EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD ARTECHE SAN POLICARPIO Municipal Nutrition ORAS Municipality Address Email Contact Number MASLOG Action Officer (MNAO) DOLORES
Balangiga Prisca G. Caralos Rural Health Unit, Balangiga, Eastern Samar N/A +639193882483 CANAVID Balangkayan Emelia Y. Lagria OMAS, Balangkayan, Eastern Samar +639057834891 TAFT Borongan Celso Batula Office of the City Agriculturist, Borongan, Eastern N/A +639062576669 SULAT Samar
SAN JULIAN Gen. Charmela N. Dincol Rural Health Unit, Gen. Mac Arthur, Eastern [email protected] +639179026780 MacArthur Samar BORONGAN Giporlos Lina S. Go Rural Health Unit, Giporlos, Eastern Samar [email protected] +639186299960 MAYDOLONG BALANGKAYAN Guiuan Crisanta G. Gapate Rural Health Unit, Guiuan, Eastern Samar [email protected] +639173982330 Hernani Perlita B. Collano Hernani, Eastern Samar [email protected] +639287991803 LLORENTE HERNANI Lawaan Violeta E. Ganas MSWDO, Lawaan, Eastern Samar N/A +639298762101 GEN. MACARTHUR
LAWAAN QUINAPONDAN Llorente Myra Cecilia D. Grata Rural Health Unit, Llorente, Eastern Samar [email protected] +639351028098 SALCEDO Maydolong Priscilla L. Cafe OMAS, Maydolong, Eastern Samar BALANGIGA MERCEDES GIPORLOS GUIUAN Mercedes Ma. Grace B. Babaylon Rural Health Unit, Mercedes, Eastern Samar --- +639214641093 Quinapondan Pacita Candido Rural Health Unit, Quinapondan, Eastern Samar N/A +639287188666 Salcedo Mardonia D. Berongoy Rural Health Unit, Salcedo, Eastern Samar [email protected] +639065605277 San Julian Ma. Teresita M. Calvadores MSWDO, San Julian, Eastern Samar +639156477229 +639179359251
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS BORONGAN
DOLORES Barangay – High Frequency ● CNAO should acquire the data for consolidation ● Reported ● Partners getting the data from BNSs to be submitted to PNAO for better coordination ● Incentives were provided by LGU CANAVID instead of CNAO for consolidation ● Provide incentives to BNSs to shoulder their ● Misunderstanding with nutrition additional expense in accomplishing tasks TAFT activity procedures between CNAO, given to them SULAT BNSs and partners ● BNSs should only assist partners on IYCF and
SAN JULIAN ● Additional work on nutrition activities other nutrition activities (except MUAC was given by partners to BNSs screening) without additional support on BORONGAN incentives
MAYDOLONG Barangay – High Frequency ● Revise form to include 0-6 months lactating ● Reported BALANGKAYAN ● Difficulty in identifying lactating women women target because the indicator is not stated in the form LLORENTE HERNANI Barangay – High Frequency ● Partners should deliver what they promised to ● Reported GEN. MACARTHUR ● Communities are expecting to receive give the communities since some barangay LAWAAN QUINAPONDAN SALCEDO the materials promised by partners staff already exerted effort in preparation to receive promised items (i.e. tents, nutrition BALANGIGA MERCEDES GIPORLOS posts) GUIUAN Barangay – High Frequency ● Ask partners to conduct additional CMAM ● Reported ● CMAM training requested training
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS BORONGAN (continued)
DOLORES Barangay – Medium Frequency ● Provide additional intervention with MAM cases ● Reported ● Concern with MAM cases (identified for proper monitoring and development CANAVID MAM cases were counselled and ● Provide resources in support of malnourished referred to RHU only – no taker) lactating mothers TAFT ● Priority for malnutrition is for pregnant SULAT women only (no resources for
SAN JULIAN lactating mothers)
How Agencies Received Feedback:
BORONGAN Interview with City Nutrition Action Officer and LGU Nutrition staff.
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS MAYDOLONG
DOLORES Barangay – High Frequency ● BNSs should assist the partners that will ● Reported ● BNSs were conducting the lectures conduct the lectures CANAVID instead of partners Barangay – High Frequency ● BNSs were advised to continue with the last ● 4th Round MUAC Screening was TAFT ● BNSs were reluctant to conduct round of MUAC screening to have better done during the prescribed period SULAT MUAC Screening due to impressions comparison/analysis on the results taken during
SAN JULIAN that results on SAM cases were not the 4 rounds relevant compared to height/weight measurements BORONGAN Barangay – Medium Frequency ● Conduct orientations/trainings in a smaller ● Reported
MAYDOLONG ● Communities were expecting to group (preferably house-to-house) for better BALANGKAYAN receive snacks during large group understanding and efficiency orientations/trainings
LLORENTE HERNANI How Agencies Received Feedback:
GEN. MACARTHUR Interview with Municipal Nutrition Action Officer.
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS BALANGKAYAN
DOLORES Municipality – High Frequency ● Coordinate with MNAO with all nutrition ● Reported ● Forms were directly distributed to activities within her coverage area of CANAVID BNSs without coordination with responsibility MNAO TAFT ● MNAO was not aware on the SULAT inventory of anthropometric tools
SAN JULIAN distributed by partners Municipality – High Frequency ● Provide ample time to meet reporting ● Report deadline was extended ● Deadlines on additional nutrition requirements BORONGAN programs were difficult to meet due to
MAYDOLONG existing duties BALANGKAYAN How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer.
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS LLORENTE
DOLORES Municipality – High Frequency ● Conduct regular MNAO meetings for proper ● Due to budget constraints, ● MNAOs role not clear on programs orientation on nutrition programs information on nutrition programs CANAVID with NGO partners ● Installation of charts to RHU requested by were disseminated to partners to ● Refusal of teachers for their children PNAO be relayed to municipalities TAFT to participate SULAT Municipality – High Frequency ● Provide training for new appointees ● Reported
SAN JULIAN ● Low coverage for MUAC Screening – ● Seek support from Local Chief Executive BHW are not BNS (new appointees) ● Services affected since LGU was not BORONGAN giving support (revamping)
MAYDOLONG Municipality – High Frequency ● Conduct additional trainings on nutrition and ● Partners conducting trainings on BALANGKAYAN ● No proper orientation on the program regular meetings for proper orientation nutrition and disseminating implementation (MNAO not trained – necessary information to no capabilities) concerned individuals LLORENTE HERNANI ● No meeting with MNAOs since GEN. MACARTHUR January (budget frozen) LAWAAN QUINAPONDAN SALCEDO ● Not all BNS participating in CHT (does not meet qualification) BALANGIGA MERCEDES GIPORLOS Municipality – High Frequency ● Assign separate MNAO ● Reported GUIUAN ● Workload issues (MHO also functioning as MNAO)
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS LLORENTE (continued)
DOLORES Barangay – High Frequency ● BNSs advised to remain active (issues affecting ● Reported ● Lack of honorarium since year 2000 the performance) CANAVID for BNS ● Nutrition funds were available but not TAFT yet released by LGU officials SULAT ● Lack of formal orientation to BNSs
SAN JULIAN due to budget constraints Barangay – Medium Frequency ● Use old forms since new forms are not yet ● Reported ● Availability of new forms available BORONGAN ● Length for height board were not
MAYDOLONG given due to geographic priorities BALANGKAYAN Barangay – Low Frequency ● Adjust target population ● Reported ● Many transients are coming in and going out of the respective barangays LLORENTE HERNANI resulting to low screening result GEN. MACARTHUR Barangay – Low Frequency ● Adjust target population ● Reported LAWAAN QUINAPONDAN SALCEDO ● Many transients are coming in and going out of the respective barangays BALANGIGA MERCEDES GIPORLOS resulting to low screening result GUIUAN How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer.
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS HERNANI
DOLORES Municipality – High Frequency ● Request for additional budget for nutrition ● There’s available budget for ● Local government budget for nutrition ● MNAO advised to talk to DILG and have BNS Nutrition Month celebration CANAVID activities not enough basic refresher course ● Issue/Plan submitted to UNICEF ● Issues on inactive BNSs during Planning Workshop TAFT ● Many new appointed BNS (not SULAT trained)
SAN JULIAN Municipality – High Frequency ● Assign/Designate full pledge MNAO focused on ● Issue reported to authorities ● Nutrition program not priority due to nutrition activities other duties ● Create MNAO item BORONGAN Municipality – High Frequency ● Provide supplies of Ferrous Sulfate Syrup to ● Requested for the supply of
MAYDOLONG ● Limited supply of Ferrous Sulfate municipality Ferrous Sulfate Syrup BALANGKAYAN Syrup for underweight children Municipality – High Frequency ● Other lead agencies to provide resources for ● Some inputs were provided by ● Concern when relief operations/NGO support Department of Agriculture LLORENTE HERNANI and donor agencies assistance ends GEN. MACARTHUR Barangay – High Frequency ● Adjust/recalibrate target population ● Reported LAWAAN QUINAPONDAN SALCEDO ● Target population is high (all children screened – effective family planning – BALANGIGA MERCEDES GIPORLOS 45% Contraceptive Prevalence Rate) GUIUAN Barangay – High Frequency ● Provide additional budget ● Barangays was not able to give enough intervention to identified underweight/malnourished children
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS HERNANI (continued)
DOLORES Barangay – High Frequency ● Set-up nutrition posts and request for supplies ● Some barangays have no nutrition of materials CANAVID posts ● Absence of kitchen and utensils for TAFT feeding activities SULAT Barangay – Medium Frequency ● Request for supply of weighing scales and ● Plan International will distribute
SAN JULIAN ● Lack supply of weighing scales and height boards weighing scales and height boards height boards Barangay – Medium Frequency ● Provide additional allowance for BNS work ● Requested but not yet received BORONGAN ● Lack of incentive of BNS (receiving ● Conduct refresher course to BNS
MAYDOLONG incentive only as BHW) BALANGKAYAN Barangay – Medium Frequency ● PNAO advised MNAO to attend trainings ● BNS/Midwife currently ● Some BNSs were not active ● Some BNSs need to attend refresher training advising/counselling PLWs on ● Some mothers were not practicing especially the newly appointed BNSs exclusive breastfeeding LLORENTE HERNANI exclusive breastfeeding ● Advise/Counsel mothers on exclusive GEN. MACARTHUR breastfeeding LAWAAN QUINAPONDAN SALCEDO How Agencies Received Feedback: BALANGIGA MERCEDES GIPORLOS Interview with Municipal Nutrition Action Officer, Midwife, Barangay Nutrition Scholar/Community Health Worker and Pregnant and GUIUAN Lactating Women.
Quotes that Illustrate Issues: “Creation of MNAO item is a must.” Perlita B. Collano, Municipal Nutrition Action Officer, Hernani, Eastern Samar
“There should be full pledge MNAO to focus on nutrition programs.” Erlinda O. Gilber, Midwife, Main Health Center, Hernani, Eastern Samar
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD ARTECHE SAN POLICARPIO
MASLOG ORAS
DOLORES
CANAVID
TAFT
SULAT
SAN JULIAN
BORONGAN
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO Hernani BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS GEN. MACARTHUR
DOLORES Municipality – High Frequency ● Create budget for additional incentives to BNSs ● Reported ● BNS complaining on additional work CANAVID loads and lack of incentive Municipality – High Frequency ● Provide vehicle support for transportation to ● Reported TAFT ● Logistics problem for midwives to upland areas SULAT bring supplies to upland areas
SAN JULIAN Municipality – Medium Frequency ● Provide extended time to accomplish other ● Provided schedule submission of ● Delay with submission of nutrition nutrition program activities 4th Round MUAC Screening program results due to other duties Result (1 week preparation) BORONGAN Barangay – High Frequency ● Seek Mayor’s approval to release funds for
MAYDOLONG ● Budget availability to nutrition nutrition BALANGKAYAN programs were frozen by the Mayor Barangay – High Frequency ● Double check data to address double reporting ● Respondents with double entry ● Double reporting of respondents in ● Update barangays about status of promised corrected (validated with other LLORENTE HERNANI barangays nutrition posts (some barangays already barangays) GEN. MACARTHUR ● Partners promised for nutrition posts exerted effort and created resolutions) ● Reported LAWAAN QUINAPONDAN SALCEDO but not yet materialized Barangay – Medium Frequency ● Adjust target population coverage ● Reported BALANGIGA MERCEDES GIPORLOS ● Address of children changed resulting GUIUAN to low coverage in MUAC screening
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS GEN. MACARTHUR (continued)
DOLORES Barangay – Medium Frequency ● Use old forms (new forms not yet available) ● Reported (new forms for delivery) ● New forms not yet available ● Advocated purchase of weighing scales and CANAVID ● Vitamin supplements and other length for height boards materials were requested TAFT
SULAT How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer. SAN JULIAN
BORONGAN
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS QUINAPONDAN
DOLORES Municipality – High Frequency ● Allot more time for report consolidation and ● MNAO given 1 week for report ● Delayed submission of reports submission preparation/consolidation before CANAVID ● Low accomplishment result was due ● Adjust population target (all children 6-59 mos. submission to high projection on population target in the barangays were screened) ● Reported TAFT Municipal – High Frequency ● Encourage officials not to replace CHT ● Advised barangay officials on the SULAT ● Other members of CHT still needed members to be more effective on their roles importance of keeping their
SAN JULIAN orientation on their roles due to based on their qualifications current CHTs replacement by the Barangay Captains BORONGAN Barangay – High Frequency ● Additional incentives should be given to BNSs ● Reported
MAYDOLONG ● BNSs still participating in the nutrition to encourage better performance especially on BALANGKAYAN program despite of complaints with travels (BNS performs with more enthusiasm if lack of incentives and travelling they have the materials and more support given allowance (some areas are far-flung) for their work – especially for the volunteers) LLORENTE HERNANI ● Incentives given to CHT were GEN. MACARTHUR supposed to be given monthly - some LAWAAN QUINAPONDAN SALCEDO members transferred to other careers due to income loss on coconut BALANGIGA MERCEDES GIPORLOS farming GUIUAN ● LGU budget for nutrition were not fully released by LGU officials Barangay – Medium Frequency ● Provide additional support/intervention to ● Mothers expecting to receive mothers and their children something in kind for every visit of ● Properly orient/advise communities about BHWs/BNSs monitoring nutrition activities
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS QUINAPONDAN (continued)
DOLORES Barangay – Medium Frequency ● Provide allowance for meetings ● Reported ● No allowances for meetings (budget CANAVID on national level was stopped) Barangay – Medium Frequency ● Provide feeding programs or every barangays TAFT ● Concern on meeting targets for with underweight children SULAT nutrition activities when partner
SAN JULIAN NGOs leave Barangay – Medium Frequency ● Still use old forms (new forms not yet delivered) ● New forms for delivery ● New forms availability ● Training on height measurement advised for ● Supply of anthropometric tools BORONGAN ● Height boards (not yet complete) and partners to deliver the charts requested
MAYDOLONG weighing scales (all functional) for ● Supplies of forms on CHT needed improvement BALANGKAYAN barangays (tent was damaged - (PHO giving forms from DOH) utilization not properly managed) Barangay – Medium Frequency ● BNSs divided their duties depending on ● MNAO was given 1 week period LLORENTE HERNANI ● Reasons for delay on data location (all BNSs involved in the upland areas) for data submission GEN. MACARTHUR submission: BNS wants to complete LAWAAN QUINAPONDAN SALCEDO the data before submitting ● Low children screened coverage in BALANGIGA MERCEDES GIPORLOS the 1st Round MUAC Screening was GUIUAN due to transfer of residence of children to other areas
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS QUINAPONDAN (continued)
DOLORES Barangay – Medium Frequency ● Request for data on counselling activities ● Reported ● MCF in Barangay San Isidro is not ● PNAO insisted to MNAOs to attend for every CANAVID yet done by partner (complementary TOT conducted (issues were raised on seeking feeding lecture) Mayor’s approval and budget; MNAO advised TAFT ● Training proposed to UNICEF for to personalize the invitation so that it will not be SULAT BNSs was not allowed ignored)
SAN JULIAN How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer and Barangay Health Worker / Barangay Nutrition Scholar.
BORONGAN Quotes that Illustrate Issues: MAYDOLONG “Some mothers refuse to participate on nutrition activities due to misconceptions about the procedure.” Josephine Valdemoro, Barangay Health BALANGKAYAN Worker / Barangay Nutrition Scholar, Barangay 5, Quinapondan, Eastern Samar
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD ARTECHE SAN POLICARPIO
MASLOG ORAS
DOLORES
CANAVID
TAFT
SULAT
SAN JULIAN
BORONGAN
MAYDOLONG BALANGKAYAN
Quinapondan LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS SALCEDO
DOLORES Municipality – High Frequency ● Midwife to monitor BNSs ● Additional time spent to monitoring CANAVID BNSs for their trainings (IYCF) Municipality – High Frequency ● Provide resource materials in addition to the TAFT ● Policy support for breastfeeding Milk Code SULAT (adopted the Milk Code only) ● Hire somebody to monitor nutrition activities
SAN JULIAN (i.e. from NGO) Municipality – High Frequency ● Institutionalize monthly weighing ● Informed MNAO to meet with ● Monthly monitoring of nutrition BNSs BORONGAN activities
MAYDOLONG Municipality – Medium Frequency ● Institutionalization of the Municipal Nutrition BALANGKAYAN ● Municipal Nutrition Committee not Committee to at least have quarterly meetings active (policy making in support of and review/accomplish policies on nutrition to nutrition programs) be crafted ideally LLORENTE HERNANI Barangay – High Frequency ● Provide support (snacks, incentives) ● PNAO instructed MNAO to do GEN. MACARTHUR ● Breastfeeding advocacy on barangay ● Further orient/train mothers on exclusive further orientation and monitoring LAWAAN QUINAPONDAN SALCEDO level (IYCF lectures) has no support breastfeeding for exclusive breastfeeding ● Some mothers does not practice BALANGIGA MERCEDES GIPORLOS exclusive breastfeeding GUIUAN Barangay – High Frequency ● Provide intervention to children not studying ● Other malnourished children were not and above the target age part of the target for intervention (overage)
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS SALCEDO (continued)
DOLORES Barangay – High Frequency ● Data verification/coordination needed to ● All suggestions noted and for ● Discrepancies on data values in the address issues compliance CANAVID MUAC Screening Results was ● The target population should be included in the reported MUAC Screening form for coverage TAFT ● Target population is too high comparison basis SULAT compared to actual population (large ● PNAO advised to prepare a master list for
SAN JULIAN projected population but minimal monitoring on PLWs children - 58% CPR) ● BNSs should go house-to-house for MUAC ● Low result in children screened was screening BORONGAN due to non-attendance of children in ● Coordinate data submission with partners for
MAYDOLONG the Health Centers, transfer of more efficiency BALANGKAYAN children to other areas after the ● Additional assistance needed for counselling typhoon Barangay – Medium Frequency ● Request for new forms (still use old forms) ● New forms for delivery LLORENTE HERNANI ● New forms not yet available ● Advised to attend trainings for partners to ● Materials (charts) requested to GEN. MACARTHUR ● No cards available to the barangays distribute materials PNAO LAWAAN QUINAPONDAN SALCEDO ● Supply of anthropometric tolls per ● Purchase of height boards (IYCF) barangay BALANGIGA MERCEDES GIPORLOS GUIUAN How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer, Municipal Health Officer, Barangay Health Worker and Pregnant and Lactating Women.
Quotes that Illustrate Issues: “Designate one person who can focus on the nutrition programs.” Dr. Ma. Socorro S. Campo, Municipal Health Officer, Rural Health Unit, Salcedo, Eastern Samar
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD ARTECHE SAN POLICARPIO
MASLOG ORAS
DOLORES
CANAVID
TAFT
SULAT
SAN JULIAN
BORONGAN
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Salcedo
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS BALANGIGA
DOLORES Municipality – High Frequency ● MHO recommended for PNAO to meet the ● Reported ● Mayor’s approval/support for his Mayor (not available) to discuss more CANAVID Municipality representatives on cooperation to the program training attendance a major concern ● Appointment of nutrition workers should not be TAFT ● Some BNSs were replaced by the required since they are volunteers SULAT Barangay Captains affecting the
SAN JULIAN nutrition program ● Major problem with liquidation approvals and travel authorizations BORONGAN from the Mayor
MAYDOLONG Municipality – Medium Frequency ● Advised to use old forms (new forms not yet ● New forms for delivery BALANGKAYAN ● MNAO demanding new forms available) ● Additional testing kits and ● MNAO requested for testing kits counselling charts requested ● No counselling charts was available LLORENTE HERNANI due to typhoon GEN. MACARTHUR Municipality – Medium Frequency ● Partners advised to teach MNAO/BNS directly ● PNAO oriented MHO on the LAWAAN QUINAPONDAN SALCEDO ● Training on CMAM was postponed procedures on what to do when and issues on communication with SAM cases were identified (refer BALANGIGA MERCEDES GIPORLOS partners was discussed to partner NGO for action) GUIUAN ● No meeting held with MNAO by BNS ● Some PLWs not following exclusive breastfeeding (mixing with formula due to lack of orientation)
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS BALANGIGA (continued)
DOLORES Municipality – Medium Frequency ● Provide extended time to accomplish other ● MNAO was given 1 week period ● Conflicting duties and responsibilities nutrition program activities for data submission CANAVID as a result delayed submission and low coverage TAFT ● BHWs were functioning as BNSs at SULAT the same time
SAN JULIAN Barangay – High Frequency ● Provide additional incentives for BNSs ● Reported ● Low morale of staff affecting their performance due to lack of support BORONGAN from LGU officials (uses own money
MAYDOLONG in their work without getting BALANGKAYAN reimbursed) ● BNSs not visiting sitios due to lack of incentive (not received since July LLORENTE HERNANI 2013; PhP450/month not released by GEN. MACARTHUR the Mayor because Barangay LAWAAN QUINAPONDAN SALCEDO Captains not giving formal appointments to the BNSs) BALANGIGA MERCEDES GIPORLOS ● Incentives of BHWs were 6 months GUIUAN delayed but still functioning with their duties just affecting their performance (some BNS/BHW still performing although removed from position) ● Funds for nutrition were not released and used to other concerns instead
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS BALANGIGA (continued)
DOLORES Barangay – Medium Frequency ● Adjust population target (13,722 population ● Reported ● All children was covered despite projection used in conflict with other sources) CANAVID record showing low coverage (reason ● Monitoring chart advised to be installed was not specified by BNS) ● Family planning and residence transfer to other TAFT areas were reasons for low coverage SULAT How Agencies Received Feedback: SAN JULIAN Interview with Municipal Nutrition Action Officer and Barangay Nutrition Scholar.
BORONGAN
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS MERCEDES
DOLORES Municipality – High Frequency ● Request financial support (increase funding) ● Reported ● Support on nutrition activities up to CANAVID planning only (no implementation) Municipality – Medium Frequency ● Planning to buy additional weighing scales ● Reported TAFT ● Lack supply of height boards and depending on the budget to be approved SULAT weighing scales ● PNAO advised MNAO to install charts for easy
SAN JULIAN monitoring Municipality – Medium Frequency ● Update records for proper recognition of ● Delay in updating records (previous persons in-charge BORONGAN MNAO still addressed in
MAYDOLONG correspondences) BALANGKAYAN Municipality – Medium Frequency ● Provide extended time to accomplish other ● MNAO was given 1 week period ● Conflicting duties and responsibilities nutrition program activities for data submission as a result delayed submission and LLORENTE HERNANI low coverage GEN. MACARTHUR Barangay – High Frequency ● Incentive of PhP2,000.00 / member / year ● Reported LAWAAN QUINAPONDAN SALCEDO ● BNSs and BHWs became Barangay (supposedly given twice a year) Officials (some BNSs/BHWs refused BALANGIGA MERCEDES GIPORLOS to function with complaints of not GUIUAN receiving their incentives for the function but was resolved appointed new BNSs resulting in the delay of results and conflict with other activities such as Cash for Work
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS MERCEDES (continued)
DOLORES Barangay – High Frequency ● Still use old forms (new forms not yet available) ● New forms for delivery ● No standard form used ● Lactating mothers should be segregated (0-6 CANAVID ● Discrepancy in the old and new mos.) in the forms Barangay Forms used TAFT Barangay – Low Frequency ● Adjust population target ● Reported SULAT ● Low result on children screened was
SAN JULIAN due to the settlement of children to other areas (i.e. Metro Manila)
BORONGAN How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer and Municipal Health Officer. MAYDOLONG BALANGKAYAN Quotes that Illustrate Issues: “Due to workload of health staff, MNAO must be taken from other lead agencies.” Dr. Salvacion A. Macapugas, Municipal Health Officer, Rural Health Unit, Mercedes, Eastern Samar LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD ARTECHE SAN POLICARPIO
MASLOG ORAS
DOLORES
CANAVID
TAFT
SULAT
SAN JULIAN
BORONGAN
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Mercedes
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS GUIUAN
DOLORES Municipality – High Frequency ● Talk to Local Chief Executive to ask for support ● Reported ● BNSs are still functioning with their CANAVID duties despite lack of support from local government officials TAFT Municipality – High Frequency ● Create item for MNAO ● Reported SULAT ● MNAO advised PNAO about difficulty
SAN JULIAN on accomplishing other responsibilities in the Municipality Municipality – Low Frequency ● Midwife to follow-up on her area of coverage ● Still waiting for the result BORONGAN ● Red Case was reported by MNAO but
MAYDOLONG still unconfirmed due to bad weather BALANGKAYAN condition (Barangay San Jose, Manicani, Guiuan) Municipality – Low Frequency ● Create a logbook about nutrition ● Supply of forms already requested LLORENTE HERNANI ● Forms used by BNSs are inadequate ● Request additional forms GEN. MACARTHUR and need to be reproduced LAWAAN QUINAPONDAN SALCEDO Barangay – High Frequency ● Provide additional incentives to BNSs from ● Submitted plan to UNICEF for ● Inadequate incentives for BNSs an Barangay budget approval (BNS transportation and BALANGIGA MERCEDES GIPORLOS issue resulting to low area of ● Ask additional budget sufficient to the nutrition allowance) GUIUAN accomplishment (BNSs shouldered program activities ● Requested additional budget for the cost of transportation, nutrition photocopying of forms, and other incidentals) ● Budget in nutrition is lacking
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS GUIUAN (continued)
DOLORES Barangay – Medium Frequency ● Do early screening schedule to meet deadlines ● BNSs already oriented ● Difficulty of reaching barangays CANAVID located in the islands due to transportation issues (also in TAFT mainland barangays due to lack of SULAT vehicle availability)
SAN JULIAN How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer.
BORONGAN Quotes that Illustrate Issues: MAYDOLONG “An item for MNAO must be created to effectively implement the nutrition program.” Crisanta G. Gapate, Municipal Nutrition Action Officer, Rural BALANGKAYAN Health Unit, Guiuan, Eastern Samar
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD ARTECHE SAN POLICARPIO
MASLOG ORAS
DOLORES
CANAVID
TAFT
SULAT
SAN JULIAN
BORONGAN
MAYDOLONG Guiuan BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS GIPORLOS
DOLORES Municipality – Medium Frequency ● Use old forms ● Reported ● Issues on CHT forms ● Partners should facilitate materials to MHO CANAVID ● Kits washed out by typhoon ● Monitoring charts were removed (advised to put the charts back) TAFT Municipality – Medium Frequency ● Additional orientation/training required ● MHO participation on SAM cases SULAT ● MNAO not familiar with policy on Red discussed
SAN JULIAN cases ● OTP/CMAM not yet discussed by MHO to concerned staff BORONGAN Municipality – Medium Frequency ● Provide extended time to accomplish other ● MNAO was given 1 week period
MAYDOLONG ● Conflicting duties and responsibilities nutrition program activities for data submission BALANGKAYAN as a result delayed submission and low coverage Barangay – High Frequency ● Provide funds for incentives ● Reported LLORENTE HERNANI ● BHWs have incentives unlike BNSs GEN. MACARTHUR ● LGU has no funds (including for office LAWAAN QUINAPONDAN SALCEDO supplies) Barangay – Medium Frequency ● Provide support for logistics ● Reported BALANGIGA MERCEDES GIPORLOS ● 5 far-flung hard to reach barangays GUIUAN ● Residents transferred to other municipalities
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 EASTERN SAMAR Field Monitoring and Other Nutrition Activities
JIPAPAD Issues/Feedback Raised by the Suggestions from the Community Action Taken ARTECHE SAN POLICARPIO Community
MASLOG ORAS GIPORLOS (continued)
DOLORES Barangay – Medium Frequency ● Additional orientation/training required ● Engaged other BNSs without training CANAVID due to other BNS transfer to Manila
TAFT How Agencies Received Feedback: Interview with Municipal Nutrition Action Officer. SULAT
SAN JULIAN
BORONGAN
MAYDOLONG BALANGKAYAN
LLORENTE HERNANI
GEN. MACARTHUR
LAWAAN QUINAPONDAN SALCEDO
BALANGIGA MERCEDES GIPORLOS GUIUAN
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014 Thank You!!!
For more information please contact:
Ferdinand Y. Gozar Information Manager – Eastern Samar Nutrition Cluster ACF International Mobile: +639285056937; +639182212686
Nutrition Cluster Region VIII – Eastern Samar, Nutrition Cluster Meeting 26 May 2014