2019-2022 Regional Plan of Action for Nutrition Zamboanga Peninsula

2019-2022 REGIONAL PLAN OF ACTION FOR NUTRITION ZAMBOANGA PENINSULA

Table of Contents

RNAHC Resolution No. 2; Series of 2018 List of Tables Acronyms ...... i Acknowledgement ...... ii The Region IX (ZAMBOANGA PENINSULA) RPAN Formulation Process ...... iii Executive Summary ...... vi Section I. Regional Nutrition Situation Analysis ...... 1 Section II. Regional 2022 Outcome Targets ...... 19 Section III. RPAN Programs and Projects ...... 22 Section IV. Estimates of Budgetary Requirements for RPAN XII ...... 36 Section V. Risks and Mitigation Analysis ...... 43 Section VI: The RPAN Institutional Arrangements ...... 48 Section VII: Monitoring, Reporting and Evaluation Mechanism for the RPAN ...... 50 Section VIII: RPAN Region IX Implementation Plan and Results Framework ...... 50 Annex 1. Nutrition Sensitive Projects ...... 67 Annex 2. RPAN IX Programs and Projects to Meet the Standards and Achieve the Regional Outcome Targets ...... 85 Annex 3. Summary of Budgetary Requirements, Region IX RPAN 2019-2022, by Program, by Project, by year and with recommended action to fill resource gap ...... 106 References ...... 121

List of Tables

Table 1. Prevalence of undernutrition, stunting and wasting 0-5 years old and 5to 8 years old children, Region and Provinces. Source: NNS 2015, FNRI-DOST ...... 2 Table 2. Prevalence of Micronutrient Deficiencies, Region 9 ...... 3 Table 3. List of Municipalities with high Prevalence of stunting among children < 5 years old 5 Table 4. Regional Outcome Targets ...... 19 Table 5. RPAN Region IX Programs and Projects...... 22 Table 6. Description of RPAN Region IX Programs, Projects and Their Outputs ...... 25 Table 7. Summary of Budgetary Requirements by program and share of program budget to total RPAN ...... 36 Table 8. Summary Budget Estimates for Programs and Projects ...... 37 Table 9. Region IX RPAN Risks Analysis and Mitigation Measures ...... 44 Table 10. RPAN Region IX Results Framework Matrix ...... 51

List of Figures

Figure 1. Location map of Region IX ...... 1 Figure 2. Prevalence of malnourished children less than 5 years old: Zamboanga Peninsula, 2011, 2013, 2015. Source: DOST-FNRI NNS 2015 ...... 2 Figure 3. Trends in the prevalence of nutritionally-at-risk pregnant women: Philippines and Zamboanga Pensnsula, 2011-2015. Source: DOST-FNRI NNS 2015 ...... 3

Figure 4. Municipalities with high malnutrition prevalence, Region 9, OPT Plus 2017...... 5

Figure 5. ASEAN Conceptual Framework on Malnutrition ...... 5 Acronyms

AO – Administrative Order BNS – Barangay Nutrition Scholar CDC – Child Development Center CDW – Child Development Worker DA – Department of Agriculture DILG – Department of the Interior and Local Government DOH – Department of Health DOLE – Department of Labor and Employment DSWD – Department of Social Welfare and Development FHSIS – Field Health Service Information System FNRI – Food and Nutrition Research Institute F1K – First 1,000 Days GIDA – Geographically Isolated and Disadvantaged Areas IFA – Iron Folic Acid IP – Indigenous People MFF – Mandatory Food Fortification MNP – Multiple Micronutrient Powder NDAP – Nutrition-Dietitian Association of the Philippines NDHS – National Demographic and Health Survey NEDA – National Economic and Development Authority NGA – National Government Agencies NGO – Non-government Organizations NiEm – Nutrition in Emergencies ND – Nutritionist-Dietitian NO – Nutrition Officer NNC – National Nutrition Council NNS – National Nutrition Survey NSD – Nutrition Surveillance Division NPPD – Nutrition Policy and Planning Division OOMP – Overweight and Obesity Management Prevention OPT – Operation Timbang PDP – Philippine Development Plan PHILCAN – Philippine Coalition of Advocates for Nutrition Security PPAN – Philippine Plan of Action for Nutrition PSA – Philippine Statistics Authority PW – Pregnant women RNC – Regional Nutrition Committee RNPC – Regional Nutrition Program Coordinator RPAN – Regional Plan of Action for Nutrition RTWG – Regional Technical Working Group SNP – Supervised Neighborhood Play WIFA – Weekly Iron-Folic Acid WRA – Women of Reproductive Age

Acknowledgement

One of the principal instruments in achieving the outcome targets in the PPAN 2017-2022 is the formulation of the Regional Plan of Action for Nutrition (RPAN) in all the 17 regions of the Philippines. The formulation of a Regional Plan of Action for Nutrition embodies the key commitments of critical regional agencies, in particular the member agencies of the Regional Nutrition Committees, along the PPAN programs. The RPAN is a plan that commits regional sector agencies to actions and resources to address the priority nutrition problems in the region as well as contribute to their proportionate share of the malnutrition burden and corresponding targets in the PPAN.

In pursuit of the spirit of PPAN 2017-2022, the National Nutrition Council (NNC) through the leadership of Assistant Secretary of Health and NNC Executive Director IV Maria-Bernardita T. Flores, CESO II directed all the NNC Regional Offices to initiate and coordinate the preparation of the RPAN and complete the preparation of such plans for budget years 2019-2022. The formulation of the RPANs was made possible with the support of Nutrition International through its Technical Assistance for Nutrition - PHL 031 cooperation with UNICEF Philippines.

The efforts of the National RPAN Planning Team (NRPT) organized by NNC to assist in the RPAN formulation is also recognized. The NRPT is composed of technical staff from the members of the NNC Technical Committee (DOH, DILG, DA, NEDA, DAR, UP-BIDANI) and from development partners: Nutrition International Philippines, UNICEF Philippines, Food and Agriculture Organization, World Food Programme, and PHILCAN (represented by World Vision Development Foundation, Inc.). The planning staff and senior officers of NNC as well as the NI – PHL 03 consultants from Alcanz International LLC also formed part of the NRPT. The International Institute of Rural Reconstruction was invited as resource person.

1 PHL 03 - Long term support to the National Nutrition Council to operationalize the PPAN and advance the national nutrition agenda in the Philippines

The Region IX (ZAMBOANGA PENINSULA) RPAN Formulation Process

The National Nutrition Council Secretariat led, coordinated and guided the formulation of the RPAN in all the 17 regions of the country. The planning process was initiated through the development and use of the RPAN Formulation Guidelines linked to the conduct of a three-day planning workshop. NNC also established the NNC National RPAN Planning Team (NRPT) to guide and support the entire RPAN formulation process. The NNC NRPT is composed of technical staff from the member agencies of NNC Governing Board.

The Region IX RPAN planning process was participatory, inter-sectoral and multi-level as it engaged the participation of the RNC-Region IX member agencies. Planning staff and senior officers from the NNC as well as Alcanz International consultants accompanied the entire planning process. More specifically the following are the milestone activities undertaken in arriving at the Region IX RPAN 2019-2022:

1. RPAN Planning Workshop, 28 February to March 2, 2018, Ritz Hotel, Davao City 2. First RPAN Review Meeting by the Regional Technical Working Group, March 9, 2018 in Astoria Hotel, Zamboanga City 3. Regional Nutrition Committee Meeting, March 20, 2018, Marcian Garden Hotel, Zamboanga City.

The RPAN was approved by the Region IX Regional Nutrition Committee on October 4, 2018, Zamboanga Seafood House, San Roque, Zamboanga City. following the issuance of RNC Resolution No. 2, series of 2018.

iii

Regional Nutrition Profile

Estimated Population by Age/Physiological Group Based on the Projected Population, 2016 (in millions) Total population 3,629,783 - Male 1,850,878 - Female 1,778,905, 0-59 months 490,020 60-120 months 544,467 121-228 months 20 years and above Women of reproductive age (15-49 years old) Pregnant women 98,004 Lactating mothers 98,004 Nutritional Status Indicators/Population Prevalence (%) Equivalent Number in 2017 Group (millions) LOW BIRTH WEIGHT INFANTS 24.9 14,088 INFANTS 5 MOS OLD WHO ARE EXCLUSIVELY BREASTFED CHILDREN 6-23 MONTHS OLD MEETING THE 16.3 24,292 MINIMUM ACCEPTABLE DIET UNDERNUTRITION (NNS, 2015) Under five year old children - Underweight - Stunting 38.0 186,207 - Wasting 7.1 34,791 School age children (5-10 years old) - Underweight 33.4 - Stunting 38.3 - Wasting 6.4 33,663 Adolescents (ages 10.08-19 years old) - Stunting 39.6 - Wasting 8.8 Adults (≥ 20 years) 10.1 Chronic energy deficiency (CED) Pregnant women - Nutritionally at-risk 29.6 Lactating mothers - Wasted and CED 11.8 OVERNUTRITION (NNS, 2015) Overweight/obese - Children under five years old 2.5 - School age children 5.4 - Adolescents 5.0 - Adults 20 years and above 29.7/6.5

Nutritional Status Indicators/Population Prevalence (%) Equivalent Number in 2017 Group (millions) MICRONUTRIENT DEFICIENCY Vitamin A deficiency among children 6 months to 5 years old 32.7 186,329 Anemia among women of reproductive age Median urinary iodine concentration, mcg/L - Children 6-12 years old 41.1 259,414 - Pregnant women - Lactating women - Children 6-12 years old with UIE 68 concentration <50 mcg/L - Lactating women with UIE 48 concentration <50 mcg/L HOUSEHOLDS WITH DIETS THAT MEET THE ENERGY REQUIREMENTS LBW data from National Demographic Health Survey Assessment criteria in determining magnitude and severity of underweight, stunting and wasting in children under-five years old (0 to 59 months old) as public health problem (WHO, 1995): Underweight:<10% – low; 10-19% - medium; 20-29% – high; ≥30% – very high. Stunting: <20% – low; 20-29% - medium; 30-39% - high; ≥40% – very high. Wasting: <5% – acceptable; 5-9% – poor; 10-14% - serious; ≥15% – critical

Executive Summary

The Regional Plan of Action for Nutrition 2019-2022 is the response of Region IX to the alarming nutritional problems in the region. Levels of under nutrition in the region has been continuously high throughout the years, and according to the Updating of the Nutritional Status of Filipino Children and Other Population Groups conducted by the Food and Nutrition Research Institute of the Department of Science and Technology (FNRI-DOST) in 2015, Region IX has one of the highest and significant levels of stunting at 38.0%. Underweight (21.2%) and wasting (7.1 %) are also high.

These nutritional problems are caused by immediate and underlying causes ranging from inadequate food intake, poor participation in health programs/services, food insecurity and inadequate health services, and at the root of these problems do the basic problems of poverty and lack of education.

Regional outcome targets were established for 2022 for stunting, wasting and obesity as well as micronutrient deficiencies and other indicators. Among 0-5 year old children, the stunting levels will be reduced from 38.0 % to 24 % by end 2022. Wasting prevalence among under 5 will be reduced from 7.1% to 4.9% by the end of the RPAN period among the same group of children. Targets for obesity, micronutrient deficiencies have also been estimated in the RPAN formulation process.

As a response to the problems identified in the planning process, the RPAN formulated 11 programs and 52 projects. The program is consisted of 1 nutrition sensitive, 1 enabling and 9 nutrition specific programs. The 11 programs follow the life stages of the Department of Health and the major programs of the Philippine Plan of Action for Nutrition 2017-2022. All 11 nutrition specific, nutrition sensitive and enabling programs constitute the RPAN with an additional program to reflect the huge challenge of adolescent health. The RPAN provides the necessary focus on the First 1000 days and dietary supplementation given its huge potential in addressing the major nutritional issues in Region IX and in the country.

The budget estimated for 2019-2022 for the 11 programs amounts to PhP 1,671,560,565.00, with an annual average of about PhP 417,890,141.25. The funded portion is PhP 1,497,510,205.00 representing 89.59% of total, while the unfunded portion amounts to PhP 174,050,360.00. Financing come mostly from funds of the member agencies of the Regional Nutrition Anti-Hunger Committee (expanded RNC). The funding shortfalls will be discussed during the upcoming follow-up meetings.

The RPAN outcomes and outputs are essentially a regional accountability. The RPAN’s results matrix is explicit with respect to the accountabilities of each of the agencies in the region. An implementation plan, the organizational mechanism for overall coordination and management of the RPAN as well as the monitoring and reporting and evaluation are integral parts of the Plan.

In summary, the Region IX RPAN contains key elements expected to contribute to the attainment of the PPAN 2017-2022 national goals and targets:

- embodies the commitment and accountabilities of regional sector agencies as a contribution of the region to the proportionate share of the malnutrition burden

- aims to address the key manifestations of malnutrition - under nutrition, over nutrition, micronutrient deficiencies and their causes following the ASEAN Conceptual Frameworks of Malnutrition

- sets two layers of outcome objectives by the end of 2022 – (1) outcome targets that refers to final outcomes against which plan success will be measured; and (2) sub- outcome or intermediate outcomes referring to outcomes that will contribute to the achievement of the final outcomes

- identifies a good mix of interventions appropriate for the region consisting of three distinct but complementing types of programs2 - nutrition-specific, nutrition-sensitive and enabling management programs as defined in the PPAN program framework

- provides estimated budget requirements for each of the identified programs and projects cognizant of the actual GOP budget process

- anticipates risks and threats by factoring mitigating strategies and program adjustments

- defines the institutional accountabilities to deliver outputs and outcomes to include accountability for coordination which rests on the RNC

- formulates a Results Framework Matrix that defines a vertical and horizontal logic of expected results, indicators, targets and accountability

- lays out the monitoring, reporting and evaluation mechanism necessary to determine progress of implementation and extent of outcome targets achievement

2Nutrition-specific programs are those that were planned and designed to produce nutritional outcomes, nutrition-sensitive are those that will be tweaked to produce nutritional outcomes, enabling management support programs are actions developed and designed to assist the nutrition-specific programs to be achieved with greater degree of efficiency and effectiveness. vii

Section I. Regional Nutrition Situation Analysis Zamboanga Peninsula (Region IX)

Regional Profile The Zamboanga Peninsula Region or Region IX is located in the northwestern portion of the island of Mindanao, extending towards the southwest part of Sulu Archipelago and Borneo. The Peninsula has a total land area of roughly 18,730.1 square kilometers. It is composed of three provinces namely Zamboanga del Norte, Zamboanga del Sur and Zamboanga Sibugay with the five cities of Dapitan, Dipolog, Isabela, Pagadian and Zamboanga, together with sixty seven (67) municipalities and 1,904 barangays. Figure 1. Location map of Region IX

The 2015 data of the Philippine Statistics Authority (PSA), indicate the regional population growth rate of 1.64 percent registering a population of 3,629,783 making up 471,020 households. In terms of population distribution, Zamboanga del Sur and Zamboanga del Norte are more or less of equal proportion at 28.3 percent and 28.1 percent respectively, while Zamboanga City being the only highly urbanized city in the region has the third biggest proportion at 24.0 percent of the total population.

The region’s population is of mixed cultures. Bisaya and Cebuano are the dominant ethnic groups, comprising 33 percent and 27 percent of the total households, respectively, while the Zamboanga – Chavacano comprise 11 percent of the population and are mostly in Zamboanga City. Other ethnic groups are the Subanen who are the native inhabitants; the Tausug, Sama Bangingi and Sama Bajau make up the smaller proportions of the population.

Owing to its geographic formation, the Zamboanga Peninsula is blessed with rich fishing grounds and is the sardine capital of the country. The region’s other important commodities and emerging crops include rubber, seaweed, coconut, marine products, mango, abaca and cacao. The Regional Development Plan 2017-2022 stresses further harnessing the region’s comparative development advantages, particularly its strategic location and agri-fishery potential industries: “…within the medium-term, Zamboanga Peninsula envisions to be ‘The Center of Sustainable Agri-fishery 1

Industries of the Philippines.’ …It shall sustain its high economic growth rate as experienced during the period 2014-2016 and further reduce its poverty incidence among families.”

The Nutrition Situation and Challenges

Against the backdrop of Region IX’s development agenda, serious forms of malnutrition such as stunting, wasting, and specific micronutrient deficiencies continue to affect young children and adolescents in the region. Overweight and obesity are also a growing problem among adults. The results of the FNRI 2015 Updating of the nutritional status of Filipinos using the anthropometric measurements, measuring the physical dimensions and gross composition of the body, showed that 38.0 percent of the 0-5 years old in the region is stunted while 7.1 percent is wasted or an estimate of 186,207 and 34,791 children, respectively. Stunting in the region is five percentage points higher than the national prevalence while wasting is at equal level.

Figure 2. Prevalence of malnourished children less than 5 years old: Zamboanga Peninsula, 2011, 2013, 2015. Source: DOST-FNRI NNS 2015

Table 1. Prevalence of undernutrition, stunting and wasting 0-5 years old and 5to 8 years old children, Region and Provinces. Source: NNS 2015, FNRI-DOST

Among the three provinces, Zamboanga del Norte and Zamboanga Sibugay are categorized with very high prevalence of stunting. The prevalence of wasting in all the three provinces and the city of Zamboanga are categorized as poor based on the WHO standard. Underweight and stunting are at higher levels among the school age children with 33.4 percent and 38.3 percent respectively. Among pregnant women the prevalence of nutritionally-at-risk is 29.6 percent, higher than the national level. The prevalence has been increasing from 2011 to 2015 and the rate is the third highest among the seventeen regions in the country. Moreover, based on the Regional Findings from the NDHS 2017, 7.5 percent of the 15 – 19 years old women had begun childbearing.

Findings of the NNS 2013 showed that this group of mothers 15 to 19 years old is more nutritionally – at- risk compared to their adult counterparts, with higher rates of chronic energy deficiency and anemia at 37.74 percent and 30.6 percent respectively. Considering that the prevalence of stunting and wasting among Figure 3. Trends in the prevalence of nutritionally-at-risk the 10 – 19 years old in the region is at 39.6 pregnant Figure women: 3. Underweight, Philippines stunting, and Zamboanga wasting 0 -Pensnsula,5 years old & 5- 2011-2015.10 years Source: old children, DOST-FNRI Zamboanga NNS 2015 Peninsula, 2015 percent and 8.8 percent respectively, these young mothers in the region are more nutritionally-at-risk. Undernourished mothers provide poor nutrition to the child in vitro; hence the child’s development even within the womb is compromised. These infants may be born with low birth weight of less than 2.5 kilograms, a situation affecting 24.9 percent or an estimate of 14,088 of new born infants in the region.

Table 2. Prevalence of Micronutrient Deficiencies, Region 9

Vitamin A Deficiency Percent of Population with low to deficient serum retinol mol/L

PS 6 - 60 months old 20.4% (113,022) Percent of population with hemoglobin level below

Anemia recommended level 6 months to 5 y/o 5.2 (14,956) Pregnant women 25.2 (24,697) Lactating women 16.6 (16268)

Iodine Deficiency Disorders UIE <50 µg/L, % 6 – 12 years old children 41.1 (highest) 259,414

Source: NNS 2003, FNRI-DOST 3

The most serious problem of Micronutrient Deficiencies in the region is Iodine Deficiency Disorder (IDD) which affect 41.1 percent of the 6 – 12 years old children having UIE<50 µ g/L with 68 median UIE µg/L. Iodized salt is not widely available while plain salt continues to proliferate in public markets. Zamboanga del Norte has the highest prevalence of Iodine Deficiency Disorder in the country. Families with members affected with cretinism have been discovered in the mountainous areas of the province.

The region has seen significant reduction in the prevalence of Iron Deficiency Anemia. Among 6 months to 5 years old children, the rate has gone down to 5.2 percent and among the pregnant women, IDA was reduced by half from 50.7 percent in 1998 to 25.2 percent in 2013 as reported in the 8th NNS of the FNRI.

Local Government Units conduct the annual Operation Timbang Plus (OPT Plus) to monitor weight for age, height for age, and weight for height to determine the nutritional status of children under five years old, as well as to identify those affected with underweight, stunting, and wasting. The monitoring done in the first quarter of the year generates local data on the nutritional status of children as basis for the formulation of nutrition action plans as well as for monitoring the children.

The data from Operation Timbang also provides information for local planners on the nutrition situation of the municipalities. It facilitates the identification of areas where the problem of undernutrition is more serious. The OPT Plus provides local nutrition planners with data for targeting of interventions, as well as information on location of households with malnourished children. Across the region, forty two municipalities of the sixty seven or 62 percent have prevalence of stunting from moderate to high Figure 4. Municipalities with high malnutrition prevalence, Region 9, OPT Plus 2017. (10 – 19 percent WHO classification). Referring to the figure on the right side, municipalities with orange color have been found to have higher prevalence of undernutrition than the regional average in 2017 based on OPT Plus.

Table 3. List of Municipalities with high Prevalence of stunting among children < 5 years old

Source: OPT Plus 2017

Causes of Malnutrition

The causes of the various manifestations of under nutrition (stunting, wasting, underweight), over nutrition (overweight/obesity), and micronutrient deficiencies can be more easily understood by looking at the ASEAN Conceptual Framework on Malnutrition (Figure 5). The framework identifies poor dietary intake, disease, and physical inactivity as immediate causes. The underlying causes at household level point to insufficient access to healthy foods, sedentary lifestyle, Figure 5. ASEAN Conceptual Framework on Malnutrition 5 inadequate care and feeding practices, inadequate health systems, poor water and sanitation. Basic causes at the societal level pertain to factors such as access to resources, income, economic activity, political stability, climate change, and governance, among others.

Food Security

The Food Security Survey of the 8th NNS showed that 21.4 percent of the households is food secure but 41.9 percent and 24.7 percent are moderately and severely food insecure, with 26.7 percent having experienced worrying about food. About ninety percent (90.2 percent) of the households in the poorest quintile had poor food consumption and 52.2 percent of the total households had to eat an unvaried diet because they had no money or the ability to grow or trade for food.

In the Updating of Nutritional Status of Children in 2015, the survey showed that only 34.1 percent of households meet the Recommended Energy Intake. In terms of food consumption, these findings of the Food Security Survey are the results of the underlying factors that limit the food intake of the family and cause poor nutritional status of pregnant women and young children.

Food insecurity of the household can be closely correlated to the high poverty incidence in the region at 26 percent in 2015 (PSA IX), which was already significantly reduced from 33.17 percent in 2012. Zamboanga del Norte registered the highest at 41.1 percent in 2015 from an incidence of 48 percent in 2012.

Infant and Young Child Feeding Practices

The National Policies on Infant & Young Child Feeding provides the guidelines for improving the survival of infants and young children by improving their nutritional status, growth, and development through optimal feeding anchored on exclusive breastfeeding from 0-6 months, early initiation within one hour after birth, provision of timely, adequate and safe complementary foods at six months while continuing breastfeeding up to two years old and beyond. (DOH AO 2005-0014). However, the 2015 FNRI Survey on Feeding Practices showed that exclusive breastfeeding for 0-5 months old infants declined from 60.9 percent in 2011 to 54.1 percent with a mean duration of 4.1 months.

In the 2015 Updating of Nutritional Status of children, the early introduction of complementary food among the 0 – 5 months old infants is observed among 34.9 percent. Hence, the optimal effect of exclusive breastfeeding is not fully satisfied and may lead to shorter breastfeeding periods. The same survey showed that only 16.3 percent or estimated 24,292 of the 6-23 months old children meet the Minimum Acceptable Diet based on the Minimum Meal Frequency and Minimum Dietary Diversity Score. The poor quality of complementary feeding and its early or late introduction before or after the child turns six months may cause poor nutrition of the child and increase the risk to undernutrition before they reach two years old.

Gaps in access to quality health services

The Regional Development Plan cited the need to fill the gaps in health services. It called for an improved health service which requires adequate health facilities and more health service providers, especially in remote barangays of the region. It saw the need to expand the NHIP coverage especially among the poor and vulnerable sectors of the community yet to be enrolled or covered by the program.

It cited the fact that malnutrition remains high, as targets for 2015 were not met. The number of underweight, wasted, stunted and overweight children 0-5 years old increased in 2015, as with children aged 6-10 years old. The low investment of LGUs on nutrition care for children was indicated by non-functional Local Nutrition Committees, the fast turnover of health and nutrition workers, and absence of permanent items for Nutrition Action Officers (NAO).

High Teenage Fertility

The RDP cited the latest Young Adults Fertility and Sexuality (YAFS) Study in 2013 which showed the teenage fertility rate in the region increasing for the past decade. The number of females 15-19 years old who are mothers increased from 7.1 percent in 2002 to 13.5 percent in 2013. The number of females 15-19 years old who are pregnant with the first child increased from 2.1 percent in 2002 to 2.7 percent in 2013. There was also a notable increase from 9.3 percent in 2002 to 16.3 percent in 2013 of 15-19 year-old females who already began childbearing. The region had the highest prevalence of unprotected first premarital sex among the youth in the Philippines with 91.9 percent, which led to pregnancy and/or sexually transmitted diseases.

Insufficient Water Supply

Data of Department of Health (DOH) IX in 2015 showed that about 82.77 percent or 545,341 households in Zamboanga Peninsula have access to potable water which was higher than 81.24 percent or 499,031 households in CY 2014. About 36.47 percent of the households in the region have access to Level III water supply; 28.03 percent to Level II; and 18.27 percent to Level I. The six major water districts in the region, namely, the water districts of Dapitan City, Dipolog City, Ipil- Titay, Isabela City, and Zamboanga City only served a total of 176 barangays out of the 326 barangays within their respective jurisdictions. Due to insufficient water sources and lack of funds, these have limited coverage and could still not provide Level III water supply to the remaining 150 barangays.

The Department of Interior and Local Government (DILG) IX implemented 18 Salintubig projects in 2014 and 25 projects in 2015 regionwide. Sagana at Ligtas na Tubig sa Lahat (SALINTUBIG) Program of DILG is for the provision of potable water supply system in municipalities which are considered waterless. Under the Payapa at Masaganang Pamayanan (PAMANA) which develops water systems, among other projects, there were 12 water supply projects implemented in 2014 and another 12 in 2015 in 12 municipalities of the region.

Inadequate supply of water is specifically felt in the urban areas due to increasing population and the impact of climate change. Also it has been observed that wastewater (i.e., in Zamboanga City) is released to the environment without treatment, thus increasing possible contamination of groundwater, which is one of the sources of potable water in many areas of the region.

Economic Growth and Low Agricultural Productivity

This section and the following sections draw primarily from the Regional Development Plan 2017 to 2022, with supplementary information from other sources cited.

Figures from the Philippine Statistical Authority show that in 2016, the Zamboanga Peninsula contributed 2.0 percent to the country's Gross Domestic Product. The region's economic performance improved by 4.7 percent. Agriculture, Hunting, Forestry and Fishing sector with its 17.9 percent share in the region's total output decreased by 5.0 percent.

The RDP pointed out that Zamboanga Peninsula’s domestic product is driven mainly by the Industry and Services sectors. In 2011-2012, despite the 2.6 percent negative growth of the Agriculture, Hunting, Forestry and Fishing (AHFF) sector, the region was still able to attain a high GRDP growth rate of 12.9 percent. The negative growth in the AHFF sector was attributed to El Niño and La Niña phenomena that affected extensively the sector. The effects of these severe weather conditions were felt until 2013. Nonetheless, AHFF was able to bounce back with 2.8 percent growth in 2013- 2014 and 2 percent in 2014-2015, respectively. The sector employed the most number of workers, around 46 percent of total employment.

The lack of stable and sustainable agricultural productivity has resulted in low income of farmers, and remains a critical stumbling block to achieving the region’s poverty reduction targets. Low agricultural productivity remains a challenge that is brought about by different factors including among others: • Conversion of prime agricultural lands or illegal/premature conversion of irrigable lands, as well as competing land use due to increase of population; • Presence of diseases e.g. cocolisap for coconut, bunchy top and abaca mosaic for abaca, stem borer and black bugs for rice; • Vulnerability to climate and disaster risks; • Senility of trees; • Slow or non-adoption of good agricultural practices; • Lack of access to finance; • Lack of access to markets; • Lack of farm-to-market roads; • High cost of farm inputs; • Need for mechanized farming; and • Ageing farmers and fisherfolks.

Low fishery productivity and overexploitation of marine and fishery resources

Although commercial fishery has increased over the years, many of the poor people in the region come from the fishery sector, because of low fishery productivity in the Zamboanga Peninsula. Low fishery productivity is attributed to the following factors: negative impact of climate change; pest and disease outbreak; high cost of farm inputs (seaweeds fingerlings); lack of market linkages; post-

9 harvest losses; pollution in coastal areas; and, product adulteration of dried seaweeds, among others.

Moreover, despite the presence of strict laws, marine and fishery resources are overexploited i.e. mangroves, seagrasses, coral reefs, estuaries and tidal flats. This presents a threat to food security.

Agrarian Reform

Between 2013 and 2015, a total cumulative area of 5,721 hectares or 51 percent of its targeted 11,173 hectares of CARP lands were distributed benefitting 2,989 agrarian reform beneficiaries in Region IX. The under attainment of targets were attributed to problems encountered in the processing of Land Acquisition and Distribution (LAD) Claim Folders.

Improvement in Employment but Increase in Underemployment

According to the PSA, total employment (CY2016) in the region was 1,540,000 persons, with 683,000 persons in agricultural employment, broken down into 503,000 males and 181,000 females. The share of agriculture in total employment was 44.4 percent.

The RDP indicated that the employment situation in the region showed improvement during the period 2011-2015, in terms of higher employment rate and, conversely, decreasing unemployment rate. However, a big percentage of the employed are underemployed, denoting that their jobs are not sustainable, or the wages received are not sufficient for the needs of their families. The number of persons who expressed the desire to have additional hours of work from their present job or to have additional work was 305,993, reflecting a high underemployment rate of 21.9 percent.

High Poverty Incidence

The incidence of poverty among families and population in the region significantly decreased from 2006 to 2015. The poverty incidence among families decreased from 40 percent in 2006 to 26 percent in 2015; and among the population, from 45 percent to 33.9 percent, respectively. This reduction in poverty incidence could be attributed to the high economic growth of the region since 2011, as well as the strengthened implementation of poverty reduction programs and convergence efforts of the national and local government entities and private sector organizations. Nonetheless,

10 the region’s poverty incidence in 2015 remained high compared with the national average, which was 16.5 percent among families and 21.6 percent of the population. Among the Mindanao regions, Region IX was second to Region XI with the lowest poverty incidence among families and population.

Zamboanga del Norte had the highest poverty incidence (51.6 percent) among families at sub- regional level in 2015, while Isabela City had the lowest incidence (25.1 percent). Based on the small area poverty estimation conducted in 2012, there were 10 municipalities in the region having poverty incidence higher than 50 percent, with Siayan, Gutalac, Sibuco and Mabuhay having poverty incidence higher than 60 percent.

The RDP concluded: “Given the poverty situation in the region, although decreasing the past years, the local government units and the concerned national government agencies need to put more attention in the implementation and monitoring of responsive poverty-reduction programs and projects, particularly in poverty stricken areas.”

Basic Education

The RPD reported that from SY 2011-2012 to SY 2014-2015, the average Net Enrolment Rate (NER) for the elementary level was 94.2 percent; and 49.05 percent for the secondary level, respectively. The trend of fluctuating NERs calls for more sustainable and concerted efforts of bringing children and youth to school, aside from the Pantawid Pamilyang Pilipino Program. Keeping children in school until they finish their basic education remains a challenge as completion rate from SY 2011- 2006 to SY 2015-2016, on the average, was only around 70 percent for both elementary and secondary levels. Survival of children until they reach the final grade or year, as indicated by cohort survival rates, has been improving over the years; however, elementary and secondary rates decreased by 11.9 percent and 6.4 percent respectively, from SY 2014-2015 to SY 2015-2016. Moreover, eliminating dropout in elementary and secondary levels remains an issue with elementary having a 76.6 percent school leaver rate in SY 2014-2015 and 55.0 percent for secondary.

The results of the National Achievement Test show that while the region’s performance has improved over the years, achievement rate remained low. There was a 2.6 percentage point

11 average annual increase in elementary mean percentage score from 2011 to 2015, but a drop at the secondary level was recorded from 2013 to 2015.

The low enrolment and achievement rates of pupils and students in the region were attributed to the following: (a) lack of teacher competencies and basic educational facilities; (b) inaccessibility of schools and the lack of adequate school facilities; (c) poverty and distance between schools and student’s residence as they put heavy burden on parents financially; and (d) failure of students to cope with school work. Issues on health, family disorganization, and early marriage are regarded as the most significant social factors that affect enrolment rates. The Alternative Learning System also has yet to cover more out-of-school youth in the region, especially those from the most marginalized sectors of society.

The issue of children and schools in conflict-prone areas persists. At the frontline of armed conflicts, classrooms, teachers and pupils are seen as legitimate targets. For example, Zamboanga Peninsula’s education infrastructure was destroyed during the siege in 2013, and three years after, some schools still require minor rehabilitation. In this regard, security of children, teachers and schools should be given utmost importance to ensure their education and welfare are not in any way disrupted.

Support to Indigenous Peoples

The RDP discusses the weak developmental support to Indigenous Peoples. Ancestral lands and domains do not have tenurial instruments, while indigenous peoples (IPs) are not well-equipped with development skills. IPs have less privilege in terms of economic and livelihood opportunities, and are vulnerable to exploitation while their rights are not being respected.

Representation of IPs in development efforts in health, agricultural, industry, energy, emerging technologies, research and development that affect them are inadequate. Funding for the implementation of the plans and programs in the IP Development Agenda/Plan is insufficient. This under-representation impacts on the quality of implementation and mainstreaming of culture in governance for nationwide policy reforms.

Housing and Resettlement

The RDC cites the Constitution which mandates that “the State shall, by law, and for the common good, undertake, in cooperation with the private sector, a continuing program of urban land reform and housing which will make available at affordable cost, decent housing and basic services to underprivileged and homeless citizens in urban centers and resettlement areas.”

In Region IX, most of its resettlement efforts have been in response to disasters such as the Zamboanga Siege of 2013 and Pagadian City Fire in 2015. Related issues and concerns that affected the immediate and efficient implementation of these efforts were slow documentary processes, underachievement of targets, low collection of amortization payments, among others. For example, there is underachievement in building shelters under the Resettlement Program of Government. From 2010 to 2016, only 2,961 housing units were constructed out of the targeted 7,401 units for the same period. Under the resettlement program for Indigenous Peoples, especially for the nomadic Badjaos, there were 130 units completed against the targeted 140 units for the period 2014 to 2015.

The increasing number of informal settlers and Badjaos in urban areas are concerns that needs to be addressed by the housing sector. Also, there is need to update the Local Shelter Plans of the LGUs, as well as continued assistance in the formulation of their Comprehensive Land Use Plans.

Negative effects of climate change

Zamboanga Peninsula is prone to both natural and human-induced hazards. Records from 1999 to 2015 show that it experienced 76 natural disaster occurrences that resulted in 23 deaths and an estimated PhP 249.722 million direct damage to infrastructure, agriculture and properties. Most of the frequent disaster occurrences were hydrologic phenomena, particularly flooding, storm surge and flashflood.

Based on PAGASA study, the region is highly susceptible to sea level rise. It ranks second in terms of the largest land area most vulnerable to a one-meter rise in sea level as 40 of its 67 municipalities are highly susceptible to submergence. All the three provinces of the region are included in the top 20 provinces in the country vulnerable to a one-meter rise in sea level. A one-meter rise in sea level

13 is projected to inundate 3,781.89 hectares in Zamboanga del Sur, 3,274.02 hectares in Zamboanga Sibugay and 1,057.05 hectares in Zamboanga del Norte.

Unstable peace and order condition

Instabilities brought about by terrorists groups can destabilize the regional situation. This condition can negate any positive fruits reaped earlier. Conflict-affected communities suffer from displacement and disruption of their lives and livelihoods. Serious health and nutrition problems arise when they are forced to seek refuge in evacuation centers that lack basic services and access to adequate food and clean water and sanitary facilities.

According to the RDP, threat groups impact peoples’ lives and sources of income. There are three threat groups operating in the region, namely: (1) the Main Threat Groups such as the Foreign and Local Terrorists Organizations (FLTOs) and the Western Mindanao Regional Party Committee (WMRPC), Communist Party of the Philippines (CPP)-New People’s Army (NPA)- National Democratic Front (NDF) – (CNN); (2) the Auxiliary Threat Groups (ATGs), and (3) Special Concern Threat Groups such as the Moro Islamic Liberation Front (MILF) and the Moro National Liberation Front (MNLF) and the Abu Sayyaf Group (ASG).

The terrorist acts of the infamous Abu Sayaf Group (ASG) sowed fear and terror among the region’s constituents. Among the major incidents were the Ipil Siege in 1995, series of bombing incidents in Zamboanga City, and bomb explosions and scares in the cities of Pagadian and Isabela. There were also incidents monitored in far-flung areas where family feud and rivalry (locally known as “rido- rido”) as well as other encounters between military and lawless elements that caused the displacement of persons from the affected areas. The escalation of military encounters in nearby Basilan Province posed threats in the region, particularly in Zamboanga City. The 3-week Zamboanga City Crisis/siege in September 2013 led by the Moro National Liberation Front (MNLF) faction of former Chairman Nur Misuari caused the displacement of more than 100,000 people, occupation of several villages, shut-down of the Zamboanga City International Airport, death of a number of military and police personnel and civilians, and closure of the central business district, among others. The total damages and losses during the crisis amounted to more than PhP2 billion. Grenade explosions also sow terror and cause damage to lives and properties.

In 2015, data from the 1st Infantry Tabak Division of the Philippine Army showed significant reduction in the number of affected barangays. Only 28 barangays remained classified as armed- conflict affected barangays in Region IX.

Local Governance on Nutrition

The Local Government Code RA 7160 mandates LGUs to provide basic social services like health and nutrition. The responsibility for the management (formulation, implementation, monitoring) of the Local Plan of Action for Nutrition lies with the Local Nutrition Committee (LNC) which is chaired by the local chief executive.

Managing the multi-faceted problem of malnutrition requires inter-sectoral collaboration to address factors on food consumption, health, and nutrition caring practice. The underlying socio- economic factors such as food production, education, livelihood, access to basic services among others are taken into consideration. Hence, a multi-sectoral Local Nutrition Committee (LNC) is organized, chaired by the Local Chief Executive, with a nutrition action officer designated to provide technical assistance for the formulation of the Local Nutrition Action Plan and to coordinate its implementation.

In almost all LGUs, the position of a Nutrition Action Officer (NAO) is by designation, selected and appointed by the LCE from among the heads of member offices of the LNC. Thus, the role of the NAO is viewed as additional function to the person’s regular item, given lesser attention and oftentimes affecting the functionality of the LNC and the coordination and implementation of the Local Nutrition program.

The yearly Monitoring and Evaluation of the Local Nutrition Action Plan indicate that about 55 percent of the LGUs from the province down to the cities and municipalities have scored 80 percent or more for efficiency and effectiveness in program implementation. However, in the barangays, the capacities of Barangay Nutrition Committees on nutrition program management need to be strengthened to enable these committees to appropriately and adequately respond to malnutrition problems.

The Regional Implementation of RPAN 2012-2016 carried more focused guiding principles, directions and priority actions which were deemed to contribute to achieving the Millennium

Development Goals that calls for the reduction of prevalence of underweight by half and to improve food consumption of the people. These were directed toward improving the nutrition and health of pregnant women and 0-2 years old population groups by scaling up nutrition with the First 1000 Days of the Child approach. To prevent and impact more significantly on undernutrition the RPAN strategies invested in proven interventions such as: 1) breastfeeding promotion; 2) complementary feeding; 3) micronutrient supplementation with Iron Folic Acid and Vitamin A; 4) Case findings of Severe and Moderate Acute Malnutrition for rehabilitation with appropriate management; and 5) managing nutrition during emergencies. The areas with high prevalence of undernutrition were prioritized.

Highest priority is put on interventions for the First 1000 Days of the Child which is the period where the highest gain on growth and development can be realized. Thus, pre-natal and other health services for pregnant women were strengthened and made more efficient through the pregnancy tracking for safe and healthy pregnancy. Local health workers, BNSs and BHWs were trained on Infant and Young Child Feeding and oriented on the First 1000 Days strategy. Tracking system for pregnant women was established in all LGUs, adequate supply of Iron Folic Acid was readily available but program reach of 65 percent fell short of the 80 percent target.

Pursuant to RA 10028 the Expanded Promotion of Breastfeeding Act of 2009, private and government health facilities were assessed for accreditation as Mother Baby Friendly Health Institutions. Workplaces with established lactation stations were also certified to help strengthen breastfeeding promotion. The Human Milk Bank sustained by the Zamboanga City Medical Center is able to provide the breastmilk need of sick infants in the Neonatal Intensive Care Unit and has positively contributed to the reduction of neonatal mortality.

Emphasis was also put on direct food assistance for the 6 – 23 months old children and pregnant mothers in addition to the Supplementary Feeding Program in Day Care Centers and School-based Feeding Program. The DOST in partnership with the LGU of Tungawan, Zamboanga Sibugay established a Complementary Food Processing Plant that supplied ground rice-monggo blend and snack curls for the young and school children. Several LGUs in the region, among them the municipalities of Buug, Diplahan, Titay, Liloy, Leon Postigo are procuring the rice-monggo blend powder for complementary feeding program of the 6 months to 23 months old children. The plant also supplies the DSWD and DOH feeding programs for young children. Among the LGUs, the Association of Barangay Nutrition Scholars of Zamboanga City is also producing ground sesame-

16 monggo-rice (SEMOROZ) blend for the start-up solid complementary food of babies six months old and older.

The Regional Development Council in its 149th meeting passed a Resolution No. IX-090-14 Enjoining the Local government Units to Source Appropriate Funds for Direct Nutrition Program Interventions for Children 6 to 23 Months Old Children, especially to address the poor complementary feeding and improve the nutritional status of children in this age group. Gradually with constant advocacy, the LGUs have started complementary feeding programs as well as reprogramming the targets of their Supplemental Feeding to include pregnant women. However, the mechanics of the program implementation needs to be improved.

The DOH RO IX, for two consecutive years, implemented a Feeding Program for underweight children in municipalities assisted with the Accelerated and Sustainable Anti-Poverty Program and conducted training of trainers’ classes on Recipe Trials for Complementary Feeding. It also made all the three provinces as priority areas for the capacity building of the Philippine Integrated Management of Acute Malnutrition (PIMAM). Health personnel of identified hospitals and RHUs in Zamboanga del Sur and soon for Zamboanga del Norte and Sibugay are also to be trained.

The Gulayan sa Paaralan of the Department of Education and Department of Agriculture is a strategy to augment supply of food for the School-based Feeding Program and additional food for the families of children in school. The Department of Agrarian Reform and the Department of Social Welfare and Development have entered into agreement with the farmers assisted by the DAR to supply the raw food needs of the Day Care Centers. Hence, the practice provides ready market for the farmers where they can sell their produce.

Skills training, material and micro financing assistance from the DOLE, DOST, DA and BFAR provided the poor households with opportunities for self-employment and livelihood programs.

The National Nutrition Council provides continued support for capacity building of Local Government Units to enhance their management skills on nutrition programs. Technical assistance were also collaboratively conducted by the Department of Health RO IX in enhancing capacity of local health and community workers with trainings of Barangay Nutrition Scholars on the BNS Basic Course, IYCF, management of nutrition during emergencies as well as the Philippine Integrated Management of Acute Malnutrition.

For the practice of healthy lifestyle, messages on good nutrition and healthy diets focused on the “10 Kumainments,” “Pinggang Pinoy” are regularly broadcast in radio and television; discussed in media and other Stakeholders forums; in schools and in parents/child caregivers’ nutrition classes. The promotion of good nutrition and healthy diets are also primary discussions in the yearly celebrations of the Nutrition Month,” “Breastfeeding Month,” and “Children’s Month”.

Conclusion

Malnutrition in Region IX is a critical problem intertwined with the development of the region. Improving programs around the first 1000 days seems most logical and intelligent use of additional resources given already existing programs to work from; adjustments in the preschool and school nutrition program is also feasible as they require relatively incremental local investments. The strengthening of the enabling environment will require closer support and resources from the regional NNC office and the RNC especially in local government mobilization. The introduction of nutrition sensitive programs in existing economic and livelihood as well as infrastructure projects to short-cut the trickle down approach is a must - given that poverty is linked to malnutrition.

The short term and medium term landscape of all forms of malnutrition in the region can be addressed by nutrition specific programs, majority of which are related to the health and nutrition supportive programs. The long term prospect of transforming the region’s poor performance in nutrition can be achieved by addressing both the (1) enabling factors that play a huge role in the planning, resourcing and management of nutrition programs and (2) basic causes of malnutrition.

Section II. Regional 2022 Outcome Targets

Table 4. Regional Outcome Targets

To reduce levels of child stunting and wasting

Baseline 2022 Indicator1 Target - Prevalence (in percent) of stunted children under five 38.1 24.3 years old - Prevalence (in percent) of wasted children - Under five years old 7.1 4.9 - 6 – 10 years old 6.4 4.9 1Baseline based on 2015 updating national nutrition survey conducted by the Food and Nutrition Research Institute.

To reduce micronutrient deficiencies to levels below public health significance

2022 Indicator1 Baseline Target Vitamin A deficiency 1. Prevalence (in percent) of children 6 months to 5 years 32.7 14.9 old with vitamin A deficiency (low to deficient serum retinol) Anemia • Prevalence (in percent) of anemia among women of No data reproductive age from NNS Iodine deficiency disorders • Median urinary iodine concentration, mcg/L - Children 6-12 years old 68 ≥100 - Pregnant women 51 ≥150 - Lactating women 48 ≥100 • Percent with urinary iodine concentration <50 mcg/L - Children 6-12 years old 41.1 19.9 - Lactating women 50.3 19.9 1Baseline based on 2013 National Nutrition Survey conducted by the Food and Nutrition Research Institute

No increase in overweight among children

2022 Indicator Baseline Target - Prevalence (in percent) of overweight - Under five years old1 2.6 2.5 - 6 – 10 years old2 5.4 5.3 1Baseline based on 2015 National Nutrition Survey conducted by the Food and Nutrition Research Institute 2Baseline based on 2013 National Nutrition Survey conducted by the Food and Nutrition Research Institute

To reduce overweight among adolescents and adults

Baseline1 2022 Indicator Target

Adolescents1 5.0 4.9 Adults2 29.7 22.1 1Baseline based on the 2013 National Nutrition Survey conducted by the Food and Nutrition Research Institute

Sub-outcome or intermediate outcome targets

Indicator Baseline 2022 Target

Reduce the proportion of nutritionally-at-risk pregnant 29.6 23.9 women1

Reduce the prevalence of low birthweight3 24.9 19.3

Increase the percentage of infants 5 months old who are 54.1 65 exclusively breastfed1

Increase the percentage of children 6-23 months old 16.3 19.7 meeting the minimum acceptable diet1

Increase the percentage of households with diets that meet 31.1 36.4 the energy requirements2 1Baseline based on 2015 updating National Nutrition Survey conducted by the Food and Nutrition Research Institute 2Baseline based on 2013 National Nutrition Survey conducted by the Food and Nutrition Research Institute 3Baseline based on 2013 National Demographic and Health Survey

Key Strategies to Achieve 2022 Outcome Targets

To achieve the RPAN 2022 outcome targets, the following key strategies will be implemented:

1. Focus on the first 1000 days of life. The first 1000 days of life refer to the period of pregnancy up to the first two years of the child. The RPAN will ensure that key health, nutrition, early education and related services are delivered to ensure the optimum physical and mental development of the child during this period.

2. Complementation of nutrition-specific and nutrition-sensitive programs. The regional planners ensured that there is a good mix of nutrition-specific and nutrition-sensitive interventions in the RPAN. Nutrition-specific interventions “address the immediate determinants3 of fetal and child nutrition and development”. Nutrition-sensitive interventions, on the other hand, were identified in order to address the underlying determinants of malnutrition (inadequate access to food, inadequate care for women and children, and insufficient health services and unhealthy environment).

3. Intensified mobilization of local government units. Mobilization of LGUs will aim to transform low-intensity nutrition programs to those that will deliver targeted nutritional outcomes.

4. Reaching geographically isolated and disadvantaged areas (GIDAs) and communities of indigenous peoples. Efforts to ensure that RPAN programs are designed and implemented to reach out to GIDAs and communities of indigenous peoples will be pursued.

5. Complementation of actions of national, sub-national and local governments. As LGUs are charged with the delivery of services, including those related to nutrition, the national and sub-national government creates the enabling environment through appropriate policies and continuous capacity building of various stakeholders. This twinning of various reinforcing projects in the RPAN will provide cushion for securing outcomes in case of a shortfall/ gaps in the implementation of one of the programs.

3 Immediate determinants include adequate food intake and nutrient intake, care giving and parenting practices, and low burden of infectious diseases. (Executive Summary of the Lancet Maternal and Child Nutrition Series, 2013). 21

Section III. RPAN Programs and Projects

The Region IX RPAN consists of 11 programs and 53 projects. The 11 programs follow the life stages of the Department of Health and the major programs of the Philippine Plan of Action for Nutrition 2017-2022. All 11 nutrition specific, nutrition sensitive and enabling programs constitute the RPAN with an additional program to reflect the huge challenge of adolescent health in the region and in particular adolescent pregnancy. The RPAN provides the necessary focus on the First 1000 days given its huge potential in addressing the major nutritional issues in the region and in the country. The complete list of programs and projects is shown below:

Table 5. RPAN Region IX Programs and Projects

PROGRAM Projects PROGRAM 1: INFANT AND YOUNG Project 1. Mobilization of LGUs on the First 1000 days CHILD FEEDING (IYCF) AND FIRST including expansion of ECCD/F1K areas 1000 DAYS (F1K) Project 2. Strengthening of health delivery system for F1K Enabling Program For F1k Project 3. Information Management in the F1K Micronutrient Supplementation Project 4. Iron supplementation for pregnant and lactating women, and low birth weight infants, calcium carbonate supplementation from 5 months of age of gestation to delivery and MNP supplementation to children 6-23 months old Project 5. Vitamin A Supplementation for lactating and postpartum women & children 6-23 months Dietary Supplementation Program Project 6. Supplementary Feeding for Pregnant & Lactating Women ( Lipid Nutrient Supplements) Project 7. Mobilization of LGU resources for dietary supplementation for nutritionally at risk pregnant women Project 8. Training of trainers of mothers with 6-23 months old children on Recipe Trials Infant And Young Child Feeding (IYCF) Project 9. Mobilization of LGUs to Organize Complementary Feeding and IYCF Support Groups Project 10. Promotion of locally produced complementary food Project 11. Advocacy for Stronger Enforcement and Compliance Monitoring on EO 51 (Milk Code), RA 10028 (Breastfeeding Area in Workplaces) and the Mother-Baby Friendly Hospital Initiative (MBFHI) Nutrition Promotion For Behavior Project 12. Communication Support for F1K Change Philippine Integrated Management Of See Project 30 Acute Malnutrition (PIMAM)

PROGRAM Projects PROGRAM 2: NATIONAL DIETARY Project 13. Strengthening Municipal/City and Barangay SUPPLEMENTATION PROGRAM4 Nutrition Committees to organize parents on the conduct of Supervised Neighborhood Play for Supplementary Feeding Project 14. Strengthening networking and partnership for availability of nutrient-dense food for supplementary feeding Project 15. Supplementary Feeding in Child Development Centers and Supervised Neighborhood Plays Project 16. School-based Supplementary Feeding Project 17. School-Based Complementary Health Services Project 18. Establishment of Wellness, Health and Nutrition Clinic in Schools PROGRAM 3: MICRONUTRIENT Project 19. Vitamin A supplementation for children 24- SUPPLEMENTATION PROGRAM 59 months Project 20. Anemia Reduction among Women of Reproductive Age (WRA) PROGRAM 4: ADOLESCENT HEALTH Project 21. Establishment and Management of AND DEVELOPMENT Adolescent Health Friendly Facilities (Teen Center/Friendly Spaces) Project 22. Reaching Out GIDA and IP Communities for Adolescent Health and Development Project 23. Weekly Iron with Folic Acid (WIFA) supplementation for Grades 7-10 & ALS female-learners Project 24. Nutrition and Health Forum for Adolescents PROGRAM 5: OVERWEIGHT AND Project 25. Promotion of Healthy Lifestyle OBESITY MANAGEMENT AND PREVENTION (ADULT) PROGRAM 6: NUTRITION Project 26. Strengthening nutrition education among PROMOTION FOR BEHAVIOUR parents through the Family Development Sessions CHANGE Project 27. Updating and publication of nutrition promotion materials PROGRAM 7: MANDATORY FOOD Project 28. Advocacy for and Monitoring of Compliance FORTIFICATION PROGRAM of RA 8976 and RA 8172 PROGRAM 8. NUTRITION IN Project 29. Capacity Building for Nutrition in EMERGENCIES PROGRAM Emergencies PROGRAM 9: PHILIPPINE Project 30. Enhancement of PIMAM Facilities, INTEGRATED MANAGEMENT OF Capacities and Provision of Services ACUTE MALNUTRITION (PIMAM) PROGRAM 10: NUTRITION SENSITIVE Project 31. Convergence on Value Chain Enhancement for Rural Growth Development Project 32. Partnership against hunger and poverty

4 Dietary and micronutrient supplementation programs outside the first 1000 days 23

PROGRAM Projects Project 33. TARGET (Target Actions to Reduce Poverty and Generate Economic Transformation) - 33-1. Distribution of seaweeds input assistance/paraphernalia to farmers associations 33-2. Distribution of fishing paraphernalia 33-3. Provision of fishery on-farm equipment and postharvest facilities and Livelihood trainings Project 34. Farm to Market Road Development Program Project 35. Gulayan sa Paaralan Project 36. Livelihood trainings Project 37. TienDA for farmers and fisherfolks

Project 38. Accelerated Coconut Planting and Replanting Program (ACPRP) - Participatory coconut planting - Provision of every seedlings in IP ancestral domain areas - Coconut seedling dispersal Project 39. KAANIB Enterprise Development (Intercropping, livestock raising, and processing) Project 40. Coconut fertilization program Project 41. Diskwento Caravans Project 42. Industry Cluster Enhancement

Project 43. Kapatid Mentor Me Project 44. Negosyo Center Project 45. OTOP Nexgen Project 46. Shared Service Facility Project 47. Small Enterprise Technology Upgrading Program (S & T based innovation and services) Project 48. DOLE Integrated Livelihood and Emergency and Employment Program (DILEEP) or KABUHAYAN Program Project 49. Operational Research on the Nutrition- Sensitive Projects PROGRAM 11: ENABLING PROGRAM Project 50. Mobilization of Local Government Units for Delivery of Nutritional Outcomes Project 51. Policy Development for Food and Nutrition Project 52. Management and Strengthening Support to RPAN Effectiveness

Table 6. Description of RPAN Region IX Programs, Projects and Their Outputs

NUTRITION SPECIFIC PROGRAMS

PROGRAM 1. FIRST 1000 DAYS (F1K) PROGRAM AND INFANT AND YOUNG CHILD FEEDING (IYCF) Program Description: The First 1000 Days Program aims to improve the delivery of services for healthy pregnancy of women giving birth to well nourished and healthy babies as well as ensuring optimal nutrition of the children until their second birthday. The promotion of Infant and Young Child Feeding for children is to ensure the practice of exclusive breastfeeding from birth to six months as well as the introduction of complementary feeding at six months with continued breastfeeding up to 23 months and beyond. The program is implemented by building and sustaining an enabling supportive environment in various settings. Based on global evidence, promoting IYCF in the F1K is among the package of child nutrition interventions that can bring down significantly the prevalence of under nutrition, particularly stunting,. Under the RPAN, efforts will heavily focus on mobilizing LGU support and resources for F1K and IYCF related interventions including: strengthening of health delivery system through a review of LGU compliance to F1K and IYCF standards (including service delivery), micronutrient supplementation among pregnant and lactating women, and low birth weight infants, and MNP supplementation to children 6-23 months, promotion of breastfeeding and complementary feeding practices, organization of IYCF support groups, and compliance monitoring of EO 51 (Milk Code), RA 10028 (Breastfeeding Area in Workplaces). More specifically, included in the RPAN Region IX is the close monitoring the compliance of LGUs to allocate budget for complementary feeding program for 6 – 23 months old children which is supported by a RDC Region IX resolution. Micronutrient supplementation under the F1K program will utilize existing delivery platforms such as antenatal care, essential intrapartum and newborn care as well as health facilities and outreach services in order to reach target program beneficiaries. The program is led by the Department of Health in partnership with sectoral agencies, LGUs, NGOs, and development partners. Project Title Project Output/s

Project 1. Mobilization of LGUs on the 1-O.1. Increased no. of LGUs implementing First 1000 days including expansion of ECCD F1K supported by policies, resolutions ECCD/F1K areas or local ordinances Project 2. Strengthening of Health 2-O.1. Review of existing system in RHUs Delivery for F1K completed 2-O.2. Enhanced/Strengthened delivery system/network for F1K Project 3. Information Management in 3-O.1. A harmonized system of information the F1K for the efficient and effective implementation of F1K services utilized by the health system and the LGUs

Project 4. Iron supplementation for 4-O.1. 100% of pregnant women, low birth pregnant and lactating women, and low weight infants, at-risk pregnant women birth weight infants, calcium carbonate and children 6 to 23 months old provided supplementation from 5 months of age with iron supplements, calcium carbonate of gestation to delivery and MNP and MNP based on standards, supplementation to children 6-23 respectively months old 4-O.2. A system of tracking consumption of iron, calcium carbonate and MNP developed and operationalized Project 5. Vitamin A Supplementation 5-O.1. All RHUs providing 1 tablet of for postpartum women and children 6- 200,000 IU Vitamin A capsule to postpartum 23 months women; 1 tablet of 100,000 IU Vitamin A capsule to children 6 to 11 months; and 1 tablet of 200,000 IU Vitamin A capsule given to children 12 to 23 months every 6 months 5-O.2. Monitoring/tracking system of actual consumption of vitamin A supplementation developed/operationalized Project 6. Supplementary Feeding for 6-O.1. No. of LGUs provided with dietary Pregnant ( Lipid Nutrient Supplements) supplementation to adolescent and nutritionally at risk adult pregnant women based on DOH guidelines/standards Project 7. Mobilization of LGU 7-O.1. No. of LGUs mobilized for dietary Resources for Dietary supplementation supplementation for Adolescent/pregnant Women Project 8. Training of Pregnant Women 8-O.1. No. of pregnant women trained on on Recipe Trials recipe trials Project 9. Mobilization of LGUs for 9-O.1. No. of LGUs with organized Complementary Feeding and complementary feeding and IYCF Support Organization of IYCF Support Groups groups Project 10. Promotion of locally 10-O.1. Number of local producers produced complementary food supporting complementary food/IYCF Project 11. Advocacy for Stronger 11-O.1. No. of health and non-health Enforcement and Compliance facilities/establishments compliant to EO 51, Monitoring of EO 51 (Milk Code), RA RA 10028 and MBFHI 10028 (Breastfeeding Area in Workplaces, Breastfeeding Seats in Transit), and the Mother-Baby Friendly Hospital Initiative (MBFHI) Project 12. Communication Support for 12-O.1. A regional sub-strategy in line with F1K the national strategy for the communication support on F1K developed and implemented

PROGRAM 2. DIETARY SUPPLEMENTATION PROGRAM

Program Description:

The Dietary Supplementation Program aims to safeguard the health of nutritionally-at-risk groups by providing 1) nutritious foods to supplement diets of pre-schoolers and school children (Kinder to Grade 6); 2) information on healthy eating; and 3) referrals to health care. Beyond improvements in access to food, the program has a positive impact on nutritional status, gender equity, and educational status, each of which contributes to improving overall levels of country and human development.

The Program will be jointly implemented by the DOH, DSWD, DepEd, LGU in partnership with NGOs and development partners.

Project Title Project Output/s Project 13: Strengthening Municipal/City and 13-O.1. Percentage increase in the number of Barangay Nutrition Committees to organize SF beneficiaries in SNPs parents on the Conduct of Supervised 13-O.2. No. of municipal nutrition committees Neighborhood Play for Supplementary capacitated Feeding Project 14: Strengthening networking and 14-O.1. Strengthened network of local partnership for availability of nutrient-dense nutrient dense food producers food for supplementary feeding 14-O.2. Procurement process for nutrient dense food commodities improved 14-O.3. No. of LGUs availing of extended supplementary feeding Project 15: Supplementary Feeding Program 15-O.1. All children enrolled in CDCs and in Child Development Centers and SNPs are provided with supplementary Supervised Neighborhood Play feeding 15-O.2. No. of CDWs capacitated on correct nutritional assessment, monitoring and accomplishment of ECCD card 15-O.3. Recognition system for model child development centers and workers established 15-O.4. Documentation of good practices of model child development centers and workers published and disseminated Project 16: Supplementary feeding in 16-O.1. 100% of schools providing schools supplementary feeding for 120 days Project 17: School based complementary 17-O.1. 100% of schools delivering health services complementary health and nutrition services at satisfactory level Project 18: Establishment of Wellness, 18-O.1. 100% of schools with trained students Health and Nutrition Clinic in Schools as Little Doctors and Nurses

PROGRAM 3. MICRONUTRIENT SUPPLEMENTATION PROGRAM

Program Description:

Micronutrient Supplementation (MS) Program focuses on the provision of vitamins & minerals for treatment and prevention of specific micronutrient deficiencies (VAD, IDA, IDD) until more sustainable food-based approaches (e.g. food fortification and diet diversification) are put in place and become effective. The program aims to provide MS to 90% of program beneficiaries as per guidelines.

The overall policy on MS is contained in DOH Administrative Order No. 2010-0010 entitled “Revised Policy on Micronutrient Supplementation" to Reduce Under-Five and Maternal Deaths and Address Micronutrient Needs of Other Population Groups. The micronutrients under this AO are Vitamin A, Iron, Folate and Iodine. Department Memorandum No. 2011-0303 “Micronutrient powder supplementation for children 6-23 months” was adapted as household food based supplementation of micronutrients.

The Micronutrient Supplementation Program under the RPAN 2019-2022 is an important complement of the programs on IYCF/F1K, dietary supplementation, and nutrition in emergencies.

Project Title Project Outputs Project 19. Vitamin A Supplementation 19-O.1 All RHUs providing Vit. A supplements for children 24-59 months old to children aged 24-59 months

Project 20. Anemia Reduction among 20-O.1. All RHUs providing iron folic-acid to WRA including adolescent female WRA learners

PROGRAM 4. ADOLESCENT HEALTH AND DEVELOPMENT

Program Description:

The adolescent health program was included in the RPAN because of the planner’s recognition of the alarming prevalence of adolescent pregnancy and unabated increase in the region. In addition, there are issues affecting adolescents healthy lifestyle, disability, mental and environmental health, reproductive and sexuality, violence and injury prevention and among others. The program addresses sexual and reproductive health issues. Improved health status of adolescents and prevention of teenage pregnancy are results expected from this program. The program adopts a gender-sensitive approach. The primary responsibility for implementation of the AYHDP, and its mainstreaming into the health system, falls to regional and provincial/city sectors.

The Adolescent Health will ensure the provision of a package of preventive and curative interventions. Prevention interventions include the following: preconception care: family planning, delayed age at first pregnancy, prolonging of inter-pregnancy interval, abortion care, psychosocial care, and folic acid supplement, oral health, counselling on healthy lifestyle, deworming and vaccination. Curative interventions for high-risk adolescents include

management of anemia and other micronutrient deficiencies, management of malnutrition for underweight and obesity.

Capacity building packages for service providers and tools for health and nutrition counselling will be developed and updated. Adolescent Health Package for financing will be prioritized to ensure resources. Project Title Project Outputs Project 21. Establishment and 21-O.1. Number of municipalities with teen Management of Adolescent Health centers and adolescent-friendly spaces Friendly Facilities (Teen Center/Friendly established and fully operational Spaces)

Project 22. Reaching Out GIDAs and IPs 22-O.1. Number of GIDA and IP communities for Adolescent Health and Development reached

Project 23. Weekly Iron with Folic Acid 23-O.1. All public schools providing WIFA to supplementation for Grades 7-10 & ALS Grade 7 to 10 female learners female-learners

Project 24. Nutrition and Health Forum 24-O.1. Number of nutrition and health fora for Adolescents conducted

PROGRAM 5. OVERWEIGHT AND OBESITY MANAGEMENT AND PREVENTION PROGRAM

Program Description:

The Overweight and Obesity Management and Prevention Program recognizes that life course approach on the promotion of healthy food environment, promotion of healthy lifestyle (physical activity and healthy eating) and weight management intervention (for existing overweight and obese individuals) is important. The program adopts the key messages from the Nutritional Guidelines for Filipinos (NGF) and DOH’s National Healthy Lifestyle Program or the Go 4 Health Go sustansiya, Go sigla, Go smoke-free, and Go Slow sa Tagay messages. The program aims to reduce the prevalence of overweight and obesity among adults.

Under the RPAN, this program is translated into three projects: 1) Promotion of Healthy Lifestyle and NCD Prevention; 2) Healthy Food Environment and 3) Weight Management Intervention. The three interrelated projects emphasize the importance of physical activity and healthy eating particularly among adults.

The lead implementing agency will be the Department of Health (DOH) as part of its health system response against the rising prevalence of NCDs. The National Nutrition Council Secretariat will act as the coordinator of the program and will monitor its implementation. Project 25. Promotion of Healthy 25-O.1. No. of advocacy on healthy lifestyle Lifestyle conducted 25-O.2. No. of agencies/entities with physical fitness activities among employees

PROGRAM 6. NUTRITION PROMOTION FOR BEHAVIOR CHANGE

Program Description:

The Nutrition Promotion for Behavior Change Program aims to raise awareness of family members, development workers and policy makers on the importance of improving nutrition and ensure that the various nutrition-specific services are supported with appropriate communication activities. Ultimately, the program is designed to contribute to the program partners’ (audiences) adoption of positive practices that impact on nutrition.

The RPAN takes a systematic approach towards building its nutrition program for behavior change with three projects commencing with the review of existing actions followed by designing a nutrition promotion for behavior change program appropriate and feasible for the region and subsequently its implementation.

The Program aims to strengthen the provision of behavior changing nutrition promotion opportunities covering during the four-year period of the RPAN. A more comprehensive and organized nutrition promotion anchored on a behavioral change framework constitutes the key feature of the Program.

The National Nutrition Council shall lead and coordinate the mobilization of media partners given its historical partnership with the media establishments both at the regional and national levels. Project 26. Strengthening nutrition 26-O.1. Percentage increase in the number of education among parents through the Parents’ Committee supporting SFP Family Development Sessions

Project 27. Updating and publication of 27-O.1. Number of books on food trends, nutrition promotion materials innovative recipes and healthy lifestyle produced and disseminated PROGRAM 7. MANDATORY FOOD FORTIFICATION PROGRAM Program Description:

The Mandatory Food Fortification (MFF) program at the regional level consists essentially of actions to educate the public about the value of fortified foods, monitoring compliance of food fortification following RA 8976 (The Food Fortification Law) and RA 8172 (The ASIN Law). Regional efforts also focus on ensuring that coordinating mechanisms for inter-agency collaboration on food fortification are fully functional.

The program is expected to result to Increased number of establishments monitored on MFF compliance and increased level of awareness on the importance of food fortification.

Program implementation will be led by the DOH in partnership with NNC, FDA and other agencies constituting existing inter-agency task force in the region. Project Title Project Outputs

Project 28. Advocacy for and 28-O.1. A mechanism for advocacy and Monitoring of compliance to RA 8976 compliance monitoring food fortification and 8172 strengthened and implemented PROGRAM 8. NUTRITION IN EMERGENCIES PROGRAM

Program Description:

Nutrition in Emergencies is one of the nutrition specific programs under the RPAN that seeks to build capacity of the Local Disaster Risk Reduction and Management Committees (LDRRMCs)/Nutrition Clusters (NCs) to integrate nutrition promotion and management activities in their disaster risk reduction and management plan in their LGUs. It seeks to enable LGUs to deliver timely, appropriate and adequate nutrition services during emergencies. The program would cover actions to improve levels of preparedness, response and recovery and rehabilitation5. The capacity building of the LDRRMC/NCs will enable the effective protection of children, women, and other vulnerable groups with respect to their nutritional needs, promoting appropriate infant and young child feeding practices, and preventing undernutrition and worsening of nutritional status particularly in prolonged disasters and emergencies. Project Title Project Outputs Project 29. Capacity Building for Nutrition in 29-O.1. Number of LGUs with organized Emergencies nutrition cluster 29-O.2. Number of trainings conducted PROGRAM 9. PHILIPPINE INTEGRATED MANAGEMENT OF ACUTE MALNUTRITION (PIMAM)

Program Description:

The Philippine Integrated Management of Acute Malnutrition (PIMAM) Program aims to locate the acutely malnourished especially those with severe and moderate acute malnutrition, and to provide the needed medical and nutritional intervention. At least 90% of SAM children given RUTF and treated; at least 90% of MAM able to access RUSF and; at least 90% of wasted treated are expected from the program.

The interventions will be delivered through in-patient treatment centers, out-patient treatment centers and target supplementary feeding program sites. Its implementation is guided by DOH AO 2015-055 National Guidelines on the Management of Acute Malnutrition of Children under 5 Years). More specific protocols are contained in the “National Guidelines on the Management of Severe Acute Malnutrition (SAM) for Under-Five Children” and the “National Guidelines on the Management of Moderate Acute Malnutrition (MAM) for Under- Five Children”.

The RPAN shall implement the PIMAM Program through a project named Enhancement of PIMAM Facilities and Provision of Services focused on building the capacity of local implementers on SAM and MAM active case finding, provision and supply management of F75,

5Disasters are a big downward pull to the state of nutrition and in the Philippines, including Region IX where man-made and natural disasters are expected to affect substantive number of areas, the effective management of LDRRMC/NCs activities with respect to nutrition would avert increasing number of undernourished children precluding PPAN outcomes being achieved.

F100 RUTF and RUSF (and its equivalent in RHUs), treatment and management of SAM in the ITC and OTC and of MAM in TSFP, among others.

The RPAN recognizes that PIMAM shall be complemented by other nutrition interventions to sustain the normal status of rehabilitated children including nutrition counseling, especially on IYCF. It also interphases with the Nutrition in Emergencies Program as emergencies and disasters could trigger an increase in acute malnutrition.

The program is led by the DOH, in partnership with LGUs, NGOs, and developmental partners, in particular UNICEF and WFP.

Project Title Project Outputs Project 30. Enhancement of PIMAM 30-O.1. Delivery system for PIMAM Facilities, Capacities and Provision of established and fully operational across the Services region NUTRITION SENSITIVE PROGRAMS PROGRAM 10. NUTRITION SENSITIVE PROGRAM

Program Description:

The Nutrition-Sensitive Program involves tweaking the design of on-going development programs to contribute to achieving nutritional outcomes. The program seeks to increase the percentage of identified nutritionally disadvantaged households reached by one or more nutrition-sensitive projects that can improve accessibility and availability and improve sanitation hygiene and environmental conditions of families.

The Region IX RPAN 2019-2022 identified nutrition-sensitive projects ranging from agriculture, health, education, livelihood, among others.

These projects target food insecure households whose children and mothers are disadvantaged nutritionally, improves their livelihood and employment, and therefore increases their income to enable them to access food daily. Further, the program encourages a more qualitative use of resources alongside income through education. This will affect the level of nutritional knowledge, skills and practices of affected families focused on key messages of first 1,000 days including prenatal care, exclusive breastfeeding, complementary and supplementary food for children. A project on determining the contribution of the projects to addressing malnutrition will be undertaken during the RPAN period.

The list of projects will be updated in the course of plan implementation. While each of the projects will be implemented by specific agencies with key participation from local government units, the coordination for the overall program will be done through the RNC Technical Working Group with support from the NNC Regional Secretariat.

Project Title Project outputs Project 31. Convergence on Value Chain General Outputs for Nutrition-Sensitive Enhancement for Rural Growth Projects, see Annex 1 for details: Development

Project 32. Partnership against hunger 31-49-O.1. 19 projects in the region with and poverty tweaking strategies for nutritional impact 31-49-O.2. XX families enrolled in projects Project 33. TARGET (Target Actions to tweaked for nutritional impact Reduce Poverty and Generate Economic 31-49-O.3. XX families involved in nutrition Transformation) sensitive projects with increased income 33-1. Distribution of seaweeds in food assistance/paraphernalia to farmers associations 33-2. Distribution of fishing paraphernalia 33-3. Provision of fishery on-farm equipment and postharvest facilities and Livelihood trainings Project 34. Farm to Market Road Development Program Project 35. Gulayan sa Paaralan

Project 36. Livelihood trainings -Distribution of agricultural and fishery input assistance Project 37. TienDA for farmers and fisherfolks Project 38. Accelerated coconut planting and replanting program (ACPRP) - Participatory coconut planting - Provision of every seedlings in IP ancestral domain areas - Coconut seedling dispersal Project 39. KAANIB Enterprise Development (Intercropping, livestock raising, and processing) Project 40. Coconut fertilization program Project 41. Diskwento Caravans Project 42. Industry Cluster Enhancement Project 43. Kapatid Mentor Me

Project 44. Negosyo Center

Project 45. OTOP Nexgen

Project 46. Shared Service Facility

Project 47. Small Enterprise Technology Upgrading Program (S & T based innovation and services)

Project 48. DOLE Integrated Livelihood and Emergency and Employment Program (DILEEP) or KABUHAYAN Program Project 49. Agrarian Production and Credit Program (APCP) Project 50. Operational Research on the 50-O.1. Research completed and feed into Nutrition Sensitive Projects redesign ENABLING PROGRAMS PROGRAM 11. ENABLING PROGRAM Program Description:

There are three inter-related projects under the enabling programs of Region IX RPAN 2019- 2022. They include: Mobilization of Local Government Units for Nutritional Outcomes, Policy Development for Food and Nutrition, and Management Strengthening for PPAN Effectiveness.

The principal objective of LGU Mobilization for Nutritional Outcomes is to transform the PPAN priority provinces and the majority of its municipalities and cities from LGUs with low intensity nutrition programs to ones that deliver nutritional outcomes. Undertaking LGU mobilization in nutrition involves a series of interdependent, interrelated actions or activities designed to move local government units into action to produce the desired nutritional outcomes. The strategy for LGU mobilization calls for various set of actions that will reinforce each other to transform the targeted provinces, cities and municipalities, and to have well performing LGUs.

Policy Development for Food and Nutrition aims to secure important pieces of legislative, policy and budgetary support that will enable the NGAs and the LGUs to implement the RPAN more robustly, and to expand and deepen the understanding and appreciation of nutrition in the public mind within the framework of the Nutrition Promotion Program for Behavior Change. The project intends to build a more informed society on the importance of nutrition to individual, family, community and national development aspirations. In addition, it hopes to create multiple weak links in the policy formulation and development arena for policy makers and legislators to open their doors to support the policy and pieces of legislation being proposed and to strongly advocate and secure their approval.

Management Strengthening Support for RPAN Effectiveness aims to produce changes in the current system of RPAN delivery involving management and coordination, monitoring and evaluation, budgeting, and other vital processes, as well as staffing requirements for the efficient and effective RPAN 2019-2022 implementation.

Project Title Project Outputs Project 51. Mobilization of Local 51-O.1. Number of LGUs capacitated and Government Units for Delivery of mobilized for delivery of nutritional Nutritional Outcomes outcomes

51-O.2. Pool of LGU mobilizers organized

Project 52. Policy Development for Food and 52-O.1. Policy guidelines issued at regional Nutrition and local levels

52-O.2. Regional research and policy agenda developed and implemented

Project 53. Management Strengthening 53-O.1. RNC and NNC Region IX strengthened Support to RPAN Effectiveness for Effective Implementation of the RPAN 53-O.2. Additional nutrition human resource recruited and capacitated

PLANNED PROJECT OUTPUTS AND ACTIVITIES

Annex 2 on the RPAN Programs and Projects to Meet the Standards and Achieve the Regional Outcome Targets contains description of activities by project and describes the output completion over the 5 year period of the plan. Annex 2 provides a glimpse of the implementation plan in respect to every output of each project.

Section IV. Estimates of Budgetary Requirements for RPAN IX

Table 7 presents the budget estimates by program as well as the respective budget share of each to the total RPAN budget. Table 8 provides the estimate for the 11 programs and 52 projects included in the RPAN. The table indicates both funded and unfunded components of the budgetary requirements. The budget estimated for 2019-2022 for all 11 programs amount to PhP 1,671,560,565.00, with an annual average of about PhP 417,890,141.25. The funded portion is PhP 1,497,510,205.00 representing 89.59% of total. Financing come mostly from General Appropriations and Local Budgets from IRA. The funding shortfalls will be generated mainly from Tier 2 budget process and financing from development partners working in the region and provisions from local sources. These budgets will require annual review and adjustments in line with the regional and national processes for the preparation of investment plans. Annex 3 provides more details of the budgetary requirements of the Region IX RPAN 2019-2022, by Program, by Project, by year, and with recommended action to fill resource gaps.

Table 7. Summary of Budgetary Requirements by program and share of program budget to total RPAN

Total budget % of total Programs (pesos) RPAN budget 387,376,719 23.17% Program 1: IYCF and First 1000 Days (F1K) 179,875,360 Program 2: Dietary Supplementation 10.76% 33,963,766 2.03% Program 3: Micronutrient Supplementation 0.39% Program 4: Adolescent Health and Development 6,300,000 Program 5: Overweight and Obesity Management and Prevention 470,000 0.03% 0.15% Program 6: Nutrition Promotion for Behaviour Change 2,429,400 Program 7: Mandatory Food Fortification6 536,800 0.03% Program 8: Nutrition in Emergencies 1,900,000 0.11% Program 9: Philippine Integrated Management of Acute Malnutrition (PIMAM) 4,250,000 0.25% 1,052,954,520 Program 10: Nutrition Sensitive 62.99% Program 11: Enabling Program 1,504,000 0.09% Grand Total 1,671,560,565 100%

6Budgets come from national level and estimates are not included so percentage share of programs to the RPAN budget do not show total picture 36

Table 8. Summary Budget Estimates for Programs and Projects

PROGRAM/ PROJECT Agency/ies TOTAL Responsible Funded Unfunded PROGRAM 1: IYCF AND FIRST 1000 DAYS (F1K) 387,376,919 Project 1. Mobilization of LGUs on the First NNC, RNC, 1,600,000 1000 days including expansion of ECCD/F1K LGUs areas Project 2. Strengthening of Health Delivery for DOH, LGUs F1K Project 3. Information Management in the F1K DOH, NNC, LGUs Project 4. Iron supplementation for pregnant DOH, LGUs 378,769,298 - and lactating women, and low birth weight infants, calcium carbonate supplementation from 5 months of age of gestation to delivery and MNP supplementation to children 6-23 months old

Project 5. Vitamin A Supplementation for DOH, LGUs 876,221 - postpartum women and children 6-23 months

Project 6. Supplementary Feeding for Pregnant DOH, LGUs, To be downloaded by DOH CO & Lactating Women ( Lipid Nutrient NGOs Supplements)

Project 7. Mobilization of LGU resources for DOH, LGUs, 144,000 - dietary supplementation for NGOs adolescent/pregnant women

Project 8. Training of Pregnant Women on DOH 864,000 - Recipe Trials

Project 9. Mobilization of LGUs to Organize DOH, NNC 1,296,000 - Complementary Feeding and IYCF Support Groups

Project 10. Promotion of locally produced DOH / complementary food

Project 11. Advocacy for Stronger Enforcement DOH, NNC, 691,200 and Compliance Monitoring of EO 51 (Milk DOLE, LGUs Code), RA 10028 (Breastfeeding Area in Workplaces) and MBFHI

Project 12. Communication Support for F1K NNC 4,000,000

PROGRAM 2: DIETARY SUPPLEMENTATION 179,875,360 Project 13. Strengthening Municipal/City and DSWD, LGUs 3,384,000 - Barangay Nutrition Committees to organize parents to conduct Supervised Neighborhood Play for Supplementary Feeding

Project 14. Strengthening networking and DOH, NNC 144,000 - partnership for availability of nutrient-dense food for supplementary feeding

Project 15. Supplementary Feeding Program in DSWD, LGUs 3,664,000 - Child Development Centers and SNP

Project 16. Supplementary Feeding in schools DEPED 172,583,360 (SY 2019- 2020) Project 17. School based complementary DEPED, DOH health services

Project 18. Establishment of Wellness, Health DEPED and Nutrition Clinic in Schools

Program 3: MICRONUTRIENT 33,963,766 SUPPLEMENTATION Project 19. Vitamin A Supplementation to 25- DOH, LGUs 5,969,254 - 59 months old children

Project 20. Anemia Reduction among Women DOH, LGUs 27,994,512 - of Reproductive Age including adolescent female learners

PROGRAM 4: ADOLESCENT HEALTH AND 5,500,000 800,000 DEVELOPMENT Project 21. Establishment and Management of POPCOM, 4,800,000 Adolescent Health Friendly Facilities DEPED, LGU (Teen Center/Friendly Spaces)

Project 22. Reaching Out GIDA and IP PopCom, 700,000 400,000 Communities for Adolescent Health DepEd, DOH, and Development NCIP

Project 23. Weekly Iron with Folic Acid DEPED, DOH Covered supplementation for Grades 7-10 & under Proj. ALS female-learners 20

Project 24. Nutrition and Health Forum for PIA, RNC, 4,000,000 Adolescents DSWD

PROGRAM 5. OVERWEIGHT AND OBESITY 230,000 240,000 MANAGEMENT AND PREVENTION Project 25. Promotion of Healthy Lifestyle DOH, RNC, 230,000 240,000 LGUs, NDAP (150 for 2019 Zambo by NNC) PROGRAM 6. NUTRITION PROMOTION FOR 2,429,400 BEHAVIOR CHANGE Project 26. Strengthening nutrition education DSWD, NNC 1,668,000 - among parents through the Family Development Sessions Project 27. Updating and publication of DSWD 9, PIA, 741,400 - nutrition LGU, DOST- promotion materials FNRI, NNC PROGRAM 7. MANDATORY FOOD 268,400 268,400 FORTIFICATION Project 28. Advocacy for and Monitoring of DOH, NNC 268,400 268,400 compliance to RA 8976 and 8172

PROGRAM 8. NUTRITION IN EMERGENCIES) 1,450,000 450,000

Project 29. Capacity Building of Nutrition DOH 1,450,000 450,000 Committees for Mainstreaming Nutrition in Emergencies

PROGRAM 9. PHILIPPINE INTEGRATED 3,350,000 900,000 MANAGEMENT OF ACUTE MALNUTRITION (PIMAM Project 30. Enhancement of PIMAM Facilities, DOH, LGUs 3,350,000 900,000 Capacities and Provision of Services

PROGRAM 10.NUTRITION SENSITIVE 1,052,954,520 283,240,000 PROGRAM Project 31. Panghanap buhay para sa 56,880,000 170,640,000 ating disadvantage workers (TUPAD)

Project 32. Partnership against hunger DA-DAR- 6,600,000 and DSWD poverty Project 33. TARGET (Target Actions to BFAR, NNC, 16,184,520 - Reduce Poverty and Generate Economic LGU Transformation) -

33-1. Distribution of seaweeds in food assistance/paraphernalia to farmers associations 33-2. Distribution of fishing paraphernalia 33-3. Provision of fishery on-farm equipment and postharvest facilities and Livelihood trainings

Project 34. Farm to Market Road DA, DPWH, Development Program LGU

Project 35. Gulayan sa Paaralan DA, DepEd 40,000,000 -

Project 36. Livelihood trainings DA & BFAR 4,160,000 -

Project 37. TienDA for farmers and DA (bureaus, 1,470,000 640,000 fisherfolks attached agencies), DTI, BFAR, PCA DA) Project 38. Accelerated coconut planting PCA 300,000,000 and replanting program (ACPRP)

Project 39. Countryside Economic PCA 75,000,000 Development Program (CEDP)

Project 40. Coconut fertilization program PCA 176,000,000

Project 41. Diskwento Caravans DTI 1,620,000

Project 42. Industry Cluster Enhancement DTI, DA DAR, 11,200,000 DOLE, BFAR, PCA Project 43. Kapatid Mentor Me DTI 5,200,000

Project 44. Negosyo Center DTI 24,600,000

Project 45. OTOP next gen DTI 15,000,000

Project 46. Shared Service Facility DTI 80,000,000

Project 47. Small Enterprise Technology DOST 200,000,000 Upgrading Program (S & T based innovation and services)

Project 48. DOLE Integrated Livelihood DOLE 37,320,000 111,960,000 and Emergency and Employment Program (DILEEP) or KABUHAYAN Program

Project 49. Agrarian Production and DAR 280,000 Credit Program (APCP) (DAR)

Project 50. Operational Research on the NNC, RNC Nutrition Sensitive Projects

PROGRAM 11. ENABLING PROGRAM 1,504,000 800,000

Project 51. Mobilization of Local Government NNC, DOH, 800,000 Units for Delivery of Nutritional RNC Outcomes

Project 52. Policy Development for Food and NNC, RNC / Nutrition

Project 53. Management Strengthening NNC, DOH, 1,504,000 Support to RPAN Effectiveness RNC

Grand Total 1,497,510,205 174,050,360

Resource Mobilization Strategy for the RPAN

Annex 3 shows the funding shortfalls by program. The total program shortfall for the four-year period 2019-2022 amounts to PhP1,671,560,565. The funding gap can be addressed in three ways namely (1) proposing the project, program with shortfall in Tier 2 for 2019 to 2022; (2) allocating funds from the LGU budget for the same period and lastly (3) securing partnership and financial support from development partners. It appears therefore that the funding gap is far from being huge and the chances of closing the funding gap is reasonable. Private sector funding may also be available but a strategy for such needs to be developed by the leadership within the RNC.

The impact of poor nutrition early in life has lasting effects that can transcend generations. Malnutrition early in life can cause irreversible damage to children’s brain development and their physical growth, leading to a diminished capacity to learn, poorer performance in school, greater susceptibility to infection and disease and a lifetime of lost earning potential. It can even put them at increased risk of developing illnesses like heart disease, diabetes and certain types of cancers later in life. In like manner, the damage done by malnutrition translates into a huge economic burden for countries and governments, costing billions of pesos in lost productivity and avoidable health care costs. But by focusing on improving nutrition, much of the serious and irreparable damage caused by malnutrition can be prevented.

Section V. Risks and Mitigation Analysis

The RPAN was subjected to rigorous risks analysis and corresponding to the various risks identified, mitigation measures were determined. In the Program Implementation Review Plan (PIR) for the effective management of the RPAN, the table of risks and mitigation measures need to be revisited to ensure emerging risks not covered during the exercise are factored in real time. The risks identified follow the PESTLE+C analysis covering political, economic, social, technological, legal, environmental and cultural dimensions. These risks and their corresponding mitigation strategies are specific to the situation in Region IX. (see Table below)

Table 9. Region IX RPAN Risks Analysis and Mitigation Measures

Risk Category Assumption on Risks/Analysis Recommendations on Adjustments in Mitigation Strategy Program Design Political Political changes in Local Government Work closely with DILG in monitoring leadership may mean that responsibilities of LGUs in Nutrition Undertake Intensive Mobilization of LGUs and ➢ New Political Leaders may not prioritize Program LCEs Nutrition Program and . Conduct Program Review of Nutrition ➢ LGU will not allocate funding for Program by LCE Nutrition Program

Change of LCEs and replacement of NAOs and BNSs will affect continuity of program implementation If problems of Peace and Order occur, armed Strengthen the Nutrition in Emergency conflicts can worsen the nutritional status of Cluster children Economic Rising Inflation Rate will lessen the capacity of Encourage families to engage more in food NGAs, LGU offices responsible for food the family to buy adequate food for the family garden production should increase their programs in as well as affect complementary food of infants household food production. at 6 months Unemployment and underemployment will limit Prioritize poor unskilled job seeker in Work closely with DPWH and other institutions family capacity to buy food needs government programs needing casual that have the capacity to provide jobs. labor (DPWH)

Implement more cash for work programs

Hold more job fairs to give opportunities to skilled workers Monopolies on supplies of goods and services, Ensure preparedness of NFA to provide Urge DTI or responsible agencies to be more hoarding by traders, presence of middle men, affordable rice for the public vigilant against hoarding of basic commodities and unregulated implementation of TRAIN Law such as rice, sugar, flour and the retailers are likely to result in higher cost of commodities being compliant to SRP.

Risk Category Assumption on Risks/Analysis Recommendations on Adjustments in Mitigation Strategy Program Design - Strengthen programs in household food production.

Social Changing dietary patterns and lifestyles coupled - Strictly implement DEPED order No. 13 s with how Media handles advertisement of food - Promote responsible use of quad 2017 on policy guidelines and policies on will continue to influence dietary behavior and media to promote healthy lifestyle and food choices in all private and public resulting food choices and preferences. IYCF practices particularly on EBF and schools and DEPED Offices. CF - Promote active engagement of media Such influences can lead to decreasing practice - Promote good nutrition through group in nutrition of breastfeeding. Nutriskwela Community Radio and - Integrate promotion of IYCF in the other School on the Air of DA government programs (FDS, Family - Ensure strict implementation of RA Welfare services etc.) 10028 - Translate IEC materials into local dialects - Promote behavior change focusing (chavacano, Bisaya, Tausug, Subanen etc.) Interpersonal Communication - Ensure interagency collaboration for information dissemination Poor access to correct information to health and - Promote behavior change focusing nutrition services among IPs in GIDAs will Interpersonal Communication perpetuate cultural practices which restrict - Urge NCIP to strengthen their health acceptance of health services and limit services among GIDAs knowledge on health issues - Intensify information advocacy on health and nutrition through media info-caravan

High incidence of teenage pregnancy in the Encourage access to accurate information - Support government programs of DOH, region points to many teenage pregnant women on reproductive health. POPCOM and DEPED for adolescents at high risk of giving birth to low birth weight - Strengthen advocacy on health and babies. nutrition

Risk Category Assumption on Risks/Analysis Recommendations on Adjustments in Mitigation Strategy Program Design Technological Limited skills to adopt technologically assisted Distribute IEC materials widely Tap State universities and colleges for the monitoring tools such as E OPT and other training. software in providing information and health Allocate funds for Capacity Building of promotion limits adaptation of EOPT for reliable human resources nutrition data among BNSs and results in poor dissemination for proper health and nutrition promotion. Legal Weak implementation of Human Rights Laws Intensify Nutrition and Health programs Reorganize / organize and strengthen MNCs e.g., thus P/M/C Nutrition committees participation involvement in program implementation - RA 7610 (Special protection of children against child abuse, exploitation and Introduce Skills Training and discrimination act “cannot be deprived from Livelihood projects nutrition and health services”) - PD 603 (Child and welfare code article 3 rights of a child) - Right to food may compound situations of unemployment, underemployment, and dependency on social protection programs like 4Ps Lack of local ordinance for allocation of Disseminate DILG and DMB MC on fund Conduct meetings, fora for LGOOs and NAOs nutrition funds hinders implementation of PPAN allocation for Nutrition Program programs Environmental Effects of climate change such as Ensure buffer stock for food commodities Set Master Listing of affected individuals or ➢ Flooding (La Niña) families in the MAO ➢ Extreme Heat (El Niño) Conduct training of farmers (updating affect food production (e.g., rice, corn, knowledge re: crops to be planted) Facilitate forecasting of events vegetables, livestock) and therefore affect supply/availability and access to food Conduct trainings on livelihood (during lean season)

Risk Category Assumption on Risks/Analysis Recommendations on Adjustments in Mitigation Strategy Program Design Inaccessibility of target community (GIDA areas) Build FMR in GIDAs Facilitate and prioritize road network in GIDAs results from road networks not passable for transporting farm produce Cultural The following practices affect food choices and Intensify promotion and advocacies about Strengthen linkages with IP leaders in the consumption especially for children and the F1K Days. conduct of different activities. pregnant women as well as make for risky behavior for health and nutrition of mothers Conduct food and cooking demonstrations Consider culture sensitive approaches in and babies: (recipe trial) nutrition program management.

➢ Having no permanent residence among Tap IP leaders/volunteers during food Work closely with the NCIP for programs to Badjaos demo and lectures / training address existing problems.

➢ Adopting behavior of mendicancy Strictly implement laws on mendicancy (paglilimos, exposing their very young babies to the elements of traffic and Intensify culture-sensitive advocacy and weather). implementation of health policies on birth delivery in health facilities especially ➢ Preference to give birth at home with among husbands. the husband present

Section VI: The RPAN Institutional Arrangements

The RPAN Results Matrix defines the individual institutional accountability for each of the projects (output/s), programs and common accountabilities with respect to programs and outcome targets. The RPAN then consists of individual and shared accountabilities to deliver outputs and outcomes. The delivery of outcomes and outputs which entail institutional resources and processes are ultimately the responsibility of the accountable regional agencies.

Institutional accountabilities also include accountability for coordination of the RPAN. The Regional Nutrition Committee, as the counterpart body of the NNC Governing Board at the regional level, shall primarily serve as the mechanism to oversee the progressive implementation of the RPAN. This function covers integrating and harmonizing actions for nutrition improvement at the regional level. It will be composed of the same agencies as the NNC Governing Board with additional member agencies as may be needed and appropriate for the region. The RNC will continue to coordinate nutrition action at the provincial, city, and municipal levels covered by the region.

Its functions are to formulate, coordinate, monitor, and evaluate the regional nutrition action plan. It also extends technical assistance to local nutrition committees along nutrition program management. It may create technical working groups and other similar inter-agency groups to address particular issues and strengthen interagency coordination.

In the discharge of each regional coordination function including of the RPAN, processes have been instituted in the past and will continue to be harnessed for the delivery of the RPAN. The NNC Regional Office as RNC Secretariat shall facilitate the following: 1) formulation of the Annual Regional Work and Financial Plan to support the implementation of RPAN; 2) convening of the RNC quarterly meetings; and 3) annual program implementation review of the RPAN.

Section VII: Monitoring, Reporting and Evaluation Mechanism for the RPAN

The overall RPAN Results Matrix and the Consolidated Agency Results Accountability by Project, Program and Outcome are the reference documents for designing the monitoring system including annual program implementation reviews, mid-term reviews and the RPAN end evaluation.

As a management tool, the region will use for RPAN monitoring the quarterly reporting and management meetings of the Regional Nutrition and Anti Hunger Committee of Region IX. The Results Matrix will be broken down by NNC Regional Office IX every year into quarterly plans and reported accordingly. While the report is important, it is the discussion at the RNAHC that is more vital in terms of ensuring that corrections are undertaken by individual agencies and the RNAHC as a whole in response to the emerging issues and problems in implementation. The management decision in the quarterly meetings will guide the NNC Regional Office in following up RPAN implementation.

At the end of each year, the RNAHC will convene an annual Program Implementation Review (PIR) which is conducted every last quarter of the year. This will allow RNC member agencies and local government units to integrate revisions to the program/s for the coming budget year. The PIR, benefiting from initial annual progress reports from the agencies, undertakes a rigorous and reflective analysis of the experience in the implementation for the year to design improvements in the Plan for the following year. In the course of the implementation year, the NNC Regional Office will collect important nuggets of lessons that can guide the planning for the coming year in addition to what will be brought by the agencies in the PIR.

The midterm review of the PPAN 2017-2022 is planned in 2019/2020. NNC in consultation with the 17 regions may opt to conduct regional mid-term reviews for the RPAN. Determination to undertake this in the regions will be a joint decision of the RNC and NNC.

Each of the NNC Regional Office working hand in hand with the Nutrition Surveillance Division (NSD) and the Nutrition Policy and Planning Division (NPPD) of NNC will determine whether individual evaluation of every region will be undertaken in 2022 in time for the review of the PPAN and the formulation of the successor National Plan 2023-2028. In case the decision for every region to have its own RPAN evaluation, then the RNPC will endeavor to prepare early for such exercise. A plan to undertake the evaluation of the RPAN needs to be produced as early as 2019.

Section VIII: RPAN Region IX Implementation Plan and Results Framework

The RPAN Region IX results framework contains all the major information related to the Plan. It contains the regional outcome targets, programs and projects, their outputs and corresponding activities, as well as responsible agencies and estimated resource requirements. In the results framework matrix (Table 5), the implementation plan with respect to the outputs of the projects has also been defined for years 2018-2022. The RPAN Region IX results framework therefore also serves as the implementation plan of the RPAN.

The final results matrix was developed through a series of coherence review. The coherence review of the RPAN was examined in the RPAN formulation process. The review was initially made analyzing the match of the priority problems identified with the regional outcome targets. The coherence of the interventions vis a vis the regional outcome targets were then analyzed. In this particular exercise, careful review of the outcomes, planned coverage, as well as the outputs of the 53 projects was done. Adjustments were made when necessary. At the end of the exercise, the budgetary requirements were also compared with the planned coverage and outputs, and at the end of the line the regional outcomes. The PESTLE+C analysis was factored throughout the review of the results framework.

In the RPAN results framework, the accountability of agencies vis a vis budgets, outputs, coverage and shared outcomes among agencies is made explicit. A table in Annex 2 is also provide to reflect agency accountability by project and outputs.

Table 10. RPAN Region IX Results Framework Matrix

RPAN Region IX Outcome Targets

PROGRAM 1: INFANT AND YOUNG CHILD FEEDING (IYCF) AND FIRST 1000 DAYS (F1K) Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 1. Mobilization of LGUs on the First 1000 days including expansion of ECCD/F1K NNC, RNC, LGUs areas 1-O.1. Increased no. of LGUs implementing ECCD F1K supported by policies, resolutions or 2 provs. & / / / local ordinances constituent LGUs

Major activities: 1-A.1. RNC and RDC Endorsement of ECCD F1K and RPAN 2019-2022 1-A.2. Issuance of DILG memo circular supporting RNC and RDC

Endorsement 1-A.3. Conduct of ECCD F1K and RPAN dissemination and advocacy fora/summit/media

caravan 1-A.4. Advocacy on local policy issuance supporting and implementing ECCD F1K

1-A.5. Orientation and training of relevant stakeholders in ECCD F1K expansion areas

1-A.6. Preparation/Adoption of P/C/MNAPs of all provinces, municipalities and cities

highlighting ECCD F1K and integration in local development and investment plans 1-A.6. Monitoring, assessment and adjustments for scaling up

2. Strengthening of health delivery system for F1K DOH, LGUs 2-O.1. Review of existing system in RHUs completed / 2-O.2. Enhanced/Strengthened delivery system/network for F1K / / / 51

PROGRAM 1: INFANT AND YOUNG CHILD FEEDING (IYCF) AND FIRST 1000 DAYS (F1K) Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 2-A.1. Planning for review /

2-A.2. Execution of review and reporting of results / / 2-A.3. Strengthening of the Service Delivery Network for F1K Days / / / /

2-A.4. Mobilization and capacity building of health workers including BNSs, BHWs / / / / and NDPs 2-A.5. Integration of results in RHU operations

2-A.6. Monitoring, evaluation and adjustments / / 3. Information Management of F1K 3-O.1. A harmonized system of information for the efficient and effective DOH, NNC, LGUs / / / implementation of F1K services developed and utilized by the health system and / the LGUs 3-A.1. Review of the system

3-A.2. Finalization and endorsement of the information system

3-A.3. Implementation of the harmonized information system

3-A.4. Monitoring, evaluation and re-design

4. Iron supplementation to pregnant and lactating women, and low birth weight DOH, LGUs infants, calcium carbonate supplementation from 5 months of age of gestation to delivery and MNP supplementation to children 6-23 months 4-O.1. Percentage of pregnant women low birth weight infants, at-risk pregnant women 50% PW 60% PW 70% PW 80% PW 100 % LBW 100 % 100 % 100 % and children 6 to 23 months old provided with iron supplements, calcium carbonate and MNP based on standards, respectively 30% 6-23 30% 6-23 30% 6-23 30% 6-23 mos mos mos mos

PROGRAM 1: INFANT AND YOUNG CHILD FEEDING (IYCF) AND FIRST 1000 DAYS (F1K) Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 4-O.2. A system for tracking the actual consumption of iron and calcium carbonate / / / / developed/operationalized

4-A.1. Pregnancy tracking and masterlisting of PW, LBW infants and 6-23 ms children by

LGUs

4-A.2. Development, pilot testing and operationalization of the system for tracking the actual consumption of iron and calcium carbonate supplements 4-A.3. Capacity building among all health personnel

4-A.4. Actual distribution and tracking of consumption of supplements

4-A.5. Monitoring, reporting, and adjustments

5. Vitamin A Supplementation for lactating and postpartum women & children 6- DOH, LGUs 23 months 5-O.1. All RHUs providing 1 capsule of 200,000 IU Vitamin A to postpartum women; 1 100% 100% 100% 100% capsule of 100,000 IU Vitamin A to children 6 to 11 months; and 1 capsule of 200,000 IU Vitamin A to children 12 to 23 months every 6 months 5-O.2. Monitoring/Tracking system of actual consumption of Vitamin A developed/operationalized 5-A.1. Pregnancy tracking and masterlisting of PW, LBW infants and 6-23 ms children by LGUs 5-A.2. Development, pilot testing and operationalization of the system for tracking the actual consumption of iron and calcium carbonate supplements 5-A.3. Capacity building among all health personnel 5-A.4. Actual distribution and tracking of consumption of supplements 5-A.5. Monitoring, reporting, and adjustments 6. Supplementary Feeding for Pregnant Women DOH, LGUs, NGOs 6-O.1. No. of LGUs providing dietary supplementation to adolescent and adult pregnant 72 72 72 72 women based on DOH guidelines/standards 6-A.1. Downloading and distribution of Lipid-based Nutrient Supplements

PROGRAM 1: INFANT AND YOUNG CHILD FEEDING (IYCF) AND FIRST 1000 DAYS (F1K) Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 6-A.3. Monitoring/ Follow up visits

6-A.4. Project evaluation and adjustment

7. Mobilization of LGU resources for dietary supplementation for DOH, LGUs, NGOs adolescent/pregnant women 7-O.1. No. of LGUs mobilized for dietary supplementation 90 90 90 90 8-A.1. Advocacy among LCEs/LGUs on the dietary supplementation program

8-A.2. Conduct of coordination meetings to develop the mechanics for the dietary

supplementation including masterlisting of beneficiaries and M & E 8-A.3. Implementation of the dietary supplementation

8-A.4. Communication support through quad media utilization

8-A.5. Monitoring, reporting and adjustments

8. Training of Pregnant Women on Recipe Trials DOH 8-O.1. No. of pregnant women trained on recipe trials 90 90 90 90

8-A.1. Selection and identification of PW to be trained

8-A.2. Conduct of recipe trial trainings (3 batches per year; 30 PW per batch)

8-A.3. Conduct of follow up visits and monitoring of adoption of the recipe

8-A.4. Project monitoring, reporting and adjustments

9. Mobilization of LGUs for Complementary Feeding and Organization of IYCF DOH, NNC Support Groups 9-O.1. No. of LGUs with organized complementary feeding and IYCF Support groups TBD TBD TBD TBD 9-A.1. Advocacy and mobilization of local officials including barangay officials and other partners 9-A.2. Training on IYCF & Pabasa sa Nutrisyon

PROGRAM 1: INFANT AND YOUNG CHILD FEEDING (IYCF) AND FIRST 1000 DAYS (F1K) Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 9-A.3. Lakbay Aral to Catarman, Leyte 9-A.4. Reproduction and dissemination of IYCF IEC materials 9-A.5. Monitoring, evaluation and adjustments DOH 10. Promotion of locally produced complementary food 10-O.1. Number of local producers supporting complementary food/IYCF 1 1 1 1 10-A.1. Strengthen advocacy & promotion of complementary food

10-A.2. Expand partnership and networking on complementary food production

10-A.3. Provision of technical assistance and forging agreements with local producers of

complementary food 10-A.4. Monitoring, evaluation and adjustments for scaling up

11. Advocacy for Stronger Enforcement and Compliance Monitoring on EO 51 (Milk DOH, DOLE Code), RA 10028 (Breastfeeding Area in Workplaces) and the MBFHI 11-O.1. No. of health and non-health facilities/establishments 8 8 8 8

compliant to EO 51, RA 10028 and MBFHI 11-A.1. Reactivation of monitoring teams supported by a policy issuance

11-A.2. Re-orientation on the protocol of monitoring compliance

11-A.3. Capacity building on Lactation Management and IYCF and adoption of the

maternity protection policy 11-A.4. Conduct of monitoring visits and issuance of certification to compliant

facilities/establishments 11-A.5. Review of progress of enforcement and compliance monitoring and

adjustments/scaling up 12. Communication Support for F1K NNC

12-O.1. A regional sub-strategy in line with the national strategy for the communication / / / / support on F1K fully developed and implemented

PROGRAM 1: INFANT AND YOUNG CHILD FEEDING (IYCF) AND FIRST 1000 DAYS (F1K) Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 12-A.1. Communication planning including the inventory of existing communication projects and tools related to the First 1000 Days 12-A.2. Development of improved key messages and communication materials and collaterals 12-A.3. Pre-testing of developed materials

12-A.4. Implementation, monitoring and adjustments

PROGRAM 2. DIETARY SUPPLEMENTATION PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 13. Strengthening Municipal/City and Barangay Nutrition Committees to organize DSWD, LGUs parents for Supervised Neighborhood Play for Supplementary Feeding 13-O.1. Percentage increase in the number of SF beneficiaries in SNPs 10% 10% 10% 10%

13-O.2. No. of municipal nutrition committees capacitated 10 10 10 10

13-A.1. Consultation dialogue with LCEs to identify and establish additional SNP sites

13-A.2. Preparation for project implementation and provision of technical assistance (MOA, fund transfer, profiling and preparation of relevant documents) 13-A.3. Strengthening of municipal/barangay nutrition committees for effective project implementation 13-A.4. Conduct of SNPs and provision of supplementary feeding in additional SNP sites

13-A.5. Follow up visits, monitoring, assessment and adjustments for scaling up

14. Strengthening networking and partnership for nutrient-dense food for supplementary feeding DOH, NNC

PROGRAM 2. DIETARY SUPPLEMENTATION PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 14-O.1. Strengthened network of local nutrient dense food producers / / / /

14-O.2. Procurement process for nutrient dense food commodities improved / / / /

14-O.3. No. of LGUs availing of extended supplementary feeding 3 5 5 5

14-A.1. Consultation with and linking LGUs with local food plants (Dipolog and / / LGU Tungawan) and the Philippine Carabao Center 14-A.2. Conduct of product exhibit to showcase nutrient food items for supplementary feeding 14-A.3. Advocacy and information dissemination on the use of nutrient-dense supplementary food including production of advocacy, nutrition information and education materials and information caravan in selected sites 14-A.4. Provision of technical assistance for selected sites/LGUs

14-A.5. Implementation of extended supplementary feeding

14-A.6. Monitoring of convergence projects by Social Welfare Action Team (SWAT)

14-A.7. Assessment and adjustments

15. Supplementary Feeding for Children Enrolled in Child Development Centers DSWD, LGUs and Supervised Neighborhood Plays 15-O.1. All children enrolled in CDCs and SNPs are provided with supplementary feeding 100% 100% 100% 100%

15-O.2. No. of CDWs capacitated on correct nutritional assessment, monitoring and 72 72 72 72 accomplishment of ECCD card 15-O.3. Recognition system for model child development centers and workers established 1 / / /

15-O.4. Documentation of good practices of model child development centers and workers 1 1 1 1 published and disseminated 15-A.1. Capacity building of Child Development Workers on child growth monitoring and menu/recipe preparation 15-A.2. Downloading of financial resources to LGUs

PROGRAM 2. DIETARY SUPPLEMENTATION PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 15-A.3. Implementation of supplementary feeding including deworming, Vitamin A supplementation, growth monitoring, etc. 15-A.4. Development and pilot implementation of a recognition system for model child development center and child development worker 15-A.5. Conduct of advocacy and information caravan and provision of technical assistance

15-A.6. Documentation and dissemination of good practices on CDC

15-A.7. Monitoring , evaluation and adjustments

16. Supplementary Feeding in Schools DepEd

16-O.1. 100% of schools providing supplementary feeding for 120 days 2, 117 2, 117 2, 117 2, 117

16-A.1 Downloading of financial resources

16-A.2 Implementation of supplemental feeding

16-A.3 Monitoring, evaluation and conduct of Regional Search for Best School-Based Feeding Program 17. School-Based complementary Health Services DepEd, DOH

17-O.1. 100% of schools delivering health and nutrition services at satisfactory level 2, 117 2, 117 2, 117 2, 117

17-A.1 Downloading of health inputs/commodities

17-A.2 Provision of services

17-A.3 Implementation, monitoring and evaluation

18. Establishment of Wellness, Health and Nutrition Clinic in Schools DepEd

18-O.1. 100% of schools with trained students as Little Doctors and Nurses 2, 117 2, 117 2, 117 2, 117

18-A.1 Training of Grade 5 and 6 Students as little doctors and nurses in schools

PROGRAM 2. DIETARY SUPPLEMENTATION PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 18-A.2 Conduct peer-to-peer health and nutrition counselling

18-A.3 Development of reader-friendly materials

18-A.4 Monitoring, evaluation and adjustments

PROGRAM 3. MICRONUTRIENT SUPPLEMENTATION PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 19. Vitamin A Supplementation for children 24-59 months old DOH, LGUs 19-O.1. All RHUs providing Vit. A supplements to children aged 24-59 months 100% 100% 100% 100% 19-A.1. Downloading of Vitamin A supplements 19-A.2. Provision of Vit.A supplements to well-nourished and sick children following

DOH standards 19-A.3. Monitoring, reporting and adjustments

20. Anemia Reduction among Women of Reproductive Age (WRA) DOH, LGUs 20-O.1. All RHUs providing iron folic-acid to WRA AND 100% 100% 100%

20-A.1. Screening / Assessment of anemia

20-A.2. Provision of Iron -folic acid

20-A.3. Promotion of Healthy Diet (food rich in iron)

20-A.4. Production and promotion of healthy snacks (Fortified with iron+folic)

20-A.5. Monitoring, assessment and adjustments

PROGRAM 4. ADOLESCENT HEALTH AND DEVELOPMENT

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 21. Establishment of Teen Centers and Adolescent-Friendly Spaces 21-O.1. Number of municipalities with teen centers and adolescent-friendly spaces 2 3 5 POPCOM, DEPED, LGU 4 established and fully operational 21-A.1. Mapping of schools and municipalities without teen centers and adolescent-

friendly spaces 21-A.2 Convene meetings with school principals and local population officers

21-A.3. Training of guidance and peer counsellors / SK 5 cities 5 cities 5 cities 5 cities POPCOM 3 Provinces 3 prov. 3 prov. 3 prov. 21-A.4. Operationalization of the centers/spaces including provision of counselling

services 21-A.5. Monitoring ,evaluation and adjustments

22. Reaching Out GIDAs and IPs for Adolescent Health and Development POPCOM, RNC, LGU

22-O.1. Number of GIDA and IP communities reached 1 1 1 1 22-A.1. Meeting with the LGUs and IP Coordinators

22-A.2. Capacity building of IP Chieftains and IP Youth Leaders as counselors

22-A.3. Conduct of IP Health and Nutrition Caravans on adolescent’s health and

development 22-A.4. Monitoring and follow-up

23. Weekly Iron with Folic Acid supplementation for Grades 7-10 & ALS female- DOH, DepEd learners 23-O.1. All public schools providing WIFA to Grade 7 to 10 female learners 100% 100% 100% 100% 23-A.1. Promotion of the benefits of iron folic acid supplementation

23-A.2. Downloading of resources

PROGRAM 4. ADOLESCENT HEALTH AND DEVELOPMENT

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 23-A.3. Provision and consumption of supplements

23-A.4. Monitoring, reporting and adjustments

24. Nutrition and Health Forum for Adolescents PIA, RNC, DSWD 24-O.1. Number of nutrition and health fora conducted TBD TBD TBD TBD 24-A.1. Conduct of consultative meetings and establish partnership with relevant

stakeholders

24-A.2. Development of forum design and modules

24-A.3. Training/Orientation of forum facilitators

24-A.4. Conduct of for a

24-A.5. Assessment and adjustments

PROGRAM 5. OVERWEIGHT AND OBESITY MANAGEMENT AND PREVENTION

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 25. Promotion of Health Lifestyle RNC, LGUs, NDAP

Zamboanga 25-O.1. # of advocacy activities on healthy lifestyle conducted 6 6 6 6 25-O.2. # of agencies/entities with physical fitness activities among employees 2 cities 2 cities 1 prov, 1 2 provs, 1

1 NDAP 1 NDAP city, 1 NDAP NDAP 25-A.1. Conduct of multi-sectoral forum on healthy lifestyle. 25-A.2. Media Promotion Activities (kapihan, news releases, broadcast releases, social

media, radio program)

PROGRAM 4. ADOLESCENT HEALTH AND DEVELOPMENT

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 25-A.3. Advocacy for and conduct of Physical fitness activity among employees 25-A.4. Monitoring, reporting and adjustments

PROGRAM 6. NUTRITION PROMOTION FOR BEHAVIOUR CHANGE Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 26. Strengthening nutrition education of parents, particularly through 4Ps DSWD, NNC 26-O.1. Percentage increase in the number of Parents’ Committee supporting SFP 2% 3% 3% 2% 26-A.1. Organize pool of resource persons to conduct nutrition education among

parents of SFP beneficiaries and in FDS nutrition and health related modules 26-A.2. Training of program implementers and pool of resource persons on Nutrition

Program Management, Family Development on nutrition 26-A.3. Regular monitoring activities including conduct of Social Welfare Forum every

semester 27. Updating and publication of nutrition materials (including educators’ kit, recipe DSWD, PIA, LGU, book, trends in food, healthy lifestyle) DOST-FNRI, NNC

27-O.1. Number of books on food trends, innovative recipes and healthy lifestyle 1 1 produced and disseminated 27-A.1. Capacity building of child development workers and parents on new trends and recipes 27-A.2. Reproduction and dissemination of NIE materials in all 72 LGUs

PROGRAM 7. MANDATORY FOOD FORTIFICATION PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 28. Advocacy for and Compliance Monitoring of RA 8976 and 8172 DOH, NNC

28-O.1. A mechanism for advocacy and compliance monitoring food fortification / / / / strengthened and implemented 28-O.2. Improvements in the compliance level for MFF evidenced in the region / / / / 28-A.1. Strengthening of the Regional MFF Task Forces (including Bantay Asin Task

Force) 28-A.2. Development of regional protocol/guidelines on MFF monitoring 28-A.3. Capacity building for the Task Forces 28-A.4. Conduct of joint monitoring , reporting and adjustments

PROGRAM 8. NUTRITION IN EMERGENCIES

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 29. Capacity Building for Nutrition in Emergencies RNC, LGUs 29-O.1. Number of LGUs with organized nutrition cluster 3 25 25 25 29-A.1. Number of trainings conducted 1 1 1 1 29-A.2. Consultative meeting/ Advocacy and lobbying to LCEs 29-A.3. Issuance/Re-issuance of resolutions/executive orders on Regional/Local 25 25 25 Nutrition Committees 29-A.4. Conduct of NiEm trainings including information management and orientation

on ICS and PIMAM 29-A.5. Development of NiEm plan and Integration to DRRM plan 3 25 25 25 29-A.6. Capacity mapping and prepositioning of supplies 29-A.7. Monitoring, evaluation and adjustments

PROGRAM 9. PHILIPPINE INTEGRATED MANAGEMENT OF ACUTE MALNUTRITION

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 30. Enhancement of PIMAM Facilities, Capacities and Provision of Services DOH, LGUs 30-O.1. Delivery system for PIMAM established and fully operational across the region / / / / 30-A.1. Building of Capacity of Local Implementers

30-A.2. Provision and supply management of F75, F100 RUTF and RUSF and its

equivalent in RHUs 30-A.3. Delivery of ITC/OTC and TSFP services for treatment and management of and

MAM 30-A.4. Monitoring, reporting, and adjustments

PROGRAM 10. NUTRITION SENSITIVE PROGRAM

Target Project Title, Outputs and Major Activities Agency/ies involved 2019 2020 2021 2022 31. Convergence on Value Chain Enhancement for Rural Growth Development DAR, DPWH, BFAR,

DTI, DOST, DOLE, LGU 32. Partnership against hunger and poverty DA-DAR-DSWD 33. TARGET (Target Actions to Reduce Poverty and Generate Economic Transformation)

33.1 . Distribution of seaweeds in food assistance/paraphernalia to farmers associations 33.2 . Distribution of fishing paraphernalia BFAR, NNC, LGU 33.3 . Provision of fishery on-farm equipment and postharvest facilities and Livelihood trainings

34. Farm to Market Road Development Program DA, DPWH, LGU 35. Gulayan sa Paaralan DA, DepEd 36. Livelihood trainings DA & BFAR - Distribution of agricultural and fishery input assistance

37. TienDA for farmers and fisherfolks DA (bureaus, attached agencies), DTI, BFAR, PCA DA) 38. Accelerated coconut planting and replanting program (ACPRP) 38.1 . Participatory coconut planting 38.2 . Provision of every seedlings in IP ancestral domain areas PCA 38.3 . Coconut seedling dispersal

PROGRAM 10. NUTRITION SENSITIVE PROGRAM

39. CEDP (Countryside Economic Development Program PCA 40. Coconut fertilization program PCA 41. Diskwento Caravans DTI 42. Industry Cluster Enhancement DTI, DA DAR, DOLE,

BFAR, PCA 43. DTI 44. Negosyo Center DTI 45. DTI 46. Shared Service Facility DTI 47. Small Enterprise Technology Upgrading Program (S&T based innovation and services) DOST 48. DOLE Integrated Livelihood and Emergency and Employment Program (DILEEP) or DOLE KABUHAYAN Program 49. Agrarian Production and Credit Program DAR General Outputs for Nutrition-Sensitive Projects, see Annex 1 for details:

31-49-O.1. 19 projects in the region tweaking strategies for nutritional impact 31-49-O.2. XX families enrolled in projects tweaked for nutritional impact

31-49-O.3. XX families involved in nutrition sensitive projects with increased income Major Activities for Nutrition-Sensitive Projects, see Annex 1 for details:

31-49-A.1 Determination of tweaking strategies for the project selected 31-49-A.2. Decision on other features to prepare implementation in the region 31-49-A.3. Implementation, monitoring and reporting of the project 31-49-A.4. General research developed with NEDA and the academe 50. Operational Research on the Nutrition-Sensitive Projects NNC, RNC 50-O.1. Research completed and feed into redesign / 50-A.1. Development of TOR 50-A.2. Contracting of research project 50-A.3. Implementation of research project

PROGRAM 11. ENABLING PROGRAM Project Title, Outputs and Major Activities Target Agency/ies Responsible 2019 2020 2021 2022 51. Mobilization of Local Government Units for Delivery of Nutritional Outcomes NNC, DOH, RNC 51-O.1. Number of LGUs capacitated and mobilized for delivery of nutritional outcomes 10 10 10 10 51-O.2. Pool of LGU mobilizers organized 2 2 51-A.1. Development and implementation of a regional LGU mobilization strategy

supported by the RNC, RDC and DILG 51-A.2. Organization and training of LGU Mobilizers 51-A.3. Organization/reactivation/strengthening and monitoring of Local Nutrition

Committees 51-A.4. Monitoring, evaluation and adjustments for scaling up 52. Policy Development for Food and Nutrition 52-O.1. Policy guidelines issued at regional and local levels NNC, RNC TBD TBD TBD TBD

52-O.2. Regional research and policy agenda developed and implemented 1 / / / 52-A.1. Inventory, compilation and review of existing policies on food and nutrition 52-A.2. Development of a regional research and policy agenda 52-A.3. Development and dissemination of policy papers and policy briefs 52-A.4. Advocacy and lobbying on the creation of plantilla positions for full-time Nutrition Action Officers, setting up of nutrition office with corresponding budget, hiring of Nutritionist-dietitians and full deployment of BNSs 52-A.5. Monitoring, assessment and updating 53. Management Strengthening Support to RPAN Effectiveness 53-0.1. RNC and NNC Region IX strengthened for Effective Implementation of the NNC, DOH, RNC / / / / RPAN 53-O.2. Additional nutrition human resource recruited and capacitated 25 35 45 55 53-A.1. Hiring of additional nutrition human resource (NDs hired by DOH)

53-A.2. Training on F1K, LGU mobilization and continuing education on technical updates among RNC, NNC 9, NAOs, BNS etc. 53-A.3. Strengthening internal RNC, NNC systems and processes 53-A.4. Assessment and enhancement/ adjustments Annex 1. Nutrition Sensitive Projects

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 31. Convergence on Targeting farmers with DAR, Output: Increased Improved Value Chain malnourished children DPWH, employment nutritional Enhancement for as program BFAR, 1. No. of farmers with TBD TBD TBD TBD opportunities status Rural Growth beneficiaries DTI, malnourished children Development DOST, provided with farm Increased family DOLE, inputs assistance and income and LGU technical assistance for access to food Locations selected production of rubber, (Province/LGU): rice, corn and cacao, tilapia, lapu-lapu 2. No. of production and 6 6 6 6 Coverage of families: technical trainings provided and conducted Major activities:

1. Provision of farm inputs for production of rubber, rice, corn and cacao, tilapia, lapu-lapu to farmers with malnourished children 2. Conduct of production and technical training

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 3. Rehabilitation/ Concreting of Farm to Market Roads in nutritionally depressed municipalities (target for 2018 – 3 FMRs) 4. Rehabilitation/ extension of communal irrigation system 32. Partnership Targeting nutritionally DAR, Outputs: Improved Improved against hunger and depressed DA, productivity of nutritionalst poverty convergence communities DSWD 1. %. of ARB beneficiaries 100 100 100 100 ARB atus team provided with technical beneficiaries and material assistance by DA/DAR Increased Locations selected 2. No of technical training 6 6 6 6 income (Province/LGU): and material assistance provided Availability of 3. No. number of Day Care food items for Coverage of families: Center supplied with TBD supplementary food for supplementary feeding in day feeding care centers 4. No. of preschool children TBD provided with supplementary feeding in Day Care Centers 5. Volume of farm produce TBD sold to day care centers Major Activities: 1. Provision of technical training and material assistance 2. Provision of farm produce to Day Care 68

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible Centers for supplementary feeding 33. TARGET (Target Actions to Reduce Poverty and Generate Economic Transformation) Increased Improved 33.1. Distribution of Prioritizing food poor BFAR, Outputs: livelihood nutrition seaweeds in food and nutritionally NNC, opportunities situation assistance/ depressed areas and LGU 1. No. of seaweed 5000 6000 7000 8000 paraphernalia to malnourished families seedlings/ propagules Additional Improved farmers associations distributed source of nutritional

2. Number of farmers income status associations 280 reached/provided inputs 175 210 245 3. No. of trainings conducted on good aquaculture practice for 8 seaweed farming 5 6 7 4. No. of trainings conducted on value

adding of products 5. No. of IEC materials on 8 5 6 7 proper handling, processing of fish 280 products and nutritional 175 210 245 value of food distributed

Major activities:

1. Distribution of seaweed seedlings/ propagules 2. Training on good aquaculture practice for seaweeds farming

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 3. Training on value added products (seaweeds pickles, noodles, gelatin, carrageenan) Information dissemination on proper handling and processing fish and fishery products and nutritional value Outputs: 33.2. Distribution of fishing paraphernalia 1. Number of fishing 500 510 520 530 paraphernalia distributed 500 510 520 530 in nutritionally depressed 700 710 720 730 areas (hook and line, gill 5 6 7 8 nets, crab pots, non- 3 4 5 6 motorized bangka, 50 55 60 65 engine, bag nets, life vest) 2. Training on fishing methods in nutritionally depressed areas (a. batches, b. No. of 5 6 7 8 participants attended) 175 210 245 280 3. Advocacy on management protection, conversation of inland and marine resources in nutritionally depressed areas

Major Activities: 1. Distribution of fishing paraphernalia 70

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 2. Training on fishing methods 3. Advocacy on management protection, conservation of marine resources

Outputs: 33.3. Provision of 1. No. of training on fish 5 batches 5 5 5 fishery on-farm processing conducted in (175 pax) (175) (175) (175) equipment and nutritionally depressed postharvest Facilities areas and Livelihood 2. No. of postharvest 5 5 5 5 trainings on equipment distributed in 6 6 6 6 postharvest (BFAR) in nutritionally depressed 2 2 2 2 nutritionally areas (Solar dryer, 2 2 2 2 depressed areas Seaweeds dryer Vacuum 3 3 3 3 packer, Set of processing 2 2 2 2 utensils, Sorter)

Major Activities:

1. Training on fish processing such as smoke fish, seaweed pickles, noodles, semi-refined carrageenan, canning sardines, fish drying, fish ball conducted in nutritionally depressed areas 71

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 2. Distribution of postharvest equipment nutritionally depressed areas 3. Monitoring, technical supervision 4. Assessment and adjustments

34. Farm to Market Employment of DA, Additional Improvemen Road Development workers coming from DPWH, Output: source of t in the Program food poor and families LGU 77 84 56 53 income nutritional with malnourished 1. No. of FMRs status of children constructed/improved in Increased beneficiaries nutritionally depressed income and municipalities access to food Decreased Locations selected 2. No. of jobs created for prevalence (Province/LGU): nutritionally depressed of municipalities with farm malnutrition to market roads in target constructed/ improved areas

Coverage of Major activities: families: 1. Conduct of coordination and consultative meetings with LGUs 2. Selection and masterlisting of beneficiaries 3. Construction/ improvement of farm to market road

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 4. Monitoring and evaluation 5. Adjustments and scaling up 35. Gulayan sa Use of Gulayan sa DA, Outputs: Increased Improved Paaralan Paaralan for child DepEd consumption of nutritional nutrition 1. No. of planting materials, vegetables status Locations selected vegetable seeds and (Province/LGU): garden tools distributed 2. No. of public schools with Gulayan sa Paaralan maintained Coverage of families: 3. Number of teachers, students and parents provided with Gulayan sa Paaralan training integrated with nutrition concepts

Major Activities:

1. Distribution of planting materials, vegetable seed and garden tools 2. Training on Gulayan sa Paaralan integrated with nutrition concepts provided 3. Implementation of the program 4. Monitoring of Gulayan sa Paaralan in public schools

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 36. Livelihood Priority given to DA Outputs: Livelihood trainings nutritionally opportunities Nutrition depressed 1. No. of trainings on meat 10 12 14 16 provided status municipalities processing conducted in improved Locations selected nutritionally depressed Increased (Province/LGU): municipalities income Major Activities:

Coverage of families: 1. Identification of target municipalities and coordination with LGUs 2. Selection of target beneficiaries 3. Conduct of training on meat processing 4. Linking target beneficiaries with other programs providing capital assistance 5. Montoring, evaluation and adjusments 37. TienDA for Farmers in DA Outputs: Availability of Increased farmers and nutritionally (burea market for income and fisherfolks depressed us, 1. No. of farmers farmers produce improved municipalities are attach participated in the capacity to Locations selected provided with market ed TienDA purchase (Province/LGU): outlets agenci 2. No. of TienDA day food and es), conducted non-food DTI, Major Activities: items BFAR, 1. Identification of target PCA nutritionally-depressed Coverage of DA) municipalities families: 2. Coordination with LGUs and other stakeholders 74

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 3. Conduct of TienDA day 4. Monitoring and assessment 5. Adjustments and scaling up. 38. Accelerated Targeting small Outputs: Improved Improved coconut planting farmers, IP and GIDA PCA 1. No. of small coconut knowledge and nutritional and replanting communities farmers with skills on coconut status program (ACPRP) malnourished children planting and/or pregnant - Participatory members of the family Increased coconut benefiting the project productivity and planting 2. No. of indigenous people livelihood - Provision of in ancestral domain with opportunities seedlings in IP malnourished children ancestral and/or pregnant family domain areas member benefiting from - Coconut the project seedling 3. No. of marginalized dispersal coconut farmers with malnourished children and/or pregnant family member benefiting from the project Major Activities: 1. Identification and masterlisting of beneficiaries with malnourished children and/or pregnant women (c/o BNS) 2. Coordination with LGU officials and IP leaders

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 3. Provision of coconut seedlings 4. Training on coconut farming 5. Monitoring and evaluation 6. Adjustments for scaling up 39. KAANIB Enterprise Targeting families with PCA Outputs: Development malnourished children 1. No. of farmers provided Program and family members with processing facilities/ (Intercropping, intercropping materials/ livestock raising, livestock and processing) 2. No. of farmers with malnourished children Locations selected and/or pregnant family (Province/LGU): member provided with processing facilities/ intercropping materials/livestock Major Activities: Coverage of 1. Masterlisting of families: beneficiaries to be matched in NDMs and families with malnourished children 2. Provision of processing facilities/ intercropping materials/ livestock 3. Monitoring of facilities and materials provided 4. Evaluation and scaling up

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 40. Coconut Coconut farmers with PCA. Increased fertilization malnourished children Outputs: coconut Improved program and/or pregnant production nutritional family member 1. .No. of coconut farmers status targeted as project provided with input Additional Locations selected beneficiaries fertilizers income to buy (Province/LGU): 2. No. of coconut farmers food with malnourished children and/or pregnant family member provided with input fertilizers Coverage of families: Major Activities:

1. Coordination with LGUs on selection of target beneficiaries 2. Provision of input fertilizers to coconut farmers 3. Provision of input fertilizers to coconut farmers with malnourished children and/or pregnant family members 4. Monitoring of utilization of input fertilizers 5. Evaluation and adjustments 41. Diskwento Nutritionally DTI Families able to Improved Caravans depressed Output: buy food items access to at lower prices food 77

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible communities as areas 1. Number of diskwento 13 13 13 13 for caravans caravans conducted 2. Number of consumers Locations selected benefited (Province/LGU): 3. Number of families in 5000 6000 7000 8000 nutritionally depressed areas benefited

Major activities: Coverage of families: 1. Coordination with local officials of target LGUs 2. Logistics preparation 3. Conduct of Diskwento Caravans 4. Monitoring, evaluation and adjustments 42. Industry Cluster Targeting Outputs: Improved Nutritional Enhancement nutritionally- DTI, DA 1. No. of trainings 115 120 125 130 livelihood skills status vulnerable families as DAR, conducted improved project beneficiaries DOLE, 2. No. of beneficiaries Increase BFAR, benefited 3,750 3,800 3,850 3,900 opportunities PCA 3. No of beneficiaries living for employment in nutritionally- depressed areas 100 100 100 100 Improved family benefited income Major Activities: 1. Masterlisting of beneficiaries with nutritionally-vulnerable family members 2. Conduct of Skills and capacity training for beneficiaries 78

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 3. Identification of beneficiaries with nutritionally-vulnerable family members 4. Development and promotion of beneficiaries’ products integrated with nutrition information 43. Strike Team for Targeting DTI Output: Increased access IPs municipalities and to business Improved communities with 1. Number of IP opportunities nutritional Locations selected high prevalence of communities and assistance status malnutrition reached/covered Major Activities Improved Coverage of families income sources 1. Coordination and mobilization of IP communities 2. Selection, identification and masterlisting of beneficiaries 3. Conduct of social preparation activities 4. Implementation of the project 5. Provision of coaching and mentoring 6. Monitoring and evaluation 7. Adjustments and scaling up

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 44. Negosyo Center Targeting DTI Outputs: Additional Improved nutritionally- 1. No of municipalities with 24 - - - source of nutritional vulnerable families as Negosyo centers income status of project beneficiaries established beneficiaries 2. No of MSMEs assisted 8,640 8,700 8,700 8,700 Increased family income Major Activities:

1. Masterlisting of beneficiaries with nutritionally-vulnerable family members 2. Conduct of Skills and capacity training 3. Provision of assistance on Registration of MSMEs 4. Monitoring, technical supervision and evalulation 45. SME Roving Targeting DTI Outputs: Increased Improved Academy nutritionally productivity nutrition (SMERA) depressed areas 1. Number of nutritionally situation of depressed areas Improved target areas targeted for the project income and access to food Major Activities:

1. Selection and identification of target areas 2. Conduct of coordination meetings 3. Determination of training needs 80

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 4. Development of training modules with nutrition concepts 5. Conduct of trainings 6. Monitoring and evaluation

46. Shared Service Prioritizing DTI Output: Improved access Improved Facility farmers/beneficiaries to livelihood and nutritional with malnourished 1. No. of cooperators 35 employment status children and/or (coop/association) opportunities pregnant women provided with benefited machineries, tools and Increased family equipment’s income 2. No. of trainings conducted to 35 cooperators 3. No. of farmers/beneficiaries with malnourished children and/or pregnant women benefited

Major Activities:

1. Masterlisting of beneficiaries with nutritionally-vulnerable family members 2. Provision of machineries, tools, and equipments to MSMEs

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 3. Conduct of trainings as identified by the beneficiaries if needed

47. Small Enterprise Targeting nutritionally DOST Output: Opportunities Improved Technology challenged for nutritional Upgrading communities 1. No. of jobs generated 100 120 140 160 entrepreneurshi status of Program (S&T p provided target based innovation Major Activities: beneficiaries and services) 1. Identification of Increased proponent for MSMEs for productivity and S&T income 2. Equipment and technical training provided to MSMEs 48. DOLE Integrated Targeting DOLE Outputs: Livelihood and beneficiaries with Availability of Increased Emergency and nutritionally- 1. No. of orientations 5 5 5 5 livelihood access to Employment vulnerable family conducted with GAD opportunities food Program (DILEEP) members perspective per field resulting to or KABUHAYAN office Improved family improved Program 2. No. beneficiaries income nutritional provided with livelihood status assistance in the form of tools, jigs, and equipment 3. No. of marginalized and displaced workers benefited

Major Activities:

1. Masterlisting of beneficiaries with 82

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible nutritionally- vulnerable family members (c/o BNS) 2. Conduct of orientations conducted to beneficiaries with GAD perspective 3. No. of beneficiaries with malnourished children/children 0-23 months, and pregnant women provided with livelihood assistance in the form of tools, jigs, and equipment 49. Agrarian Prioritizing food poor DAR Outputs: Achieved Improved Production and Agrarian Reform sustainable crop nutritional Credit Program Beneficiaries (ARBs) 1. Number of ARB production and status and those with organizations and ARBs Increases malnourished family benefitting from the project incomes of members agrarian reform Major Activities: beneficiaries 1. Conduct of consultative meetings with LGUs and Agrarian Reform Beneficiaries Organizations (ARBOs) 2. Provision of technical assistance for submission of bank loan eligibility requirements 3. Availment of loans 4. Re-lending to ARBs

Agency Expected Expected /ies Outputs and Major Projects Tweaking Strategy 2019 2020 2021 2022 Intermediate Nutritional Respo Activities Results Impact nsible 5. Conduct of capacity building activities along agriculture and fisheries production, agri- enterprise and livelihood projects 6. Monitoring and evaluation.

Annex 2. RPAN IX Programs and Projects to Meet the Standards and Achieve the Regional Outcome Targets

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) PROGRAM 1. IYCF AND FIRST 1000 DAYS (F1K) Project 1. Mobilization of LGUs on the First 1000 NNC, RNC, LGUs NGAs days including expansion of ECCD/F1K areas 1-O.1. Increased no. of LGUs implementing ECCD 2 provs. & / / / F1K supported by policies, resolutions or local ordinances constituent LGUs

1-A.6. RNC and RDC Endorsement of F1K and RPAN 2019- 2022 1-A.7. Issuance of DILG memo circular supporting RNC and RDC endorsement 1-A.8. Conduct of ECCD F1K and RPAN dissemination and advocacy fora/summit/media caravan 1-A.9. Advocacy on local policy issuance

1-A.10. supporting and implementing ECCD F1K

1-A.11. Orientation and training of relevant stakeholders in ECCD F1K expansion areas 1-A.12. Preparation and adoption of P/M/CNAPs of all provinces, municipalities and cities highlighting F1K and integration in local development and investment plans Project 2. Strengthening of health delivery system for DOH, LGUs NGA, LGUs F1K

2-O.1. Review of existing system in all RHUs completed /

2-O.2. Enhanced/Strengthened delivery system/network / / / / for F1K

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others)

2-A.1. Planning for review

2-A.2. Conduct of review and reporting of results

2-A.3. Integration of results in RHU operations

2-A.4. Mobilization and capacity building of health workers including BNSs, BHWs and NDPs 2-A.5. Monitoring, evaluation and adjustments

Project 3. Information Management of F1K Days DOH, NNC, NGA, LGUs LGUs

3-O.1. A harmonized system of information for the efficient and effective implementation of F1K services / / / / developed and utilized by the health system and the LGUs 3-A.1. Review of the system

3-A.2. Finalization and endorsement of the information system 3-A.3. Implementation of the harmonized information system 3-A.4. Monitoring, evaluation and re-design

Project 4. Iron supplementation for pregnant and DOH, LGUs NGA lactating women, and low-birth weight infants, calcium carbonate and MNP supplementation for children 6 to 23 months old

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 4-O.1. Percentage of pregnant women low birth 50% PW 60% PW 70% PW 80% PW weight infants, at-risk pregnant women and children 6 to 100 % LBW 100 % 30% 6-23 100 % 100 % 23 months old provided with iron supplements, calcium 30% 6-23 mos mos 30% 6-23 mos 30% 6-23 mos carbonate and MNP based on standards, respectively 4-O.2. A system for tracking the actual consumption of iron and calcium carbonate developed/operationalized / / / / 4-A.1. Pregnancy tracking and masterlisting of PW, LBW infants and 6-23 ms children by LGUs 4-A.2. Development, pilot testing and operationalization of the system for tracking the actual consumption of iron and calcium carbonate supplements 4-A.3. Capacity building among all health personnel

4-A.4. Actual distribution and tracking of consumption of supplements 4-A.5. Monitoring, reporting and adjustments for Project 5. Vitamin A Supplementation for lactating DOH, LGUs NGA and postpartum women & children 6-23 months 5-O.1. All RHUs providing 1 capsule of 200,000 IU Vitamin A to postpartum women; 1 capsule of 100,000 IU Vitamin A to children 6 to 11 months; and 1 capsule of 100% 100% 100% 100% 200,000 IU Vitamin A to children 12 to 23 months every 6 months 5-O.2. Monitoring/Tracking system of actual consumption of Vitamin A developed/operationalized 5-A.6. Pregnancy tracking and masterlisting of PW, LBW infants and 6-23 ms children by LGUs 5-A.7. Development, pilot testing and operationalization of the system for tracking the actual consumption of iron and calcium carbonate supplements

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 5-A.8. Capacity building among all health personnel

5-A.9. Actual distribution and tracking of consumption of supplements 5-A.10. Monitoring, reporting, and adjustments Project 6. Supplementary Feeding for Pregnant DOH, LGUs, NGA, LGUs Women NGOs

6-O.1. No. of LGUs providing dietary supplementation to 72 72 72 72 adolescent and adult pregnant women based on DOH guidelines/standards

6-A.1. Downloading and distribution of Lipid-based Nutrient Supplements 6-A.3. Monitoring/ Follow up visits

6-A.4. Project evaluation and adjustment

Project 7. Mobilization of LGU resources for dietary DOH, LGUs, NGA supplementation for adolescent/pregnant women NGOs

Outputs: 90 90 90 90

7-O.1. No. of LGUs mobilized for dietary supplementation

Major activities:

7-A.1. Advocacy among LCEs/LGUs on the dietary supplementation program 7-A.2. Conduct of coordination meetings to develop the mechanics for the dietary supplementation including masterlisting of beneficiaries and M & E 7-A.3. Implementation of the dietary supplementation

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 7-A.4. Communication support through quad media utilization 7-A.5. Monitoring, reporting and adjustments Project 8. Training of Pregnant Women on Recipe Trials DOH NGA

8-O.1. No. of pregnant women trained on recipe trials 90 90 90 90

8-A.1. Selection and identification of PW to be trained

8-A.2. Conduct of recipe trial trainings (3 batches per year; 30 PW per batch) 8-A.3. Conduct of follow up visits and monitoring of adoption of the recipe 8-A.4. Project monitoring, reporting and adjustments

Project 9. Mobilization of LGUs for Complementary DOH, NNC NGAs, LGUs Feeding and Organization of IYCF Support Groups

9-O.1. No. of LGUs with organized complementary TBD TBD TBD TBD feeding and IYCF Support groups 9-A.1. Advocacy and mobilization of local officials including barangay officials and other partners 9-A.2. Training on IYCF & Pabasa sa Nutrisyon

9-A.3. . Lakbay Aral to Catarman, Leyte

9-A.4. Reproduction and dissemination of IYCF IEC materials 9-A.5. 9-A.5. Monitoring, evaluation and adjustments

9-A.6. Monitoring, reporting, and adjustments

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) Project 10. Promotion of locally produced DOH complementary food 10-O.1. Number of local producers supporting 1 1 1 1 complementary food/IYCF 10-A.1. Strengthen advocacy & promotion of complementary food 10-A.2. Expand partnership and networking on complementary food production 10-A.3. Provision of technical assistance and forging agreements with local producers of complementary food 10-A.4. Monitoring, evaluation and adjustments for scaling up

Project 11. Advocacy for Stronger Enforcement and DOH, DOLE NGAs, LGUs Compliance Monitoring on EO 51 (Milk Code), RA 10028 (Breastfeeding Area in Workplaces) and the MBFHI

11-O.2. No. of health and non-health facilities/establishments compliant to EO 51, RA 8 8 8 8 10028 and MBFHI 11-A.1. Reactivation of monitoring teams supported by a policy issuance

11-A.2. Re-orientation on the protocol of monitoring compliance

11-A.3. Capacity building on Lactation Management and IYCF and adoption of the maternity protection policy

11-A.4. Conduct of monitoring visits and and issuance of certification to compliant facilities/establishments

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 11-A.5. Review of progress of enforcement and compliance monitoring and adjustments/scaling up

Project 12. Communication Support for F1K NNC NGA

10-O.1. A regional sub-strategy in line with the national strategy for the communication support on F1K / / / / fully developed and implemented 10-A.1. Communication planning including the inventory of existing communication projects and tools related to the First 1000 Days 10-A.2. Development of improved key messages and communication materials and collaterals 10-A.3. Pre-testing of developed materials

10-A.4. Implementation, monitoring and adjustments

PROGRAM 2. DIETARY SUPPLEMENTATION PROGRAM Project 13. Strengthening Municipal/City and DSWD, LGUs NGA Barangay Nutrition Committees to organize parents for Supervised Neighborhood Play for Supplementary Feeding

13-O.1. Percentage increase in the number of SF 10% 10% 10% 10% beneficiaries in SNPs 13-O.2. No. of municipal nutrition committees 10 10 10 10 capacitated 13-A.1. Consultation dialogue with LCEs to identify and establish additional SNP sites

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 13-A.2. Preparation for project implementation and provision of technical assistance (MOA, fund transfer, profiling and preparation of relevant documents) 13-A.3. Strengthening of municipal/barangay nutrition committees for effective project implementation 13-A.4. Conduct of SNPs and provision of supplementary feeding in additional SNP sites 13-A.5. Follow up visits, monitoring, assessment and adjustments for scaling up Project 14. Strengthening networking and partnership for DOH, NNC NGA, NGOs nutrient-dense food for supplementary feeding

14-O.1. Strengthened network of local nutrient dense / / / / food producers 14-O.2. Procurement process for nutrient dense food / / / / commodities improved 14-O.3. No. of LGUs availing of extended supplementary 3 5 5 5 feeding 14-A.1. Consultation with and linking LGUs with local food plants (Dipolog and Tungawan) and the Philippine Carabao Center 14-A.2. Conduct of product exhibit to showcase nutrient food items for supplementary feeding 14-A.3. Advocacy and information dissemination on the use of nutrient-dense supplementary food including production of advocacy, nutrition information and education materials and information caravan in selected sites 14-A.4. Provision of technical assistance for selected sites/LGUs 92

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 14-A.5. Implementation of extended supplementary feeding 14-A.6. Monitoring of convergence projects by Social Welfare Action Team (SWAT) 14-A.7. Assessment and adjustments

Project 15. Supplementary feeding for children DSWD, LGUs NGA, LGUs enrolled in the Child Development Centers and SNPs

15-O.1. All children enrolled in CDCs and SNPs are provided 100% 100% 100% 100% with supplementary feeding

15-O.2. No. of CDWs capacitated on correct nutritional 72 72 72 72 assessment, monitoring and accomplishment of

ECCD card 1 / / / 15-O.3. Recognition system for model child development centers and workers established

15-O.4. Documentation of good practices of model

child development centers and workers 1 1 1 1 published and disseminated 15-A.1. Capacity building of Child Development Workers on child growth monitoring and menu/recipe preparation

15-A.2. Downloading of financial resources to LGUs

15-A.3. Implementation of supplementary feeding including deworming, Vitamin A supplementation, growth monitoring, etc. 93

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 15-A.4. Development and pilot implementation of a recognition system for model child development center and child development worker 15-A.5. Conduct of advocacy and information caravan and provision of technical assistance 15-A.6. Documentation and dissemination of good practices on CDC 15-A.7. Monitoring , evaluation and adjustments

Project 16. Supplementary Feeding in Schools DepEd NGA

16-O.1. 100% of schools providing supplementary 2, 117 2, 117 2, 117 2, 117 feeding for 120 days 16-A.1. Downloading of financial resources

16-A.2. Implementation of days supplementary feeding 16-A.3. Monitoring, evaluation and conduct of Regional Search for Best School-Based Feeding Program Project 17. School-Based Complementary Health DepEd, DOH NGAs Services 17-O.1. All schools providing delivering health and 2, 117 2, 117 2, 117 2, 117 nutrition services at satisfactory level 17-A.1. Downloading of health inputs/commodities 17-A.2. Provision of services

17-A.3. Implementation, monitoring and evaluation Project 18. Establishment of Wellness, Health and DepEd NGA

Nutrition Clinic in Schools

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 18-O.1. 100% of schools with trained students as Little 2, 117 2, 117 2, 117 2, 117 Doctors and Nurses

18-A.1 Training of Grade 5 and 6 Students as little doctors and nurses in schools 18-A.2 Conduct peer-to-peer health and nutrition counselling 18-A.3 Development of reader-friendly materials

18-A.4 Monitoring, evaluation and adjustments

PROGRAM 3. MICRONUTRIENT SUPPLEMENTATION PROGRAM ADOLESCENT HEALTH AND DEVELOPMENT

Project 19. Vitamin A Supplementation for children DOH, LGUs NGA 24-59 months old 19-O.1. All RHUs providing Vit. A supplements to children 100% 100% 100% 100% aged 24-59 months 19-A.1. Downloading of Vitamin A supplements

19-A.2. Provision of Vit.A supplements to well-nourished and sick children following DOH standards

19-A.3. Monitoring, reporting and adjustments

Project 20. Anemia Reduction among Women of DOH, LGUs NGA Reproductive Age (WRA) 20-O.1. All RHUs providing iron folic-acid to WRA 100% 100% 100% 100%

20-A.1. Screening / Assessment of anemia

20-A.2. Provision of Iron -folic acid

20-A.3. Promotion of Healthy Diet (food rich in iron)

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 20-A.4. Production and promotion of healthy snacks (Fortified with iron+folic) 20-A.5. Monitoring, assessment and adjustments

PROGRAM 4. ADOLESCENT HEALTH AND DEVELOPMENT

Project 21. Establishment of Teen Centers and POPCOM, NGAs, LGUs Adolescent-Friendly Spaces DEPED, LGU

21-O.1. Number of municipalities with teen centers and adolescent-friendly spaces established and 2 3 4 5 fully operational 21-A.1. Mapping of schools and municipalities without teen centers and adolescent-friendly spaces 21-A.2 Convene meetings with school principals and local population officers 21-A.3. Training of guidance and peer counsellors

21-A.4. Operationalization of the centers/spaces including provision of counselling services 21-A.5. Monitoring ,evaluation and adjustments

Project 22. Reaching Out GIDAs and IPs for NGAs, NGOs, Adolescent Health and Development development partners

22-O.1. Number of GIDA and IP communities reached 22-A.1. Meeting with the LGUs and IP Coordinators 22-A.2. Capacity building of IP Chieftains and IP Youth Leaders as counselors

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 22-A.3. Conduct of IP Health and Nutrition Caravans on adolescent’s health and development

22-A.4. Monitoring and follow-up

Project 23. Weekly Iron with Folic Acid supplementation DOH, DepEd NGAs for Grades 7-10 & ALS female-learners

23-O.1. All public schools providing WIFA to Grade 7 to 10 100% 100% 100% 100% female learners 23-A.1. Promotion of the benefits of iron folic acid supplementation 23-A.2. Downloading of resources

23-A.3. Provision and consumption of supplements

23-A.4. Monitoring, reporting and adjustments

Project 24. Nutrition and Health Forum for Adolescents PIA, RNC, DSWD NGAs

24-O.1. Number of nutrition and health fora conducted TBD TBD TBD TBD

24-A.1. Conduct of consultative meetings and establish partnership with relevant stakeholders 24-A.2. Development of forum design and modules

24-A.3. Training/Orientation of forum facilitators

24-A.4. Conduct of fora

24-A.5. Assessment and adjustments

Program 5: OVERWEIGHT AND OBESITY MANAGEMENT AND PREVENTION

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) Project 25. Promotion of Healthy Lifestyle RNC, LGUs, NGAs, NGOs, LGUs NDAP Zambo

25-O.1. # of advocacy activities on healthy 6 6 6 6 lifestyle conducted 25-O.2. # of agencies/entities with physical fitness 1 prov activities among employees 2 cities 2 cities 2 provs 1 city 1 NDAP 1 NDAP 1 NDAP 1 NDAP

25-A.1. Conduct of multi-sectoral forum on healthy lifestyle. 25-A.2. Media Promotion Activities (kapihan, news releases, broadcast releases, social media, radio program) 25-A.3. Advocacy for and conduct of Physical fitness activity among employees 25-A.4. Monitoring, reporting and adjustments

PROGRAM 6. NUTRITION PROMOTION FOR BEHAVIOUR CHANGE

Project 26. Strengthening nutrition education of DSWD, NNC NGAs parents, particularly through 4Ps

26-O.1. Percentage increase in the number of Parents’ 2% 3% 3% 2% Committee supporting SFP

26-A.1. Organize pool of resource persons to conduct nutrition education among parents of SFP beneficiaries and in FDS nutrition and health related modules 26-A.2. Training of program implementers and pool of resource persons on Nutrition Program Management, Family Development on nutrition

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 26-A.3. Regular monitoring activities including conduct of Social Welfare Forum every semester Project 27. Updating and publication of nutrition materials DSWD 9, PIA, NGAs, NGOs (including educators’ kit, recipe book, trends in food, LGU, DOST- healthy lifestyle) FNRI, NNC

27-A.1. Number of books on food trends, innovative 1 1 recipes and healthy lifestyle produced and disseminated 27-A.2. Capacity building of child development workers and parents on new trends and recipes 27-A.3. Reproduction and dissemination of NIE materials in all 72 LGUs Program 7: MANDATORY FOOD FORTIFICATION PROGRAM

Project 28. Advocacy for and Monitoring of NGAs Compliance of RA 8976 and 8172 28-O.1. A mechanism for advocacy and DOH, NNC compliance monitoring of food fortification strengthened / / / / and implemented 28-O.2. Improvements in the compliance level for / / / / MFF evidenced in the region 28-A.1. Strengthening of the Regional MFF Task Forces (including Bantay Asin Task Force) 28-A.2. Development of regional protocol/guidelines on MFF monitoring 28-A.3. Capacity building for the Task Forces

28-A.4. Conduct of joint monitoring , reporting and adjustments PROGRAM 8: NUTRITION IN EMERGENCIES

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) Project 29. Capacity Building for Nutrition in RNC, LGUs NGAs, development Emergencies partners

29-O.1. Number of LGUs with organized nutrition 3 25 25 25 cluster 29-O.2. Number of trainings conducted 1 1 1 1 29-A.1. Consultative meeting/ Advocacy and lobbying to LCEs 29-A.2. Issuance/Re-issuance of resolutions/executive orders on Regional/Local Nutrition Committees 29-A.3. Conduct of NiEm trainings including information management and orientation on ICS and PIMAM 29-A.4. Development of NiEm plan and Integration to DRRM plan 29-A.5. Capacity mapping and prepositioning of supplies 29-A.6. Monitoring, evaluation and adjustments

PROGRAM 9. PHILIPPINE INTEGRATED MANAGEMENT OF ACUTE MALNUTRITION (PIMAM)

Project 30. Enhancement of PIMAM Facilities, DOH, LGUs NGAs, LGUs Capacities and Provision of Services 30-O.1. Delivery system for PIMAM established and fully / / / / operational across the region 30-A.1. Building of Capacity of Local Implementers 30-A.2. Provision and supply management of F75, F100 RUTF and RUSF and its equivalent in RHUs 30-A.3. Delivery of ITC/OTC and TSFP services for treatment and management of and MAM

100

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 30-A.4. Monitoring, reporting and adjustments

PROGRAM 10: NUTRITION SENSITIVE NGAs

Project 31. Convergence on Value Chain DAR, DPWH, Enhancement for Rural Growth Development BFAR, DTI, DOST, DOLE, LGU

Project 32. Partnership against hunger and poverty DA-DAR-DSWD

Project 33. TARGET (Target Actions to Reduce Poverty and Generate Economic Transformation) 33.1 Distribution of seaweeds in food BFAR, NNC, LGU assistance/paraphernalia to farmers associations 33.2 . Distribution of fishing paraphernalia 33.3 . Provision of fishery on-farm equipment and postharvest facilities and Livelihood trainings Project 34. Farm to Market Road Development DA, DPWH, LGU Program Project 35. Gulayan sa Paaralan DA, DepEd

Project 36. Livelihood trainings DA & BFAR - Distribution of agricultural and fishery input assistance Project 37. TienDA for farmers and fisherfolks DA (bureaus, attached agencies), DTI, BFAR, PCA DA)

Project 38. Accelerated coconut planting and replanting program (ACPRP) 38.1. Participatory coconut planting PCA 38.2. Provision of every seedlings in IP ancestral domain areas 101

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 38.3. Coconut seedling dispersal Project 39. KAANIB Enterprise Development Program (Intercropping, livestock raising, and PCA processing) Project 40. Coconut fertilization program PCA

Project 41. Diskwento Caravans DTI

Project 42. Industry Cluster Enhancement DTI, DA DAR, DOLE, BFAR, PCA

Project 43. Strike Team for IPs DTI

Project 44. Negosyo Center DTI

Project 45. SME Roving Academy (SMERA) DTI

Project 46. Shared Service Facility DTI

Project 47. Small Enterprise Technology Upgrading DOST Program (S&T based innovation and services) Project 48. DOLE Integrated Livelihood and Emergency and Employment Program (DILEEP) or DOLE KABUHAYAN Program Project 49. Agrarian Production and Credit Program DAR

General Outputs for Nutrition-Sensitive Projects, see Annex 1 for details:

31-49-O.1. 19 projects in the region with tweaking strategies for nutritional impact

102

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 31-49-O.2. XX families enrolled in projects tweaked for nutritional impact

31-49-O.3. XX families involved in nutrition sensitive projects with increased income

Major Activities for Nutrition-Sensitive Projects, see Annex 1 for details:

31-49-A.1. Determination of tweaking strategies for the project selected

31-49-A.2. Decision on other features to prepare implementation in the region

31-49-A.3. Implementation, monitoring and reporting of the project

31-49-A.4. General research developed with NEDA and the academe

Project 50. Operational Research on the Nutrition NNC, RNC / Sensitive Projects 50-O.1. Operational Research on the Nutrition Sensitive Projects 50-A.1. Development of TOR

50-A.2. Contracting of research project

50-A.3. Implementation of research project

PROGRAM 11: ENABLING PROGRAM

Project 51. Mobilization of Local Government Units NNC, DOH, RNC NGAs, NGOs for Nutrition Outcomes

103

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) 51-O.1. Number of LGUs capacitated and 10 10 10 10 mobilized for delivery of nutritional outcomes 51-O.2. Pool of LGU mobilizers organized 2 2

51-A.1. Development and implementation of a regional LGU mobilization strategy supported by the RNC, RDC and DILG 51-A.2. Organization and training of LGU Mobilizers

51-A.3. Organization/reactivation/strengthening and monitoring of Local Nutrition Committees 51-A.4. Monitoring, evaluation and adjustments for scaling up Project 52. Policy Development for Food and NNC, DOH, RNC NGAs Nutrition 52-0.1. Policy guidelines issued at regional TBD TBD TBD TBD and local levels 52-0.2. Regional research and policy agenda 1 / / / developed and implemented 52-A.1. Inventory, compilation and review of existing policies on food and nutrition 52-A.2. Development of a regional research and policy agenda 52-A.3. Development and dissemination of policy papers and policy briefs 52-A.4. Advocacy and lobbying on the creation of plantilla positions for full-time Nutrition Action Officers, setting up of nutrition office with corresponding budget, hiring of Nutritionist-dietitians and full deployment of BNSs 52-A.5. Monitoring, assessment and updating

104

Agency/ Funding Source Project Title, Outputs and Major Activities ies 2019 2020 2021 2022 (NGA, LGU, Responsible Others) Project 53. Management Strengthening Support to NNC, DOH, RNC NGAs RPAN Effectiveness

53-O.1. RNC and NNC Region IX strengthened for / / / / Effective Implementation of the RPAN 53-O.2. Additional nutrition human resource 25 35 45 55 recruited and capacitated 53-A.1 . Hiring of additional nutrition human resource (NDs hired by DOH) 53-A.2 Training on F1K, LGU mobilization and continuing education on technical updates among RNC, NNC 9, NAOs, BNS etc. 53-A.3 Strengthening internal RNC, NNC systems and processes 53-A.4 Assessment and enhancement/ adjustments

105

Annex 3. Summary of Budgetary Requirements, Region IX RPAN 2019-2022, by Program, by Project, by year and with recommended action to fill resource gap

Annex 3. Summary of Budgetary Requirements, Region IX RPAN 2019-2022, by Program, by Project, by year and with recommended action to fill resource gap. Budgetary Requirement Actions to Fill the Resource Agency/ies TOTAL Gap for PROGRAM/ PROJECT 2019 2020 2021 2022 Responsible Projects and Programs Funded Unfunded Funded Unfunded Funded Unfunded Funded Unfunded Funded Unfunded Program 1: IYCF and 83,735,3 100,913, 110,811,96 0 91,915,578 0 0 0 387,376,719 0 First 1000 Days (F1K) 25 855 1 Project 1. Undertake Mobilization of LGUs resource on the First 1000 NNC, RNC, 400,000. 400,000 400,000 1,600,000 0 mobilization days including LGUs 400,000.00 00 through expansion of partnership ECCD/F1K areas with NGOs, Project 2. Strengthening LGUs and DOH, LGUs 0 0 of health delivery development system for F1K partners Project 3. Information Management in the DOH, NNC, F1K 0 0 LGUs

106

Project 4. Iron supplementation for pregnant and lactating women, and low birth weight infants, calcium carbonate 98,752,6 108,627,86 DOH, LGUs 81,613,7 89,775,098 378,769,298 supplementation 07 8 25 from 5 months of age of gestation to delivery and MNP supplementation to children 6-23 months old Project 5. Vitamin A Supplementation for lactating and DOH, LGUs 207,680 228,448 251,293 876,221 postpartum women 188,800 & children 6-23 months Project 6. Supplementary To be Feeding for Pregnant DOH, LGUs, 0 downloaded & Lactating Women ( NGOs by DOH CO Lipid Nutrient Supplements) Project 7 . Mobilization of LGU resources for dietary DOH, LGUs, 144,000 0 supplementation for NGOs 36,000 36,000 36,000 36,000 adolescent/pregnant women Project 8. Training of Pregnant Women on DOH 0 0 Recipe Trials

107

Project 9. Mobilization of LGUs to Organize DOH, NNC 1,296,000 0 Complementary 324,000 324,000 324,000 324,000 Feeding and IYCF Support Groups Project 10. Promotion of unfunded / DOH 0 0 locally produced fall complementary food Project 11. Advocacy for Stronger Enforcement and Compliance Monitoring on EO 51 (Milk Code), RA DOH, NNC, 691,200 10028 (Breastfeeding DOLE, LGUs 172,800 172,800 172,800 172,800 Area in Workplaces) and the Mother- Baby Friendly Hospital Initiative (MBFHI) Project 12. selected areas Communication NNC 1,000,00 1,000,00 4,000,000 1,000,000 1,000,000 c/o Unicef Support for F1K 0 0 Program 2: Dietary 174,481, 1,798,00 0 1,798,000 0 0 1,798,000 0 179,875,360 Supplementation 360 0 Project 13. Strengthening Municipal/City and Barangay Nutrition Committees to DSWD, LGUs 846,000 846,000 846,000 846,000 3,384,000 organize parents to conduct Supervised Neighborhood Play for Supplementary Feeding

108

Project 14. Strengthening networking and partnership for DOH, NNC 36,000 36,000 36,000 36,000 144,000 availability of nutrient-dense food for supplementary feeding Project 15. Supplementary Feeding Program in DSWD, LGUs 916,000 916,000 916,000 916,000 3,664,000 Child Development Centers and SNP Project 16. 172,683, Supplementary DEPED 172,683,360 360 Feeding in schools Project 17. School based DEPED, DOH 0 complementary health services Project 18. Establishment of Wellness, Health and Nutrition Clinic in DEPED 0 Schools/ divisions (8 divisions plus 1 Region) Program 3: 7,318,20 8,855,02 Micronutrient 8,050,020 9,740,524 0 33,963,766 0 2 Supplementation

Project 19. Vitamin A 1,286,20 1,556,30 5,969,254 Supplementation 1,414,820 1,711,932 0 2 Project 20. Anemia DOH, LGUs Reduction among 6,032,00 WRA including 7,298,72 27,994,512 0 6,635,200 8,028,592 female adolescent 0 learners 109

Program 4:

Adolescent Health 1,200,00 1,450,00 5,500,000 800,000 500,000 1,500,000 100,000 100,000 1,350,000 100,000 and Development 0 0 Project 21. Establishment and Management of Forge and Adolescent Health secure Friendly Facilities partnership (Teen POPCOM, 1,200,00 1,200,000. 1,200,00 1,200,000. and financial 4,800,000 0 Center/Friendly DEPED, LGU 0.00 00 0.00 00 support from Spaces) (5,000 is for NGAs, NGOs, IEC Materials only, LGUs, for distribution to development established teen partners and centers) private sector. Project 22. Reaching Out GIDA and IP PopCom,

Communities for DepEd, DOH, 700,000 400,000 400,000 300,000 250,000 150,000 Adolescent Health NCIP and Development Project 23. Weekly Iron with Folic Acid Covered supplementation for DEPED, DOH 0 0 under Proj. 20 Grades 7-10 & ALS female-learners Project 24. Nutrition PIA, RNC, and Health advocacy 0 400,000 DSWD 100,000 100,000 100,000 100,000 for Adolescents Program 5: Overweight and 170,000 60,000 20,000 60,000 20,000 60,000 20,000 60,000 230,000 240,000 Obesity Management and Prevention

110

Integrated in DOH Healthy Lifestyle Program; Project 25. DOH, RNC, Unfunded Promotion of Healthy LGUs, NDAP 170,000 60,000 20,000 60,000 20,000 60,000 20,000 60,000 230,000 240,000 activities to be Lifestyle Zambo proposed in Tier 2 of budgets of agencies Program 6: Nutrition Promotion for 939,200 0 417,600 0 655,000 0 417,600 0 2,429,400 0 Behaviour Change Project 26. Strengthening Forge and nutrition education secure among parents DSWD, NNC 1,688,000 0 partnership 500,000 396,000 396,000 396,000 through the Family and financial Development support from Sessions NGAs, NGOs, LGUs, Project 27. Updating DSWD 9, development and publication of PIA, LGU, 439,200 21,600 259,000 21,600 741,400 0 partners and nutrition promotion DOST-FNRI, private sector. materials NNC Program 7: Mandatory Food 50,000 50,000 60,000 60,000 72,000 72,000 86,400 86,400 268,400 268,400 Fortification Program Project 28. Advocacy and Monitoring of 50,000 268,400 268,400 compliance to RA 50,000 60,000 60,000 72,000 72,000 86,400 86,400 8976 and 8172 DOH, NNC To be proposed

Program 8: Nutrition under Tier 2 of 1,000,00 1,450,000 450,000 in Emergencies 250,000 - 150,000 50,000 150,000 50,000 250,000 respective 0 agency budgets

111

Project 29. Capacity Building of nutrition committee for RNC, LGUs 1,000,00 1,450,000 450,000 mainstreaming 250,000 150,000 50,000 150,000 50,000 250,000 0 nutrition in emergencies To be Program 9: Philippine proposed Integrated under Tier 2 of Management of 1,500,00 3,350,000 900,000 - 600,000 400,000 750,000 250,000 500,000 250,000 respective Acute Malnutrition 0 agency (PIMAM) budgets Project

30. Enhancement of DOH, LGUs 1,500,00 3,350,000 900,000 PIMAM Facilities and 600,000 400,000 750,000 250,000 500,000 250,000 0 Provision of Services Program 10: 413,054, 236,778,61 200,294, 202,827,71 1,052,954,5 283,240,00 100,000 94,350,000 94,390,000 94,400,000 Nutrition Sensitive 050 0 150 0 20 0

Tulong Panghanapbuhay 170,640,00 para sa ating 56,880,0 56,880,000 56,880,000 56,880,000 56,880,000 0 disadvantage 00 workers ( TUPAD)

Project 32.

Partnership against DAR 4,800,00 6,600,000 0 600,000 600,000 600,000 hunger and poverty 0

112

Project 33.TARGET (Target Actions to Reduce Poverty and Generate Economic Transformation) - 33-1. Distribution of seaweeds input assistance/paraphern alia to farmers BFAR, NNC, 3,814,05 4,124,15 16,184,520 0 associations LGU 3,968,610 4,277,710 0 0 33-2. Distribution of fishing paraphernalia 33-3. Provision of fishery on-farm equipment and postharvest facilities and Livelihood trainings Project 34. Farm to Market Road DA, DPWH, 0 0 Development LGUs Program

Project 35. Gulayan DA, DepEd 10,000,0 10,000,0 40,000,000 0 sa Paaralan 10,000,000 10,000,000 00 00

Project 36. Livelihood DA 1,120,00 4,160,000 0 trainings 800,000 960,000 1,280,000 0

113

DA (bureaus, Project 37. TienDA attached for farmers and agencies), 1,470,000 640,000 300,000 100,000 350,000 150,000 370,000 190,000 450,000 200,000 fisherfolks BFAR, PCA DA)

Project 38. Accelerated coconut planting and PCA 75,000,0 75,000,0 300,000,000 0 75,000,000 75,000,000 replanting program 00 00 (ACPRP) Project 39. CEDP (Countryside 37,500,0 Economic PCA 37,500,000 75,000,000 0 00 Development Program

Project 40. Coconut PCA 44,000,0 44,000,0 176,000,000 0 fertilization program 44,000,000 44,000,000 00 00 Project

41. Diskwento DTI 390,000. 410,000. 1,620,000 0 400,000.00 420,000.00 Caravans 00 00

DTI, DA DAR, Project 42. Industry DOLE, BFAR, 2,500,00 2,700,000. 2,900,00 3,100,000. 11,200,000 0 Cluster Enhancement PCA 0.00 00 0.00 00

Project 43. Kapatid DTI 1,000,00 1,200,000. 1,400,00 1,600,000. 5,200,000 0 Mentor Me 0.00 00 0.00 00

114

Project 44. Negosyo DTI 5,700,00 6,000,000. 6,300,00 6,600,000. 24,600,000 0 Center 0.00 00 0.00 00

Project 45. OTOP DTI 3,000,00 3,500,000. 4,000,00 4,500,000. 15,000,000 0 Next Gen. 0.00 00 0.00 00

Project 46. Shared DTI 80,000,0 80,000,000 0 Service Facility 00.00 Project 47. Small Enterprise Technology Upgrading Program DOST 50,000,0 50,000,000 50,000,0 50,000,000 200,000,000 0 (S & T based 00.00 .00 00.00 .00 innovation and services) Project 48. DOLE Integrated Livelihood and Emergency and 111,960,00 Employment DOLE 37,320,0 37,320,000 37,320,000 37,320,000 37,320,000 0 Program (DILEEP) or 00.00 .00 .00 .00 KABUHAYAN Program Project 49. Agrarian Production and DAR/BFAR 280,000 0 Credit Program 50,000 600,000 70,000 1,000,000 (APCP) (DAR) Project 50. Operational Research NNC, RNC 0 on the Nutrition Sensitive Projects Program 11: Enabling Undertake 1,504,000 0 Program 376,000 - 376,000 - 376,000 - 376,000 - resource Project 51. mobilization Mobilization of LGUs NNC, DOH, through 0 0 for the delivery of RNC partnership nutritional outcomes with NGOs,

115

Project 52. Policy LGUs and Development for NNC, RNC 0 0 development Food and Nutrition partners Project 53. Management NNC, DOH, strengthening 1,504,000 0 RNC 376,000 376,000 376,000 376,000 support to RPAN effectiveness 1,497,510,2 174,050,36 Grand Total 05 0

116

References

National Nutrition Surveys – FNRI -DOST

Zamboanga Peninsula, Regional Development Plan 2017-2022

Philippine Statistic Authority

Regional Nutrition Strategic Action Plan 2012-2016

Updated RNSAP 2015-2016

Agencies Work and Financial Plan 2019-2022

117