CALABARZON NUTRITION SITUATION€¦ · 13.9) 11.8 prevalence of malnourished among children 10-19 years old - calabarzon 2011 2013 2015 source: fnri-dost nns, 2015. ... calabarzon

CALABARZON NUTRITION SITUATIONRPAN FORMULATION WORKSHOP 2018

Images from Rappler and UNICEF

EXECUTIVE SUMMARY

✓Regional Nutrition Situation

✓Immediate Causes of Malnutrition

✓Underlying Causes of Malnutrition

✓Basic Causes of Malnutrition

✓Status of Current Programs

SNAPSHOT OF THE REGION

CALABARZON (Region IV-A) is one ofthe 17 regions in the Philippineslocated in the southwestern part of theisland of Luzon and has a total landarea of 16,560 square kilometers. It isthe second most densely populatedregion in the country, principallybecause it is the closest region toMetro Manila. Because of its close

proximity to Manila and the industrial and economic opportunities thatexist there, CALABARZON is experiencing rapid urbanization. It has a totalpopulation of 14 414 774 as of 2015 (Male=7 221 488, Female=7 193 286,0-14 years=4 327 032, 15-64 years=9 476 053, 65 years and over=611689).

NUTRITION SITUATION

REGIONWIDE

Image from Global Giving

ANTHROPOMETRY

0

5

10

15

20

25

30

Underweight Stunting Wasting Overweight

14.8

27.4

6.55.9

18.1

25.2

8.8

6.7

19

27.7

7.6

5

Pre

vale

nce

(%

)

PREVALENCE OF MALNOURISHED AMONG CHILDREN LESS THAN 5 YEARS OLD - CALABARZON

2011* 2013 2015

SOURCE: FNRI-DOST NNS, 2015

PREVALENCE OF UNDERNUTRITION AMONG CHILDREN, LESS THAN 5 YEARS OLD BY PROVINCE, 2013 VS 2015 – CALABARZON AND PROVINCES


0

5

10

15

20

25

30

Underweight Stunting Wasting Overweight

27.126.2

8.6

12.1

25.2

22.9

9.2

12.1

28.8

24.7

9.811.3

Pre

vale

nce

(%

)

PREVALENCE OF MALNOURISHED AMONG CHILDREN 5-10 YEARS OLD – CALABARZON

2011 2013 2015SOURCE: FNRI-DOST NNS, 2015

PREVALENCE OF UNDERNUTRITION AMONG CHILDREN, 5-10 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON


0

5

10

15

20

25

30

Stunting Wasting Overweight/Obese

28.4

14.4

8.9

27.1

15.4

9.6

26.2

13.911.8

Pre

vale

nce

(%

)

PREVALENCE OF MALNOURISHED AMONG CHILDREN 10-19 YEARS OLD - CALABARZON


PREVALENCE OF UNDERNUTRITION AMONG CHILDREN, 10-19 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON


PREVALENCE OF OVERWEIGHT & OBESE AMONG CHILDREN, 0-19 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON


0

5

10

15

20

25

30

35

Chronic Energy Deficiency Overweight/Obese

10.7

30.2

9.8

33.2

10.1

34.2

Pre

vale

nce

(%

)

Prevalence of MALNOURISHED among adults, ≥ 20 years old based on BMI - CALABRZON


PREVALENCE OF MALNUTRITION AMONG ADULTS, ≥ 20 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON


NUTRITION SITUATION

REGIONWIDE

Image from BSA Health Center

BIOCHEMICAL

0

5

10

15

20

25

6 mons-5 y 6-12 y 13-19 y 20-<60 y >=60 y

22.9

15.7

10.2

12.4

24.9

15.9

10.1

4.2

7.8

16.9

Pre

vale

nce

(%

)

PREVALENCE OF ANEMIA PER AGE GROUP - CALABARZON

2008 2013


PERCENT DISTRIBUTION OF SERUM RETINOL AMONG CHILDREN, 5MONTHS TO 5 YEARS OLD BY REGION, 2013 VS 2015 - PHILIPPINES


PERCENT DISTRIBUTION OF SERUM RETINOL AMONG CHILDREN, 6 – 12 YEARS OLD BY REGION, 2013 VS 2015 - PHILIPPINES


0

50

100

150

200

250

300

CALABARZON Cavite Laguna Batangas Rizal Quezon

236

274

240

182

222

259

MEDIAN URINE IODINE EXCRETION <50 ug/L AMONG 6-12 YEARS OLD BY PROVINCE, CALABARZON

Median Urinary Conc.


0

2

4

6

8

10

12

14


8.1 8.1

5.8

13

7.3 7.1

PERCENT OF CHILDREN 6-12 YEARS OLD WITH URINE IODINE EXCRETION <50 ug/L BY PROVINCE, CALABARZON

Prevalence (%)


NUTRITION SITUATION

REGIONWIDE

Image from Sonia Narang

MOTHER AND BABY

PREVALENCE OF NUTRITIONALLY-AT RISK PREGNANT WOMEN BYREGION, PHILIPPINES


2524.5

24.8

28.8

28

26.6

22

23

24

25

26

27

28

29

30

2011 2013 2015

PR

EVA

LEN

CE

(%)

TRENDS IN THE PREVALENCE OF NUTRITIONALLY-AT-RISK PREGNANT WOMEN, Philippines VS CALABARZON

Philippines CALABARZON


PREVALENCE OF LOW BIRTH WEIGHT AMONG YOUNG CHILDREN, 0-3.9YEARS OLD BY REGION, PHILIPPINES


11.912.5

13.6

15.4

14.1

10.8

0

2

4

6

8

10

12

14

16

18

2011 2013 2015

PR

EVA

LEN

CE

(%)

TRENDS IN THE PREVALENCE OF CHRONIC ENERGY DEFICIENCY AMONG LACTATING MOTHERS, PHILIPPINES VS CALABARZON

PHILIPPINES CALABARZON


17.7

21.8

22.4

16.8

19.9

23.4

0

5

10

15

20

25

2011 2013 2015

PR

EVA

LEN

CE

(%)

TRENDS IN THE PREVALENCE OF OVERWEIGHT/OBESITY AMONG LACTATING MOTHERS, PHILIPPINES VS. CALABARZON

PHILIPPINES CALABARZON


IMMEDIATE CAUSES

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PHYSICAL INACTIVITY


IMMEDIATE CAUSES

Image from Greenpeace USA

DIETARY INTAKE

Image from Global GivingSOURCE: FNRI-DOST NNS, 2015

21.6

15.5

29.2

25.2

14.4

28.6

0

5

10

15

20

25

30

35

2011 2013 2015

Pre

vale

nce

(%

)

TRENDS IN MINIMUM DIET DIVERSITY FOR 6-23 MONTHS, PHILIPPINES VS CALABARZON


0 5 10 15 20 25 30 35 40

Quezon

Rizal

Batangas

Laguna

Cavite

CALABARZON

PHILIPPINES

38.5

18.9

35

27.3

27.5

28.6

29.2

% Prevalence

PERCENTAGE OF CHILDREN 6-23 MONTHS MEETING MINIMUM DIET DIVERSITY, CALABARZON AND PROVINCES


87.9

94.1

91.7

88.3

94.9

93.2

84

86

88

90

92

94

96

2011 2013 2015

Pre

vale

nce

(%

)

TRENDS IN MINIMUM MEAL FREQUENCY FOR 6-23 MONTHS, PHILIPPINES VS CALABARZON



88 89 90 91 92 93 94 95 96

Quezon

Rizal

Batangas

Laguna

Cavite

CALABARZON

PHILIPPINES

95.3

90.8

91.1

94.4

94.9

93.2

91.7

% Prevalence

PERCENTAGE OF CHILDREN 6-23 MONTHS MEETING MINIMUM MEAL FREQUENCY, CALABARZON AND PROVINCES


PERCENTAGE OF CHILDREN 6-23 MONS MEETING MINIMUM ACCEPTABLE DIET BY REGION, PHILIPPINES


12.1

6.4

18.6

11.5

4.5

18.6

0

2

4

6

8

10

12

14

16

18

20

2011 2013 2015

Pre

vale

nce

(%

)

Trends in MINIMUM ACCEPTABLE DIET for 6-23 months, PHILIPPINES VS CALABARZON



0 5 10 15 20 25 30

Quezon

Rizal

Batangas

Laguna

Cavite

CALABARZON

PHILIPPINES

28.6

8.7

20.3

18.3

21.1

18.6

18.6

% Prevalence

PERCENTAGE OF CHILDREN 6-23 MONTHS MEETING MINIMUM ACCEPTABLE DIET, CALABARZON AND PROVINCES


IMMEDIATE CAUSES

Image from Rouelle Umali

DISEASE

0 2 4 6 8 10 12 14

Rizal

Quezon

Laguna

Cavite

Batangas

CALABARZON

PHILIPPINES

12.2

5.6

8.5

10.3

9.6

10.3

11.9

Percent (%)

PERCENT OF CHILDREN 0-59 MONTHS WHO EXPERIENCED DIARRHEA IN CALABARZON AND PROVINCES


UNDERLYING CAUSES

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LIFESTYLE FACTORSAND BEHAVIORS

0

1

2

3

4

5

6

7

8


6.9

7.9

5.5

4.5

Pro

po

rtio

n (

%)

PROPORTION OF CURRENT SMOKING AMONG ADOLESCENTS (10-19.9 YEARS). PHILIPPINES VS CALABARZON

2013 2015


22

22.5

23

23.5

24

24.5

25

25.5


25.425.2

23.3 23.3

Pro

po

rtio

n (

%)

PROPORTION OF CURRENT SMOKING AMONG ADULTS (20 YEARS AND ABOVE), PHILIPPINES VS CALABARZON

2013 2015


0

10

20

30

40

50

60

70


56.2

67.2

55.2

62.7

Pro

po

rtio

n (

%)

PROPORTION OF BINGE DRINKING AMONG CURRENTLY DRINKING ADULTS (20 YEARS AND ABOVE), PHILIPPINES VS CALABARZON

2013 2015


UNDERLYING CAUSES

Image from Rappler

FOOD SECURITYSTATUS

0

5

10

15

20

25

30

35

40

45

50


44.4 4446.8

43.746.3

40.3

12.6 14.1 11.9 12.9 12.310.9

24 24.5 23.5 24.4

20.3

27.7

1917.3 17.9 19.1

21 21.1

PERCENTAGE DISTRIBUTION OF HOUSEHOLDS BY FOOD SECURITY, CALABARZON AND PROVINCES

Food Secure Mildly Food Insecure Moderately Food Insecure Severely Food Insecure


0

5

10

15

20

25

30

35

40

45

Food Secure Mildly Food Insecure Moderately FoodInsecure

Severely Food Insecure

33.9

12.3

31.9

21.9

44.4

12.6

24

19Perc

ent

(%)

PERCENTAGE DISTRIBUTION OF HOUSEHOLDS BY FOOD SECURITY STATUS, PHILIPPINES VS CALABARZON



UNDERLYING CAUSES

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CARE, FEEDING PRACTICES AND

BEHAVIORS

Selected Indicators of Services and

Care during the F1KPhilippines CALABARZON Source of Data

Exclusive breastfeeding (0-5 months) 24.7 32.4 NNS, 2015

Mean duration of exclusive

breastfeeding (in months)4.2 4 NNS, 2015

Mean duration of breastfeeding (in

months)8.3 7.6 NNS, 2015

Breastfeeding with complementary

feeding of 6-11 months57.7 54.4 NNS, 2015

Breastfeeding with complementary

feeding of 12-23 months43.1 37.2 NNS, 2015

Coverage of selected services within the First 100 days period, Philippines VS. CALABARZON



Percent of mothers with on time (1st

trimester) first prenatal check-up

during their last/current pregnancy

69.5 71.6 NNS, 2015

Proportion of pregnant women with

four or more prenatal visits (%)53.5 39.44 FHSIS, 2015

Proportion of pregnant women given

complete iron with folic acid

supplements (%)

47.22 37.21 FHSIS, 2015




Percentage of women receiving two

or more tetanus toxoid injections

during last pregnancy

28.1 21.78 FHSIS, 2015

Percentage of births delivered in

health facility85.5 84.06 FHSIS, 2015

Percentage of children 6-23 months

meeting the Minimum Acceptable

Diet

18.6 18.6 NNS, 2015


PERCENTAGE DISTRIBUTION OF EXCLUSIVELY BREASTFED 0-5 MONTHS OLD BY REGION, PHILIPPINES


0 10 20 30 40 50 60

PHILIPPINES

CALABARZON

Cavite

Laguna

Batangas

Rizal

Quezon

48.8

32.4

21.2

26.1

28.3

33.7

59.4

29.2

31.9

27.7

37.8

38.9

23

33.6

Prevalence (%)

PERCENTAGE OF EXCLUSIVELY BREASTFEEDING AND BREASTFEEDING WITH COMPLEMENTARY FEEDING AMONG 0-5 MONTHS CHILDREN, CALABARZON

AND PROVINCES

BF + Complemetary Feeding EBFSOURCE: FNRI-DOST NNS, 2015

0 10 20 30 40 50 60 70

PHILIPPINES

CALABARZON

Cavite

Laguna

Batangas

Rizal

Quezon

57.7

54.4

54.9

51.6

57.5

49.8

65.9

37.4

41.7

45.1

46

36

44.9

26.5

Prevalence (%)

PERCENTAGE OF BREASTFEEDING WITH COMPLEMENTARY FEEDING AND BREASTMILK SUBSTITUTE WITH FOOD AMONG 6-11 MONTHS CHILDREN

Breastmilk Substitute + Food BF + Complemetary FeedingSOURCE: FNRI-DOST NNS, 2015

0 10 20 30 40 50 60 70

PHILIPPINES

CALABARZON

Cavite

Laguna

Batangas

Rizal

Quezon

43.1

37.2

35.4

32.3

31.9

40.5

47.3

45.8

54.4

61.3

59.4

59

53

26.5

Prevalence (%)

PERCENTAGE OF BREASTFEEDING WITH COMPLEMENTARY FEEDING AND BREASTMILK SUBSTITUTE WITH FOOD AMONG 12-23 MONTHS CHILDREN

Breastmilk Substitute + Food BF + Complemetary FeedingSOURCE: FNRI-DOST NNS, 2015

51.9

77.1

65.1

38.2

71.5

57

0

10

20

30

40

50

60

70

80

90

2011 2013 2015

PR

EVA

LEN

CE

(%)

TRENDS OF CHILDREN 0-23 MONTHS INITIATED TO BREASTFEEDING WITHIN 1 HOUR AFTER DELIVERY, PHILIPPINES VS CALABARZON



0 10 20 30 40 50 60 70 80 90

Quezon

Rizal

Batangas

Laguna

Cavite

CALABARZON

PHILIPPINES

61

44

45.2

45.8

87.9

57

65.1

% Prevalence

PREVALENCE OF CHILDREN 0-23 MONTHS INITIATED TO BREASTFEEDING WITHIN 1 HOUR AFTER DELIVERY, CALABARZON AND PROVINCES


48.952.3

48.8

33.1

40.6

32.4

0

10

20

30

40

50

60

2011 2013 2015

PR

EVA

LEN

CE

(%)

TRENDS OF EXCLUSIVELY BREASTFED CHILDREN 0-5 MONTHS, PHILIPPINES VS CALABARZON



0 10 20 30 40 50 60

Quezon

Rizal

Batangas

Laguna

Cavite

CALABARZON

PHILIPPINES

59.4

33.7

28.3

26.1

21.2

32.4

48.8

PREVALENCE OF EXCLUSIVE BREASTFEEDING IN CHILDREN 0-5 MONS, CALABARZON AND PROVINCES


0 1 2 3 4 5 6 7 8 9

Quezon

Rizal

Batangas

Laguna

Cavite

CALABARZON

PHILIPPINES

8.9

7.9

7.2

7.3

7.3

7.6

8.3

4.2

3.9

4.2

4.5

3.2

4

4.2

Months

MEAN DURATION (IN MONTHS) OF BREASTFEEDING, CALABARZON AND PROVINCES

EBF Duration BF Duration


0

0.5

1

1.5

2

2.5


1.1

0.7

1.3

0.8

1.8

0.9

1.5

1.8

0.93

1.67

1.2

2.37P

rop

ort

ion

(%

)

AVERAGE INFLATION RATE OF CALABARZON AND PROVINCES

3rd Qtr 4th Qtr

SOURCE: PSA via NEDA, 2016

UNDERLYING CAUSES

Image from Rappler

POOR WATER, SANITATION AND

FOOD SAFETY

0

20

40

60

80

100

120

140

160


97.47 97.4489.57

143.01135.76

94.24

Pro

po

rtio

n (

%)

PERCENT OF HOUSEHOLDS WITH ACCESS TO IMPROVED AND SAFE WATER SUPPLY, CALABARZON AND PROVINCES

Percent (%)

SOURCE: DOH FHSIS, 2015


0

20

40

60

80

100

120


81.7289.05

80.84

65.45

116.86

55.89

Pro

po

rtio

n (

%)

PERCENT OF HOUSEHOLDS WITH COMPLETE BASIC SANITATION FACILITIES, CALABARZON AND PROVINCES

Percent (%)


0

10

20

30

40

50

60

70

80

90

100


84.8188.09 89.76

80

93.65

76.99

Pro

po

rtio

n (

%)

PERCENT OF FOOD ESTABLISHMENTS WITH SANITARY PERMIT, CALABARZON AND PROVINCES

Percent (%)


UNDERLYING CAUSES

Image from Concept Central

GOVERNMENTPROGRAMS

PERCENTAGE OF HOUSEHOLD’S PARTICIPATION IN PANTAWID PAMILYANG PILIPINO PROGRAM (4Ps) BY REGION, PHILIPPINES


PERCENTAGE OF HOUSEHOLD’S PARTICIPATION IN PANTAWID PAMILYANG PILIPINO PROGRAM (4Ps) BY PROVINCE, CALABARZON


0 10 20 30 40 50 60 70 80

Rizal

Quezon

Laguna

Cavite

Batangas

CALABARZON

PHILIPPINES

42.6

25

34.2

38

35.8

64.4

70.6

Percent (%)

PERCENT OF CHILDREN 12-71 MONTHS WHO PARTICIPATED IN VITAMIN A SUPPLEMENTATION, CALABARZON AND PROVINCES


0 10 20 30 40 50 60 70 80 90

Rizal

Quezon

Laguna

Cavite

Batangas

CALABARZON

PHILIPPINES

36.3

47.4

32.4

53.8

53.3

44.3

58.2

72.9

85.9

80.7

88.1

88.1

83.4

89

Percent (%)

PERCENT PARTICIPATION OF CHILDREN IN DEWORMING PROGRAM OF CALABARZON AND PROVINCES

6-12 years old 12-71 months old


Municipality/

City

Status of

Training

Status of

Advocacy

Status of

Monitoring

Polilio, Quezon ✓ ✓ To be scheduled

Calauag, Quezon ✓ ✓ On-going (4th cycle)

Malunay,

Quezon✓ ✓ On-going (2nd cycle)

San Andres,

Quezon✓ ✓ At endline

Real, Quezon ✓ ✓ ✓

Antipolo City,

Rizal✓ ✓ At endline

Angono, Rizal ✓ X To be scheduled

San Luis,

BatangasX ✓ X

Clatagan,

Batangas✓ ✓ ✓

DOST-PINOY

BASIC CAUSES

Image from Michelle Patino

EMPLOYMENTAND POVERTY

0

10

20

30

40

50

60

70

80

90

100

Employment Rate Unemployment Rate Underemployment Rate

93.8

6.2

15.7

Pro

po

rtio

n (

%)

LABOR AND EMPLOYMENT AS OF OCT 2016, CALABARZON

Percent (%)

SOURCE: NEDA, 2015

0

2

4

6

8

10

12

14

16

18


6.7

4.5 4.1

6.8

3.6

17.1P

rop

ort

ion

(%

)

POVERTY INCIDENCE, CALABARZON AND PROVINCES

Percent (%)

SOURCE: PSA, 2015

0

5

10

15

20

25

30

35

40

2006 2009 2012 2015

20.523.2 24.1

16.7

24.727.1

39.2

19

Pro

po

rtio

n (

%)

TRENDS IN POVERTY INCIDENCE OF FARMERS & FISHERMEN, CALABARZON

Farmers Fishermen

SOURCE: PSA, 2015

0 5 10 15 20 25 30 35 40 45

Farmers

Fishermen

Children

Self-employed workers

Unpaid family workers

Women

Youth

Migrant & Formal Sector workers

Senior Citizens

People in Urban Areas

42.6

25

34

25

25

22.5

19.4

13.4

13.2

11.5

Percent (%)

PERCENT OF POOR AMONG THE BASIC SECTORS IN 2015, PHILIPPINES

SOURCE: PSA, 2015

SOURCE: PSA, 2015

Region and Province Number

CALABARZON 22 121

Cavite 24 882

Laguna 21 770

Batangas 21 767

Rizal 24 198

Quezon 20 515

Annual Per Capita Poverty Threshold (Pesos), CALABARZON and provinces

STATUS OF CURRENT PROGRAMS

FUNCTIONAL LOCAL NUTRITION COMMITTEES, CALABARZON

LGUFully

Functional

Substantially

Functional

Partially

Functional

Non-

FunctionalProvinces

1. Cavite ✓

2. Laguna ✓

3. Batangas ✓

4. Rizal ✓

5. Quezon ✓

LGUFully

Functional

Substantially

Functional

Partially

Functional

Non-

FunctionalCities

6. Antipolo City ✓

7. Bacoor City ✓

8. Batangas City ✓

9. Biñan City ✓

10. Cabuyao City ✓

11. Calamba City ✓

12. Cavite City ✓

13. Dasmariñas City ✓

14. Imus City ✓

15. Lipa City ✓

16. Lucena City ✓

17. San Pablo City ✓

18. San Pedro City ✓

19. Sta. Rosa City ✓

20. Tagaytay City ✓

21. Tanauan City ✓

22. Tayabas City ✓

23. Trece Martires City ✓

SUMMARY ANALYSIS

CAUSES OF MALNUTRITION IN CALABARZON

✓Physical inactivity✓ Low rates of Exclusive Breastfeeding for infants 0-6 months✓ Low prevalence of initiation of breastfeeding with one hour

after delivery (Unang Yakap)✓ Low/Poor participation in Pantawid Pamilyang Pilipino

Program (4Ps)✓ Low attainment of Minimum Meal Frequency and

Minimum Acceptable Diet✓ Lifestyle Factors and Behaviors✓Poverty (esp. farmers and fishermen)

Documents

CALABARZON NUTRITION SITUATION€¦ · 13.9) 11.8 prevalence of malnourished among children 10-19 years old - calabarzon 2011 2013 2015 source: fnri-dost nns, 2015. ... calabarzon