0

XI 2.0 3.5 2.8 4.7 1.2 23.4 5.4

XII 2.2 3.4 1.7 3.4 0.6 20.9 4.5

CARAGA 2.0 3.7 1.9 4.9 0.8 23.9 5.7

NCR 4.1 5.7 6.9 7.6 2.6 34.8 7.4CAR 4.9 6.9 3.2 6.6 1.6 24.4 5.5

ARMM 5.9 3.0 2.4 4.5 1.2 14.3 2.8

Documents

MTPPAN 2011-2016