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2018 Expanded National Nutrition Survey 2018 Expanded National Nutrition Survey 2018 Expanded National Nutrition Survey Monograph Series The Food, Health and Nutrition Situation of Iloilo Province 2018 Expanded National Nutrition Survey ISSN 2782-8964 ISBN 978-971-8769-68-3 This report provides data and information on the health and nutritional status of Iloilo Province as a result of the different assessments undertaken during the conduct of the Expanded National Nutrition Survey by the Department of Science and Technology-Food and Nutrition Research Institute (DOST-FNRI). This monograph series will be published every five years, in the next cycle of the Expanded National Nutrition Survey. Additional information about the survey could be obtained from the DOST-FNRI website https:// www.fnri.dost.gov.ph/ or at the DOST-FNRI Office located at the DOST Compound, Gen. Santos Avenue, Bicutan, Taguig City, Metro Manila, Philippines 1631. Tel. Numbers.: (632) 8837-20-71 local 2282/ 2296; (632) 8839-1846; (632) 8839-1839 Telefax: (632) 8837-2934; 8839-1843 Website: www.fnri.dost.gov.ph Recommended Citation: Department of Science and Technology - Food and Nutrition Research Institute (DOST-FNRI). 2020. 2018 Expanded National Nutrition Survey Monograph Series: The food, health and nutrition situation of Iloilo Province. FNRI Bldg., DOST Compound, Gen. Santos Avenue, Bicutan, Taguig City, Metro Manila, Philippines. The 2018 Expanded National Nutrition Survey Monograph Series is published by the Department of Science and Technology-Food and Nutrition Research Institute (DOST-FNRI). 2018 Expanded National Nutrition Survey Table of Contents Foreword i The Project Team ii Acknowledgments iii List of Tables iv List of Figures vii Executive Summary 1 ENNS Results at a Glance 4 Introduction 17 Background and Rationale of the Expanded National Nutrition Survey (ENNS) 17 Objectives of the ENNS 18 Significance and Uses of ENNS 19 Methodology 20 Sampling Design 20 Data Collection, Processing and Analysis 21 Ethics Review 30 Study Site 31 Profile of Iloilo Province 31 Household and Individual Response Rates 32 Socio-demographic Profile of Households and Respondents 32 Food Security Status 35 Key Findings by Life Stage 37 Infants and Preschool Children (0 to 59 months old) 37 School-age Children (5 to 10 years old) 43 Adolescents (10 to 19 years old) 47 Women of Reproductive Age (15 to 49 years old) 52 Adults (20 to 59 years old) 57 Elderly (60 years old and above) 67 Conclusion and Recommendations 71 Health Policy Recommendations 71 References 72 Annex 1. List of ENNS Booklets and Forms 74 Annex 2. ENNS Survey Team 76 Annex 3. Data Management Team 77 Annex 4. Biochemical Survey Team 78 2018 Expanded National Nutrition Survey Foreword Since its birth in 1947, the Department of Science and Technology - Food and Nutrition Research Institute (DOST-FNRI) has consistently strived to fight malnutrition through accurate data, correct information, and innovative technologies. Food and nutrition research is pertinent to the needs of stakeholders like the policy makers, development program officers, program implementers, local executives, government and non-government stakeholders, and other users who are into program planning and development. Over the years, the NNS has evolved from a focused assessment of the Filipino‟s nutritional status to expanding its purpose and use to include tracking progress towards the country‟s commitment to “end malnutrition in all its forms” as stipulated in the Sustainable Development Goals (SDGs) and the Scaling-Up Nutrition (SUN) Movement. Since 1978 to 2013, the survey was conducted every 5 years, however due to the importance of having empirical data, policy makers and other users of the data deemed necessary to conduct the survey every year to provide local- and national-level data. To scientifically do this, the DOST-FNRI has resorted to a rolling survey or the Expanded National Nutrition Survey (ENNS) for three years starting in 2018 until 2021 (not including 2020) to cover all the 81 provinces, 33 highly urbanized cities (HUCs) and three other special areas. Detailed description on the coverage of the ENNS is presented in the methodology of this report. This monograph presents the results of the 2018 ENNS reported by life stages of the seven survey components: Anthropometry, Biochemical, Clinical and Health, Socio-economic, Food Security, Infant and Young Child Feeding (IYCF) Practices, and Maternal Health and Nutrition. The results of the food consumption survey at the household and individual levels will be provided in another report. This book is developed by the Nutritional Assessment and Monitoring Division of the DOST-FNRI for use by our Local Chief Executives and development planners. We affirm that the use of correct and accurate food and nutrition information is necessary towards ending all forms of malnutrition. May this book generate fresh ideas and perspectives that shall be translated into doable actions for the betterment of the quality of life of Filipinos. MARIO V. CAPANZANA, Ph.D. Director 2018 Expanded National Nutrition Survey The Project Team THE EXPANDED NATIONAL NUTRITION SURVEY 2018 MANAGEMENT TEAM Mario V. Capanzana, Ph.D. Project Director Imelda Angeles-Agdeppa, Ph.D. Project Leader SURVEY OPERATIONS DATA MANAGEMENT Marina B. Vargas, Ph.D. † Charmaine A. Duante, MSc Epid (PH) Head, Nutritional Assessment Team Head, Nutrition Statistics and and Dietary Component Informatics Team COMPONENT LEADERS Ma. Lilibeth P. Dasco, MSAN, MDM Glen Melvin P. Gironella Anthropometry Senior Statistician and SES Component Michael E. Serafico, MSc Biochemical Component Ma. Lynell V. Maniego Senior Statistician Chona F. Patalen, MPH Clinical and Health Component Mae Ann S.A. Javier Programmer Cristina G. Malabad, MSPH and Developer of e-DCS Food Security Component Eldridge B. Ferrer, MSAES Mildred O. Guirindola, MPS-FNP Statistician Maternal Health and Nutrition and IYCF Components Apple Joy D. Ducay Statistician Eva A. Goyena, Ph.D. Maternal Health and Nutrition Cheder D. Sumangue and IYCF Components Statistician Josie P. Desnacido, MSAN Dietary Component Charina A. Javier, MDE Government Programs Participation Component FINAL REPORT WRITERS Ma. Lilibeth P. Dasco, Apple Joy D. Ducay, and Charmaine A. Duante EDITORS Mario V. Capanzana, Ph.D. Imelda Angeles-Agdeppa, Ph.D. ii 2018 Expanded National Nutrition Survey Acknowledgments Grateful acknowledgment and appreciation are due to the following: The Department of Health (DOH), Disease Prevention and Control Bureau for the funding support in the implementation of the ENNS; The Philippine Statistics Authority (PSA) Board for approving the adoption of the ENNS survey design and the PSA for approving the tools and questionnaires of the ENNS through the Statistical Survey Review and Clearance System, and for providing the list of sample housing units and sample households; The Section of Cardiology, Department of Medicine of the Philippine General Hospital (PGH), Philippine Heart Association (PHA) Baguio-Benguet Chapter, Western Visayas Medical Center, Southern Philippines Medical Center, and Zamboanga City Health Office for sharing their expertise during the Blood Pressure Certification Training; The Department of Interior and Local Government (DILG), Local Government Units (LGUs), the Governors, Mayors, Barangay Captains, and their constituents for providing direct assistance in the field survey operations; The National Nutrition Council of the Department of Health (NNC-DOH), through its Regional Nutrition Program Coordinators (RNPCs) and Provincial/City and Municipal Nutrition Action Officers (PNAOs/CNAOs and MNAOs), for sharing their untiring guidance and incessant support during field data collection; The Department of Science and Technology Regional Directors (RDs) and Provincial Science and Technology Directors (PSTDs) for their support, especially during field data collection, training, and pre-survey coordination in the regions, provinces and cities; The Centers for Health Development (CHDs) - Department of Health (DOH) through its Regional Directors, Chiefs of Hospitals, and the Provincial/City and Municipal Health Officers (PHOs/ CHOs and MHOs) for their assistance during training and field data collection; Dr. Cecilia Cristina S. Acuin, former Chief SRS of the Nutritional Assessment and Monitoring Division, DOST-FNRI, for the initial development of the new survey design, conduct of stakeholders‟ consultations and pilot survey implementation; Dr. Arturo Y. Pacificador, Jr., as statistics consultant, for the technical guidance in sampling design; Ms. Mariele G. Siladan, for preparing the draft of this monograph and Ms. Frances Pola S. Arias for reviewing and revising; Ms. Ma. Cristina A. Musa, for reviewing, revising, and final formatting of this monograph; Mr. Chester G. Francisco and Mr. Aaron Gregor Lim, for the layout and formatting this monograph; The FNRI Finance and Administrative Division (FAD) for their invaluable assistance in the financial aspect of the survey; All 45,957 households and 159,926 individuals for their indispensable participation and utmost cooperation in the survey; and All FNRI technical and non-technical staff, local researchers, local survey aides, and numerous others who have provided their inputs, involvement, and contribution to the fruition of the 2018 ENNS. iii 2018 Expanded National Nutrition Survey List of Tables Table No. Title Page 1 WHO-Child Growth Standards 2006 for infants and young children (0-60 22 months) and WHO Growth Reference 2007 for school-age
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