Calabarzon Nutrition Situation Rpan Formulation Workshop 2018

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

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

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

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

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

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

8 8.1 8.1 7.3 7.1 6 5.8 4

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

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

PREVALENCE (%) PREVALENCE 6

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

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

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

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

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

30 Proportion (%) Proportion 20

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. CALABARZON Selected Indicators of Services and Philippines CALABARZON Source of Data Care during the F1K Percent of mothers with on time (1st trimester) first prenatal check-up 69.5 71.6 NNS, 2015 during their last/current pregnancy Proportion of pregnant women with 53.5 39.44 FHSIS, 2015 four or more prenatal visits (%) Proportion of pregnant women given complete iron with folic acid 47.22 37.21 FHSIS, 2015 supplements (%) 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 Percentage of women receiving two or more tetanus toxoid injections 28.1 21.78 FHSIS, 2015 during last pregnancy Percentage of births delivered in 85.5 84.06 FHSIS, 2015 health facility Percentage of children 6-23 months meeting the Minimum Acceptable 18.6 18.6 NNS, 2015 Diet PERCENTAGE DISTRIBUTION OF EXCLUSIVELY BREASTFED 0-5 MONTHS OLD BY REGION, PHILIPPINES

SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF EXCLUSIVELY BREASTFEEDING AND BREASTFEEDING WITH COMPLEMENTARY FEEDING AMONG 0-5 MONTHS CHILDREN, CALABARZON AND PROVINCES

33.6 Quezon 59.4 23 Rizal 33.7 38.9 Batangas 28.3 37.8 Laguna 26.1 27.7 Cavite 21.2 31.9 CALABARZON 32.4 29.2 PHILIPPINES 48.8

0 10 20 30 40 50 60 Prevalence (%)

BF + Complemetary Feeding EBF SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF BREASTFEEDING WITH COMPLEMENTARY FEEDING AND BREASTMILK SUBSTITUTE WITH FOOD AMONG 6-11 MONTHS CHILDREN

26.5 Quezon 65.9 44.9 Rizal 49.8 36 Batangas 57.5 46 Laguna 51.6 45.1 Cavite 54.9 41.7 CALABARZON 54.4 37.4 PHILIPPINES 57.7

0 10 20 30 40 50 60 70 Prevalence (%)

Breastmilk Substitute + Food BF + Complemetary Feeding SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF BREASTFEEDING WITH COMPLEMENTARY FEEDING AND BREASTMILK SUBSTITUTE WITH FOOD AMONG 12-23 MONTHS CHILDREN

26.5 Quezon 47.3 53 Rizal 40.5 59 Batangas 31.9 59.4 Laguna 32.3 61.3 Cavite 35.4 54.4 CALABARZON 37.2 45.8 PHILIPPINES 43.1

0 10 20 30 40 50 60 70 Prevalence (%)

Breastmilk Substitute + Food BF + Complemetary Feeding SOURCE: FNRI-DOST NNS, 2015 TRENDS OF CHILDREN 0-23 MONTHS INITIATED TO BREASTFEEDING WITHIN 1 HOUR AFTER DELIVERY, PHILIPPINES VS CALABARZON

Philippines CALABARZON 90

80 77.1

70 65.1 71.5 60 51.9 50 57

40 38.2

30 PREVALENCE (%) PREVALENCE 20

0 2011 2013 2015 SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF CHILDREN 0-23 MONTHS INITIATED TO BREASTFEEDING WITHIN 1 HOUR AFTER DELIVERY, CALABARZON AND PROVINCES

PHILIPPINES 65.1

CALABARZON 57

Cavite 87.9

Laguna 45.8

Batangas 45.2

Rizal 44

Quezon 61

0 10 20 30 40 50 60 70 80 90 % Prevalence

SOURCE: FNRI-DOST NNS, 2015 TRENDS OF EXCLUSIVELY BREASTFED CHILDREN 0-5 MONTHS, PHILIPPINES VS CALABARZON Philippines CALABARZON 60 52.3 48.9 48.8 50 40.6 40 33.1 32.4 30

PREVALENCE (%) PREVALENCE 20

0 2011 2013 2015

SOURCE: FNRI-DOST NNS, 2015 PREVALENCE OF EXCLUSIVE BREASTFEEDING IN CHILDREN 0-5 MONS, CALABARZON AND PROVINCES

PHILIPPINES 48.8

CALABARZON 32.4

Cavite 21.2

Laguna 26.1

Batangas 28.3

Rizal 33.7

Quezon 59.4

0 10 20 30 40 50 60

SOURCE: FNRI-DOST NNS, 2015 MEAN DURATION (IN MONTHS) OF BREASTFEEDING, CALABARZON AND PROVINCES

4.2 PHILIPPINES 8.3 4 CALABARZON 7.6 3.2 Cavite 7.3 4.5 Laguna 7.3 4.2 Batangas 7.2 3.9 Rizal 7.9 4.2 Quezon 8.9

0 1 2 3 4 5 6 7 8 9 Months

EBF Duration BF Duration SOURCE: FNRI-DOST NNS, 2015 AVERAGE INFLATION RATE OF CALABARZON AND PROVINCES

2.5 2.37

2 1.8 1.8 1.67 1.5 1.5 1.3 1.2 1.1 0.93 0.9 1 Proportion (%) Proportion 0.8 0.7

0.5

0 CALABARZON Cavite Laguna Batangas Rizal Quezon 3rd Qtr 4th Qtr SOURCE: PSA via NEDA, 2016 UNDERLYING CAUSES POOR WATER, SANITATION AND FOOD SAFETY

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

160 143.01 135.76 140

120 97.47 97.44 94.24 100 89.57

60 Proportion (%) Proportion

0 CALABARZON Cavite Laguna Batangas Rizal Quezon Percent (%)

SOURCE: DOH FHSIS, 2015 SOURCE: DOH FHSIS, 2015 PERCENT OF HOUSEHOLDS WITH COMPLETE BASIC SANITATION FACILITIES, CALABARZON AND PROVINCES 116.86 120

100 89.05 81.72 80.84 80 65.45 55.89 60

Proportion (%) Proportion 40

0 CALABARZON Cavite Laguna Batangas Rizal Quezon Percent (%)

SOURCE: DOH FHSIS, 2015 PERCENT OF FOOD ESTABLISHMENTS WITH SANITARY PERMIT, CALABARZON AND PROVINCES

100 93.65 88.09 89.76 84.81 90 80 76.99 80 70 60 50

40 Proportion (%) Proportion 30 20 10 0 CALABARZON Cavite Laguna Batangas Rizal Quezon Percent (%)

SOURCE: DOH FHSIS, 2015 UNDERLYING CAUSES GOVERNMENT PROGRAMS

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

SOURCE: FNRI-DOST NNS, 2015 PERCENTAGE OF HOUSEHOLD’S PARTICIPATION IN PANTAWID PAMILYANG PILIPINO PROGRAM (4Ps) BY PROVINCE, CALABARZON

SOURCE: FNRI-DOST NNS, 2015 PERCENT OF CHILDREN 12-71 MONTHS WHO PARTICIPATED IN VITAMIN A SUPPLEMENTATION, CALABARZON AND PROVINCES

PHILIPPINES 70.6

CALABARZON 64.4

Batangas 35.8

Cavite 38

Laguna 34.2

Quezon 25

Rizal 42.6

0 10 20 30 40 50 60 70 80 Percent (%)

SOURCE: FNRI-DOST NNS, 2015 PERCENT PARTICIPATION OF CHILDREN IN DEWORMING PROGRAM OF CALABARZON AND PROVINCES 89 PHILIPPINES 58.2 83.4 CALABARZON 44.3 88.1 Batangas 53.3 88.1 Cavite 53.8 80.7 Laguna 32.4 85.9 Quezon 47.4 72.9 Rizal 36.3 0 10 20 30 40 50 60 70 80 90 Percent (%)

6-12 years old 12-71 months old

SOURCE: FNRI-DOST NNS, 2015 Municipality/ Status of Status of Status of City Training Advocacy Monitoring DOST-PINOY Polilio, Quezon ✓ ✓ To be scheduled Calauag, Quezon ✓ ✓ On-going (4th cycle) Malunay, ✓ ✓ On-going (2nd cycle) Quezon San Andres, ✓ ✓ At endline Quezon Real, Quezon ✓ ✓ ✓ Antipolo City, ✓ ✓ At endline Rizal Angono, Rizal ✓ X To be scheduled San Luis, X ✓ X Batangas Clatagan, ✓ ✓ ✓ Batangas BASIC CAUSES EMPLOYMENT AND POVERTY

Image from Michelle Patino LABOR AND EMPLOYMENT AS OF OCT 2016, CALABARZON

93.8 100 90 80 70 60 50

40 Proportion (%) Proportion 30 15.7 20 6.2 10 0 Employment Rate Unemployment Rate Underemployment Rate Percent (%)

SOURCE: NEDA, 2015 POVERTY INCIDENCE, CALABARZON AND PROVINCES

17.1 18

8 6.7 6.8 Proportion (%) Proportion 6 4.5 4.1 3.6 4

0 CALABARZON Cavite Laguna Batangas Rizal Quezon Percent (%)

SOURCE: PSA, 2015 TRENDS IN POVERTY INCIDENCE OF FARMERS & FISHERMEN, CALABARZON 39.2 40

30 27.1 24.7 23.2 24.1 25 20.5 19 20 16.7

Proportion (%) Proportion 15

0 2006 2009 2012 2015 Farmers Fishermen

SOURCE: PSA, 2015 PERCENT OF POOR AMONG THE BASIC SECTORS IN 2015, PHILIPPINES

People in Urban Areas 11.5

Senior Citizens 13.2

Migrant & Formal Sector workers 13.4

Youth 19.4

Women 22.5

Unpaid family workers 25

Self-employed workers 25

Children 34

Fishermen 25

Farmers 42.6

0 5 10 15 20 25 30 35 40 45 Percent (%)

SOURCE: PSA, 2015 Annual Per Capita Poverty Threshold (Pesos), CALABARZON and provinces

Region and Province Number CALABARZON 22 121 Cavite 24 882 Laguna 21 770 Batangas 21 767 Rizal 24 198 Quezon 20 515

SOURCE: PSA, 2015 STATUS OF CURRENT PROGRAMS FUNCTIONAL LOCAL NUTRITION COMMITTEES, CALABARZON

Fully Substantially Partially Non- LGU Functional Functional Functional Functional Provinces 1. Cavite ✓ 2. Laguna ✓ 3. Batangas ✓ 4. Rizal ✓ 5. Quezon ✓ Fully Substantially Partially Non- LGU Functional Functional Functional Functional Cities 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)