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EXPANDED NATIONAL NUTRITION SURVEY: 2019 RESULTS SOUTHERN LEYTE 2019 Expanded National Nutrition Survey Overview and Methodology The Department of Science and Technology -Food and Nutrition Research Institute (DOST-FNRI) is the premier Research and Development Institute of the government in food, and nutrition and other S & T services. LEGAL BASIS Executive Order 128 Section 22 The FNRI is mandated to undertake research that defines the citizenry’s nutritional status, with reference particularly to the malnutrition problem, its causes and effects, and identify alternative solutions to them; Executive Order 352 The national nutrition survey is a designated statistical activity that will generate critical data for decision-making of the government and the private sector Designated Statistical Activities • The National Nutrition Survey (NNS) is a comprehensive survey conducted every five years since 1978 and the latest of which is in 2013. • In-between the five-year period, the Updating Survey of Nutritional Status of Children and Other Population Groups is conducted every 2 to 3 years to rapidly assess the nutrition situation of Filipinos. HISTORICAL BACKGROUND 1978 1982 1987 1990 1993 1995 1998 1st NNS 2nd NNS 3rd NNS 1st 4th NNS 2nd 5th NNS Updating Updating Survey Survey 2001 2003 2005 2008 2011 2013 2015 2018-2020 3rd 6th NNS 4th 7th NNS 5th 8th NNS 6th Updating Updating Updating Updating Expanded Survey Survey Survey Survey NNS SURVEY COMPONENTS GOVERNMEN CLINICAL & SOCIO-ECONOMIC T PROGRAM ANTHROPOMETRY BIOCHEMICAL DIETARY HEALTH 3 Components in 1978 NNS 9 Components in 2018 ENNS MATERNAL IYCF FOOD SECURITY SAMPLE SIZE 1978 NNS 2018 ENNS 2,800 Households 45,957 Households 17,667 Individuals 159,926 Individuals METHOD OF DATA COLLECTION METHOD OF DATA COLLECTION RESULTS DISSEMINATION The Expanded National Nutrition Survey or ENNS Rationale: Generation of National Nutrition Data • There is a need to generate Nutrition and Health Data Annually at the National Level to cover key health and nutrition indicators for monitoring national programs • To provide official statistics on SDG indicators assigned to FNRI for tracking changes or improvement Rationale: Generation of local level data • To generate reliable estimates for the province and HUCs to be used by local government units (LGUs) and other stakeholders as basis for their development plan. General Objective: To provide empirical data on the nutritional and health status of Filipinos for planning nutrition and development programs, and for timely policy decisions at the national and provincial/HUC levels. Specific Objectives: 1. To assess the physical growth and dimensions of children and other population groups using anthropometric indicators; 2. To assess the nutrition biomarkers of children and other population groups (e.g. hemoglobin, serum retinol, urinary iodine excretion, etc.); Specific Objectives: 3. To determine the following: • the prevalence of non-communicable disease risk factors of 10 years old and above • energy and nutrient intake at the household and individual levels; • the magnitude of food insecurity and coping mechanisms among households; Specific Objectives: 3. To determine the following: • the participation of households and individuals in selected health and nutrition related programs; • feeding practices of infants and young children, 0-23 months; • maternal nutrition and health status among mothers with 0-36 month old children and pregnant women; Specific Objectives: 4. To describe the socio-economic and demographic characteristics of the households and individuals; 5. To evaluate association of different risk factors to nutrition and health status. Specific Objectives: 6. To monitor/ track progress of the achievement of the Sustainable Development Goals (SDGs) designated to FNRI as the data source: SDG 2 (Zero Hunger) SDG 3 (Good Health and Well Being) Baseline Updates Goals/Targets/Indicators Data Source Agency 2015 2018 2019 By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable target 2.1 situations, including infants, to safe, nutritious and sufficient food all year round Updating of Nutritional Status of 31.0 Filipino Children and Other Proportion of households meeting 100% 2.1.1.p1 Population Groups, FNRI-DOST recommended energy intake Expanded National Nutrition 24.2 Survey, FNRI-DOST By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on target 2.2 stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons Updating of Nutritional Status of Prevalence of stunting (height for age <- 33.4 Filipino Children and Other 2 standard deviation from the median of Population Groups, FNRI-DOST 2.2.1 the World Health Organization (WHO) Child Growth Standards) among Expanded National Nutrition 30.3 28.8 children under 5 years of age Survey, FNRI-DOST Baseline Updates Goals/Targets/Indicators Data Source Agency 2015 2018 2019 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets target on stunting and wasting in children under 5 years of age, and address the nutritional needs of 2.2 adolescent girls, pregnant and lactating women and older persons Prevalence of malnutrition (weight for height >+2 or <-2 standard deviation from the median of the WHO 2.2.2 Child Growth Standards) among children under 5 years of age, by type (wasting and overweight) Prevalence of malnutrition for Updating of Nutritional Status of children under 5 years <-2 SD from 7.1 Filipino Children and Other 2.2.2.1 the median of the WHO CGS Population Groups, FNRI-DOST (wasting) Expanded National Nutrition Survey, 5.6 5.8 FNRI-DOST Prevalence of malnutrition for Updating of Nutritional Status of children under 5 years >+2 SD 3.9 Filipino Children and Other from the median of the WHO CGS Population Groups, FNRI-DOST 2.2.2.2 (overweight) Expanded National Nutrition Survey, 4.0 2.9 FNRI-DOST Baseline Update Goals/Targets/Indicators Data Source Agency 2013 2018 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and target 2.2 wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons 2.2.s1 Prevalence of micronutrient deficiencies (Vitamin A, Iron) 2.2.s1.1 Vitamin A Deficient 6 months to 5 years old 20.4 National Nutrition Survey, FNRI-DOST 16.9 Expanded National Nutrition Survey, FNRI-DOST Pregnant 9.0 National Nutrition Survey, FNRI-DOST 3.2 Expanded National Nutrition Survey, FNRI-DOST Lactating 5.0 National Nutrition Survey, FNRI-DOST 2.3 Expanded National Nutrition Survey, FNRI-DOST 60 years old and up 3.0 National Nutrition Survey, FNRI-DOST 1.1 Expanded National Nutrition Survey, FNRI-DOST Goals/Targets/Indicators Baseline Updates Data Source Agency 2013 2018 2019 target 2.2 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons 2.2.s1.2 Anemia 6 months to 5 13.8 National Nutrition Survey, FNRI-DOST years old 14.3 12.5 Expanded National Nutrition Survey, FNRI-DOST Pregnant 24.6 National Nutrition Survey, FNRI-DOST 26.1 19.9 Expanded National Nutrition Survey, FNRI-DOST Lactating 16.7 National Nutrition Survey, FNRI-DOST 14.4 11.6 Expanded National Nutrition Survey, FNRI-DOST 60 years old 20.8 National Nutrition Survey, FNRI-DOST and up 20.2 16.9 Expanded National Nutrition Survey, FNRI-DOST Baseline Updates Goals/Targets/Indicators Data Source Agency 2015 2018 2019 2.2.s2 Prevalence of exclusively Updating of Nutritional Status of Filipino Children and 48.8 breastfed children 0 to 5 Other Population Groups, FNRI-DOST months old 54.9 57.9 Expanded National Nutrition Survey, FNRI-DOST Baseline Updates Goals/Targets/Indicators Data Source Agency 2015 2018 2019 target Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in 3.a all countries, as appropriate. 3.a.1 Age-standardized prevalence of current Updating of Nutritional Status of tobacco use among persons aged 15 22.9 20.6 Filipino Children and Other Population years and older Groups, FNRI-DOST 3.a.s1 Prevalence of current tobacco use Prevalence of current tobacco use of Updating of Nutritional Status of Filipino 10-19.9 years old 5.8 Children and Other Population Groups, NNS, FNRI-DOST Expanded National Nutrition Survey, 4.5 3.7 FNRI-DOST Prevalence of current tobacco use of Updating of Nutritional Status of Filipino 20 years old and over 24.9 Children and Other Population Groups, NNS, FNRI-DOST Expanded National Nutrition Survey, 22.3 21.7 FNRI-DOST What and how are the data collected METHOD: Actual data collection Measurement of physical growth (weight and Anthropometry height) and body composition (mid upper arm, waist and hip circumferences) Measures the prevalence of underweight, underheight, thinness, overweight and obesity METHOD: Actual data collection Assesses prevalence of Vitamin A Biochemical Deficiency, Iron Deficiency Anemia and other nutrient deficiencies. Collection of blood and urine samples METHOD: Actual data collection Assesses the prevalence of elevated blood pressure, Clinical and high fasting blood glucose and dyslipidemia, as well as behavioral risk factors such as smoking, alcohol Health consumption, physical inactivity and unhealthy diet. Measurement of blood pressure, collection of blood and face-to-face interview METHOD: Actual data collection Determines the quality and quantity of food and nutrient intakes of households and Dietary individual member of the sample households. One-day food weighing (household) and 24-hour food recall (individual) METHOD: Actual data collection Assesses food security at the Food Security household and individual level as well as coping mechanisms and strategies.
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