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Nutrition assessment IYCF protection, support and promotion Management of acute malnutrition Micronutrient supplementation Other food and non-food interventions Components of Nutrition in Emergencies 3 Management systems... Planning... service delivery... coordination... monitoring and evaluation
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1
Good Practices and Lessons Learned:
Nutrition in Emergencies in the Philippines
Assistant Secretary of Health Maria-Bernardita T. Flores, CESO IIExecutive Director IV, National Nutrition CouncilChair of the National Nutrition Cluster
DisasterDisruptionsReduced/destroyedproductionLack/limited foodresourcesMassive
populationmigration
Increase ofcommunicablediseases
Malnutrition/death
Production
Distribution
Accessibility
Consumption
BiologicalUtilization
NutritionalStatus
AdaptationsChanged habitsDifferent crops
Price increasesubsistenceEconomizeBarter
Migration ofcertain groups
Changed resourcedistribution withinthe household
Traditional care
Stunting
Food ChainNUTRTION in
EMEREGENCY
Nutrition assessment
IYCF protection, support and promotion
Management of acute malnutrition
Micronutrient supplementation
Other food and non-food interventions
Components of Nutrition in Emergencies
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Management systems . . . Planning . . . service delivery . . . coordination . . . monitoring and evaluation
4
Source: http://www.the-ecentre.net/resources/workshop/ materials/349/ PHILIPPINES.pdf
5Source: http://www.the-ecentre.net/resources/workshop/materials/349/ PHILIPPINES.pdf
6
Source: http://www.the-ecentre.net/resources/workshop/materials/349/ PHILIPPINES.pdf
07/22/09
Organizational Structure in the DOH
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9
Haiyan 2013
Bohol Earthquake 201310
Zamboanga Siege 2013
Durian 2006
11Ketsana 2009
Washi 2011
Bopha 2012
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1 Having an overall policy on nutrition in emergencies and related guidelines
NNC Governing Board Resolution No. 1 S 2009 Adopting the National Policy on Nutrition
Management in Emergencies and Disasters
1. Scope, e.g. who should apply the guidelines
2. Objectives of the policy guide
3. Policy statements underlying the provisions of the guidelines
4. Implementing mechanisms Coordination & networking Planning Capacity building
Planning Capacity building Organizational support Social mobilization Advocacy Logistics management Surveillance, monitoring
and evaluation Service delivery
5. Institutional management that lays out the roles of various stakeholders
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Minimum Service Package on Nutrition
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Pre-disaste
rAlert phase
Pre-emptive evacuation
Day 1Day 2-3
Day 3 onwards
Set-up system, capacity building, advocacyUpdate resource inventory, mapping of partners
Activation of partners and teams
Deploy assessment team
Rapid nutrition assessment,
Implement nutrition interventions, information management, referrals, cluster coordination and exit strategy development
Ongoing finalization of guidelines15
Finalization of the policy and guidelines on the community-based management of acute malnutrition
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2 Adoption of the cluster approach and organization of thematic working groups
Government Organizations1. DOH – Health Emergency Management Bureau
8. DSWD – Disaster Response Assistance and Management Bureau
2. DOH - DPCB (Family Health Office)
9. DSWD – Council for the Welfare of Children
3. DOH – National Nutrition Council
10. Department of the Interior and Local Government
4. DOH – Health Facility Development Bureau
11. Department of Trade and Industry
5. DOH – Health Promotion and Communication Service
12. Department of Education
6. Food and Drug Administration 13. Commission on Higher Education
7. DOST – Food and Nutrition Research Institute
National Nutrition Cluster Members17
National Nutrition Cluster MembersUN Agencies and International NGOs1. United Nations Children’s
Fund8. Medecins Sans
Frontieres2. World Health Organization 9. Child Fund3. World Food Programme 10. Merlin4. Save the Children 11. Helen Keller
International5. Plan International 12. World Vision6. Action Against Hunger (ACF)
13. Arugaan
7. Philippine Red Cross
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• National Nutrition Cluster
National Level
• Regional Nutrition Cluster
Regional Level
• Local Nutrition Cluster
Provincial/CityMunicipal/Barangay
Level
Nutrition Cluster19
Cluster working groups
National Nutrition ClusterChair: National Nutrition Council
(Assistant Secretary of Health Maria-Bernardita T. Flores)
Community-based Management of
Acute MalnutritionChair: DOH (Dr. Rosalie Paje)
Infant and Young Child Feeding in
Emergencies Chair: DOH
(Dr. Anthony Calibo)
Assessment and Monitoring
Chair: NNC-NSD (Ms. Hygeia Ceres
Catalina Gawe)
Advocacy and Communications
Chair: NNC-NIED (Ms. Jovita Raval)
Strategic Core GroupMembers: Chairs of the
TWGs, UNICEF, NNC
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3 Setting up of mechanisms for communication
Mechanisms for communication22
Regular meetings
Nutrition Cluster Yahoo Email Group
Advisories for the public and for responders via social media and SMS
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4 Having a system for generating, analyzing and disseminating data for informed action
Cluster partner reporting and mapping Routine
Through Information Management Officers in severe disasters
• SMART (Standardized Monitoring and Assessment of Relief and Transitions) surveys
Data generation and dissemination 24
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5 Vigilance on potential issues related to infant formula donations
Vigilance to issues on milk donations26
Release of Cluster statement on infant formula in disasters
Preparation of position paper in anticipation of an issuance that would allow infant formula donations
Mobilization of alternative sources of breastmilk—milk banks, wet nurses
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6 Linkage with other clusters
Positive results28
Guidelines on camp management provide for spaces for mothers with infants and young children
Content of family food pack changed
Replacement of instant noodles with multi-nutrient growth mix
Addition of canned vegetables
Continuing Actions
Review and updating of the National Disaster Response Plan for Earthquakes and Tsunamis
Formulation of the Nutrition Cluster Strategic Plan for 2015-2022
Continuing organization of local nutrition clusters
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Capacity building on Nutrition in Emergencies at the local level
Strengthening the link of the Nutrition Cluster with the other sub-clusters of the Health Cluster and the other response clusters
Strengthening of information management
Continuing Actions30
Needs for research and innovation31
Indigenous food formulations for Improved family food packs Blanket feeding Management of acute malnutrition
Tools and approaches for participatory planning, monitoring and evaluation
In summary32
1. Policy and guidelines formulation
2. Cluster approach and thematic working groups
3. Mechanisms for communication
4. Information management
5. Protection of breastfeeding
6. Linkage with other response clusters
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Preparedness is key- Good nutrition programs, pre-disaster
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Thank You!Visit, read, fb, watch, email, call NNC @
2332 Chino Roces Ave Extension, Taguig Cityhttp://www.nnc.gov.ph
https://www.facebook.com/nncofficialhttps://www.facebook.com/wastongnutrisyon
http:///www.youtube.com/user/[email protected]
Tel. (02)843-0142 Fax. 818-7398