Calabarzon Nutrition Situation Rpan Formulation Workshop 2018
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CALABARZON NUTRITION SITUATION RPAN 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 of the 17 regions in the Philippines located in the southwestern part of the island of Luzon and has a total land area of 16,560 square kilometers. It is the second most densely populated region in the country, principally because it is the closest region to Metro Manila. Because of its close proximity to Manila and the industrial and economic opportunities that exist there, CALABARZON is experiencing rapid urbanization. It has a total population 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=611 689). NUTRITION SITUATION REGIONWIDE ANTHROPOMETRY Image from Global Giving PREVALENCE OF MALNOURISHED AMONG CHILDREN LESS THAN 5 YEARS OLD - CALABARZON 30 27.4 27.7 25 25.2 20 18.1 19 15 14.8 10 8.8 Prevalence (%) Prevalence 7.6 5 6.5 6.7 5.9 5 0 Underweight Stunting Wasting Overweight 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 SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF MALNOURISHED AMONG CHILDREN 5-10 YEARS OLD – CALABARZON 30 28.8 27.1 25 26.2 25.2 24.7 22.9 20 15 12.1 10 12.1 11.3 9.8 8.6 9.2 Prevalence (%) Prevalence 5 0 Underweight Stunting Wasting Overweight 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF UNDERNUTRITION AMONG CHILDREN, 5-10 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF MALNOURISHED AMONG CHILDREN 10-19 YEARS OLD - CALABARZON 30 28.4 27.1 25 26.2 20 15 15.4 14.4 13.9 10 11.8 8.9 9.6 Prevalence (%) Prevalence 5 0 Stunting Wasting Overweight/Obese 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF UNDERNUTRITION AMONG CHILDREN, 10-19 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF OVERWEIGHT & OBESE AMONG CHILDREN, 0-19 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON SOURCE: FNRI-DOST NNS, 2015 Prevalence of MALNOURISHED among adults, ≥ 20 years old based on BMI - CALABRZON 35 33.2 34.2 30 30.2 25 20 15 10 10.7 Prevalence (%) Prevalence 9.8 10.1 5 0 Chronic Energy Deficiency Overweight/Obese 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF MALNUTRITION AMONG ADULTS, ≥ 20 YEARS OLD BY PROVINCE, 2013 VS 2015 - CALABARZON SOURCE: FNRI-DOST NNS, 2015 NUTRITION SITUATION REGIONWIDE BIOCHEMICAL Image from BSA Health Center PREVALENCE OF ANEMIA PER AGE GROUP - CALABARZON 25 24.9 22.9 20 16.9 15 15.9 15.7 12.4 10 10.1 Prevalence (%) Prevalence 10.2 7.8 5 4.2 0 6 mons-5 y 6-12 y 13-19 y 20-<60 y >=60 y 2008 2013 SOURCE: FNRI-DOST NNS, 2013 PERCENT DISTRIBUTION OF SERUM RETINOL AMONG CHILDREN, 5 MONTHS TO 5 YEARS OLD BY REGION, 2013 VS 2015 - PHILIPPINES SOURCE: FNRI-DOST NNS, 2013 PERCENT DISTRIBUTION OF SERUM RETINOL AMONG CHILDREN, 6 – 12 YEARS OLD BY REGION, 2013 VS 2015 - PHILIPPINES SOURCE: FNRI-DOST NNS, 2013 MEDIAN URINE IODINE EXCRETION <50 ug/L AMONG 6-12 YEARS OLD BY PROVINCE, CALABARZON 300 274 250 259 236 240 222 200 182 150 100 50 0 CALABARZON Cavite Laguna Batangas Rizal Quezon Median Urinary Conc. SOURCE: FNRI-DOST NNS, 2013 PERCENT OF CHILDREN 6-12 YEARS OLD WITH URINE IODINE EXCRETION <50 ug/L BY PROVINCE, CALABARZON 14 13 12 10 8 8.1 8.1 7.3 7.1 6 5.8 4 2 0 CALABARZON Cavite Laguna Batangas Rizal Quezon Prevalence (%) SOURCE: FNRI-DOST NNS, 2013 NUTRITION SITUATION REGIONWIDE MOTHER AND BABY Image from Sonia Narang PREVALENCE OF NUTRITIONALLY-AT RISK PREGNANT WOMEN BY REGION, PHILIPPINES SOURCE: FNRI-DOST NNS, 2015 TRENDS IN THE PREVALENCE OF NUTRITIONALLY-AT-RISK PREGNANT WOMEN, Philippines VS CALABARZON Philippines CALABARZON 30 28.8 29 28 28 27 26.6 26 25 24.8 25 24.5 PREVALENCE (%) PREVALENCE 24 23 22 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF LOW BIRTH WEIGHT AMONG YOUNG CHILDREN, 0-3.9 YEARS OLD BY REGION, PHILIPPINES SOURCE: FNRI-DOST NNS, 2013 TRENDS IN THE PREVALENCE OF CHRONIC ENERGY DEFICIENCY AMONG LACTATING MOTHERS, PHILIPPINES VS CALABARZON PHILIPPINES CALABARZON 18 16 15.4 14.1 13.6 14 12.5 11.9 12 10.8 10 8 PREVALENCE (%) PREVALENCE 6 4 2 0 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 TRENDS IN THE PREVALENCE OF OVERWEIGHT/OBESITY AMONG LACTATING MOTHERS, PHILIPPINES VS. CALABARZON PHILIPPINES CALABARZON 25 23.4 21.8 22.4 20 17.7 19.9 15 16.8 10 PREVALENCE (%) PREVALENCE 5 0 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 IMMEDIATE CAUSES PHYSICAL INACTIVITY Image from The Pinoy Warrior SOURCE: FNRI-DOST NNS, 2015 IMMEDIATE CAUSES DIETARY INTAKE Image from Greenpeace USA SOURCE: FNRI-DOST NNS, 2015 Image from Global Giving TRENDS IN MINIMUM DIET DIVERSITY FOR 6-23 MONTHS, PHILIPPINES VS CALABARZON 35 29.2 30 25.2 28.6 25 21.6 20 15.5 15 Prevalence (%) Prevalence 14.4 10 5 0 2011 2013 2015 Philippines CALABARZON PERCENTAGE OF CHILDREN 6-23 MONTHS MEETING MINIMUM DIET DIVERSITY, CALABARZON AND PROVINCES PHILIPPINES 29.2 CALABARZON 28.6 Cavite 27.5 Laguna 27.3 Batangas 35 Rizal 18.9 Quezon 38.5 0 5 10 15 20 25 30 35 40 % Prevalence SOURCE: FNRI-DOST NNS, 2015 TRENDS IN MINIMUM MEAL FREQUENCY FOR 6-23 MONTHS, PHILIPPINES VS CALABARZON 96 94.9 94 93.2 94.1 92 91.7 90 88.3 Prevalence (%) Prevalence 88 87.9 86 84 2011 2013 2015 Philippines CALABARZON SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF CHILDREN 6-23 MONTHS MEETING MINIMUM MEAL FREQUENCY, CALABARZON AND PROVINCES PHILIPPINES 91.7 CALABARZON 93.2 Cavite 94.9 Laguna 94.4 Batangas 91.1 Rizal 90.8 Quezon 95.3 88 89 90 91 92 93 94 95 96 % Prevalence SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF CHILDREN 6-23 MONS MEETING MINIMUM ACCEPTABLE DIET BY REGION, PHILIPPINES SOURCE: FNRI-DOST NNS, 2015 Trends in MINIMUM ACCEPTABLE DIET for 6-23 months, PHILIPPINES VS CALABARZON 20 18.6 18 16 14 12.1 12 10 11.5 8 Prevalence (%) Prevalence 6.4 6 4 4.5 2 0 2011 2013 2015 Philippines CALABARZON SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF CHILDREN 6-23 MONTHS MEETING MINIMUM ACCEPTABLE DIET, CALABARZON AND PROVINCES PHILIPPINES 18.6 CALABARZON 18.6 Cavite 21.1 Laguna 18.3 Batangas 20.3 Rizal 8.7 Quezon 28.6 0 5 10 15 20 25 30 % Prevalence SOURCE: FNRI-DOST NNS, 2015 IMMEDIATE CAUSES DISEASE Image from Rouelle Umali PERCENT OF CHILDREN 0-59 MONTHS WHO EXPERIENCED DIARRHEA IN CALABARZON AND PROVINCES PHILIPPINES 11.9 CALABARZON 10.3 Batangas 9.6 Cavite 10.3 Laguna 8.5 Quezon 5.6 Rizal 12.2 0 2 4 6 8 10 12 14 Percent (%) SOURCE: FNRI-DOST NNS, 2015 UNDERLYING CAUSES LIFESTYLE FACTORS AND BEHAVIORS Image from PhilNews PROPORTION OF CURRENT SMOKING AMONG ADOLESCENTS (10-19.9 YEARS). PHILIPPINES VS CALABARZON 7.9 8 6.9 7 5.5 6 4.5 5 4 3 Proportion (%) Proportion 2 1 0 Philippines CALABARZON 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PROPORTION OF CURRENT SMOKING AMONG ADULTS (20 YEARS AND ABOVE), PHILIPPINES VS CALABARZON 25.4 25.2 25.5 25 24.5 24 23.3 23.3 23.5 Proportion (%) Proportion 23 22.5 22 Philippines CALABARZON 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PROPORTION OF BINGE DRINKING AMONG CURRENTLY DRINKING ADULTS (20 YEARS AND ABOVE), PHILIPPINES VS CALABARZON 67.2 70 62.7 56.2 55.2 60 50 40 30 Proportion (%) Proportion 20 10 0 Philippines CALABARZON 2013 2015 SOURCE: FNRI-DOST NNS, 2015 UNDERLYING CAUSES FOOD SECURITY STATUS Image from Rappler PERCENTAGE DISTRIBUTION OF HOUSEHOLDS BY FOOD SECURITY, CALABARZON AND PROVINCES 50 46.8 46.3 44.4 44 43.7 45 40.3 40 35 10.9 14.1 11.9 12.9 12.3 27.7 30 12.6 24 24.5 23.5 24.4 25 21 21.1 19 19.1 20.3 20 17.3 17.9 15 10 5 0 CALABARZON Cavite Laguna Batangas Rizal Quezon Food Secure Mildly Food Insecure Moderately Food Insecure Severely Food Insecure SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE DISTRIBUTION OF HOUSEHOLDS BY FOOD SECURITY STATUS, PHILIPPINES VS CALABARZON 45 44.4 40 35 33.9 30 31.9 25 24 20 21.9 Percent (%) Percent 19 15 10 12.3 12.6 5 0 Food Secure Mildly Food Insecure Moderately Food Severely Food Insecure Insecure Philippines CALABARZON SOURCE: FNRI-DOST NNS, 2015 UNDERLYING CAUSES CARE, FEEDING PRACTICES AND BEHAVIORS Image from Rappler Coverage of selected services within the First 100 days period, Philippines VS. CALABARZON Selected Indicators of Services and Philippines CALABARZON Source of Data Care during the F1K Exclusive breastfeeding (0-5 months) 24.7 32.4 NNS, 2015 Mean duration of exclusive 4.2 4 NNS, 2015 breastfeeding (in months) Mean duration of breastfeeding (in 8.3 7.6 NNS, 2015 months) Breastfeeding with complementary 57.7 54.4 NNS, 2015 feeding of 6-11 months Breastfeeding with complementary 43.1 37.2 NNS, 2015 feeding of 12-23 months Coverage of selected services within the First 100 days period, Philippines VS.