Nutrition Cluster Meeting as of 06 December 2013

National Nutrition Council Region 7 Agenda

• Status of Agreements/Action Points from the Previous Meetings • Report of Activities – Rapid Nutrition Assessment – NIE Services – Nutrition Cluster Strategic Response Plan – Revised Targets • Updates from Nutrition Committees - Provincial Nutrition Committee - Nutrition Committee - Lapu-lapu City Nutrition Committee • Updates from NGO/Humanitarian Partners • Agreements and Way Forward

National Nutrition Council Region 7 Affected Areas and Partners Providing Nutrition Service

Affected Affected Families Partner Type of Service Municipalities Bantayan 17,329 Childfund(?) Madrideos 9,545 Childfund(?) Sta Fe 6,226 Childfund(?) Daan Bantayan 14,000 World Vision RNA, BF/IYCF Promotion Medellin 10,445 2,078 World Vision RNA, BF/IYCF Promotion San Remegio 7,141 National Nutrition Council Region 7 Bogo City 15,420 Affected Areas and Partners Providing Nutrition Service

Affected Population Affected Partner Type of Service Municipalities Poro 4,933 Tudela 1,771

Pilar 2,580 San Francisco 5,494 Municipal Nutrition RNA, Micronutrient Borbon 5,158 Committees & Supplementation, Health Offices IYCF 4,955 Tuburan 5,150 Sogod 3,494 National Nutrition Council Region 7 Evacuation Areas and Partners Providing Nutrition Service

Evacuation Areas Population Partner Type of Service Cebu City Fluctuating Cebu City Nutrition RNA, Micronutrient Evacuation Centers Committee & Supplementation, Health office IYCF

Lapu-lapu City Fluctuating Lapu-lapu City RNA, Micronutrient Evacuation Centers Nutrition Supplementation, Committee & IYCF Health office

National Nutrition Council Region 7 Commitments from Partners

• UNICEF/WFP - Therapeutic supplies for children with complications, supplies for blanket feeding, MNP, Vit A., MUAC Tapes • UNICEF - providing 50 weighing scales • IMC – Capability building activities for health and nutrition personnel

National Nutrition Council Region 7

NIE SERVICES RENDERED as of : 12/06/2013 No. of Population No. of areas covered (EC, NUTRITION Service Served (Family or Remarks Community) Individual) 15 Municipalities 215 MAMs (19.1%) 9 Evacuation Centers 1. Nutrition Assessment 17,808 54 SAMs (0.3%) 19.1% of Target (Cebu

Province) 15 Municipalities 2. Micronutrient 3,867 (Total Given) 9 Evacuation Centers Supplementation 3,693 (Cebu 26.44% of Target (Cebu (Vitamin A Supp. ) Province Province) 3. Infant and Young Child 1,210 15 Municipalities Feeding ( Mothers (Preg: 485 9 Evacuation Centers Assessed ) Lact:725) 1,092 4. Infant and Young Child National Nutrition Council Region(Preg 7: 444 15 Municipalities Feeding ( Mothers Lact: 648) 9 Evacuation Centers counseled )

NIE SERVICES RENDERED as of : 12/06/2013

No. of Population No. of areas covered (EC, NUTRITION Service Served (Family or Remarks Community) Individual) 5. Blanket Supplementary T BD - Feeding 6. Management of Severe Acute Malnutrition (Outpatient) 7. Management of Acute Malnutrition in Pregnant & Lactating Women

8. Management of Moderate Acute Malnutrition National Nutrition Council Region 7 Total 10,138 On-going Activities

• Setting-up of breastfeeding spaces in communities & evacuation centers • Monitoring of EO 51 (Milk Code) • Arrangement of hospitals for referrals of SAM cases with complications • Distribution of nutrition IEC materials • Regular nutrition cluster meetings every Fri @ 2 pm

National Nutrition Council Region 7 Capacity Development Activities

• Nov. 14 - MUAC Training for BNSs ( 15 pax) • Dec. 2 - Orientation of health and nutrition workers on CMAM for Cebu City Evacuation Centers (20 pax) • Dec. 6 - MUAC Training for enumerators for MIRA

National Nutrition Council Region 7 Team Deployment (2-6 December 2013)

Mun/Evac Center Nutrition Team Composition RN RND BNS BHW Others Cebu City 3 6 6 (n)CHO Med Evacuation Sites team Lapu-Lapu City Sites 1 1 2 2 (Province) (n) Local health team Bantayan 1 2 1 DOHRep Madridejos 1 1 DOHRep San Remegio 1 1 MNPC NBogoational City N utrition Council Region 7 15 1 Nutrition Office Staff Cumulative Report as of 6 December (Cebu Province)

Municipality/ Population Mid Upper Arm Circumference Vitamin Evacuation Site General 6-59 Mos Green Yellow Red A (Normal) (MAM) (SAM) M F M F M F M F

Medellin, Cebu 52413 115 117 111 114 6 3 0 0 79 Daanbantayan, Cebu 76986 57 56 55 53 1 3 1 0 109 Bantayan, Cebu 77205 2365 2519 2344 2501 21 18 0 0 0 Madridejos, Cebu 36872 1373 1338 1288 1262 61 56 24 20 0 Sta. Fe, Cebu 28721 522 544 514 534 8 9 0 1 5 Bogo City 72117 4471 4067 4459 4055 9 11 3 1 0 San Remegio 53898 43 39 41 34 2 3 1 1 3500 Tabogon 34773 23 27 23 27 0 0 0 0 0 Borbon 32685 8 8 8 8 0 0 0 0 0 San Francisco 49436 13 20 13 19 0 1 0 0 0 Tabuelan 23295 4 5 4 5 0 0 0 0 0 Pilar 11729 8 11 8 9 0 2 0 0 0 Tudela 9823 11 9 11 9 0 0 0 0 0 Poro 24261 13 22 13 21 0 1 0 0 0

National Nutrition Council Region 7 Cumulative Report as of 6 December (Cebu Province) Municipality/ Infant & Young Child Feeding Milk Code Violation Available BF Space Evacuation Site

Mother Assessed Mother Counselled No (X) If yes, If yes, from whom No Yes what type (X) (/) Yes Pregnant Lactating Pregnant Lactating (/) Bona, Medellin, Cebu 84 50 77 35 / Lactum, / / Nestogen Daanbantayan, 18 44 7 15 x x x x Cebu Bantayan, Cebu 117 173 115 173 / nestogen x x Madridejos, Cebu 185 261 166 239 x x x x Sta. Fe, Cebu 33 97 33 97 x x x X Bearbrand RAFI, Davao Med Bogo City 11 11 1 2 / X , Nutrilon Mission, TBKK San Remegio 8 7 8 7 / bearbrand RAFI x Tabogon 0 3 0 3 x x x x Borbon 0 7 0 7 x x x x San Francisco, 2 2 2 2 x x x x Camotes Tabuelan 0 5 0 5 x x x x Pilar 1 1 1 1 x x x x Tudela 1 1 1 1 x x x x Poro 1 1 1 1 x x x x

National Nutrition Council Region 7 Cumulative Report as of 6 December (Evacuation Centers)

Municipality/ Population Mid Upper Arm Circumference Vitamin Evacuation Site General 6-59 Mos Green Yellow Red A (Normal) (MAM) (SAM) M F M F M F M F

Cebu City 84 87 91 76 3 0 0 1 115 Lapu-Lapu City 34 25 29 24 5 1 0 0 31 City 1 3 1 3 0 0 0 0 4

National Nutrition Council Region 7 Cumulative Report as of 6 December (Evacuation Centers)

Municipality/ Infant & Young Child Feeding Milk Code Violation Available BF Space Evacuation Site

Mother Assessed Mother Counselled No (X) If yes, If yes, from whom No Yes what type (X) (/) Yes Pregnant Lactating Pregnant Lactating (/) Nestogen, Cebu City 11 29 11 26 / NGO x s26, Bonna Lapu-Lapu City / Bona, Bonamil, unknown x Nestogen, 4 10 4 3 Bearbrand Mandaue City 0 1 0 1 x x x x

National Nutrition Council Region 7 Summary of RNA Results

Estimated 6-59 mos No of 6-59 LGU General Population Population Assessed % Coverage Medellin, Cebu 52413 7925 232 2.9% Daanbantayan, Cebu 76986 11640 113 1.0% Bantayan, Cebu 77205 11673 4884 41.8% Madridejos, Cebu 36872 5575 2711 48.6% Sta. Fe, Cebu 28721 4343 1066 24.5% Bogo City 72117 10904 8538 78.3% San Remegio, Cebu 53898 8149 82 1.0% Tabogon, Cebu City 34773 5258 50 1.0% Borbon, Cebu 32685 4942 16 0.3% San Francisco, Cebu 49436 7475 33 0.4% Tabuelan, Cebu 23295 3522 9 0.3% Pilar, Cebu 11729 1773 19 1.1% Tudela, Cebu 9823 1485 20 1.3% National Nutrition Council Region 7 Poro, Cebu 24261 3668 35 1.0% Sogod 31758 4802 0 0.0% Total 615972 93134 17808 19.1% % MAM and % SAM as of 06 Dec.

No of 6-59 Cases of LGU %MAM %SAM Assessed MAM Cases of SAM Medellin, Cebu 232 9 3.9% 2 0.9% Daanbantayan, Cebu 113 4 3.5% 1 0.9% Bantayan, Cebu 4884 39 0.8% 0 0.0% Madridejos, Cebu 2711 117 4.3% 44 1.6% Sta. Fe, Cebu 1066 17 1.6% 1 0.1% Bogo City 8538 20 0.2% 4 0.0% San Remegio, Cebu 82 5 6.1% 2 2.4% Tabogon 50 0 0.0% 0 0.0% Borbon, Cebu 16 0 0.0% 0 0.0% San Francisco, Cebu 33 1 3.0% 0 0.0% Tabuelan, Cebu 9 0 0.0% 0 0.0% Pilar, Cebu 19 2 10.5% 0 0.0% Tudela, Cebu 20 0 0.0% 0 0.0% National NutritionPoro, Cebu Council Region 735 1 2.9% 0 0.0% Sogod 0 0 0 Total 17808 215 1.2% 54 0.3% MAM & SAM Cases Identified

250 228 200 167 150

100

50 50 54 39 28 0 12 5

MAM SAM National Nutrition Council Region 7 Status of Affected BNSs

No. of Partially No. of Totally LGU No. of BNS Damaged BNS Damaged BNS Homes Homes Bantayan 25 25 Sta. Fe 10 10 Madredijos 14 14 Bogo City (Partial) 29 3 6 Poro 17 12 Medellin 19 13 6 San Francisco 31 16 Tabogon 1 1 National Nutrition Council Region 7 Total 146 45 61 Nutrition Cluster Strategic Response Plan

Strategic area/objective Activities 1. Promotion and protection of infant and young child feeding in emergencies (IYCF-E) as life-saving child survival interventions To promote, protect and support the a. Assessment of IYCF practices optimal IYCF-E as life-saving child survival b. Establishment of safe breastfeeding-friendly spaces/mother- intervention to at least 80% of both baby corners, breastfeeding corners, human milk banks, breastfed and non-breastfed children (0- breastfeeding kits 23 months) in all Yolanda-affected c. Breastfeeding/IYCF and psycho-social counselling, mentoring regions and supervision (peer support groups, nutrition scholars (BNS), barangay health workers (BHW)) d. IEC campaigns (joint statement, posters, flipchart) e. Monitoring of milk code violations f. Capacity building of BNSs, BHWs and other groups involved in IYCF

National Nutrition Council Region 7 Nutrition Cluster Strategic Response Plan

Strategic area/objective Activities 2. Prevention and management of acute malnutrition and micronutrient deficiencies among vulnerable groups, including boys and girls under-5 years of age, pregnant and lactating women and older persons To ensure access to integrated a. Community mobilization and screening management of acute malnutrition, b. Management of severe acute malnutrition (SAM) cases without micronutrient powder, blanket medical complications in the Outpatient Treatment Program (OTP) supplementary feeding program for at c. Management of SAM cases with medical complications in the least 50% (rural) and 75% (urban) of Inpatient Treatment Program (ITP) vulnerable populations (children 6-59 d. Management of moderate acute malnutrition (Targeted months, pregnant and lactating women Supplementary Feeding Program) and older persons) in XX municipalities affected by Yolanda e. Prevention of acute malnutrition (Blanket Supplementary Feeding Program) f. Prevention of micronutrient deficiencies (MNP, micronutrient supplementation, vitamin A (will be care of the Health Cluster, iron-folic acid, zinc) g. Capacity building of DOH and NNC staff and other partners National Nutrition Council Region 7 h. Advocacy for adequate food, including iodized salt in the food relief pack distributed by the Food Security Cluster i. Nutrition education Nutrition Cluster Strategic Response Plan

Strategic area/objective Activities 3. Nutrition assessments and information management To determine and evaluate a. MIRA the nutritional status in b. Rapid nutrition assessment vulnerable groups in XX c. SMART survey municipalities affected by d. SQUEAC (but for validation) Typhoon Yolanda within 3 e. Capability building activities of DOH and NNC months and 9 months of the staff and other partners onset of the emergency

National Nutrition Council Region 7 Nutrition Cluster Strategic Response Plan

Strategic area/objective Activities 4. Strengthening cluster coordination capacity focusing on sub-national level To ensure a predictable, timely, a. Development and approval of policies, protocols and coordinated and effective nutrition guidelines on prevention and management of acute response to all typhoon-affected malnutrition population b. Coordination of nutrition in emergencies interventions (national and sub-national) c. Cluster/TWG meetings d. Preparation of the Strategic Response Plan e. Cluster human resources capacity building f. Inter-cluster coordination g. Information management h. Documentation of lessons learned i. Monitoring and reporting National Nutrition Council Region 7 j. Nutrition Cluster Bulletin (monthly) k. Preparedness response plan IYCF Target for the Next Six Months

Operatio Operatio Affected nal nal Municipa GAM Children Children Children Chilren Children Children Pregnant Lactating populati Target Target lity Rate 0-5 m 0-11 mo 0-59 m 6-59 m 0-23 m 6-23 m Women Women on MAM for for IYCF- PLW E

Bantaya 37,393 505 1,010 5,048 4,543 2,019 1,514 1,309 1,122 2,662 n Daanba 37,449 506 1,011 5,056 4,550 2,022 1,517 1,311 1,123 2,666 ntayan Medelli 25,024 338 676 3,378 3,040 1,351 1,013 876 751 1,782 n Madride 17,453 236 471 2,356 2,121 942 707 611 524 1,243 jos Santa Fe 13,635 184 368 1,841 1,657 736 552 477 409 971

National Nutrition Council Region 7 CMAM Target for the Next Six Months

Operation Operationa Operationa al Target Operation SAM l Target for MAM l Target for for Operation al Target Affected Children Children Children Chilren Children Children Pregnant Lactating Prevalenc Prevalenc Municipality GAM caseloa SAM caseloa MAM SAM+MA al Target for MNP population 0-5 m 0-11 mo 0-59 m 6-59 m 0-23 m 6-23 m Women Women e (SAM) e (MAM) d manageme d manageme M for BSFP 6-59 M nt nt Children (No GAM) 6-59M

4,54 Bantayan 37,393 505 1,010 5,048 2,019 1,514 1,309 1,122 0 0.00 0 0 0.00 0 0 0 757 2,272 3

4,55 Daanbantayan 37,449 506 1,011 5,056 2,022 1,517 1,311 1,123 0 0.00 0 0 0.00 0 0 0 758 2,275 0

3,04 Medellin 25,024 338 676 3,378 1,351 1,013 876 751 0 0.00 0 0 0.00 0 0 0 507 1,520 0

2,12 Madridejos 17,453 236 471 2,356 942 707 611 524 0 353 1,060 1

1,65 Santa Fe 13,635 184 368 1,841 736 552 477 409 0 0.00 0 0 0.00 0 0 0 276 828 7

National Nutrition Council Region 7 Gaps and Constraints

• Limited validation tools (eg. Weighing scales, height boards) • Human resources to conduct screening & provide nutrition intervention • Mobilization resource to reach children & PLW in islets • Spaces for lactating women to breastfeed • Nutrition IEC materials • Limited capacity for the treatment of severe and moderate acute malnutrition

National Nutrition Council Region 7 Who does-What-Where (3W) Typhoon Haiyan/Yolanda Response Please see form

4W Yolanda - Blank.xlsm

Please send accomplished form to

[email protected]

National Nutrition Council Region 7 THANK YOU! National Nutrition Council Region VII DOH-CHD 7 Cmpd., Osmeña Blvd., Cebu City Telefax Nos: (032) 254-3263 / 418-7182 Website: www.nnc.gov.ph/regional- offices/region-vi Email: [email protected] https://www.facebook.com/NNCRVII http://twitter.com/NNC_7

National Nutrition Council Region 7